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HCCA Management Company

The Team

ADMINISTRATION

Ronald C. Marston, PH.D., Founder, and CEO

Ron has 30+ years in international healthcare and is known as an international authority on healthcare systems and trends worldwide.  Solid achievements in his leadership are demonstrated by the company’s growth and success during an almost three decades of economic and political change.  His belief is in the concept that each hospital is unique and the management team on site is the authority on the local market and mission of the facility.   Mr. Marston supports decentralized management while overseeing and advising the operation appropriately.  In essence he believes in the delegation of authority and accountability but not the abdication of the same.

In 1973, Ron joined HCA International (now Health Care Corporation of America) which was a subsidiary of Hospital Corporation of America and relocated to London, England.  After establishing the office there he returned to Corporate Headquarters in 1974. He was promoted in January 1979 to Vice President, Finance and Administration and in July 1980 relocated again to London.   In late 1981, he was promoted to President, HCA International, Ltd. In 1987, he assumed the duties as President and CEO of HCA International Company with responsibility for all development and operations internationally.  During this period of time, under Mr. Marston’s leadership, HCA International grew to include 10 hospitals and 7 nursing homes in the United Kingdom; 10 hospitals in Australia; Latin America included 5 hospitals and 55 clinics including Brazil’s largest HMO with 750,000 subscribers, a 150 bed private hospital in Panama; a management contract for the restructuring of the 1650 bed Singapore General Hospital; a commissioning and management contract for the King Fahad National Guard Hospital in Riyadh, Saudi Arabia, (the first non-US Military hospital to be JCAH accredited outside the United States);  and the longest standing recruitment contract in the Kingdom of Saudi Arabia.  Hospital Corporation of America sold the international company to several buyers in 1989 after they elected to go private.

Ron's previous experience was with Vanderbilt University and Medical Center.  Prior to joining Vanderbilt, he was responsible for the training and administration of the 400 bed Twelfth Evacuation Hospital located in Cu Chi, Republic of Vietnam.

Ron holds a Bachelors Degree from Tennessee Technological University; a Certificate in Healthcare Administration from the Academy of Health Service; and a Ph.D. in Management from California Western University. Mr. Marston is an Accredited Executive in Personnel; a member of the American Society for Personnel Administration, the Employment Management Assoc., the American Compensation Assoc., the American Management Assoc., the Institute of Directors, Omicron Delta Kappa Foundation, and the Society of International Business Fellows.  He has served as a Lecturer at the Academy of Health Sciences and the American College of Healthcare Executives.  Mr. Marston has served as a consultant for various organizations and the U.S. Government.

Ron’s history of living and working in multicultural environments, his ability to develop long term relationships and his multicultural sensitivity provides a leadership that exemplifies integrity, flexibility, tolerance and, above all, quality of service.

“HCCA’s Mission is centered on quality and integrity. Our Vision is to provide exemplary service to our clients and partners.  Our Values keep us focused on being accountable, compassionate, competent and responsive.”

Karen Fleming

Karen joined HCA International Company in 1984 with a background in medical technology.  She assumed recruitment responsibilities as well as serving as a trainer to develop orientation programs for clients in Saudi Arabia.  With four years of experience as an expatriate in the Kingdom of Saudi Arabia, insight into the cultural and healthcare environment provided a wealth of knowledge and expertise to the recruiting team.  Through her efforts she developed an extensive network of contacts throughout the U.S. healthcare community.  She utilized this network to establish a unique "networking/search" approach to physician and staff recruitment as well as for resources in support of the company's overseas hospital operations.

Karen’s experience in recruitment as well as supply and equipment procurement provided her the knowledge and experience to assume responsibility for the many and diverse needs of the company's management teams throughout its international hospital system of over 40 hospitals.  She acquired extensive, diversified and progressive experience in management of support services for corporate projects involving individual and multi-hospital systems in international settings.  Representing the business interests of individual company projects, clients and joint venture partners, Karen is responsible for selection, negotiation, confirmation and liaison of consultants and services; equipment evaluation and selection; development of training materials, programs and operational policies and procedures; the application of Joint Commission standards; and maximizing available resources. 

