Steven Downs Email & Phone Number

Roanoke, Virginia, United States

• Iplemented a new Gero-Psych DPU program.• Chief Staffing Officer created a process for appropriately reviewing new FTE requests. • Implementing new service excellence throughout the facility.

Muskogee, Ok.

(275 beds, HH, 15 Employed Physician Practices, Two Joint Ventures, August 2008 – October 2010.• Increased coding accuracy from 64% to 93% at the same time increasing case mix from 1.35 to 1.50. • Implementing Studer training towards service excellence. • Implementing LEAN process improvement in the ED.• Directed an IT system conversion BAR to PA, an HR/KRONOS conversion and an HCA shared services conversion.• Directed a DSS department that developed and supported the company budget system for 14 hospitals.• Prepared the consolidated budget consisting of $292 million of gross revenue, $115 million of net revenue and $99 million of operating expenses.• Exceeded budget for 2009.

Attentus sold all assets. Troy was sold to the local physicians.Directed the transition to local physician ownership.Reduced FTE’s by 80 and salary expense by $250k per month.Renegotiated PT, Hospitalist, Lab and Sleep Lab contract services.

Ville Platte Medical Center, CEO, Ville Platte, LA. (102 beds) For Profit, Acute Care Facility, April 2005 – September 2006.Successfully applied and received Medicare dependent status resulting in increased reimbursement of $2.5 Million annually.Managed a $21 million expansion/renovation. Adding approximately 50,000 sq. feet.Renovations to all existing areas.Coordinating Subcontractors schedules with facility schedules.Recruited two new physicians starting in 2006.Completed Joint Commission survey in December 2005 with 3 RFI’s.Increased patient and employee satisfaction scores.Minden Medical Center COO, Minden, LA. (159 beds) For Profit - Acute, Rehab Unit, Psych Unit, May 2004 – April 2005.Managed Care contracting.Annual Strategic Business PlanAssist in physician recruiting.Oversee construction projects.Senior manager for plant operations, housekeeping, rehab and OP therapies.Exceeded budget for 2005.Doctors’ Hospital CFO, Opelousas, LA. (165 beds) For Profit - Acute, Swing beds, Rehab Unit, Psych Unit, April 2002 – April 2004.Exceeded 2003 operational budget.Net revenue increased from 2002 – 2003 by 16.56%.Reduced overall LOS by .19 days.Successfully changed the facilities Medicaid reimbursement tier, resulting in an estimated increase in annual reimbursement of $800,000.Reporting departments: Accounting, Business Office, Plant operations, Materials management, Pharmacy, Case management, Respiratory/Cardiopulmonary, Radiology, Medical records, Lab, Cath lab

Not For Profit – Acute, Swing beds, Three RHC’s. Facility Compliance officer.Net Income change by a positive $3,005,031.Cash collections increased by $3.3 million.Cash flow increased by $1.7 million.Created per stat basis for calculating departmental budgets.Reengineered the admission process that resulted in a 43% reduction of self-pay revenue.Reduced bad debt expense by 19.45%.Initiated a case management program.ResponsibilitiesInsured the accuracy of the financial statements. To manage in a compliant manner the coding, billing, collection and reserves for patient accounts. To lead the hospital in all financial aspects for current operations and future budgets. To provide hospital staff the tools and information necessary to be accountable for their department’s operational performance.

Responsibilities – Preparation of the hospital 1999 operational budget. Oversee hospital monthly close. Ensure the accuracy of balance sheet accounts. Prepare state and federal reports and requests for information. Perform monthly operational reviews with department directors. Coordinate internal and external audits. Coordinate preparation of cost report work papers. Prepared capital expenditure proposals totaling $4.5 million. Prepared a facility expansion proposal totaling $17 million. Maintained physician guarantee account balances. Created daily productivity spread sheet for administration. Previous Experience includes Oil and Gas financial accounting.

Bachelor Of Science (Bs), Business And Commerce; Accounting

Mba/Mha, Healthcare