MILTON J. SCHACHTER ***** Timberlane Drive. Beachwood, OH 44122
216-***-**** (H) ~ 612-***-**** (C)
***********@*********.***
EXECUTIVE SUMMARY
Collaborative, values based leader with a highly successful record of
diverse accomplishments in high growth program development managed care,
medical management, business development, fund raising, P&L, network and
staff development. Highly motivated, results oriented, positive, senior
executive with a keen understanding of customer needs and the ability to
motivate and convey: corporate vision, goals and mission to ensure maximum
performance from staff.
. Natural leader and operator - adept in recruiting, building, maintaining,
motivating quality management, team building, and closing sales leading
to exemplary performance.
. Excellent strategist - reflecting solid negotiation, contracting,
business development, financial, and sales acumen.
. Innovative manager - able to think creatively, design, build, and develop
profitable, customer focused organizations.
MAJOR ACCOMPLISHMENTS
. Founder/ developer of region's first federally qualified HMO, growing
combined commercial and Medicaid membership to 100,000, provider network
to over 400 physicians realizing an 82% Medical Loss Ratio (MLR).
. Grew orthopedic practice revenues from $50 million to $72 million in 18
months.
. Increased overall orthopedic shareholder physician net income by 28% in
18 months.
. Founder/developer of first private multi-specialty medical group in
region with 55 providers & revenues of $35 million.
. Turned around $222 million managed care and physician practice region
from $20 million loss to $35 million profit.
. Established highly profitable 35% margin skilled nursing program
transforming home health agency financials.
. Grew behavioral health division to 51 group homes with cutting edge
outpatient programs and $1 million profit margin.
. Developed highly profitable diagnostic imaging programs for hospital
system, physicians, and imaging company.
. Developed/directed profitable cardiac cath labs, surgery& rehabilitation
centers, and built award winning facilities.
PROFESSIONAL EXPERIENCE
MJS HEALTHCARE MANAGEMENT & CONSULTING Beachwood, OH & Memphis, TN. 2000 -
2008; 2010 - Present
Provide consultative services in support of varied healthcare companies and
agencies
President, Principal & Consultant: provide practice management, strategic
planning, and consulting services to physicians, hospitals & managed care
companies. Acting CEO and consultant for clients working under fee and/or
gain sharing arrangements, to diversify and grow hospital, managed care and
group practice profitability. Restructured group practice operations,
developed outpatient business base for diagnostic imaging, occupational
medicine, and rehabilitation services, designed and developed diagnostic
imaging. Developed new regional retinal surgery expansion of surgery
centers, ophthalmologic & optometric affiliations.
. Developed $13 million Cardiology practice affiliation with major group
at competing medical center.
. Jointly sold $3.7 million operations transformation project to major
managed care company.
. Restructured overall practice operations for 130 provider medical
group resulting in $5.1 million expense reduction.
. Converted reimbursement model and contracting for 130 providers for
major managed care company and affiliated physicians resulting in $2.8
million bottom line improvement
. Directed consulting projects for major hospital system for one year
resulting in $17 million service expansion.
. Developed major hospital system wide home health, HME, and infusion
therapy services integration;
. Revamped hospital system outpatient diagnostic imaging program
including establishment of new $2.5 million freestanding center
including Certificate of Need.
. Converted diagnostic services for 1,500 bed hospital system to
freestanding outpatient imaging centers, resulting in $1,000,000
revenue increase.
. Developed hospital system diagnostic imaging business & sales plans,
infrastructure, training & patient registration.
. Wrote business plan development plan for hospital system expansion
into adjacent state.
. Established hospitalist program and physician home-visit program.
. Acting COO & Consultant for outpatient diagnostic imaging centers
serving Northern Mississippi and Memphis.
. Won Certificate of Need for surgery center & formed real estate group
to develop physician office complex.
. Reduced accounts receivable by 15%, improved collections by $1million
and added $850,000 of new revenue.
. Negotiated $100,000 PACs (digital imaging) system savings and
equipment cost reductions by $150,000.
. Recruited new radiologists to facilitate growth and expansion.
MILTON SCHACHTER/2
. Negotiated managed care provider contracts - increasing revenues by
10%.
