Management Accounting
Resume:
David
Email: ******@*******.***
Address: *** ***** ******
City: Jackson
State: OH
Zip: 45640
Phone: 740-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
CFO
Educational Background:
Job History / Details:
DAVID PAUGH
284 Pearl Street, Jackson, Ohio 45640
******@*******.***
SUMMARY/INTRODUCTION
HEALTHCARE FINANCIAL MANAGEMENT
Financial Officer with more than 25 years experience with multiple hospitals and health entities, demonstrating consistent record of results improvement throughout career.
Extensive knowledge of finance, accounting, auditing, reimbursement, financial management, forecasting, and analysis. Instrumental in reducing costs and contributing to operational goals and personnel relations.
Effective communicator with the ability to liaison with board members, community leaders, healthcare professionals, and business partners.
Professional career founded on highly ethical practices and strong work ethic.
EDUCATION
B.S., Business Administration, Accounting Major Urbana College
PROFESSIONAL EXPERIENCE
Consultant 2012
O Bleness Memorial Hospital, Athens, OH
Assist finance/accounting personnel with year end financials prep work. Included fixed assets reconciliation, financial statement creation for new related entity, review of accounts payable processes.
Holzer Clinic LLC, Gallipolis, OH
Assist finance/accounting personnel for 120-physician corporation with transition from cash basis to accrual basis accounting due to recent merger. Also included contractuals and bad debts estimate calculations and lease amortization reconciliation for 600+ leases.
Berger Health System, Circleville, OH
Assist with data analysis related to CMS payment bundling demonstration project.
Chief Financial Officer 2008-2012
Berger Health System, Circleville, OH
Directed financial and accounting functions for acute care hospital and related organizations (employed physician group, anesthesia practice and foundation) generating annual gross revenues of $170 million.
Accountability for patient financial services, medical records, central scheduling and patient registration, as well as budgets, audits, charge master, cash flow analysis and service line analysis. As senior management team member, participated in strategic planning, including expense reduction, staffing efficiencies, and service line strategies.
Monthly financial presentations at 3 separate board meetings.
Corporate liaison with lenders, insurers and auditors (external accounting firm, CMS, property tax).
Interaction with board members of all entities, medical staff, local elected officials.
Selected Contributions:
? Oversaw 340B drug discount program startup for both inpatient and retail business that will provide substantial increased revenue and cost savings.
? Reduced overall expenses by $1.5 M, resulting in a $1.0 M turnaround in total margin 2011 over 2010. Identified additional $2.8 M in cost savings/efficiencies for 2012.
o Created itemized tracking report updated monthly and presented to Board members.
? Added HRA component to employee health insurance program, reducing projected 20% rate increase to 0%.
? Finished FY 2011 at 38 gross days in A/R and 176 days cash on hand.
? Implemented point of service collections and on-line bill pay increasing cash flow by over $350,000.
? Actively involved in management of $25 million, tax-exempt revenue bonds issued to refinance existing bonds and fund new capital expenditures.
? Assisted medical group Executive Director with evaluating potential physician practice acquisitions by developing pro forma projections.
? Collaborated with CMO and Compliance Officer to create presentation on federal, state, local health care environment that was utilized during annual strategic planning meeting with hospital executives, board members, and community leaders.
? Created numerous education presentations to hospital board health reform legislation, health reform impacts, state budget impacts, RAC audits.
? Oversaw RAC audit program.
? Served as interim Compliance Officer.
? Served as corporate liaison for legislative advocacy efforts.
? Served on Community Advocacy Council and Strategic Council.
Chief Financial Officer 2005-2008
Memorial Hospital of Sweetwater County, Rock Springs, WY
Directed financial and accounting functions for acute care hospital and related organizations (employed physician group, foundation) generating annual gross revenues of $70 million.
Accountability for patient financial services, medical records, patient registration, information systems, materials management and nutrition services. As senior management team member, participated in strategic planning, including expense forecasting and staffing efficiencies.
Selected Contributions:
? Successful $41 M revenue bond issue to fund major construction/renovation project.
? Major improvement in operating margin: previous 5 years aggregate $3.3 M loss turned around to $3.4 M gain (FY 2006) and $2.7 M gain (FY 2007).
? Changed employee health insurance plan with realized annual net savings approx. $1 M.
? Improved net days A/R from 80 (FY 2005) to 53 (FY 2007).
? Developed plan for and worked with legal counsel to create new real estate management corporation to segregate real property assets and costs.
? Formulated long-range plan for information system infrastructure improvements and presented to Board for approval.
o Complete rewiring of campus and related hardware.
o Selection and implementation of new financial and clinical information systems, with fully functional electronic health record.
Controller 2003-2005
Berger Health System, Circleville, OH
Managed financial and accounting functions for hospital and related organizations. Accountability for budgets, audit, third party reimbursement estimates, cost reports, treasury management.
Selected Contributions:
? Successful RFPs for external audit, investment manager, primary bank.
? Acquired & installed budget software improving accuracy & flexibility.
? Implemented automated cash posting process.
? Implemented corporate credit card program.
Accounting Manager 1999-2003
Fairfield Medical Center, Lancaster, OH
Managed financial and accounting functions for hospital and related organizations. Accountability for budgets, audit, cost reports, treasury management.
Selected Contributions:
? Successful RFPs for external audit.
? Created capital budget review process.
? Conducted day education sessions on reimbursement basics for finance staff.
Chief Financial Officer 1994-1996
Illini Community Hospital, Pittsfield, IL
Directed financial and accounting functions for hospital and related organizations generating annual gross revenues of $15 million. Accountability for patient financial services, medical records, patient registration, information systems and materials management. Responsibilities included financial statements, price setting, budgets and audit.
Selected Contributions:
? Introduced budget process that utilized department head input.
? Initiated and directed quality improvement program and conducted staff education sessions.
Controller 1986-1994
Holzer Medical Center, Gallipolis, OH
Managed financial and accounting functions for hospital generating annual gross revenues of $60 million. Accountability for accounts payable, payroll, financial statements and audit.
Responsibilities also included storeroom, receiving and mailroom.
Promoted to Controller from Accounting Supervisor.
Selected Contributions:
? Served on Quality Improvement Committee and facilitated management training sessions.
? Participated on selection committee for hospital information system.
? Participated on selection committee for payroll automated time and attendance system.
? Initiated analysis of per diem pricing.
ASSOCIATIONS/OTHER ACTIVITIES 2008-2012
Ohio Hospital Association
Served on Finance Committee.
Served on Health Insurance Exchange Task Force.
Ohio Policy Institute
Served on Healthcare Reimbursement Improvement Task Force.
Healthcare Financial Management Association
Twice served as panel participant at educational sessions for Central Ohio Chapter.
Member since 1986.
Other
Submitted comment letter related to GASB 27.
Wrote advocacy letters to and visited with state legislators related to Ohio State Hospital Tax.
Pickaway County Chamber of Commerce
Served on Board of Directors
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