Management Performance Associates

Business Office Management

MPA helps your business office do a better job, without breaking the bank.

MPA brings its resources and multi-disciplinary team to multiple clients—and shares best practices among these clients, improving business office performance for all.

Free-standing facilities have often wished they could enjoy the economies of scale familiar to larger nursing home chains – many of which share the cost of a CFO/Business Manager over several operating units.

MPA’s Business Office Management brings that economy of scale to free-standing facilities, by creating efficiency and superior reporting for less than the cost of a Business Manager.

We provide customized approaches with adaptability and support.

Our clients benefit from:

  • Efficient and expert accounting procedures
  • Revenue cycle and cash management improvements
  • Short- and long-term financing planning
  • Analysis and assistance from an experienced health care CFO
  • Support during independent audits
  • Streamlined month-end closing and timely monthly statements
  • Customized charts of accounts
  • Clarity of financial statements
  • Organization-specific dashboard metrics
  • Reduced operating costs
  • Support of MPA’s team of health care experts

MPA’s Business Office Management has generated an average savings of 40 percent for our existing clients. In an era of reimbursement limits, that’s a significant economy for any operation.

Think of Business Office Management as an expert finance and accounting service. The facility keeps its existing information system and chart of accounts. Payroll, accounts payable, and billing functions continue to be done at the facility by existing personnel. Utilizing an on-line connection to the facility’s financial information system, MPA provides general ledger, financial and accounting expertise directly to facility personnel. This service includes documentation and support for accounting entries, first-hand assistance during any independent audit, and clear documentation. The flow of financial information is enhanced by working with the business office staff and helping them gain an understanding of accountability.

MPA can help

For more information, please contact:
Gary M. Winschel
VP of Finance and Management
(314) 394-2222 ext. 20
[email protected]

MPA’s Business Office Management represents an accounting service designed to provide monthly financial statements that are as accurate as possible; it is not an independent certification of financial results and cannot replace a certified audit.




In the years leading up to 2008 our county nursing home was struggling. Our partnership with MPA resulted in dramatic improvements in so many areas. We have seen a turn-around guided by their leadership, team approach and hands-on effort.

—Deb Busey
County Administrator
Champaign County, Illinois

I would like to share how extremely pleased I was with the work of MPA, and specifically Gary Winschel, during our annual financial audit.

—Karla Bradley, LNHA Executive Director,  retired Piatt County Nursing Home Piatt County, Illinois