. Negotiated $2.3 million Arkansas Ophthalmology practice acquisition,
$360,000 Florida practice affiliation for full spectrum retinal
surgery services.
. Jointly developed 5 new retinal practice locations in Tennessee &
Mississippi.
. Developed and implemented overall health and employee benefits plan
for new retinal practice.
. Developed $12 million new revenue producing services, locations &
systems for retinal care group.
. Negotiated TPA acquisition for $1.3 million on behalf of national
company.
. Created 900 physician IPA network and established provider contract
rates.
. Wrote New York City start-up Medicare HMO business plan including
provider contracting rates and strategy.
. Restructured overall employee benefits design & coverage for start up
managed care company and physician practices
. Developed MEDVISITS program while consulting with physician housecalls
practice and Medicare HMO.
SUMMIT ORTHOPEDICS, St Paul-Woodbury, MN 2008 - 2010
CEO of $72 million 40 physician 100 provider musculoskeletal company
including: 20 offices, 2 ambulatory surgery centers, spine care center, 4
physical & hand therapy centers, 4 MRIs, Pain Management, Podiatry,
Occupational Medicine division and Orthotics & Prosthetics. 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 lucrative hospital call
arrangements and established partnerships with two major health systems.
. Grew company revenues from $50 million to $72 million in 18 months.
. Increased physician income distribution to 26 shareholders by 28% or
over $200,000 plus per physician.
. Restructured business operations resulting in revenue cycle
improvement of $3-4 million.
. Renegotiated payer contracts resulting in 4% increased fees versus 4%
reduction.
. Improved capture of ancillary services leakage adding $2-3 million in
revenues.
. Improved Summit's ambulatory surgery center usage and profitability by
$4 million.
. Negotiated improved bundled fees by $200/implant for Summit surgery
centers increasing reimbursement in 2010.
. Renegotiated poor equipment and vendor contracts lowering associated
costs by $1 million.
. Negotiated settlements saving over $1 million in annual liabilities
for poor joint venture and provider arrangements.
. Negotiated $800,000 Orthopedic hospital call arrangements with two
hospital systems.
. Negotiated 12 months free rent for new corporate offices resulting in
$400,000 savings.
. Negotiated new Electronic Practice Management system at $500,000
savings.
. Negotiated arrangement for patient steerage with 22 home transitional
care/extended care cooperative.
. Negotiated payer steerage with enhanced outcomes based
reimbursement.to Spinecare program
. Upgraded management team infrastructure improving operational
accountability, purchasing, and payer contracting.
. Negotiated purchases of two 1.5 Tesla MRs and C-Arm resulting in
$565,000 savings.
JFSA, Beachwood, OH. 2005 - 2007
President & CEO of $23 million non profit healthcare and social services
agency operating one of area's leading behavioral health programs including
51 group homes, major mental health and MRDD division, large home health
agency, eldercare and respite care programs, helpline, family violence
services, holocaust survivor services, niche career services for disabled
and seniors, home delivered meals, case management, specialized counseling
& therapy programs.
Currently developing joint ventures for behavioral health pharmacy and
cutting edge cognitive skills enhancement program to be marketed
nationally.
. Created new skilled nursing program realizing 35% profit margin and
growing homecare revenues to $7 million.
. Increased number of profitable group homes to 51 in $12 million
behavioral health division.
. Realized $1 million behavioral health profit margin.
. Renegotiated agency line of credit (LOC) increasing LOC amount by
$600,000 and maintaining low interest rate.
. Increased organization's cash flow by $550,000 per year.
. Increased agency grants by $1.9 million through newly approved
Transformation & Enhancement Initiative.
. Negotiated 5% increased reimbursement from State Medicaid program and
County Mental Health Board.
. Increased number of college scholarships loans administered to
$780,000 and developed profitable loan portfolio.
. Established first agency signature event fund raiser and netted
$120,000.
. Increased agency endowment by $1 million.
MILTON SCHACHTER/3
MEDVISITS, LLC, Memphis, TN & Ft. Lauderdale, FL. 2003 - 2005
(an MJS HEALTHCARE MANAGEMENT& CONSULTING sponsored affiliate)
State-of-the-art senior's medical care system utilizing advanced
registered nurse practitioners supervised by collaborating physicians
providing quality medical and behavioral health services to homebound
seniors in home setting under Medicare Part B.
