Richard Nakamura
Director of Finance
Benicia, CA 94510
*******.********@*********.***
• For - profit and for-profit - healthcare delivery systems - administration Authorized to work in the US for any employer
Work Experience
Director, Finance and Administration
Touro university medical group - Stockton, CA
October 2023 to Present
Finance and operations supervision
Director of Finance and Operations
Seton Medical Center - Daly City, CA
December 2021 to June 2023
Finance, accounting,budget, patient acct, a/p, payroll Operations, security, corporate reporting
Practice Admministrator
Center for Dermatology, Cosmetics and Laser Surgery - Fremont, CA January 2020 to December 2021
Multi location medical sites in Alameda and Santa Clara Counties. Operational front, back, finance, payroll, accounts payable, contracts, purchasing, human resources, IT systems maintenance- all daily operational duties
Practice Administrator/Director of Operations
BAY AREA FOOT CARE - Castro Valley, CA
2018 to August 2019
Group Podiatry Practices
Locations - Castro Valley, Dublin, Walnut Creek, Berkeley, San Francisco Administrative Operations Practice
Accounting, Billings/Collections, Front and Back Office administration, Human Resources, Contracts, Budgeting, and expansion feasibility analysis.
Daily operational flows, Board of Directors meeting Administration of Human Resources inclusive of benefits for health, 401k, dental insurance Chief Financial Officer
Consolidated Tribal Health Project - Ukiah, CA
2017 to 2018
health center system
Finance Administrative and Billing Operations
Multi service delivery for Health, Dental, Behavioral Health clinical delivery
Daily operational responsibilities for health service for Mendocino County resident health services
Grants, billings/collections, a/p, payroll, budget, financial statements preparation, Board presentations, investments
Chief Financial Officer
HEARING AND SPEECH CENTER OF NORTHERN CALIFORNIA - San Francisco, CA 2014 to 2016
Non-Profit Health Service Organization
Responsible for day to day Corporate Operations and Clinical Operations for accounting including payroll, A/P, cash management, Budget and monthly reporting to Board of Directors, Billings and Collections, Grant billings, Human Resources, and IT. Regional delivery of hearing, speech services to public, inclusive of joint projects with UCSF Chief Executive Officer and Administrator
DEL PUERTO HEALTHCARE DISTRICT - Patterson, CA
2012 to 2014
Non-Profit Healthcare District with Rural Health Care Center and Regional District Ambulance Services
• Responsible for day to day Corporate Operations for Health Center and Regional Ambulance District for accounting including payroll, A/P, cash management, financial statement preparation, contract review, marketing, Board presentations
• Responsible for management of staff of 60 employees
• Responsible for preparation and presentation of budget to Finance Committee comprised of Board of Directors
• Review of financial plan to budget and cash flow analysis and actual performance for monthly public meetings.
• Responsible for IT, facilities management for ambulance station, and health center
• Cooperative committee meetings with County of Stanislaus Behavioral Health, City of Patterson Fire Services, State Assembly, State Senate, and U.S. House of Representatives Congressional Official. Director of Finance and Administration
CALIFORNIA PARTNERSHIP TO END DOMESTIC VIOLENCE - Sacramento, CA 2010 to 2012
Statewide coalition for prevention of domestic violence inclusive of public policy training and technical assistance, coalition collaboration, community outreach and victims.
• Responsible for day to day accounting including payroll, A/P, cash management, financial statement preparation, and contract review.
• Responsible for management of small staff; 2 administrative assistants and a bookkeeper.
• Responsible for preparation and presentation of budget to Finance Committee comprised of Board of Directors
• Review of financial plan to budget and cash flow analysis.
• Responsible for IT and all personnel including performance reviews Chief Financial Officer
DOCTORS HOSPITAL OF WEST COVINA - West Covina, CA
2009 to 2010
30M private Acute Care, Skilled Nursing Facility Hospital
• Responsible for finance and accounting departments, the business office, and Information Systems
• Responsible for 2 direct reports with oversight of remaining staff of 5.
