ROBERT LERMA, MBA, CASC 2928 Overland Trail Sherman, Texas 75092 Home: 903.868.0456 Cell: 713.253.8902 rl1315106@westpost.

net SUMMARY Hands on healthcare professional with demonstrated ability to implement programs that make a difference. Fifteen years of hospital and corporate experience in people and operational leadership, and financial management. Acknowledged as a highly resourceful problem solver with strong leadership and team building skill s. Successfully led conversion of long-term acute care hospital to an inpatient acute care rehabilitation hospital with significant reduction in operating cost s. Facilitated conversion of an ASC to the opening of a surgical hospital. Repu tation as a results oriented team player. EDUCATION MBA Health Care Administration University of Dallas 1995 MS Rehabilitation Administration University of North Texas 1985 BS Rehabilitation Science University of North Texas 1983 PROFESSIONAL EXPERIENCE FOUNDATION SURGERY AFFILIATES 02/2009 a" 01/2011 Heritage Park Surgical Hospital Sherman, Texas Hospital CEO/Administrator Operational responsibility for converting a free-standing ASC to a HOPD while co ordinating the building and opening of a new surgical hospital within a 4 month time frame. a Assisted with filing of application for deemed status survey for Medicare. a Successful survey with DNV in which recommendation will be made for 3-year acc reditation resulting in Medicare provider number. a Recruited department directors and contract pharmacist. a Coordinated the purchasing of new medical equipment/supplies. a Secured all ancillary service contracts. a Recruited 2 hospitalists to round on inpatients. a Recruited 2 spine surgeons with estimated revenue of $100,000/month. a Performed 50 inpatient cases and 40 outpatient hospital cases resulting in $37 4,400 (48% Medicare payor mix). UNITED SURGICAL PARTNERS INTERNATIONAL 4/2008 a" 12/2008 Memorial Hermann Surgery Center - Texas Medical Center Houston, Texas Facility CEO/Administrator Responsible for center turn-around and development including daily administrativ e operational oversight. a Reduced inventory by approximately $200,000. a Reduced nursing hours by 6 hours per case. a Reduced contract labor utilization resulting in a monthly cost savings of $60, 000. a Improved employee satisfaction from 86% to 95% during first 6 months tenure. a Improved physician satisfaction from 88% to 94% during first 6 months tenure. a Increased monthly case volume by an average of 60 cases resulting in an increa se $192,000 of net revenue. a Recruited two ENT surgeons who added an additional 40 cases per month. FOUNDATION SURGERY AFFILIATES

6/2001 a" 4/2008 Doctors Surgical Center/Huntsville Surgery Center Houston/Huntsville, Texas Facility Administrator Responsible for daily operational and administrative oversight for the ambulator y surgery center. a Increased average monthly cases by 30 % resulting in $300,000 increased collec tions. a Recruited nine additional partners to the general partnership resulting in the increased volume. a Reduced quarterly center inventory by $150,000. a Established protocols for scheduling and pre-verification of benefits for case s with a 3-day lead-time resulting in 25% reduction in cancelled cases. a Consistent overall patient satisfaction survey scores ranging from 96% to 98%. a Led construction for four additional operating rooms, procedure room, and Texa s Dept of Health Licensing. a Coordinated 2006 AAAHC survey - the first for the center a" resulting in a 3-y ear accreditation. a Recruited two ENT surgeons who added an additional 40 cases per month. CARDINAL HEALTHCARE INCORPORATED 2000 - 2001 Regional Director Houston, Texas Responsible for maximizing the profitability for the daily operations of 15 hosp ital pharmacies located in Southern California. Developed proformas for account contract renewals. a Achieved $1 million in annual revenue resulting in $300,000 of operating contr ibution. a Developed budget for 15 hospital pharmacies in California. WARM SPRINGS REHABILITATION HOSPITAL 1999 - 2000 Hospital Administrator Victoria, Texas Responsible for the daily operations of a 22-bed acute freestanding rehabilitati on hospital. Adhered to regulatory State and Federal hospital compliance to Med icare, OSHA, Texas Department of Human Services, the Texas Board of Pharmacy, an d the Joint Commission of Accreditation for Hospital Organizations. Supervised seven department directors. a Served on the Medical Executive Committee. a Marketed to local physicians resulting in $200,000 of revenue by increasing ce nsus by 200 patient days per month. a Designed and developed outpatient rehabilitation program resulting in addition $300,000 of revenue per year. SUMMIT MEDICAL MANAGEMENT 1996 a" 1999 Chief Executive Officer San Antonio, Texas and Tucson, Arizona Responsible for the daily operations of a 25-bed Long Term Acute Care hospital. Oversaw all regulatory hospital compliance and supervision of department direct ors with 65 employees. Served on the Medical Executive Committee. Responsibili ty for hospital and financial operations for a 65-bed hospital in Tucson, Arizon a. a Recruited Chief of Staff and Pulmonology Medical Director resulting in $117,00 0 additional

revenue. a Recruited PM&R Medical Director resulting 8,000 of revenue. a Implemented hospital patient satisfaction a Coordinated construction and licensing of 000 of revenue per month. a Served as 1997 JCAHO coordinator hospital

in 120 patient days per month and $7 survey with a 96% approval rating. additional 12 beds resulting in $36, leading to a score of 94.

THE HEIGHTS HOSPITAL / ATH HOSPITAL 1994 - 1996 Chief Operations Officer Houston, Texas Responsible for daily operations for a 160-bed Long Term Acute Care Hospital dep artment director oversight and 82 employees. Oversight for regulatory hospital compliance. Developed Program Evaluation leading to a JCAHO survey of 95 with a three-year accreditation. a Served on the Medical Executive Committee. a Implemented charge-capturing system for resulting in an $80,000 reimbursement. a Provided auditing for outpatient rehabilitation services and filed injunction with Medicare Administrative Law Judge resulting in $20,000 reimbursement. HEALTHSOUTH REHABILITATION HOSPITAL 1991 - 1994 Director of Case Management Fort Worth, Texas Responsible for the development of the Case Management Department while managing 25 patients at all times. Conducted sales calls to assigned physician and mana ged care providers to increase patient referrals. a Developed interdisciplinary team conferences and weekly reports to managed car e companies and local physicians that resulted in a physician satisfaction rating of 98%. Performed weekly utilization reviews for contracted payors for negotiated length of stays as recommended by the interdisciplinary team. Coordinated discharge planning for all payor type cases.

PROFESSIONAL AFFILIATIONS a a a a a a a ACHE Associate in the American College of Health Care Executives Current CASC Certified Ambulatory Surgery Center Administrator Current Rotary International Victoria, Texas Chair for Program Development Committee 1999-2001 American Red Cross Victoria, Texas Chair for Human Resources Committee 1999-2001 Rho Chi Sigma Rehabilitation Honor Society 1985 Current