Stroudwater Associates Releases New White Paper Detailing How Rural Hospitals Can Compete with Retail

Detailed in the white paper, Stroudwater shares the Transition Framework which includes five key initiatives for hospitals to consider when moving toward a population-based payment system

PORTLAND, MaineJan. 17, 2023PRLog — Stroudwater Associates, the leading source of strategic, operational, and financial advisory services for rural, community, and county/district-owned hospitals, releases Rural Hospitals Must Keep Up with Innovation to Remain Viable; a white paper that details how rural and Critical Access Hospitals (CAHs), can remain viable in the ever-changing healthcare system.

Over the course of the COVID-19 pandemic, the market has evolved rapidly with emerging technology and telehealth services. Large corporations, such as Walmart, Walgreens, and CVS, have taken advantage of the tech-based urgent care, primary care, post-acute care, virtual care, and pharmacy services space. For rural hospitals and CAHs to compete with these industry disruptors, they must move away from the current fee-for-service (FFS) payment system and work toward the payment system of the future. By implementing a population-based system, hospitals will receive payment per capita and must determine how to care for a specific population within their service area. Recognizing that this new system is not easily implemented, Stroudwater Associates developed a strategic step-by-step system in order to help hospitals navigate through the transition.

The Stroudwater Transition Framework is composed of five key initiatives to help guide hospitals as they move to the new payment system. The initiatives unfold over time in three phases, beginning with full FFS and population-based payment system utilization. “There is no doubt that the last three years have been unprecedented for the rural healthcare environment, but we need to face reality,” said Stroudwater Associates Managing Director Jeff Sommer. “Hospitals need to recognize that the current model is dated. By utilizing the Transition Framework, hospitals have a chance against these large corporations.”

The Transition Framework was constructed by Stroudwater consultant, Eric Shell, MBA, CPA, a leader in rural healthcare financial management. As healthcare moves away from FFS reimbursement and toward population-based payment, Shell and his team at Stroudwater Associates provide critical financial and operational improvement services to ensure that rural hospitals continue to provide local, high-quality, and accessible patient care.

“Our team deeply understands how challenging it is for hospitals to transition from one payment system to another – to have a foot in both worlds, so to speak,” said Shell. “Despite that, we have seen tremendous success in guiding hospitals as they cross the ‘shaky bridge’ to a population-based payment system when using the Transition Framework. We know this new system will position hospitals to face the challenges of the current post-pandemic environment and beyond.”

To learn more about Stroudwater Associates’ Transition Framework, click here. (…)

About Stroudwater Associates

Founded in 1985, Stroudwater Associates is a leading national healthcare consulting firm with offices in Nashville, Atlanta, and Portland, Maine. Stroudwater focuses on strategic, operational, and financial areas where their perspective offers the highest value for rural hospitals, community hospitals, healthcare systems, and large physician groups. Stroudwater is made up of clinicians, directors, corporate officers, investment bankers, financial analysts, and content specialists with deep domain expertise.

Psychological Associates Names New CEO

 Psychological Associates, a consulting company that applies behavioral science to business performance, recently named Clay Hildebrand as the company’s CEO. Hildebrand – who has served as Psychological Associates’ president since 2018 – replaces chairman and CEO Dr. Robert Lefton who passed away in October.

Hildebrand will now serve as Psychological Associates’ president and CEO. His responsibilities include implementing the company’s overall mission of partnering with organizations to achieve exceptional results through people. Hildebrand also will implement strategy, manage stakeholder relationships, and drive company culture.

This is the first time in the company’s history that a non-family, non-founding member has led the organization. Psychological Associates was established in 1958 by the late Dr. Lefton and the late Dr. Victor Buzzotta. Current owners and shareholders include Dr. Lefton’s three children – Brad Lefton, Cindy Lefton and Jeff Lefton, along with Dr. Buzzotta’s daughter Ann Buzzotta.

“Clay has played an integral role in our company’s history for nearly 15 years,” said Psychological Associates’ shareholder Ann Buzzotta. “His appointment as CEO marks a notable moment in the company’s history, and we are pleased he is taking on the challenge to lead our future efforts and build on our founders’ achievements.”

