Ingrid Glueck-Maldonado

I have over 25 years of leadership management, finance oversight and accounting management.  

Chief Financial Officer/Director of Finance (Hybrid)                                        August 2015 to September 2022

Overview:  Oversee the financial operations for a 90-physician group practice for Urgent Care, Worker’s Comp, Occupational Medicine services, and physical therapy with 84 employees to staff/manage along with 20 locations in the region.  Had oversight responsibilities of revenues totaling over 200 million annually and 100 million in expenses.  Report all findings to owner and COO on a weekly, monthly basis. Found ways to make operations more efficient and streamline the business flow to help grow the business.  I also oversaw the commercial real estate side of the business as well as the investment accounts for multiple companies 

Notable Highlights:

• Oversee operations in the following areas: finance, accounting, business development, patient billing office, collections, contracting, enrollment, a/r, billing, call center, customer service, cash management, credit card transactions, treasury oversight, human resources, payroll, benefit administration, asset acquisitions, budget oversight, overhead administration, supply chain management, purchasing, GPO oversight, procurement, financial & 401K audits, legal/compliance, risk, and 401K administrator.
• Run the day-to-day financial side of the organization and collaborate on the operations of the organization with senior management and clinic managers.  Assist in making operations efficient and improving business flow to grow the business.  Handle any analysis for new ventures, and new service lines as well as assist in closing unprofitable locations and/or service lines. 
• Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization.  
• Staff/Manage a team of 84 employees and assist in other administrative areas that need guidance and oversight. Led and managed an acquisition venture with two attempts.
•   Handle all daily operational activities for the real estate and investment companies. Oversaw and managed the real estate portion of the organization for the 25 real estate entities.
• Administrate the Captive Insurance program and the self-insured medical plan for the different insurance policies for the organization.
• Came up with new operational ideas to react to the pandemic Covid-19 emergency by improving the patient experience and growing the declining business and initiated hybrid work environment and flex scheduling. 
• Was the key person for the success of the acquisition of the organization.            

Institute for Women’s Health-OBGYN Physician Group Practice                     November 2012 to August 2015

CFO, (Hybrid)                                                                                                               San Antonio, Texas

Overview:  Oversee the financial operations for a 61-physician group practice of women’s healthcare with 15 locations in the area.  Had oversight responsibilities of revenues totaling over 50 million annually and 30 million in expenses.   Oversee financial operations, business development, patient billing office, collections, a/r, billing, call center, customer service, credentialing, enrollment,  supply chain management, cash management, treasury oversight, credit card transactions, human resources, information management, maintenance, credentialing, accounting, payroll, benefit administration, asset acquisitions, budget creation, purchasing, GPO, oversight of real estate leases for 15 locations and administrative office, lead audits, and 401K administrator. Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization.

Notable Highlights:

1. Ran the day-to-day financial side of the organization as well as day-to-day administration of the company. Assisted the CEO in running the operations of organization as well as acted as CEO in his absence.  Reported monthly findings to the board and physicians.  Handled analysis for new ventures, new service lines, and existing locations to grow the business.
2. Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization  
3. Help grow multiple locations in the San Antonio market
4. Transitioned 401K from Hartford to Fidelity
5. Brought on 4 doctors and help start up the fertility Clinic
6. Revenue grew by 15% during my 3 years with the group
7. Reduced supply expense by changing vendors that belonged to larger buying groups that offered better pricing.
8. Managed a team of 24 in billing and finance area

Robert Half Consulting Project w/ KCI                                                             April 2012 –October 2012

Operations Consultant, San Antonio, TX  

Overview: Studied and observed departments to include management and staff members to find improvements, inefficiencies that include time and motion studies that documented observations/findings. Presented these findings in a written and oral format to senior management. Made recommendations to improve operations and processes in many departments.

Notable Highlights:

1. Report and make recommendations to managers and leadership for over 15 areas.
2. Prepared analysis to improve operations and strategize for future growth.

• Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization   

UT Medicine San Antonio - Physician Group Practice                                     2008 - 2012

Controller/Director of Accounting/Asst. Director of UT Medicine Financial Operations, San Antonio, TX

Overview:  Supported UT Medicine, a large physician group practice which consisted of over 850 employees in multi-locations encompassed by over 100 specialties.  Had oversight responsibilities of revenues totaling over 230 million annually and 215 million in expenses to control efficiently. Acted as an internal consultant for over 20 clinics   by helping managers/administrators with financial and operational concerns, business development, collections, led supply chain initiatives etc.

 Notable Highlights:

• Led and coordinated monthly operational meetings with departments so that problem issues were discussed & reviewed the budget to actual information to find ways to reach targeted annual budgets as well as fixed the opportunities.
• Acted as an internal financial & operational consultant by researching & providing solutions to improve operational efficiencies. 
• Taught managers one on one as well as in group presentations to understand their income statements, procurement rules & regulations, policies and procedures, annual and monthly budgets, capital process, the depreciation process, and annual budget preparation.  Guided the managers to articulate their financial/budget decisions to leaders in the organization. 
• Directed day to day accounting activities for a large physician practice to include revenue, A/R, revenue cycle issues, accounts payable, procurement, payroll, cash management, treasury mgt, credit card transactions, financial analysis, budget, capital budgets, and general ledger activity.
• Collaborated with the clinical and administrative staff to improve daily operations, business operations, and find ways to grow the practice for the physician group, radiology area, ASC, & multi-disciplinary specialties with many locations.
• Administered the preparation & oversight of the budget totaling 216 million in expenses, with large capital projects & due diligence on potential projects.
• Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization       
• Led the transition merger into parent company that took 2 years for employees, systems, and policy mergers to occur into the School of Medicine.
• Administered the Benefits (401K, health insurance), Human Resources, and Contract Administration & Facility maintenance oversight for the group practice plan.
• Managed & led a team of 10 staff members.

CHRISTUS Santa Rosa Health Care - Hospital System                                                  2005 - 2008

Financial Analysis & Reimbursement Manager, San Antonio, Texas

Overview:  Managed & led the analysis team of five employees for the CHRISTUS System that covered over 4 hospitals in various locations in San Antonio and surrounding area.    Worked closely with managers and administrators to improve and streamline operations and improve business development.  Educated many staff, managers & administrators on the meaning and understanding of financial and budgetary financial information.

Notable Highlights: 

• Led the analysis totaling over 200 million in revenues & expenses. Grew service lines such as Children’s services, OBGYN, neurology, cardiology, transplant services and surgical services.  
• Managed the revenue charging process for the system which included the charge master system, updates/changes to charge master, and government regulation for Medicare and Medicaid.  Researched and analyzed coding/billing issues. 
• Directed the preparation & oversight of the budget for the system.      Responsible for the Capital Budget and the implementation of capital purchases.
• Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization       
• Cumulated & prepared the data, reported/analyzed data for the annual Tax package, TDH Health Surveys & costing reports for government payers
• Led analysis for new service lines, new physician’s business, and any new ventures.
• Analyzed systems, expenses, & reimbursement to find improvements for the system, for example, revamping the charging sheet for the OBGYN floor and surgeries.  They were missing a lot of charges and did not have adequate way to document utilization of supplies and labor.   

Baptist Health System-Hospital System                                                                      2004 - 2005

Senior Financial Corporate Analyst, San Antonio, Texas

Overview:  Worked closely with Regional CFO to review and analyze data for the system. Cumulated data for system and presented it in summarized levels.  Analyzed data & made projections for revenue and expenses.

 Notable Highlights: 

• Analyzed information that included 5 hospitals & various other entities such as Medical Office Buildings, Regional Corporate Departments, Surgery Center, & Imaging Centers for the Texas Region. 
• Produced weekly & monthly projections for the system.  Led the day-to-day operations for the corporate departments. Responsible for month end and payroll, purchasing, supply chain issues, and GPO. Ensured all expenses were paid accurately and appropriately for the administrative areas of the organization.
• Administered the budget & capital process for the Surgery Center, Corporate Regional Departments, & Medical Office Buildings & reviewed budgets for the hospitals.
• Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization       
• Reviewed and analyzed systems, expenses, & reimbursement and made recommendations to improve the organization such as expense analysis, what service line were profitable, and what surgery was profitable versus not profitable.  Also spent time reviewing physician volumes to identify opportunities to increase their business with the organization. Supported system CFO, CEO with any issues they needed assistance with.

