Chief Executive Officer

Fresno Surgical Hospital

The Company

• 535+ Ambulatory Surgery Centers (ASCs) and Surgical Hospitals
• 2M+ Procedures performed annually
• 50+ Health system partners
• 11,000+ Physicians, including 6,000 physician partners
• 37 States across the U.S.
• 20,000+ Dedicated team members

• Two-Way Partnerships – Physicians share ownership of surgical facilities directly with USPI.
• Three-Way Partnerships – Physicians hold joint ownership with both USPI and a health system partner/s.

• Expertise in Quality and Safety – USPI prioritizes patient safety and high clinical standards, ensuring best-in-class outcomes across its surgical centers.
• Significant Ownership and Financial Opportunity – Through joint ownership models, physicians can benefit from equity participation and long-term financial growth.
• Strong Governance and Compliance – USPI maintains a highly structured governance model with rigorous compliance programs to ensure operational integrity and adherence to healthcare regulations.
• Specialized Business Development Team – A dedicated team provides strategic support to expand market presence, enhance service offerings, and drive facility growth.
• Comprehensive Administrative Support – USPI alleviates the administrative burdens of operating a surgical facility, assisting with staffing, compliance, revenue cycle management, and supply chain optimization.

• Breast Surgery
• Colon & Rectal Surgery
• General Surgery
• Gynecology
• Orthopedic Surgery
• Ophthalmology
• Retina

• Demonstrated improvement in quality and service indicators,
• Growth in case volume,
• Recruitment and retention of physicians,
• Achieving budgeted EBITDA,
• Contribution to goals, and
• Building and strengthening the partnership.

• The daily operation of the facility.
• Serving, along with any committee appointed for the purpose, as a liaison between the Governing Board, the Medical Staff, and all departments of the facility.
• Reporting the pertinent activities concerning the facility to the Governing Board at regular intervals.
• Appointing a person responsible for the facility in the absence of the CEO.
• Planning for the services provided by the facility and the operation of the facility.
• Overall management of the Partnership as outlined in the Operating or Limited Partnership Agreement as applicable.
• Lead discussion/presentation during Monthly Operations Review call and Governing Board meetings with USPI’s Home Office Business Operations team.
• Deploy, monitor, and ensure that USPI’s EDGE™ is the foundation of the facility’s operational processes and appropriately integrated within the facility’s QPI program.
• Ensure compliance with USPI’s policies and procedures as related to internal controls.
• Develop, monitor, and control the staffing needs, operations budget, and capital budget.
• Develop, monitor, and control the purchasing plan to stay within the proposed budget and maintain compliance with group purchasing initiatives.
• Ensure compliance with government regulatory agencies and accrediting bodies.
• Negotiate and control all external contracts, such as those with physicians, ancillary services, plant maintenance, and purchasing agreements.
• Establish pricing for procedures based on cost analysis and local market standards.
• Foster positive work relationships among all departments of the facility and act as liaison between UPSI’s Home Office and all staff at the facility.
• Develop and ensure compliance with appropriate departmental policy and procedure manuals for use by the staff.
• Closely monitor variations in the financial performance of the facility to avoid cash flow problems.

• Hold monthly staff meetings outlining the goals and priorities of the facility.
• Manage exempt and non-exempt employees in accordance with the facility policies utilizing sound principles of practice and fairness.
• Review employee performance as evaluated by their respective managers, ensuring that reviews occur as scheduled or at least annually for each employee.
• Review and approve the disciplinary action and/or discharge of employees.
• Evaluate management performance and other staff as designated.
• Approve the addition or deletion of positions as well as approve applicants for employment in new or vacant positions.
• Develop employee productivity analysis, utilizing USPI’s Staff Tracker, and assure the efficiency of staff levels through increases or reductions in the workforce as necessitated by changes in surgical case volume.
• Implement a program for job-based orientation, training, and ongoing evaluation for all employees.
• Manage all employee files and records.
• Provide educational opportunities for professional staff development.
• Promote the implementation of positive customer relations by the employees and physicians.