Hildebrand joined Psychological Associates in 2009 as vice president of sales. He possesses a wide range of corporate experience with Fortune 500 companies in various industries including manufacturing, retail, and finance. Prior to joining Psychological Associates, Hildebrand worked at Maritz, Inc. for 14 years in numerous capacities including director of operations.

“Clay is the ideal candidate to help us transition from a founder-led organization into a professionally managed firm,” said Psychological Associates’ shareholder Jeff Lefton. “We look forward to his leading our company in this new dual role while maintaining our families’ distinguished legacy.”

Psychological Associates helps clients select, develop, and retain their best leaders, enabling them to build exceptional organizations. Its exclusive Q4 Dimensional® Model of Behavior™ – an industry-renowned structure that categorizes observable actions into understandable groupings – inspires high performance while attaining comprehensive results. Consulting capabilities include talent assessment, leadership development, succession planning, people analytics, and family business solutions. Founded in 1958, Psychological Associates is headquartered at 8000 Maryland Ave. in Clayton, MO. For more information, call (314) 725-7771.

Psychological Associates

Rochelle Brandvein

(314) 725-7771



  • Personnel Announcements

Dasti & Associates sees substantial growth

The firm provides legal representation in Ocean County and throughout New Jersey.

By: Dasti & Associates, P.C.

Dasti & Associates, P.C.

Dasti & Associates, P.C.

FORKED RIVER, N.J.Nov. 8, 2022PRLog — What started with humble beginnings has grown into a multi-faceted law firm that provides valuable insight and representation to its clients – and it all started with one person’s vision and determination.

Christopher Dasti was born and raised in Ocean County. He was fortunate enough to clerk for a superior court judge in Toms River where he developed a keen affinity for representing public entities, municipalities and private clients. After being a partner at another firm, Dasti decided to start his own firm, The Law Offices of Christopher J. Dasti, PC, in July 2018.

Based in Ocean County, The Law Offices of Christopher J. Dasti, PC provided aggressive legal representation to clients with prompt, efficient and cost-effective legal counseling while achieving high quality and results-oriented legal services.

Dasti’s primary areas of focus was civil litigation in State and Federal Court, real estate transactions, public entity law, estate planning and land use. Dasti has litigated cases successfully in the Superior Court of New Jersey, Trial Court and Appellate Divisions, in the New Jersey Supreme Court, as well as the U.S. District Court for the District of New Jersey, and the United States Court of Appeals for the Third Circuit.

Just over a year after its inception, The Law Offices of Christopher J. Dasti saw measurable grow as experienced administrative staff and new associates were added to the team.

January 2020 was off to a great start as the firm’s public entity law practice expanded to serve public entities in four counties throughout the state of New Jersey. Dasti also received multiple government appointments serving as general counsel to municipalities, planning and zoning boards, boards of education and municipal utility authorities.

As a reflection of his most notable achievements, Dasti was recognized as a Rising Star in the area of state and local government law by the 2020, 2021 and 2022 Super Lawyers publication.

In April 2020, as a result of its growth, Dasti renamed the firm Dasti & Associates, PC, and relocated to 310 Lacey Road in Forked River.

“The new location was completely renovated for the growing firm to better serve its clients,” said Dasti. “This is an exciting time as the firm, which is less than two years old, continues to expand. The lawyers and support staff we have now are excellent and we can offer a value-added approach for our clients.”

Dasti says the firm prides itself on its tenacity for delivering desired outcomes. “We do our best to meet the needs of our clients using an aggressive approach to legal representation,” he said. “We also give back to the community by serving on local nonprofit boards and participating in philanthropic activities.”

Looking to the future, Dasti hopes the firm will continue to grow and make an impact on Ocean County and throughout the state.

“The goal is to continue to add hard-working, good-hearted people to our staff that will serve our clients and give back to the community,” he said. “The future is definitely bright.

About Dasti & Associates, P.C.

