Health Management

Lawrence W. Thomas, CPA

Richmond, CA ***** (***) 330 - 4120 **********@*****.***

PROFESSIONAL FINANCIAL OVERVIEW:

• 20 years increasing responsibility in non-profit healthcare accounting and financial management experience.

• Grew net revenue by $3 million annually through collaborative redesign of Center for Health service line.

• Reduced inventory errors by 90% in Surgical Services and Cardiovascular Lab by updating policies and procedures and internal controls.

• Led financial oversight of $30M construction project, including bond financing and cash flow management.

• Reduced department FTE’s by 15% through elimination of duplicated effort across the region, and leveraging new technology.

• Led successful outcomes on more than 30 external financial audits for a network of two acute care hospitals and center for behavioral health.

• Consistently scored in the top 5% in employee satisfaction surveys in direct management of eleven professional accounting and clerical staff.

• Improved accuracy of annual budgets by increasing collaboration with department managers.

• On-time submission of complete financial statements, variance analysis, and accrual and prepaid schedules, for monthly and annual financial close cycle.

• Software proficiency includes: Siemens iSeries4 (ERP), QuickBooks, Advanced Excel, Visionware, ProClick.

FINANCE/COMPLIANCE DIRECTOR, UC Davis Health System, Sacramento, CA 2012 - Present

UC Davis Health System Institute for Population Health Improvement received a $17M grant from the State of California to guide the private and secure exchange of electronic health information between clinicians, hospitals, health plans, patients, and government agencies for the purposes of improving healthcare safety, quality, access, and efficiency.

Ensure fiscal and organizational compliance with State Health Information Exchange (HIE) grant agreement and federal partners.

Oversee financial and procurement compliance of sub-grantee awards with all aspects of ARRA and grant requirements.

Develop and implement policies and procedures for procurement activity and vendor contract management.

Direct preparation of proposals, bids, and grant applications for solicitation of funding requests.

Direct the preparation of Requests for Proposals and bid tracking compliance.

Analyze new laws and regulations, as well as changes to policies or grant requirements for potential impact on Cal eConnect goals and objectives and make recommendations to ensure compliance.

REGIONAL ACCOUNTING DIRECTOR, Adventist Health, St Helena, CA 2000 – 2011

Adventist Health Napa/Lake County Region with $900M in annual revenue for two hospitals, a behavioral health medical center, and the Adventist Health Physician Network.

Strategic Initiatives

Developed comprehensive financial forecast and analysis to support the strategic redesign of Center for Health service line.

Implemented materials management software system (ProClick) as part of corporate-wide strategic initiative. Standardization of G/L accounts and descriptions, and development of accounting processes for G/L interface and reconciliation.

Developed operating margin analysis tool to estimate daily net revenue based on payer mix and patient census for Behavioral Health. Realized $400K annual net revenue growth.

Increased efficiency in accounts payable document retrieval and storage through implementation of electronic document storage system.

Operations Management

Managed all finance and accounting transactions for Adventist Healthcare’s Northern California three-hospital system with 1,300 employees and 267 total beds. Acute-care, critical access, and behavioral health medical center.

Managed the business support and analysis of 25 physician offices, two home-health agencies, and St. Helena Hospital Foundation with $10M annual revenues.

Complete B/S and I/S, monthly close, results review, A/P and P/R: Siemens iSeries4, Blackbaud, Advanced Excel, Visionware, ProClick.

Managed internal control procedures and compliance with GAAP, communicated related impacts to both executive management and board.

Timely and accurate submission of OSHPD, annual tax return, corporate financial reports and supporting schedules.

Drive process improvements by enhancing control objectives and service line productivity.

Capital Financing

Cancer Center and Outpatient Surgical Pavilion; a $30M development project, provided construction cost evaluation, debt financing, and cash flow management.

Joint Replacement Institute and Rehabilitation Center; a $1.5M project, provided management of renovation costs, debt financing, and cash flow.

System-wide Improvements

Responded to changes in CA Labor Code and Regulations; led to the creation and implementation of new payroll policies and procedures with a cost avoidance of over $1M.

Finance Operating Chair; led the development of an organization-wide financial resource and operating guide for executives and managers.

Clinical Information System EHR

Project Finance Lead; provided financial oversight for multi-hospital implementation of Cerner EHR system and CDM standardization.

Developed seven year capital budget forecast for integrative EHR implementation.

MANAGING SUPERVISOR, HOSPITAL ACCOUNTING

Adventist Health St. Helena Hospital & Center for Behavioral Health 1998 – 2000

Complete monthly B/S and I/S account reconciliation, all subsidiary system integration, and supervision of 6 staff covering general ledger, A/P, and P/R.

Provided oversight of all accounting functions for St. Helena Hospital Foundation, a separate 501(c)3 fundraising corporation, including accounting for annuities, charitable remainder trusts, and gift pledges.

Supervised all accounting services for three regional healthcare facilities with over 1,300 employees and volunteers.

Prepared annual forms 990 and 990T, and OSHPD reports.

MANAGING SUPERVISOR, MANAGED CARE NETWORK

Adventist Health California Medical Group 1996 – 1998

Managed and coordinated all accounting, A/P, A/R, Payroll, and related services for 50+ physicians and nurse practitioners serving at 21 locations in the Napa County area.

Prepared monthly and annual combined network financial statements for integrated group and managed care operations.

Conducted thorough evaluation of existing accounting practices identifying and implementing internal control measures leading to improved efficiency and accountability.

Streamlined the acquisition of new clinics and corresponding revenue, expense, and volume data collection.

Reviewed individual physician contract terms and calculated payroll, benefits, and other related expenses.

SENIOR ACCOUNTANT, ACCOUNTING SERVICES

Adventist Health St Helena Hospital 1992 – 1996

Executed departmental objectives in the delivery of day-to-day accounting, payroll, A/P, and other related services for this nationally-recognized hospital.

Responsible for resolving complex accounting and payroll issues in adhering to all established regulations, guidelines, and applicable laws.

Maintained fixed asset ledger; additions, retirements, and reconciliation to G/L.

EDUCATION:

Certified Public Accountant

License #116840

BA Management, Finance

Sonoma State University, Rohnert Park, CA (1991)

ASSOCIATIONS:

Finance Chair, Pacific Union College Preparatory School Board

Finance Chair, Pacific Union College Preparatory School Alumni Board

Member, CALCPA Education Foundation

Member, Health Financial Management Association

Member, Astronomical Society of the Pacific

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