Restructured multiple acquisitions into a functional organization, with engagements that included Business Plan Development, Strategic Planning, Process Change, Organization Restructure and Performance Planning to drive performance. During a multi-year engagement by a billion dollar for-profit healthcare chain, provided insourced management at the executive level to affect numerous major change initiatives that resulted in cost reductions of $22 million over a 3-year period. Some of the change efforts we directed were: improved service delivery, implementing Integrated Hospital Systems, decentralizing the Finance function, and developing ancillary healthcare operations. Facilitated a large organization through a downsizing effort and created annual savings of $18 million. Reengineered a multi-billion dollar healthcare organization’s HR function to ensure standardization, technology structure and process, resulting in potential savings of $29 million over five years. Completed the assimilation of two half-billion dollar companies and facilitated a Strategic Planning process to include the creation of Vision/Mission/Values for the combined company. An equipment manufacturing company taps new revenue sources through the redesign of the parts function, done as a 'shared risk' consulting arrangement. An audit of a purchasing operation in a manufacturing organization reveals opportunities for cost savings through the formation of national contracts, new systems, and standard processes. Business Development through an insourced management role brings rapid expansion of services through an acquisition program. Reengineered the payroll process for a multi-billion dollar emergency medical service corporation, geared toward standardizations, new technology, organization and process, and creating potential savings of $6.3 million per year. Optimized the structure and relationship of mortgage company partnerships for homebuilder organizations, resulting in establishing threshold performance parameters for the joint venture marketing company. Evaluated current marketing practices and promotional activity, resulting in a change in the organization’s marketing practices. The reengineering of the Admissions function leads to the formation of a "Care Coordination" (account management) approach to handling patients needs throughout the "continuum of care," providing a higher level of care and customer service at no additional cost. An MIS sourcing analysis leads to a creative insourcing/outsourcing arrangement that stimulates competition and involves equity ownership to reduce software costs. A human resource audit is conducted for a $250 million manufacturing organization to assure that all government laws are being applied effectively, resulting in organization and process changes when the potential exposure of thousands of dollars in fines was identified. A senior executive is sourced in conjunction with an organization redesign. A systems implementation is planned, structured and managed to build employee skills and build upon other hospital initiatives. A temporary insourced management role as CIO brings focus to an MIS group, and alignment with business objectives. The outsourcing of medical transcription leads to the formation of a joint venture business that not only reduces costs, but creates a new profit center that returns a revenue stream as well. Optimized the customer service function of a large mortgage company through operational reviews, customer surveys and process change. A sales organization finds new ways to relate to each other and their customers since being trained on the Personal Insight Inventory tool.