"The fact that we have people working for Pitts Management as long as we have, speaks volumes! We have well seasoned consultants that have been in the firing line, which means we can take on our customers' issues without a worry."              ~ David R. Pitts

Professional Team

David PittsNelson E. Toebbe
Managing Consultant

Nelson E. Toebbe has over 30 years of significant experience as a healthcare administrator in highly competitive markets. He is an accomplished leader of large, complex organizations, and is most noted for a strong commitment to quality patient care, education and community service. His proven ability to enhance financial performance and orchestrate strategic planning initiatives, coupled with a detailed working knowledge of improving cost structure and medical utilization in advanced managed care environments, are among his core competencies. Mr. Toebbe has a successful track record in building clinical centers of excellence and developing integrated physician/hospital networks. As a resourceful negotiator who builds trust and collaboration among diverse constituents, he has a style and approach that is valuable in turnaround situations where there is tension for change, but complex navigation is required for implementing the needed actions.

Mr. Toebbe has served as President, Chief Executive Officer, Chief Operating Officer, and Hospital Director at several not-for-profit hospital systems, including large (over 500 beds) teaching hospitals, across several regions and in a variety of advanced managed care markets. Board certified in Healthcare Management and a Diplomat in the American College of Healthcare Executives, Mr. Toebbe is also a retired Lieutenant Colonel in the United States Air Fore Reserve Medical Service Corps.

Mr. Toebbe holds a Master of Healthcare Administration from the University of Minnesota and a Bachelor of Arts in Psychology from the University of Louisville. Mr. Toebbe has also completed several executive graduate programs, including The Kaiser Permanente Executive Program at Stanford University; Health Systems Management at Harvard University; and Health Policy, Planning and Analysis at Harvard University's Graduate School of Public Health.

‹‹ BACK TO PROFESSIONAL TEAM

James A. Bakken specializes in academic and private physician group management, serving in executive management, interim management and consulting roles.

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Bi-lingual in English and Spanish, Michael Burroughs has special expertise in hospital financial turnarounds, facility design and development, and construction management in acute, psychiatric, rehab and outpatient care settings.

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Jason Bush is a revenue cycle operations and system implementations professional specializing in business office diagnostics, process improvements, Medicare billing procedure enhancements, patient access, supply chain, charge capture, cash posting and reporting.

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Christy C. Carroll’s health care experience focuses on acute care operations, medical staff development and organization, corporate-level strategic planning, and health plan administration.

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Ann Cihak is a Certified Medical Technologist with clinical expertise in all areas of the laboratory, and specializes in technical and clinical software systems training to clinicians.

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Robert M. Dickler specializes in organizational assessment and relationships, structure, strategic and future planning, academic medicine and graduate medical education.

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Joseph Falanga’s consulting experience includes project management, strategic planning, change management, information system implementation, and cost containment/revenue enhancement, with special expertise in the area of supplies and labor management.

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Rebecca Falanga is a Registered Nurse with hospital executive experience in large complex settings with responsibility for a wide array of operations and clinical departments.

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Stephen George, M.D. specializes in strategic and tactical consulting solutions to hospitals, medical staffs and physician groups in need of developing, enhancing, renegotiating or realigning their hospital-physician relationships.

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Dena Gooding is a surgical supply chain specialist with expertise in designing, managing and improving the full array of hospital materials management division operations.

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A registered nurse and an attorney, Bonnie Harvey focuses in legal and operational strategies, facility turnarounds, strategic development and regulatory accreditation and compliance.

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Gregory G. Klotz has expertise in revenue cycle leadership and facilitation, denial management, patient access, charge capture, health information management, care management and patient financial services.

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Ann Ladish is a Registered Nurse and perioperative specialist focusing on facilities planning, case cart implementation, budgeting and marketing in clinical care areas, clinical staff development and education, supply chain management, revenue cycle/charge capture, information technology, patient throughput, staff development and change management.

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Necia Lanius has expertise in strategic and business planning, market analysis, operational assessments, and governance studies.

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Karen Lemer is a licensed optometrist with expertise in data analytics, strategic planning, operational improvements, workload planning and management coaching.

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Jason MacMorran is a Certified Public Accountant with experience in complex financial forecasting and modeling, general financial accounting, due diligence, financial feasibility studies, fraud and forensic accounting, and business evaluations for mergers and acquisitions.

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Bill McManus has over twenty years of experience in the healthcare industry with a broad background encompassing sales leadership, laboratory management, diagnostic and medical device sales, and management of national accounts.

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Tom Meredith is an executive consultant whose expertise includes financial management, performance of business plans, feasibility studies, financial modeling, revenue cycle improvement, and reimbursement analysis.

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A seasoned finance executive, Mike Miller focuses on bringing about operational strength and financial stability; his approach most often includes physician strategy development and alignment initiatives, medical staff relations, and bridging the relationships between medical staffs and the local hospital.

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A Certified Public Accountant and Certified Insolvency Restructuring Advisor, Will Moore has been the senior financial executive at more than a dozen healthcare systems.

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Irina Munarova is a Board Certified physician assistant, LEAN and Six Sigma certified, and has an exceptional combination of clinical and operational experience in operations and management in both inpatient and outpatient settings

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Kimberly A. Murray is a registered nurse with a strong track-record of leadership as a Chief Nursing Executive and as a senior level consultant driving clinical quality, process improvement and financial performance of core hospital operations involving the delivery of patient care.

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Prior to founding Pitts Management Associates, David R. Pitts was the CEO of the Ochsner Foundation Hospital in New Orleans, served in the federal government as the Executive Officer for Health Affairs in the Office of the Secretary of Defense, as the Founding Associate Dean for Administration of the Hebert School of Medicine, and as the Executive Officer in the Office of the Air Force Surgeon General.

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Daniel L. Powell has expertise is in financial and operational management, strategic and business planning, managed care contracting, capital financing and development, information systems development, and financial turnaround.

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John Rinset’s experience includes interim executive management and organizational turnarounds, specialty operations, small hospital operations, transitional management assignments, board and medical staff development and strategies, managed care contracting, supply chain initiatives, nursing service redesign, and merger, acquisition and divestiture planning and facilitation.

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Keith Ryan’s consulting practice focuses on delivering strategic technology solutions and operational improvements to enhance core business processes, advance clinical quality, and improve competitive positioning within healthcare delivery organizations.

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Kevin G. Serrin’s experience includes data analysis, project management, strategic planning, financial analysis and healthcare advocacy.

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Edgar Starns is a Certified Public Accountant with expertise in the areas of financial and strategic planning, healthcare reimbursement, and healthcare delivery system governance assessment.

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Ed Tatum specializes in valuation of physician practices, due diligence related to hospital acquisitions, and financial modeling.

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Nelson E. Toebbe is an accomplished leader of large, complex health care organizations, and is most noted for a strong commitment to quality patient care, education and community service.

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Phyllis Virgil is professionally certified as a Six Sigma Black Belt by the American Society for Quality and specializes in helping individuals, teams and organizations of all types achieve higher levels of success and satisfaction through professional improvement coaching.

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Steve Womack is a Certified Public Accountant and a Certified Managed Care Professional with expertise in the areas of healthcare finance and accounting, hospital administrative operations, information technology, due diligence review, business office and materials management, charge capture, third party reimbursement, Sarbanes-Oxley compliance, and information systems installation, integration and support.

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