Clinics expanded, systems run, technology built, books written, podcast conversations recorded. The work is the argument.
Project status reviewed .
CEO of an urban Indian health and community-services organization working across Los Angeles and Orange counties. Community context: Los Angeles County has an American Indian, Alaska Native, and Native Hawaiian population of 263,000.
Tribal COO Health for a coastal Oregon tribal nation. Led the expansion of a dental-only program into a four-site Tribal FQHC. Staff grew from 8 to 48.
Learn more →CEO of a nine-clinic Tribal health system serving 20,000 patients across multiple tribal nations and two counties. Grew revenue 30% through COVID. Acquired local OB/GYN, Podiatry, and Pediatric practices.
Learn more →Clinic Administrative Director for two critical access hospitals and eight outpatient clinics serving 30,000 patients. Sweet 16 initiative boosted provider capacity 187.5% in six months.
Learn more →Clinic COO and Interim Health Administrator at a P.L. 638 health center. FY2010 revenue reached $1.2M. Facilitated a 42,000 square foot joint-venture facility with IHS, creating 20 reservation jobs.
Director of Operations for 32 hospital inpatient dialysis programs across AK, WA, OR. The region moved from 49 of 50 to consistent top 10 monthly in productivity. Established a Seattle inpatient services footprint.
Company origins clarified .
Tribal Healthcare Consultants became Indigenous Healthcare Advancements in 2020. I serve as Founder and President, bringing clinic development, software, and consulting together.
Visit ↗My consulting work began in 2013 and later took shape as Tribal Healthcare Consultants, supporting Tribal Health Organizations and expanding into rural and community healthcare. Rebranded as IHA in 2020.
Healthcare analytics, operations, patient navigation, and financial information. Visit each platform for its current availability and access details.
County-level tribal health analytics for feasibility studies, service-line analysis, workforce planning.
Visit ↗An integrated management platform for tribal health, in development. Includes workforce, revenue cycle, quality, finance, and the financial analysis capabilities developed as fin990.
Visit ↗Healthcare facility locator for Indian Country. Patient self-navigation, care-coordinator referrals, emergency routing.
Visit ↗Public tribal health equity data for grant applications, congressional advocacy, and journalism.
Visit ↗A directory connecting tribal organizations with consultants and vendors, currently in development.
Visit ↗Lessons in power, politics, and humanity from Indian Country and beyond. Twenty years inside Tribal health systems, distilled.
Learn more →A field manual for culture-first leadership. Why culture is not a soft skill but the operating layer everything runs on.
Learn more →Conversations with the people reshaping tribal and Indigenous healthcare. On hiatus while I focus on major California projects; published episodes are available to listen.
Learn more →Work delivered through healthcare organizations, their teams, and the communities they serve. My responsibility was to help turn the direction into daily operations.
I began consulting in 2013. The practice became Tribal Healthcare Consultants and was rebranded as Indigenous Healthcare Advancements in 2020. The work includes building operating, hiring, and contracting systems alongside healthcare organizations.
On the Oregon coast, took a 20-year dental-only program and grew it into a full-service Tribal FQHC: medical, behavioral health, pharmacy, telehealth, administrative. 8 staff to 48. 1 site to 4. Eighteen months.
Facilitated the development of a state-of-the-art clinic in eastern South Dakota with the Indian Health Service. Created 20 jobs on the reservation. A facility that will outlast every leader who passes through it.
IHA clinic projects in Los Angeles and Northern California are both moving forward under an integrated dual-site model. Opening dates have not been announced.
Market Intelligence, WayFinder, and Equity Dashboard are free public tools. IHA Suite and Marketplace are in development, with fin990's financial analysis capabilities incorporated into IHA Suite.
A $1.4M IHS Case Management approval through Indirect Cost allocations. An 'outside-the-four-walls' billing implementation in Oregon. Telehealth pods and a Care Concierge model addressing social determinants of health.
Brought local OB/GYN, Podiatry, and Pediatric practices into a Northern California Tribal health system.
Established multi-county testing infrastructure across two Northern California counties and a Tribal health system. Served Native and non-Native patients. Built in weeks during peak pandemic.
At Fresenius Medical Care, established a Seattle inpatient services footprint. Profitable in the second month.
Recruited 12 providers as part of the Tribal program's expansion from a dental clinic into a four-site FQHC. The result belongs to the program and the people delivering care.
Numbers behind the work
Selected results from my career, delivered with clinical and administrative teams, Tribal leadership, and community partners.
Tribal health system
Critical access system
Across Tribal health engagements
32 programs. A $60M region.
Regional productivity ranking
49 of 50toTop 10
Consistent top 10 monthly, in the same region.
Transformed a negative-revenue business into the only profitable inpatient services region in the Western group.
P.L. 638 health center
Serving 1,300 patients.
These figures come from my published career account. Explore the roles behind the results.