AmeriWound and its provider affiliates treat patients with wounds at their bedside in LTC facilities including: skilled nursing facilities, ALF's, hospice, hospitals, and other care settings. We have contracts with several hundred nursing homes and ALF's in California, Ohio, New York, New Jersey, Pennsylvania, Indiana and Illinois and are expanding into several other states. Due to a high demand for our physician wound care by client facilities, we are constantly recruiting full time and part time Physicians, NP's, and PA's from varying specialties and train them in leading edge wound care in each state where we operate. AmeriWound has been a NATIONAL LEADER in wound care Days To Healing for the past 13 years consecutively.

Developed $13 million Cardiology practice clinical integration affiliation with major hospital. Sold/led $3.7 million clinical integration, operations project to health plan. Restructured practice operations for 130 physician group resulting in $5.1 M expense reduction. Revamped health plan reimbursement model and contracting for 130 providers resulting in $2.8 M net improvement. Directed consulting projects for major hospital system resulting in $17M service expansion. Developed major hospital system wide home health, HME, and infusion therapy services and clinical integration; Revamped hospital system OP diagnostic imaging program including establishment of new $2.5 million freestanding center including CON. Converted diagnostic services for 1,500 bed hospital system to freestanding imaging centers, resulting in $1M revenue increase. Created business/development plan for hospital system expansion into adjacent state. Established hospitalist program and physician home-visit program. Acting COO for outpatient diagnostic imaging centers.Reduced AR by 15%, improved collections by $1M and added $850,000 new revenue.Negotiated $100,000 PACs (digital imaging) system savings and equipment cost reductions by $150,000. Negotiated managed care provider contracts – increasing revenues by 10%.Won CON for surgery center & formed medical office complex real estate group.Negotiated $2.3 M Ophthalmology practice acquisition & $360K practice affiliation for retinal surgery. Developed new retinal practice locations in Tennessee & Mississippi. Developed $12M new revenue producing services, locations & systems for retinal care group. Negotiated $1.3 M TPA acquisition for national company. Created 900 physician IPA network, established provider contract rates. Developed Medicare HMO business plan, benefits structure/rates provider contracting rates and strategy. Developed MEDVISITS program.

Provide strategic and tactical consulting to national and international clients including: managed care/health plans, hospital systems, physician groups, Private Equity firms, behavioral health organizations, senior care organizations, ancillary services and benefits companies. Significant expertise in ACO, PHO, clinical integration, Medicare Advantage, Medicaid, BHO, new payor & provider initiatives, program implementation, clinical & business operations, and business development.

Led one of nation’s leading Orthopedic groups, diversified practice to add spine center, built new state of the art musculoskeletal center, consolidated fragmented underperforming business office operations to unified high performing revenue cycle unit, upgraded and deepened high performing management team to manage growth, negotiated Orthopedic Hospitalist and lucrative hospital call arrangements and established partnerships with two major health systems. Significantly increased revenues and shareholder profitability by $millions annually.•Restructured business operations resulting in $millions of revenue cycle improvement.•Improved capture of ancillary services leakage adding $millions in annual revenues.•Improved Summit’s ambulatory surgery center usage and profitability.Led Orthopedic Urgent Care clinics resulting in significant increased patient access, volume and improved satisfaction.•Negotiated purchases of two 1.5 Tesla MRs and C-Arm resulting in significant savings.•Renegotiated/restructured company’s self- insured healthcare benefits resulting in significant annual savings.

Not for profit healthcare and social service agency serving home health care patients, thousands of seniors, developmentally disabled, behavioral health patients, social service clients ranging from Holocaust services, meals on wheels, counseling services. The major divisions/services include a Medicare certified home health agency, and a diverse and comprehensive Behavioral health service including Psychaitry, Psychology, and MSW staff operating outpatient facilities and 55 group homes.

AVP of Health Benefits, Purchasing, & Chief Negotiating Officer: directed 38,000 member self- insured health plan design and administration, national contracting, purchasing, real estate, auto leasing, for 16,000 employees across 200 offices in US and Canada.•Directed & revamped company’s self - insured health plan resulting in $3 million annual financial improvement. •Negotiated improved health plan TPA arrangement and replaced initial TPA.•Led claims audits for employer sponsored self- insured health plan resulting in new TPA selection, new provider network, benefits restructure and $3 million dollars annual savings. •Revamped self-insured health plan benefits, claims audit process, prescription drug benefits, enrollment, eligibility and increased funding reserve. •Redesigned overall health benefits program from indemnity to managed care - PPO & POS with significant cash reserve.•Established and negotiated new national provider networks resulting in $2 million annual healthcare benefits/provider savings and established annual IBNR amounts for referral cost reserve.•Leveraged and realized savings of:-$2 million in national health plan and provider network restructure and new managed care contracts. -$2.5 million renegotiating purchasing arrangements.-$1.75 million in real estate construction and leasing.-$175,000 in auto fleet leasing.