Tenet Health System                                                                                                    2002 - 2004

Asst. Chief Financial Officer for three facilities (150 beds, 54 beds, & Surgery Center), Nacogdoches, Texas

Overview: Supported CFO with leadership oversight of the three facilities. Supervised daily functions of 9 employees in multiple locations. Responsible for the financial reporting, financial analysis, business development, budget reporting, month-end reporting & administrative duties for the system.

1. Reconciled & audited the general ledger, physician incentives, & corporate reporting.
2. Reviewed systems, expenses, & reimbursement for all areas for process improvement & financial opportunities.  I worked on a special project in which I performed a supply expense review in the OR implementing standardized supplies to be used in surgeries by all physicians. 
3. Identified an opportunity to improve the entry process of the OR by limiting vendors accessing the OR & dropping/pushing high end supplies/implants to the doctors, staff etc. but to rather to meet with Nurse Manager by discussing new items with her for review and approval prior to ever making it the operating room.
4. Supported marketing, business development & human resources functions for the three facilities.  One of the projects I facilitated was performing a salary compensation review of all titles to ensure it was equitable within similar titles and compatible to market & surrounding areas in pay range.

• Cumulated & prepared the data, reported/analyzed data for the annual Tax package, TDH Health Surveys & costing reports for government payers.
• Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization.
• Negotiated & reviewed incentive agreements or contracts with physicians, third party payers, and vendors.  Analyzed & made recommendations ensuring that physicians were meeting their incentive agreements and had documentation to show they were billing and receiving payments in their practice.

Universal Health Services System – multiple locations                                               1996 - 2002

Controller - Edinburg Regional Medical Center (169 Bed Facility), Edinburg, Texas     2001-2002

Overview:  Transferred from Austin hospital, after it was closed. Led the financial operations for the hospital.  Worked closely with Regional CFO & 6 accounting staff to meet deadlines and complete accurate financial information. 

Notable Highlights: 

• Directed and oversaw the general ledger entry, financial reporting, accounts receivable, accounts payable, cash reporting, financial analysis, and payroll. Prepared monthly financial statements for hospital.

1. Prepared & entered the revenue, contractual allowance & bad debt entries, plus reviewed all financial analysis of general ledger & system generated reports for the hospital.

• Reviewed & analyzed contracts & made recommendations for physician recruitments & supply agreements where volumes either increased or decreased pricing based on usage.

Controller/Director Support Services - Renaissance Women’s Center (24 beds), Austin, Texas 1996-2001

Overview:  Began with organization as a Staff Accountant and promoted multiple times. Led and organized the start up of the financial operations for this new women’s OBGYN hospital. Set up the payroll system, accounting general ledger system, financial reporting system, accounts payable, and reporting of revenue, contractual allowances, and bad debt model.  Managed staff totaling over 65 employees in all areas of the hospital including support departments. Ran operations for the organization.  The Austin facility closed its operations in February 2001.  Led the closure phase of the organization for another year. 

Notable Highlights: 

1.  
2. Led the daily operations for the following support areas: Accounting, Human Resources, Financial Reporting, Payroll, Statistics, Information Services, Business Office, Patient Accounting, Contractual Reimbursement, Medical Records, Dietary, Housekeeping, Maintenance/Plant Operations, Materials Management/Purchasing, Bio-Medical Maintenance, and Security.

• Led and directed the following areas with a small accounting team to include general ledger, financial reporting, accounts receivable, accounts payable, cash reporting, financial analysis & payroll reporting for the hospital.
• Handled financial analysis, financial reporting, financial modeling, budgetary reporting, and strategic planning for the organization.       

Reviewed & analyzed vendor and payer contracts & made recommendations.  Negotiated contracts on behalf of administration. 

Texas State University Bachelors degree in accounting