About Germain & Company

Founded in 2003, Germain & Company was created to help bridge the gap between . . .

Art G. Boll

Germain and Co’s President and Owner, Mr. Art Boll, is a recognized national expert in addressing the financial, operational and strategic issues associated with Academic Medical Organization and Teaching Hospitals. After presiding as a national health care partner for 26 years at Deloitte and Touche and leading their Academic Medical Organization consulting service, Mr. Boll left Deloitte to start Germain & Company, to focus specifically on developing customized solutions within in the GME marketplace. His areas of expertise include:

• Financing of academic missions and the structuring of economic arrangements
• Ambulatory care services and arrangements*
• Reimbursement maximization
• Continuous Process Improvement and Revenue Cycle
• The structuring of academic support agreements, hospital/physician organizational issues and economic arrangements
• Coordinating economic arrangements and incentives between teaching, research and clinical activities within an academic environment

* Mr. Boll has performed multiple physician compensation and economic arrangement products in a variety of academic and teaching organizations and has conducted numerous training sessions and presentations to organizations such as American Hospital Association, Association of American Medical Colleges, GBA, Association for Hospital Medical Education and various state health care organizations.

The skills and experience of Mr. Boll used in conjunction with the unique billing extract technology have allowed Germain & Company to create tools which not only identify the potential opportunities that exist within a GME program but also assembles a customized process for the implementation of continuous improvement applications within that program.

Matt McCumber, MBA

Mr. McCumber has significant consulting experience on projects supporting large academic medical centers, medical schools, faculty practice plans and graduate medical education programs. He has completed multiple strategic planning projects related to academic missions and defining more clearly the future role of teaching and research within an integrated delivery system in order to address the impact of outside funding reductions and assessing the strategic value of performing such efforts. Mr. McCumber has also supported a large, urban hospital in planning efforts to achieve established strategic goals for their academic programs – including reducing residency program size, shifting towards an ambulatory care-based teaching model, and re-aligning and standardizing faculty compensation arrangements to enhance system integration and improve program support. He has also assisted in several projects involving the measurement and evaluation of funds flow arrangements between teaching hospitals, medical schools and faculty practice plans in order to assist stakeholders in better understanding those arrangements between parties, comparing against industry standards and develop better ways to define those arrangements going forward in order to improve transparency and return on investment to each party.

Mr. McCumber previously worked as a Senior Manager for Deloitte & Touche, LLP where he brings over 20 years of experience to Germain and Company.

Nicki M. Flood, MBA

Nicki M. Flood is experienced in Graduate and Undergraduate medical education that spans over 20 years. She has experience in Graduate Medical Education (GME) and worked at Providence Hospital and Medical Centers in Southfield, Michigan. Her responsibilities as Director of GME Administrative Services covered the day-to-day operations for a $13.5 million dollar budget, accreditation, administrative responsibility for IRIS tracking, reporting and audits, administrative oversight for 18 residency and fellowship programs, personnel and recruitment efforts for 165 residents and supervision of 13 staff. She also served as the liaison and was responsible for the visiting residents and medical students from various medical schools and residency programs. She worked in conjunction with hospital administration relative to physician contract negotiations and private practice office rotation agreements. She held the role of liaison with the ECFMG and was involved in securing all visas for the residency programs.

In 2006, she took on a temporary role of Executive Director for the Office of Clinical and Graduate Affairs for the American University of the Caribbean School of Medicine (AUC) and spent one year with them while assisting with the accreditation for a new osteopathic medical school in Colorado. Upon receipt of provisional accreditation, she relocated to Colorado and served as Vice President of Admissions, Student Services and Marketing for Rocky Vista University College of Osteopathic Medicine (RVU). During her time with RVU, she worked with other key administration to develop the admissions, student services and marketing departments and recruitment efforts for the inaugural class of 2007.

Nicki has also worked as a consultant in Graduate Medical Education and provided expertise in the area of accreditation, GME office management, resident tracking and documentation for intermediary reimbursement.