Dasti & Associates, P.C. was founded in July 2018. Based in Ocean County, the firm provides legal representation throughout the state. To learn more, visit

Harbor Associates Acquires 119,000-SF Office Building for Life Science Conversion

Agoura Hills, CA office building to serve as new global headquarters for A2 Biotherapeutics

30601 Agoura Road

30601 Agoura Road

LONG BEACH, Calif.Aug. 17, 2022PRLog — Harbor Associates in joint venture with Platform Ventures, LLC has acquired a 118,906-square-foot commercial office/R&D building in Agoura Hills, CA for $19.275 million.

Harbor also announced the signing of A2 Biotherapeutics (“A2 Bio”) to a long-term, 75,994-square-foot lease at the building located at 30601 Agoura Road, which will serve as A2 Bio’s  new global headquarters.     A2 Bio has invented the Tmod™ cell therapy platform to tackle the fundamental challenge in solid tumor treatment—the ability of cancer medicines to distinguish between tumor and normal cells. A2 Bio expands its presence in Agoura Hills as it will continue to occupy ~30,000 square feet in neighboring buildings.  The new headquarters for A2 Bio will feature approximately 70 percent lab and R&D space with the remaining 30 percent devoted to collaboration space.

The two-story multi-tenant building is located at the eastern gateway of the Conejo Valley, which includes one of Southern California’s major life science clusters.   Stretching from northwestern Los Angeles County to southeastern Ventura County which includes Newbury Park, Thousand Oaks, Westlake Village and Agoura Hills, the Conejo Valley is home to one of the most significant life science clusters in Southern California.  Nearly 70 life and bio science firms such as Amgen, Baxter, Allergan and Takeda currently occupy  approximately 4.3 million square feet of space in the Conejo Valley.

“Located at the eastern gateway of the Conejo Valley, Agoura Hills is more convenient than Thousand Oaks for bio tech recruiting talent from the San Fernando Valley, Downtown and West Los Angeles. “We were able to identify a well-located building that was prime for multi-tenant life science conversion while helping A2 Bio meet its business objectives.” said Principal Rich McEvoy.

The 11-year lease with A2 Bio is an example of the demand for space by life science and bio-tech firms across the U.S. According to CBRE, at the end of 2021, office-to-lab conversions in the 12 largest U.S. life sciences markets, which includes Los Angeles, amounted to 9.9 million square feet, up 49% from the beginning of the year.

In January of 2020, Harbor acquired Agoura Hill Business Park, an adjacent 114,325-square-foot office project in Agoura Hills, and made improvements to the building to attract the life science groups expanding into the area, which included A2 Bio.   Between 30601 Agoura Road and Agoura Hills Business Park, Harbor Associates is delivering a variety of market ready R&D / lab spaces, ranging in size from 2,000 -18,000 square feet, readymade with appropriate infrastructure and designed to meet the growing demand in Agoura Hills.

A2 Bio, is expected to take occupancy in the second half of 2023. The Harbor-led joint venture will add relevant on-site amenities to create an attractive workplace environment that will help A2 Bio, and others, attract and retain talent.  Improvements include an expansive outdoor meeting and social spaces, upgraded building lobby, drought tolerant landscaping, exterior building enhancements and signage.

Jay Rubin and Jared Smits of Lee & Associates advised the seller. Mark Perry of CBRE represented the buyer in the transaction. Rick Pearson of Cushman & Wakefield represented A2 in the lease negotiations.

About Harbor: Harbor Associates, LLC is a value-add operating platform focused on acquiring and repositioning under-performing commercial real estate assets throughout Southern California and Denver. Harbor has been involved in the renovation, repositioning and development of 34 office projects totaling over 4.6 million square feet with a portfolio value in excess of $1.0B.