• Generated financial reports to the CEO for presentation to the Board of Directors; sat in on all financial presentation to respond to questions.
• Managed and prepared financial statements, responsible for meeting budget, reviewed and managed contractual agreements.
• Responsible for external relationships including outside auditors and banking relationships
• Prepared Cost and OSHPD reports
Chief Financial Officer
COMMUNITY SOLUTIONS, Morgan Hill - Gilroy, CA
2008 to 2009
15M Non-Profit social service agency for South Santa Clara County. Programs included Mental Health, FIRST5 child care, HUD programs, Rape Crisis Counseling programs)
• Responsible for general review and re-organization of the finance and accounting department
• Managed all of the day to day technical accounting, generated individual program financial statements and a consolidated report for presentation
• Reviewed contracts, monitored budgets
• Presented financial reports to finance sub-committee, prepared full board presentation
• Managed external audit relationship, bank reconciliations and other consulting arrangements Chief Financial Officer
CENTER FOR ELDERS INDEPENDENCE - Oakland, CA
2006 to 2007
60M "HMO" PACE program for Alameda and Contra Costa counties. Program was designed as an All Inclusive Care for Elderly; federal and state managed care programs for 55 and older insurance/clinical care for aged population in areas of license
• Re-engineered all the accounting and financial reporting using technology
• Implemented automated medical records (AMR) as mandated by both federal and state regulations
• Managed all fiduciary responsibilities, Information Technology, Contracts, accounting, and insurance claims
• Managed external relationships including the banking, audit and consulting support
• Performed IBNR analysis using actuarial tables to assess risk Contract Assignments Include:
Contract, Director of Finance and Administration
Health Plan of San Mateo, San Mateo, CA
Interim Administrator for group practice in El Cerrito Director of Finance
PALM DRIVE DISTRICT HOSPITAL - Sebastopol, CA
2003 to 2004
• Responsible for review, assessment and (potential) implementation of new processes to augment the Hospital's financial position; seriously at risk
• Responsible for review and potential re-organization of the finance and accounting reporting procedures.
• Responsible for all accounting including general ledger, payroll, accounts payable, and cash flow reporting.
• Prepared financial statements to include presentation to governing boards
• Responsible for contract analysis and review in addition to negotiations and implementations through business office billing and collections operations
• Outpatient development and prospectus analysis of on-going and new projects for hospital development. Federal Medicare cost reporting, State Medi-Cal cost reporting, OSHPD reporting.
• Managed Information Systems, the development and maintenance for the organization.
• Responsible for timely financial reporting to external relationships including auditors, bankers for this
"at risk" health care facility
Chief Financial Officer
NORTH COAST OPPORTUNITIES, INC - Ukiah, CA
2001 to 2002
Non-Profit Community Action Agency dealing in Head Start, Aging Programs, Career job training programs.
• Responsible for all financial operations for Federal, State, County and Private funding sources for Corporation
• Primary areas of responsibility: Finance, Accounting, grants reviews and maintenance, cash management, billings, and collection services
• Senior Management team strategist and community representation for the agency for Mendocino, and Lake County Program deliveries
• Managed audit reviews and preparation for public and private engagements
• Prepared budgets for all programs
Accounting Manager - General Accounting
KAISER PERMANENTE NORTHERN CALIFORNIA REGION - Oakland, CA 2000 to 2001
• Responsible for monthly, annual year end regional accounting close
• Reviewed all asset and liabilities /expense reviews for the Northern California Kaiser Permanente Health Plan and Hospitals operations up to $14 billion
• Reviewed all account reconciliations for Kaiser Facilities
• Reviewed all statements and balance sheets for senior management group Regional Controller
HEALTHSOUTH CORPORATION, Pacific Region - Western Division - Washington, DC 1999 to 2000
and Hawaii.