. President, Founder, Board Member of $3.1 million company providing
medical housecall visits to seniors in their residences.
. Contracted with managed care companies to proactively reduce Emergency
Room, inpatient, and costly specialist visits.
. Directed operations, sales & business development in Southern Florida
with 1,000,000 seniors.
. Raised $600,000 initial seed money.
. Contracted with Florida agencies, residential centers, and managed
care companies to care for elderly mentally disabled under
Medicare/Medicaid and State Diversion Program.
. Developed new paradigm in patient care for seniors aged 65 and older
on a scalable basis.
. Developed franchise model for national expansion in early 2005 for
investing providers and strategic area developers.
GUARDSMARK, INC. Memphis, TN & New York, NY. 1999 - 2002
One of the world's largest security companies with over 200 locations and
over18,000 associates and revenues of $400 million
Vice President of Health Benefits, Purchasing, & Chief Negotiating Officer:
directed 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 health care benefits program resulting in $3
million annual financial improvement.
. Negotiated improved health plan TPA arrangement and replaced initial TPA.
. Redesigned overall health benefits program from indemnity to managed care
- PPO and POS.
. Established and negotiated new national provider networks resulting in $2
million annual healthcare benefits/provider savings.
. 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.
ERNST & YOUNG, LLP. Atlanta, GA. 1999-2000
One of the world's largest providers of consulting, technology and
outsourcing services and MEDPARTNERS auditors. (Recruited to lead Physician
Practice Transformation for Southeast. Left E&Y to serve as caregiver for
my parents as I could not travel during this period. I joined Guardsmark
and remained local). Hired to lead physician and managed care practice
transformation projects based on company familiarity with my success at
MEDPARTNERS, an Ernst & Young audit client.
Senior Manager: responsible for consulting to managed care companies,
hospitals, physician practices, rehabilitation companies.
. Sold over $1million healthcare consulting services to managed care
companies, hospital systems, physician practices, and surgery centers.
. Saved major hospital account by establishing WIN/WIN joint venture
between hospital and major surgical practices.
MEDPARTNERS, INC. Birmingham, AL & Memphis, TN. 1997 - 1999
Publicly-traded, nation's largest physician practice management
companyfor13,000 physicians. MEDPARTNERS acquired Health First. Group VP,
COO: directed MSO operations, sales, managed care risk contracting &
medical management for five-state area with 17 provider 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, 1,100 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 400 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.
. Consolidated operations of diverse medical entities into Health First MSO
resulting in 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 by improved contracting & purchasing, and
divesting unprofitable operations.
. Increased sales by 200% and transformed unprofitable division to 25%
profit margin.
MILTON SCHACHTER/4
HEALTH FIRST MEDICAL GROUP, PC and Prudential Healthcare (PruCare) Memphis,
TN. 1980 - 1997
HMO later operating as PruCare, partnering with prepaid & fee-for service
multi-specialty group practice on total risk - 82% MLR.
Executive VP, CEO, Executive Director: founded and developed a multi-
specialty managed care physician practice, commercial and Medicaid HMOs;
developed 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 - 1980
1,500 bed not for profit multi-hospital system
Assistant Administrator: directed special projects including $100 million
construction and renovation, JCAHO accreditation, with operational
responsibility for Eye Clinic, Psychiatry, Emergency Department, Labor and
Delivery and NICU (neonatal intensive care unit) and $27 million budget.
EDUCATION
MPA, Health Care Policy Planning and Administration, New York University -
New York, NY
BA, History, Yeshiva University - New York, NY
AWARDS
Named one of Mid-South's leading business executives two successive years
by Memphis Business Journal and E&Y
Named innovator and recipient of national best practice for Creative High
Tech Arrangements by Prudential Healthcare
Recipient of healthcare facility functionality award for clinical
operational design of new facilities
Recipient of AJFCA KOVOD Award for JFSA HEROES theme and program
Recipient of Memphis Beautiful Award for healthcare facility