Based upon demonstrated success in increasingly demanding and responsible positions in providing support services for operations, education and clinical programs, her involvement was essential to the management team of Health Care Corporation of America (HCCA) as the company was re-established.


HOSPITAL OPERATIONS

Christopher Booher, BS, MA, MCSE

Chris's relationship with HCCA International started in 1982 when he was recruited as the Administrator for a Saudi Arabian military hospital being managed by HCCA in the northern remote desert. Chris then moved to the King Khaled Eye Specialist Hospital in Riyadh for seven years. KKESH was one of the first hospitals to be surveyed internationally by the JCAHO (JCI).

After Riyadh Chris managed two private hospitals in Jeddah. One was the prestigious El Magribi Eye and Ear Hospital and the other was the Al Salamah Hospital (now the King Faisal Specialist Hospital - Jeddah.) Magribi was surveyed successfully by JCI and Al Salamah was expanded from 100-beds to over 300.

During his career Chris has worked and lived in the Philippines, Pakistan, Kuwait, Saudi Arabia, and the USA. His early career was in finance. He earned a BS and MA in Business Administration. He is also a Microsoft Certified Systems Engineer.

He has experience leading hospitals through the accreditation process including American, Canadian and Australian successful surveys. Two of his private hospitals were accredited by two accreditation bodies.

Chris has been involved in many hospital construction projects to include new-builds, expansions and renovations. He brings a practical approach to layout review with an emphasis on efficiency and quality of services to be provided.

Bernard Costello, FACHE, MPA, BS

”Bud" Costello has over twenty five years of hospital management experience, progressing from department manager to Assistant Administrator to Chief Executive Officer.  His experience included leadership positions in both investor owned "for profit" facilities as well as government operated "not for profit" institutions. 

Bud's international assignments included a position as Administrator of a new hospital in Saudi Arabia that grew from 30 beds to well over 300 beds, adding new medical services, including an Organ Transplant Program along the way.  He was also a vital part of a small administrative team that converted a 1,600 bed government hospital in Singapore to a private facility with an American management structure.  Other assignments included, CEO at the opening of 100 bed private hospital in Dubai that focused on JCAHO standards of healthcare delivery.

Bud's experiences of more than 10 years as a CEO of U.S. Hospitals and his 12 years in leadership positions in International Health care facilities, makes him a vital member of our international management team.

Tyler Erickson, MBA

Tyler has provided CEO leadership at several not-for-profit private and public hospitals during his years of service with an investor owned hospital management company. The majority of his assignments involved strengthening the operation of hospitals experiencing organizational and financial distress. He has been a quick study in identifying necessary improvement opportunities and enhancements to expand services, improve moral and quality of care, as well as bringing expenses in line with actual revenues. Working hand in hand with the entire organization allowed Tyler and his associates to be successful in turning each hospital's operations from a negative to a positive bottom line, providing the opportunity to invest in facilities, equipment, outreach and people.

Tyler feels fortunate to have had the opportunity to have worked in areas with diverse cultural mixes, which has broadened his ability to adapt to varied situations, enjoy new experiences and to represent himself, the hospital and parent organization with understanding, respect and high ethics.

Tyler recently returned from an experience of a lifetime as a volunteer CEO with Selian Lutheran Hospital in Arusha, Tanzania. He helped guide the completion of construction and transition to a new 150 bed medical center. He also led the implementation of western management principles into the organization to achieve success in meeting the vision of this new enterprise.

Duane Kent Rossmann, MPH

Duane has over 25 years in domestic and international health management with a successful track record of team leadership, cost management, revenue enhancement, creative problem solving and personnel management.  His experience includes work with individual hospitals in both the private and public sectors, multi hospital systems, outpatient surgery centers and physician practices.  Duane also provides services to physician practices, managed care plans, and both.  His has expertise in physician relations, contract negotiation, multi-site management and strategic planning.

He has successfully managed hospitals in intensely competitive markets while growing profit. Mr. Rossmann has extensive experience in planning and construction of major additions to hospitals and the addition of new services to the hospital's core business to meet the facilities market needs.