• Areas of emphasis are review and applications of contractual arrangements for services rendered, accounting, budgeting, billings and collections, reimbursements, partnership presentations and analysis partnership distributions
• NASDAQ -SEC certification program training for due diligence acquisition, partnership and merger assessments
• Regional financial support relocated to Birmingham, Alabama; Surgery division sold Regional Finance Manager
LENOX HEALTHCARE, INC
1998 to 1999
A skilled nursing facility, geriatric, nursing home and rehabilitations units for Medicare, Medicaid Insurance as well as private pay and managed care facilities.
• Responsible for all accounting including A/R, A/P, P/R for facilities in Northern California Region of Lenox Healthcare, Inc.
• Responsible for budgeting of all facilities and preparation of monthly and annual reports for Corporate
• Provided reimbursement coordination of Medicare cost reporting and OSHPD reports
• Re-organized and coordinated Accounts Receivables and targeted goals by facilities with 45 day collections reimbursement
• Business re-organized.
Controller
HCA - SAN LEANDRO HOSPITAL - San Leandro, CA
1996 to 1997
Responsible for management of accounting, admitting, and business office services for med-surgical for 136 bed hospital facility. Services included acute care, TCU/SNF, CORF, Gero-Psych, Surgery, E/R, and Nursing Areas.
• Responsible for financial reporting to both Divisional Headquarter in San Diego, CA and Corporate Headquarter located in Nashville, Tennessee
• Managed accounting department including Payroll, A/P, G/L, re-imbursements cost reporting, billing and collections
• Generated weekly forecasts of EBITA, P&L, as well as monthly, quarterly, and annual reports, plan to actual
• Prepared and submitted annual budget, financial analysis for hospital, clinics and physician practices to regional division for long term program reconfiguration
• Provided reimbursements cost statements, prepared for physician practices
• The hospital was sold
Chief Financial Officer
COMMUNITY PSYCHIATRIC CENTERS- SIERRA VISTA HOSPITAL - Sacramento, CA 1994 to 1995
• Responsibility of total financial administration for a psychiatric hospital in Sacramento, California.
• Managed Business Office staffing and financial reporting to corporate headquarters located in Las Vegas, Nevada.
• Managed small staff for patient registration, admission's criteria, billing and collections
(Centralized Billing Office in Las Vegas, Nevada), information systems (SMS conversions), accounting and statistics, accounts payables, payroll, analysis of financial profitability forecasting, annual budgeting, and personnel management
• Senior administrative management responsibilities for hospital representation
• Medi-Care and Medi-Cal cost reporting for inpatient and outpatient services
• Corporation was sold to Behavioral Healthcare Corporation. Other healthcare employment experiences
Director of Finance & Admin- Clinics
Westside Community Mental Health Center
1991 to 1993
Controller
DAVIES MEDICAL CENTER - San Francisco, CA
1988 to 1990
Full Medical Center Financial Opeartions
Purchased by Sutter Health
Controller - Faculty Practice Program
STANFORD UNIVERSITY CLINICS
1986 to 1988
Corporate Controller
BAY PACIFIC HEALTH CORPORATION
1984 to 1986
HMO/PPO/Indemnity -
Assistant Controller
UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER - San Francisco, CA 1981 to 1983
UC Med Center, Hospitals and Clinics.
Education
BS in Accounting/Finance/Marketing
USC Marshall School of Business
Bachelor's in TECHNOLOGY EXPERIENCE
University of Southern California - Los Angeles, CA Skills
• General Ledger Accounting
• General Ledger Reconciliation
• Financial Report Writing
• Financial Analysis
• Bank Reconciliation
• Journal Entries
• Forecasting
• Account Reconciliation
• Accounts Payable
• Managed Care
• Financial Modeling
• SOX
• Cash Flow Analysis
• Financial Statement Preparation
• Business Analysis
• Payroll
• Acute care
• Public accounting
• Supervising experience
• Accounting software
• NetSuite
• Management
• GAAP
• Microsoft Excel
• Project management