Provide operationally focused support and internal project management for the development of new ambulatory surgical centers. Covering facility launch until the facility leadership team assumes full control.• Facility design• Construction management• Equipment planning• Process improvement• Operational support

Leadership of a 9-operating room, 21 bed, Surgical Hospital with 225+ employees, an annual case volume of 8,500, and an annual revenue of $86M.Responsibilities:• Ensure facilities are compliant with all internal policies and procedures, Federal and State regulations, and the Joint Commission requirements.• Direct supervision of 11 managers and directors.• Managed hospital during COVID-19 governmental shut down.• Managed transition from COVID-19 shut down back to full normal operations.Achievements: • Held triple role of CEO/COO/CFO, resulting in annual salary savings of $350K.• Oversaw design and construction of new operating room, which was completed on-time and within the $2.5M budget.• Double digit case-load growth for 2 consecutive years.• Started a Robotic Assisted Surgical Program. Currently consisting of 3 da Vinci Xi robots, 1,200 cases per year, 20 Surgeons in 3 different medical services (general, bariatric, and urology) resulting in annual revenue of $14M

• Promoted to COO through demonstration of proven problem-solving skills and the ability to implement new operational ideas. Maintained CFO position as a dual-role due to high-level of involvement of CFO in hospital operational issues. • Directed and oversaw Plant Operations and Information Technology Departments.• Direct supervision of 8 Managers and Directors.• Completed Texas Medicaid re-enrollment process.• Handled all ownership partner transactions.• Recruitment of new partners.• Led implementation of an Operational Improvement Program for Operating Room and Sterile Processing Departments• Completed hospital name change project with all Federal and State entities.• Negotiated service contracts as needed with focus on high-quality at the best price value.

• Created and set up facility policies for start-up hospital – hired all initial BO and HIM staff• Responsibilities included facility budgeting, capital planning (All stages of capital procurement) and forecasting • Completed month-end close process for purchasing, accounts payable, and accounts receivable- reviewed and analyzed financial statements• Designed and coordinated hospital wide orientation for new hires• Five direct reports• Negotiated external contracts and pricing for services and products (Cost control focus)• Member of the Physician Growth Teamo Goals of team was to establish and execute growth plan for physician recruitment• Sold off underperforming radiation oncology business unit• Oversaw successful completion of ICU, ER expansion, lobby remodel, OR expansion, and new business office in medical office building (Approval, design, financing, accounting, and transition) - (Project budgets ranged from $300,000 to $4,000,000)• Prepared and presented presentations to the Governing Board and at partnership meetings• Assisted CEO with marketing • Focused on increasing case volumes and patient net revenue, and reducing costs and bad debt. Revenues increased through charge master and coding reviews, and implementation of charge capture process facility wide. Costs reduced and staff satisfaction improved as a result.• Engaged surgeons and staff to grow business in a cost-effective manner while still achieving the highest possible clinical and customer service outcomes.• Implemented and maintained excellent internal audit processes (Gold / Silver designations)• CFO award winner in 2007 and 2015• Coordinated and prepared schedules for annual CMS cost report, American Hospital Association Survey, and wage index audits • Coordinated and managed hospital’s revenue cycle activities (Supervision of all onsite business office functions and coordinate with USPI’s centralized business office to ensure hospital’s goals are met)

• Supervised 2 staff accountants• Responsibilities included full-charge accounting for ~20 ASCs during a period of high growth. Due diligence, set up of opening balance sheet, and transitioned new facilities into USPI• Performed forecasting and modeling for internal and external users. Prepared financials, cash flow statements, and trending analysis.• Tracked capital expenditures for de novo facilities.• Key participant on implementation team for the FUEGO software

• Prepared month end journal entries along with general ledger maintenance for ASC locations and home office• Prepared and analyzed monthly financial statements, including bank account reconciliations• Recognized for taking on additional duties and promoted to Regional Finance Manager