Carlos D. Nesbit
Chief Financial Officer, Nonprofit hospital systems
Seattle, WA · (206) 555 0134 · name@example.com · linkedin.com/in/carlosdnesbit
Key Qualifications
EXPERIENCE
Twenty two years in health care finance, nine of them as chief financial officer
INDUSTRIES
Nonprofit hospital systems, federally qualified health centers, physician groups
SPECIALTIES
Payer contract modeling, capital planning, tax exempt debt, cost report compliance
SYSTEMS
Oracle NetSuite, Workday Financials, Blackline, Strata Decision, Epic revenue cycle
CREDENTIALS
Certified Public Accountant licensed in Washington, American Institute of Certified Public Accountants, Healthcare Financial Management Association
EDUCATION
Master of business administration, University of Washington; bachelor of science in accounting, Gonzaga University
Executive Summary
Chief financial officer with twenty two years in nonprofit health care finance, the last nine leading a four hospital system through payer contract renegotiation and a bond refinancing of two hundred and ten million dollars. Pairs a disciplined monthly close with board reporting that trustees can read without a translator.
Signature Achievements
- Refinanced two hundred and ten million dollars of tax exempt debt in 2023, lowering annual interest cost by four million dollars and extending the maturity profile by eleven years.
- Renegotiated the system's three largest commercial payer contracts, adding fourteen million dollars of annual net patient revenue with no increase in volume.
- Cut days in accounts receivable from sixty one to forty three across two years by rebuilding the denials workflow alongside revenue cycle leadership.
- Held operating margin at three point one percent through two years of contract labor inflation that pushed several regional peers below break even.
- Introduced the rolling thirteen week cash forecast that carried the system through a ninety day payment freeze by its largest managed care plan.
- Closed the annual financial statement audit in thirty two days for three consecutive years with no proposed adjusting entries.
Professional Experience
Chief Financial Officer
Cascade Meridian Health System, Seattle, WA 2017 to present
Four hospitals, twenty one clinics, 6,200 employees and annual operating revenue of one point four billion dollars.
- Own accounting, treasury, reimbursement, payroll, supply chain finance and internal audit through six direct reports.
- Present quarterly results, the annual budget and every capital request above two million dollars to the finance committee and the board of trustees.
- Run the capital allocation process, ranking one hundred and forty project requests each year against a ceiling of ninety million dollars.
- Manage the rating agency relationship, the bond trustee and two revolving credit facilities totaling seventy five million dollars.
- Certify the annual Medicare cost report and the federal grant audit, both filed without findings for six years running.
Vice President of Finance
Puget Sound Community Care Network, Tacoma, WA 2011 to 2017
Finance lead for eleven federally qualified health centers serving 190,000 patients across three counties.
- Built the budget, grant reporting and reimbursement function that supported growth from six sites to eleven.
- Recovered three point four million dollars in underpaid wraparound Medicaid claims by rebuilding the reconciliation between clinic billing and the state.
- Replaced spreadsheet reporting with Sage Intacct and gave every clinic director a monthly statement they could act on.
Controller
Olympia Regional Medical Center, Olympia, WA 2004 to 2011
General ledger, financial reporting and the annual audit for a two hundred bed community hospital.
- Managed a team of nine covering general accounting, fixed assets, payroll accounting and grant compliance.
- Standardized the close calendar and brought reporting to the executive team from day nineteen to day eight.
- Prepared the annual budget and the monthly reporting package reviewed by the chief executive officer.
Licensure and Certification
Certified Public Accountant, Washington State Board of Accountancy
Member of the American Institute of Certified Public Accountants since 2003
Fellow, Healthcare Financial Management Association
Education
Master of business administration, University of Washington, 2009
Bachelor of science in accounting, Gonzaga University, 1998
Core Skills
Capital planning · Payer contract modeling · Tax exempt debt · Board reporting · Treasury management · Cost report compliance · Financial statement audit · Revenue cycle finance · Budget development · Executive team leadership