Elizabeth Gousse Ballotte is a principal within Grassi Healthcare Advisors. She has more than 15 years of operational and organizational consulting and management experience and specializes in developing and performing grant compliance reviews, new business initiatives, internal control reviews and M & A implementations. She has experience in federal grant compliance, benefits analysis, financial analysis and research. Her engagements have required her to perform internal control reviews, operational assessments and grant compliance monitoring on a national scale. Liz has specifically been involved with engagements that review the processes and controls in the areas of organization and operational reviews, grant monitoring and administration, due diligence reviews, cash management, payroll and time reporting, accounts payable and financial reporting. Liz has worked with skilled nursing facilities, helping them to manage state funded performance improvement initiatives. She has also assisted physician practices with development of patient experience strategies.