Stephen E.

Fischer
6801 Lake of the Woods Ct. |Georgetown, IN 47122| 502-544-8413 | Stephen.fischer1@outlook.com

Senior Executive, Healthcare

Offering a 30-year record of blending strategic vision, creative ideas and value-based management to
elevate performance of diverse organizations

SENIOR EXECUTIVE who identifies and implements breakthrough strategies that optimize revenue,
growth and efficiency of multi-hospital systems and physician practices. Understands marketplace and
enterprises quickly, while balancing strategic long-term view with short-term business operations.
Methodically analyzes complex problems and implications of different courses of action; develops
creative solutions that prepare organizations for what lies ahead. Collaborates with key stakeholders,
elicits excellence from direct reports and requires accountability at all levels.

AREAS OF EXPERTISE
Administrative Operations & Finance | Strategic Planning | CFO, COO Interim Engagements | Revenue
Cycle Management & Optimization | Financial Accountability | Hospital Executive Management | Mergers,
Acquisitions, Affiliations & Joint Ventures | Board Relations And Reporting | Physician & Provider
Management | Special Projects, Start Ups | Managed Care Negotiations | Capital and Investment Planning
| Long-Range Financial Planning | Operational Budgeting | Change Agent | Debt Capacity Assessments
|EHR, EMR Conversions| Provider Enrollment/Payor Credentialing | Contract Evaluations | Labor
Management Systems| Investment & Treasury Management | Talent Management & Staff Mentoring |
Executive Incentive Programs | Normalized & Variance Analysis | Monthly Operating Reviews | Microsoft
Excel modeling/macros | Service Line Management | PPS/CAH Cost Report Modeling and Optimization |
PBC Audit and Cost Report Preparation | Debt Compliance and Refinancing | ERISA Retirement Plans - IRS,
PBGC filing |340B Program Start Up & Compliance| Balanced Score Cards | Healthcare Financial Flexibility
Modeling | Project Management | Insurance Captives |

PROFESSIONAL EXPERIENCE

2018 to Present Medcentria, LLC Georgetown, IN

CEO and Founder (July 2018 to present)
Interim C-Suite and associated engagements)

2015 To Present Alliant Management Services Louisville, KY

Regional CFO (2015 to present)
Interim CEO (Jan 2017 to Feb 2018, 13 months)

Responsibilities:

• Hospital relationship manager for 12 facilities, financial and operational oversight for six facilities
• Analyze service line opportunities through site development determinations and market
opportunity analysis
• Conducts performance oversight and monthly operating reviews with administrative teams
• Served as interim CEO during a 12 month vacancy of role
• Develop and maintain hospital financial/operational sustainability plans by proactive
management of healthcare reform rules & regulations, optimization of revenue cycle and
Stephen E. Fischer, 502-544-8413, Stephen.fischer1@outlook.com
proactive execution of healthcare trends such as 340B program, CAH cost and IP and OP DRG
based reimbursement
Results & Accomplishments:

• Successfully managed multiple jobs and responsibilities during vacancies of President/CEO,

Director of Strategic Planning, Regional CEO, and Dir. of Reimbursement
• Successfully created a contracted DSS model (Agilum BI) including oversight of three
implementations
• Successfully led the recruitment/transition/mentoring of CEOs and CFOs at
owned/leased/managed facilities throughout the Alliant network
• Organized, developed and planned spring, summer and fall education events for hospital network
• Carried out oversight and management of operations in five states and across 13 hospitals
• On boarded new managed service accounts through M&A, board contracting and bankruptcy
• Developed and managed turnaround action plans for facilities and improved margins across the
hospitals by 30% from recent FYE
• Conducted feasibility studies and debt capacity assessments supporting hospital long term capital
expenditure plans, joint ventures and affiliations and facility expansions.
• Reinstituted and improved quarterly/periodic communications between organization and
hospital administrative team and hospital boards
• Enhanced and improved revenue cycle through provider based clinics, optimized 340B programs,
and rural health clinics.

2013 To 2015 TJ Regional Health, Inc. Glasgow, KY

Interim CFO (2 years, 4 months)

Responsibilities:

• Financial oversight of 180 bed TJ Sampson hospital and 45 provider TJ Health Partners physician
practice division
• Led and managed operations in areas of: patient access, strategic planning/budgeting, financial
operations, revenue cycle, decision support, HIM, information systems, case management,
hospitalist program, managed care contracting, clinical informatics
• Responsible for debt structure/compliance and financial audit

Results & Accomplishments:

• Developed 24 month health system corrective action plan to pull hospital out of technical default
• Quantified staffing options and coordinated/oversaw WARN Act compliance associated with a
reduction in force (RIF)
• Improved hospital cash flow through fiscal management and monthly DOR processes and
improved revenue cycle throughput (days in gross/net AR decrease of 15 days)
• Renegotiated Kentucky MCO contracts and costs settled favorably saving organization $1.8M
• Led organization through conversion to provider-based clinics and 340B program enrollment and
operational rollout, intimate involvement in retail pharmacy implementation with hospital COO
• In sourced Siemens managed IT services for a net savings of $400K per year
• Mediated and successfully terminated managed service agreement with Siemens Medical Systems
(now Cerner Healthcare) saving the hospital $3.5M in future capital & IT expenditures
• Led due diligence on PPS hospital acquisition in bankrupt in eastern SSA, increasing referrals
250% from this SSA
• Improved RUG rates in SNU by 35% through clinical documentation and therapeutic services and
case management, documented reimbursement improvement of $456K or $120 per SNU day
• Improved allowable Medicare bad debts for the three open cost report years realizing hospital
$425K in program reimbursement in collaboration with healthcare consulting engagement
• Successful refinancing of 7.5M of variable rate debt
• Led restructuring of the defined benefit plan and necessary filings with Employee Benefits
Security Administration and PBGC (defined benefit plan freeze)
• Intimately involved with hospital foundation set up, incorporation, articles, bylaws and board
selection