Sold over $1million healthcare consulting services to managed care companies, hospital systems, physician practices, and surgery centers. Developed clinical intergration model for hospitals and affilaited physicians.Saved major hospital account for E&Y by establishing profitable JV with providers.

Publicly-traded, nation’s largest physician practice management company for 13,000 physicians. (MEDPARTNERS acquired Health First). Led 5 state MSO operations, sales, managed care risk contracting & medical management for five-state area with 22 separate physiician groups, 220+ physicians (including, Orthopedics, Retinal Surgery, OB/GYN, Anesthesiology, Radiology, Gastroenterology, Oncology, ENT, Surgery, Primary Care, Cardiology, Neurology, Endocrinology, Infectious Diseases, Geriatrics), ASCs, Endoscopy Center, Cardiac Cath Labs, Diagnostic Imaging Centers, Eye Clinics, 1,200 employees, 40 locations, and 50 managed care plans.•Achieved 9.5% EBITDA in successive years for $222 million region, while parent company lost $1 billion.•Directed 1,000 provider PHO to accept risk contracting resulting in 40% improved utilization management results.•Established and negotiated regional managed care hospital, physician, and ancillary provider contract s and rates. •Developed regional analytics to monitor managed care/risk contract performance by state and locale.•Established IBNR medical claims accrual reserve to accurately account for referral costs.•Consolidated operations and restructured benefits designs of diverse medical practices utilizing Health First MSO resulting in regional annual savings of $5 million.•Increased Invasive Cardiac Cath Lab revenues by $1 million to $7.6 million.•Established satellite Cardiac Cath Lab and grew site revenues to $2 million.•Hired 6 additional Cardiologists including EPS expanding practice to 18 Cardiologists and $26 million in revenues.•Increased sales by $50 million through acquisitions, new business and improved productivity per business unit.•Reduced expenses by $15 million via contracting, purchasing, and divesting unprofitable operations.•Increased sales by 200% and transformed unprofitable division to 25% profit margin.

HMO Executive, CEO, Executive Director: founded and developed multi-specialty managed care physician practice, commercial and Medicaid HMOs; developed PHO, managed care MSO & network acquired by MEDPARTNERS; led operations, sales, & new businesses.Founded and directed first federally qualified commercial HMO (Health First) in Tennessee.Founded and directed first Prudential owned Medicaid HMO (Prudential Community Care).Grew $50 million commercial HMO to 70,000 & Medicaid (TennCare) HMO to 30,000 members; Developed/directed health plan infrastructure, employer benefits design options, commercial and Medicaid products, broker and sales programs, sales pricing and strategy, hospital, physician network & ancillary provider rates and contracts. Sold Health First HMO to Prudential Healthcare. Directed HMO, POS & PPO plan infrastructure and operations via Health First MSO - under percentage of premium total risk arrangement. Directed prepaid Behavioral Health Organization under TennCare achieving 10% profit margin.Increased: group practice sales to $35 million; profitability by 10%+ per year; & improved collections by $1million. Diversified company revenues, improved processes, added new business entities resulting in $5 million new business growth. Negotiated $20 million consideration to physician shareholders through merger into MEDPARTNERS.Founded & directed outpatient rehabilitation company for physicians & hospital system achieving 25% profit margin.Directed Anesthesia, Orthopedics, Diagnostic Imaging, Ob/Gyn & WomenCare, and Reference Laboratory subsidiaries achieving 25% consolidated profit margin. Negotiated 10-year $30+ million exclusive anesthesia contract with hospital system.

METHODIST HOSPITALS OF MEMPHIS, Memphis, TN. 1977 – 1980Directed special projects including $100 million construction and renovation for 1,500 bed not for profit multi-hospital system, JCAHO accreditation, with operational responsibility for Eye Clinic, Psychiatry, Emergency Department, Labor and Delivery and NICU (neonatal intensive care unit) and $27 million budget.