• Ensure that the surgical programs and clinical services are in compliance with the respective components of regulatory body and accrediting body standards.
• Work in conjunction with the Medical Director and Medical Executive Committee in the evaluation and development of existing and new surgical services at the facility.
• Manage the clinical departments of nursing, central supply, medical records, and housekeeping, and supervise the contracted services of laboratory, radiology, pharmaceuticals, laundry, and biomedical engineering.
• Monitor the adequate function of surgical equipment and patient care equipment through contracted services and follow-up on repairs.
• Marketing and Planning
• Develop and implement a sales/marketing plan and lead the facility’s sales team in accordance with USPI’s Sales Plan and the business plan for the facility.
• Partner with USPI’s strategy and development team with identifying new services for the hospital and continue to look for opportunities for new growth and development in the market.
• Communicate and implement the strategic plan directly; identify milestones that will drive motivation and accountability.
• Foster positive public relations.

• Must demonstrate an uncommon dedication to the delivery of the highest quality clinical care and patient satisfaction.
• Develop, evaluate, and promote implementation of a continuous quality improvement program. Report quality measure performance data to governing board and broader stakeholder participants.
• Administer the infection control program and medical staff review of the quality improvement program.
• Advocate for USPI’s EDGE™ with partners and teams and hold segments accountable.
• React appropriately and in a timely manner to USPI’s EDGE™ event reports.
• Identify and correct quality care issues.
• Develop statistical indicators to use in evaluating the overall operations and quality of care provided.
• Serve as a member of the Quality Improvement Committee.

• Process the credentialing of practitioners of the facility.
• Collaborate with the Medical Director in the review and revision of the Medical Staff Bylaws and Rules and Regulations on a biannual basis.
• Collaborate with the Medical Director and serve as a liaison in problem areas with the medical staff.
• Promote positive relationships between employees and practitioners.
• Develop a system whereby physicians' needs and their patients' needs are defined in order to determine the proper mix of services and efficiencies.

• In general, ensure that the facility is clean, neat, professional, well maintained, and conveys a feeling of confidence to our patients, their families, and our physician customers.
• Identify and approve plant improvements and repairs.
• Promote a physical plant that is safe and aesthetically appealing.
• Ensure appropriate record keeping is maintained and incidents reported relative to the emergency generator, utilities, security, environment, and emergency preparedness drills.

Administrative Representative

• Attend corporate administrative meetings representing the facility.
• Act in accordance with the vision, mission, and business philosophy of the facility.
• Maintain membership in professional associations relevant to ambulatory surgery facilities and healthcare administration.
• Stay current in changes in the healthcare environment, such as reimbursement, legislative issues and business law, and act accordingly in the best interest of the corporation.

• Identify areas that require additional reinforcement through education, consultation, or practicum.
• Attend all mandatory in-services and meetings.
• Follow the facility's professional conduct and dress code policy.
• Maintain patient, physician, and employee privacy and confidentiality per policy. · Communicate effectively and courteously with visitors, physicians and their office staff, patients, and employees.

• Drive operational improvement and patient volume growth.
• Elevate the culture of collaboration and trust across the organization.
• Serve as a visible leader who inspires the organization to meet its ambitious targets and instils a culture of integrity, performance excellence, and a focus on patient care.

• Applicant must have hospital (with emphasis on Surgical Division) or surgical hospital experience.
• Minimum 10 years of progressive experience in facility or healthcare management, culminating in successfully leading a complex entity in a culturally diverse, competitive urban environment. Good command of the English language, both verbal and written.
• Ability to work well with physicians, employees, patients, and others.
• The Governing Board may determine other qualifications as seen fit.
• Candidates must reside in the Fresno, California area or be willing to relocate.

• Highly detail-oriented with a track record of operational success.
• High energy and personal presence as a component of leadership ability. Willingness to lead by “rolling up your sleeves” and creating a sense of urgency.
• Culture builder with a dedication to elevating performance across the organization.
• Effective, articulate, and dynamic communication skills.
• Ability to work well with healthcare partners, physicians, employees, patients and others.
• Ability to write reports, business correspondence and procedural manuals.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.
• Ability to work with mathematical concepts for the purpose of financial budgeting, reporting and analysis.
• Unquestioned ethics and integrity.