About Platform:

Platform Ventures, through certain asset management subsidiaries, manages and invests in real estate, real estate-related assets, real estate technologies and real estate-focused companies located throughout the United States. Platform’s experienced team seeks to add value to client portfolios by applying its knowledge of the long-term cycles and macro-economic trends that shape the real estate market in order to create price-to-value dislocations. Platform Investments, LLC, which is owned by Platform Ventures, manages several investment vehicles that consist of institutional investors and high net worth investors. We have invested in 37 states with approximately $1.5 billion of assets under management as of September 30, 2019.  Visit for more information.


Bruce Beck

DB&R Marketing Communications, Inc.


Stroudwater Associates Further Increases Support for Rural & Community Healthcare

Despite continuing challenges from the COVID-19 pandemic, the rural and community healthcare consulting firm continued to deliver strategic, operational, financial, and clinical expertise to healthcare leaders across the nation

PORTLAND, MaineJan. 20, 2022PRLog — Stroudwater Associates, the nation’s leading source for strategic, operational, financial, and clinical strategy for rural and community healthcare, announced today that it has surpassed its impact goals for 2021 and anticipates growth in 2022.

Over 20 rural hospitals have closed since the start of the pandemic, making it the largest loss of rural hospitals since the Cecil G. Sheps Center for Health Services and Research started keeping records in 2005. To support rural communities and remaining hospitals through this enormous loss, Stroudwater Associates continued to build on its mission to partner with healthcare leaders to positively impact community health across the United States through new service offerings and enhancements to cloud-based applications.

In 2021, the advisory firm’s clinical team launched a prescription opioid management program to assist primary care clinics and provider practices in managing chronic-pain patients on long-term opioid therapy. The clinician-led team worked closely with the University of Washington Department of Family Medicine and Kaiser Permanente Washington Health Research Institute to become practice facilitators of the Six Building Blocks Program. Additionally, Stroudwater Associates’ analytics team developed and launched two cloud-based applications to help hospital leaders improve revenue, increase efficiency, and maximize pricing integrity.

“We are proud that our partnership with healthcare systems continues to positively impact rural communities across the country,” said Stroudwater Associates Managing Director Jeff Sommer. “It underscores our belief that by combining the power of our team with health system leaders, we can lift rural and community healthcare and transform it for the future needs of the 60 million Americans who depend on it.”

Stroudwater Associates 2021 impact by the numbers:

  • Advised hospital and healthcare systems that serve communities consisting of 22.9 million people
  • Served hospitals, health systems, and physician groups through 478 engagements
  • Worked with clients and communities in 45 states

Through its strategic partnership with StroudwaterGCL, the organization had a greater impact with the closing of a loan with a hospital in New Jersey that serves a population size of over one million, forty-five thousand people.

To continue to build on its mission, Stroudwater Associates hired five new team members,

  • Wade Gallon (, MPA, FHFMA, supports clients through financial and operational analysis and cost report review
  • Kirsten Meisterling (, MS advises hospitals and healthcare providers on physician-hospital alignment, physician practice, and hospital performance improvement
  • Megan Zook assists consultants and clients as project coordinator and oversees timelines and deliverables
  • Macey Spears is the relationship officer for StroudwaterGCL and works with clients on funding rural health investments
  • Jolene Robichaud assists  StroudwaterGCL on projects, timelines, and client deliverables

“Stroudwater is continuing to grow, and the expansion of our team allows us to continue to better serve existing clients and work with more healthcare leaders,” says Stroudwater Board Chair Eric Shell. “The addition of new consultants speaks to our commitment to improving healthcare with the highest value of advisory services we can offer to clients and our team’s expert approach.”

To learn more about Stroudwater, visit

About Stroudwater Associates

Founded in 1985, Stroudwater Associates is a leading national healthcare consulting firm with offices in Atlanta, Nashville, and Portland, Maine. We focus on strategic, operational, and financial areas where our perspective offers the highest value for rural hospitals, community hospitals, healthcare systems, and large physician groups. Stroudwater’s team includes clinicians, managers, corporate officers, investment bankers, financial analysts, and content specialists with deep domain expertise.


“Why rural hospital closures hit a record high in 2020.” 16 March 2021.

“How the pandemic killed a record number of rural hospitals.” 31 July 2021.