Winnie Fritz, BSN, MSN, Ph.D.  (Currently on Sabbatical)

Winnie is an accomplished health care leader with more than 35 years of progressively challenging experience in health care management and consultation in the United States and internationally in the Middle East, Europe and Asia.  She has demonstrated skills in planning and the successful execution of complex local, regional and national healthcare projects. Winnie is highly respected by physicians, peers, team members, and community leaders where she has a great variety of experience in profit and not-for-profit hospitals.

Winnie is also an experienced educator with more than 22 years as a fulltime or part-time college faculty member for nursing and health administration bachelors and masters students.  Winnie has presented more than 3000 in-service presentations, seminars and conference addresses through her leadership positions.

Martina Gaus-Keller, Dr. oec. (PhD Organizational Behavior, University of St. Gallen HSG in Switzerland), MBA

Martina is a health care consultant with several years of strategic management consulting experience throughout various health care categories, including pharmaceuticals, clinical trials and hospital management. She provides the team with a strong analytical skill set combined with significant project management experience. Previous to joining the HCCA Team, she worked for Booz & Company, Executive Insight and PricewaterhouseCoopers.

Her consulting assignments brought her to work in the Middle East, where she worked on a business plan for a new health care campus in Abu Dhabi, as well as several European countries, where she worked for different pharmaceutical companies on topics such as R&D risk management, multi-stakeholder communication or corporate social responsibility.

Kathryn. D. (KD) Justyn, MBA

KD provides the team with 20 years of extensive operational and strategic experience leading hospitals with successful record of physician relations, managing expenses, developing new programs, developing facilities, and achieving positive results through cost containment, charge capturing and staff retention.  Her performance improvement initiatives for staff retention focus on communication, mentoring, and department head development helps to assure continuity of care. 

She has developed physician residency programs and has successfully launched new inpatient and outpatient clinical programs to meet the changing needs of the provider’s market.  

Irving Sawyers, Jr., MHA

Mr. Sawyers brings over 30 years of experience as a Chief Executive Officer to the HCCA management team. His diverse experience includes not only acute care hospitals, but also behavioral health, acute long term care facilities, outpatient services and large university teaching hospitals. Mr. Sawyers has both international and domestic hospital operations experience in both the public and private sectors.



CLINICAL SERVICES

Sally A. Gallagher, BSN, MBA

Sally provides the HCCA management team with extensive experience in nursing leadership experience both domestically and internationally.   Sally began her nursing career at the bedside in critical care, went on to get an MBA and has been a nurse executive for over 15 years, 8 of those years in Saudi Arabia.  She has held responsibility for the commissioning and operations of two hospitals and ambulatory care centers as well as being responsible for the administration of hospitals’ inpatient and outpatient operations.

Some of Sally’s major international accomplishments include:  implementation of a new Nurse Internship & Nursing Residency Programs for new graduate nurses to transition from academic to clinical practice setting; successful JCIA Accreditation Survey; established Nursing Quality Management /Improvement; expansion of existing facilities and services and the initiation of recruitment program, including international advertising project to recruit nursing and ancillary support staff to support the expansion; and development of staffing and budgeting for commissioning of new 450-bed acute rehabilitation facility to include a mobilization plan to coordinate deployment of work force phased in over a one-year period.

Charlotte Hodge, RN, NP, CDE

Charlotte is a highly qualified and trained Nurse Practitioner. She was one of the first team members to start Diabetes Treatment Centers of America and was Program Director with them for ten years.

Charlotte is very much in demand as a speaker, trainer, and mentor in the diabetes profession and directs many educational seminars related to this illness.

Charlotte, recognized as an expert in diabetes, brings her expertise and international experience to the HCCA team. Recognizing that diabetes is a major illness world wide, Charlotte leads and directs the company’s training and service programs for its clients.”


FINANCIAL SERVICES

Michael Davis MBA, BSBA

Michael provides the management team with extensive experience in financial management and leadership. Michael's experience and career has been in the healthcare industry starting as an assistant hospital administrator, a chief financial officer, a co-founder of the second largest psychiatric hospital company in the US to and Executive Vice President and CFO for large for profit hospital management companies spanning over 25+ years.

Michael has experience with start-up companies, mergers and acquisitions, and strategic planning for large healthcare companies. He brings to our team extensive experience and a depth of knowledge in the financial field.

