Chief Financial Officer
Resume:
Richard Y. Nakamura
Benicia, CA 94510
*******.********@*********.***
SUMMARY OF QUALIFICATIONS
PROFESSIONAL EXPERIENCE
Chief Financial Officer
Toiyabe Indian Medical Project, Bishop, CA
12/2024 to Present
Finance, accounting, budget, patient acct, a/p, payroll
Daily operations management
Board Meeting presentations
Audits and financial analysis of operations
Physician Productivity review and presentation – MGMA
Grants, Medicare, Medical, Capitation, At risk payments
Director of Finance and Services
Touro University Medical Group, Stockton, CA
10/2023 to 5/2024
Physician compensation productivity reporting (RVS) - MGMA
Contracts reviews for services and provider contracts
Cost Accounting analysis
Financial statement preparations and presentations
Director of Finance and Operations
Seton Medical Center – Daly City, CA
12/2021 to 6/2023
Finance, accounting, budget, patient acct, a/p, payroll
Daily operations flows
Reviews of collections and denials of receivables
Monitoring expenditures for cost analysis of programs
Practice Administrator
Center for Dermatology Laser Surgery
Fremont, CA
1/2020 – 12/2021
Group Practice Dermatology Practice
Locations – Fremont, Milpitas
Central operations Administration
Accounting, Billing/Collections, Front and Back Office, HR, Payroll, Contracts,
Budgeting, product line analysis
Practice Administrator
BAY AREA FOOT CARE
Castro Valley, CA
1/2018 – 8/2019
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 meetings.
Finance Director
CONSOLIDATED TRIBAL HEALTH PROJECTS, INC.
Ukiah, CA
1/2017-1/2018
Federal Qualified Health Center and IHS 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
1/2014 to 1/2016
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
1/2012 to 1/2014
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.
Contract work:
Director of Finance and Administration
CALIFORNIA PARTNERSHIP TO END DOMESTIC VIOLENCE, Sacramento, CA
1/2010 to 1/2012
Statewide coalition for prevention of domestic violence inclusive of public policy training and technical assistance, coalition collaboration, community outreach and victims.
Chief Financial Officer
DOCTORS HOSPITAL OF WEST COVINA, West Covina, CA
1/2009 to 1/2010
$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
1/2008 to 1/2009
$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
1/2006 to 1/2007
$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
Director of Finance - Contract
MODOC MEDICAL CENTER - CAH – Alturas, CA
10/2004-8/2005
Financial statement preparation and presentation to County Administrator and board of supervisors for Modoc County
Day to day operations, registration, admitting, purchasing
Budget preparation and presentation
Cost Report preparation and submittals
Accounting, Payroll, Accounts Payable
OSHPD report preparation and submittal
Banking and cash flow analysis
Director of Finance - contract
PALM DRIVE DISTRICT HOSPITAL, Sebastopol, CA
1/2003 to 7/2004
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
1/2001 to 1/2002
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
1/2000 to 1/2001
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
1/1999 to 1/2000
Administrative financial and contractual responsibilities for Surgical Centers, Outpatient Rehabilitation, Occupational Medicine and Imaging Centers for California, Oregon, Washington, Idaho, 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 – contract work
LENOX HEALTHCARE, INC., Northern California Region/Pittsfield, Mass
1/1998 to 1/1999
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
1/1996-12/1997
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
& HERITAGE OAKS HOSPITAL, Sacramento, CA
1/1994 to 1/1995
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
1/1991 –1/1993 Westside Community Mental Health Center – Director of Finance & Admin- Clinics
1/1988-11/1990 DAVIES MEDICAL CENER – Controller – Hospital and Clinics – Now Sutter
1/1986-1/1988 STANFORD UNIVERSITY CLINICS -Controller – Faculty Practice Program
1/1984-1/1986 BAY PACIFIC HEALTH CORPORATION – Corporate Controller - HMO/PPO/Indemnity –
1/1981-12/1983 UNIVERSITY OF CALIFORNIA SAN FRANCISCO MEDICAL CENTER – Asst Controller - UC Med Center, Hospitals and Clinics.
EDUCATION
BS Accounting/Finance/Marketing
USC Marshall School of Business
University of Southern California, Los Angeles, CA
TECHNOLOGY EXPERIENCE
Symphony, Lotus 1-2-3, HP-FAS, Visical, dBase III, McAuto, McDonnell Douglas Physician Billing System, SMS, Humana billing system, MediTech integrated billing and clinical systems, MAS 90/200 accounting system, OPUS billing systems, Microsoft Excel, Quattro, Microsoft Word, WordStar, WordPerfect, Medical Management for Group Practice, Computrust guardianship accounting, American HealthTech, Surgical Information Systems, HPAS (Healthsouth Patient Accounting System), Tenet Rally Perot system of accounting, HBOC, Lawson, Plexis Claims System, Great Plains, Quickbooks Pro, Quicken, Greenway Electronic Medical Records, Sycle Systems, MIP, Intacct, Yardi Voyager,AccFund, Athena, NexTech,MIP, NexGen
MEMBERSHIPS
MGMA, HFMA, ACHD
FORMER BOARD MEMBER OF ASSOCIATION CALIFORNIA HEALTHCARE DISTRICT (ACHD)
Roseville, CA 2013-2014
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