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Stephen E. Fischer, 502-544-8413, Stephen.fischer1@outlook.com

2012 To 2013 Pardee Hospital (part of UNC Healthcare) Hendersonville, NC

Interim Executive Director/Accounting/Finance

Responsibilities:

• Financial oversight of 225 CMS certified bed hospital

• Led and managed operations in areas of: Strategic planning/budgeting, financial operations,
decision support, Reimbursement, managed care contracting, debt compliance and financial audit
Results & Accomplishments:

• Developed health system Provided corrective action plan to pull hospital out of technical default
• Led organization in reorganizing job descriptions and table of organization aligned with current
job duties, workload and service offerings
• Led implementation of Med Assets decision support system
• Stabilized finance operation during period of multiple job vacancies
• Developed “Year 2020”, 7 year strategic financial plan
• Successfully defended reserves for Medicare RAC audits with third party contractor (EHR)

2010 To 2012 Morgan Stanley (NYSE ticker: MS) Louisville, KY

Financial Advisor

Responsibilities:

• Designed, implemented and oversaw complex financial plans for individual and institutional
investors by applying appropriate financial products and services
• Financial planning and integration with three investor phases (accumulation, preservation and
distribution)
•

Results & Accomplishments:

• Collaboration with multiple wealth management and institutional investor advisors within
Morgan Stanley and other qualified money managers
• proposals and presentations to institutional healthcare and private foundation clients and
prospects
• Series 7 licensed, Series 66 licensed (inactive)

2000 To 2010 Norton Healthcare Louisville, KY

(2007-2010) Vice President Finance – Norton Children’s Hospital (formally Kosair

Children’s Hospital)
Responsibilities:

• Oversaw financial operation of 252 bed pediatric hospital ($350M net revenue)
• Led management team effort in developing & presenting annual operating & capital budget
• Responsible for executive level financial and strategic analysis for the pediatric service lines
• Managed health systems pediatric payor contracts including state IOA (KY DSH program)
Results & Accomplishments:
• Implemented monthly management variance reporting process across seven hospitals with
responsibility for monthly oversight at the pediatric facility
• Developed master facility capital and renovation plan for pediatric service line within health
system (two hospital facilities)

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Stephen E. Fischer, 502-544-8413, Stephen.fischer1@outlook.com
• Developed initial and 3 year pro forma for pediatric outpatient facility ($45M capital investment
and 30 million annual operating budget)
• Directed substantial operational and cost containment efforts for 85% operating margin
improvement during the four years (2006-2009)
• September 2009 “Ride to Conquer Cancer: top 10 fundraiser (600+ participants)
• Developed, implemented and integrated a monthly management operating review process
• Incident Command System finance officer for pediatric hospital

2000 To 2010 Norton Healthcare (continued) Louisville, KY

(2003- 2007) Associate Vice President Finance

(2000-2003) Division Director Finance
Responsibilities:

• Directed cash, treasury and investment management operations for hospital board designated
investments and two health system foundations ($520M under management)
• Managed and coordinated the development of the health system operating and capital budgets
for $1.4B health system: six PPS hospitals, physician practices, two hospital foundations and
multiple corporate support divisions
• Oversaw and directed the reporting package for hospitals’ monthly operational reviews (MORs)
Results & Accomplishments:
• Reduced overstaffing in hospitals and corporate support areas with roll out of engineered staffing
standards integrated into both next year financial planning and monthly MOR process, reduced
staffing by a documented 75 FTEs
• Developed reporting package for hospitals’ monthly operational reviews (MORs), started
framework in 2005, health system continues using solution thirteen years later
• Developed & directed health system monthly re-forecast process
• Implemented integrated capital budgeting, LRFP and budgeting applications with Strata Decision
Technology in 2006, health system continues on solution twelve years later
• Instituted line item budgeting (zero-based budgeting )for all discretionary spending saving an
estimated 1% of overall budget or $1.4 million annually

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Stephen E. Fischer, 502-544-8413, Stephen.fischer1@outlook.com

1998 TO 2000 Humana Inc. (NYSE ticker: HUM) Louisville, KY

Manager of Financial Operations
1987 TO 1998 Baptist Floyd (formally Floyd Memorial Hospital) New Albany, IN
Chief Financial Officer, Budget & Reimbursement Director

1982 TO 1987 Public Accounting

Staff Accountant to Senior Staff Accountant
EDUCATION | CERTIFICATION
Masters of Health Sciences – Webster University St. Louis, MO 2001
Bachelors of Science, Accounting – Ball State University Muncie, IN 1982
Certified Public Accountant (license inactive) CPA license issued 1985
Certified Management Accountant (license inactive) Certificate issued 1992

PROFESSIONAL & COMMUNITY AFFILIFATIONS

• Member, HFMA (Healthcare Financial Management Association)
• Member, American Institute of CPAs
• Member, St. Mark’s United Church of Christ
• Past President and Treasurer, Autumn Hills Homeowners Association
• Board Member, Hosparus of Southern Indiana Advisory Board
• Past Event/program Chair, Kiwanis Club of Historic New Albany
• Volunteer and educator: Junior Achievement of Louisville
• Past Treasurer, Better Business Bureau of Louisville
• Past Board Member, American Red Cross, Southern Indiana Advisory Board
• Past Member, New Albany City Planning Commission
• Past President, Hoosier Hills Investment Club (dissolved)

REFERENCES – Available Upon Request

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