Frank Shiffer, MPH, CPA

Frank is a strong financial and operations professional with strong leadership skills and  over 20 years of experience in managing complex business and financial organizations and turning around troubled and unprofitable situations.   He has significant experience in strategic planning, budgeting, new enterprise development, regulatory compliance, contract negotiations, and both domestic and international business and project management.

With the HCCA team, Frank provides guidance to major healthcare providers, both for individual providers and multihospital systems, on financial and operational issues as well as aspects of acquisitions and new enterprises and services.  He is a key member of the team’s provision of feasibility studies on financial viability and profitability, and operational reviews to provide turnaround services for major US and International clients.

Herschel Hatcher, CPA, BA

Herschel’s experience in controller and in chief financial officer positions has included hospitals of nearly two hundred and fifty beds and USD$100 million budgets in the United States, the United Arab Emirates, and in the Kingdom of Saudi Arabia. 

Herschel’s interests and passions include feasibility studies and hospital start-up operations.  For new hospital projects, Herschel has led and has been a part of teams that have created finance and control policies, procedures, and forms; established finance department job descriptions; implemented new information systems; and conducted the interview and hiring of local staff for finance functions.  He also has experience with fixed and disposable materials acquisition and inventory control. 

Herschel has also held line management responsibility for finance departments including general accounting, cost and budget, payroll, accounts, payable, inventory accounting, patient billing, cashier’s office, and property control.  He has managed all aspects of financial reporting including the generation of financial statements and preparation for external audit and reporting to hospital boards and government sponsors.

Joe Galbato

Joe’s expertise lies in the creation of annual financial plans with subsequent monthly forecast revisions and constant analysis of the operation to determine viability, adding predictability to the business.

He does analysis of company metrics to impact process improvement and performs ongoing review of operational data to aid in financial forecast, generates reports to show profitability by operation and origination and implementation of processes and procedures to facilitate more efficiency in terms of time and money as well as calculation of cost per cost center.


HUMAN RESOURCES

Philip E M Bradshaw, Chartered MCIPD

Philip brings to the management team over 30 years’ experience in healthcare, both domestic and international.  He has strong problem solving skills and sound judgment. Philip is widely recognized as a practical “hands-on” professional who looks for creative solutions and delivers on time.  He has taken on a number of assignments which have demonstrated his ability to operate successfully outside of his normal role, and often independently. Examples include:

  • Compensation and benefits review for major international hospitals
  • Incentives review for firm of American healthcare recruitment firm operating in the United States
  • Retention and re-contracting of large expatriate healthcare workforce upon change of employer
  • Recruitment of both clinical and operational executives for major new international hospital projects
  • Director of Human Resources for many years for a large domestic hospital management company.

Joseph Gilinsky

Joe was HCCA’s vice president and managing director, Asia Pacific and Middle East regions.  He joined HCCA in 1975 and has served as director of international human resources, director of Middle East international human resources, and director of Far East international human resources until 1987.  Joe was responsible for opening HCCA’s offices in Lebanon, Egypt and in the Philippines.  Over the years, he has been directly involved with international health care recruitment, sourcing and deploying nurses to and/or from such diverse countries as Korea, Thailand, Egypt, Lebanon, Saudi Arabia, UAE, China, India, Singapore, Canada, the United States, the United Kingdom, and the Philippines.

Peter Robin Kerr

Robin provides the HCCA team with 20 years of experience in Human Resource Management and recruitment of healthcare professionals for international projects.  This experience includes start up recruitment and staffing for new projects as well as recruitment and staffing for existing projects in both government and private sectors. 

Robin is a key member of the management team for all matters related to HR/Recruitment for business development, contract negotiations, commissioning and accreditation, policy development and planning, staff assessment, manpower planning, local and international recruitment and subsequent operations and management of healthcare facilities involving multidimensional human resource strategies.

Joy Roark

With over 30 years of experience in healthcare recruitment and human resource management, both at the local hospital and corporate level, Joy brings a wealth of diverse expertise to our organization. Her international experience includes selecting, training and coaching employees for projects in the US, Europe, South America, Asia and the Middle East. She is known for her ability to establish credibility and build partnerships for maximum effectiveness in the healthcare environment

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