MICHAEL T. PIVER, MBA, FACHE
13859 North 61st Place
Scottsdale, AZ 85254
(Cell) 480-431-8767
mpiver@bellsouth.net
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Career Summary
An accomplished executive leader with over 20 years of experience in healthcare management developing and
successfully executing complex strategic plans in highly competitive markets and leading operations in hospital and
ambulatory settings, including managing major orthopedic service lines and large surgery centers; led multiple physician
alignment models, key service lines, ambulatory surgery centers (ASC’s), rehabilitation , post-acute care (IRF & SNF)
services, and managed physician practices, negotiated key physician agreements and opened new surgery centers.
Professional Experience
Associate Vice President, Orthopedic Service Line
Honor Health – Scottsdale, Arizona
2014- Present
A regional healthcare system with $2 billion in net revenues, 5 hospitals, 3 surgery centers, over 11,000 employees and a
medical staff of over 3,500; recognized as a top orthopedic and spine healthcare system, and the market leader in the
Scottsdale and North Phoenix area.
Directly responsible for the overall strategic direction and operations for the orthopedic service line for the health system
which includes responsibilities for the orthopedic, orthopedic trauma, and spine service line across all five (5) acute care
hospitals and 3 ambulatory surgery centers generating over $311M in net revenues and $146M in contribution margin for
the system. Developed and lead one of the largest orthopedic co-management agreements in the country with over 90
physicians.
Selected Accomplishments:
Developed, negotiated, and operationalized one of the largest orthopedic Co-Management agreements in the
country, including 90+ independent orthopedic and spine surgeons, representing 26+ different medical groups
Increased orthopedic and spine Net Revenue 10% from 2016 – 2018 as a result of the co-management structure,
recruitment of physicians (including new and from competing health systems) and supply chain pricing strategies
Utilized a team approach between orthopedic physician dyad leader and Quality department to create orthopedic
Co-management Quality metrics which focused on the Triple Aim to improve outcomes, increase patient
satisfaction and reduce costs. These include decreased readmission and major complications rates, increased
patient satisfaction results and renegotiated vendor agreements
Co-chair the Network Orthopedic Committee Governing Board with physician dyad leader, orthopedic surgeon
representatives and Sr. Administrative leaders
Created a physician recruitment plan, successfully recruited 20+ surgeons to address the needs of the health system
as well as the needs of our community
Re-established trust between physicians and administration through relationship building, and actively involving
physicians in key decisions
Facilitated the development of a total knee care pathway with over 30 orthopedic surgeons participating;
standardized care, reduced cost, reduced physician variation, and improved reliability
Created new business plans that enhanced the orthopedic service line, while driving new top-line revenue for the
Network; plans included robotics (orthopedic and spine) $4.5M, and new service line programs for ambulatory
surgery centers, generating in excess of $20M in new 1st year revenues
Worked with primary care physicians to increase referrals to aligned orthopedic and spine physicians through the
creation of a Preferred Provider network
Developed relationships with medical tourism companies to attract over 150 patients for orthopedic and spine
surgeries, generating over $2.5M in net revenue and incremental surgical volume
Work closely between surgeons and Supply Chain, through the use of data analytics, to reduce costs, vendor
variation, and variety, resulting in over $6.5M in savings in 2018
Director, Orthopedics, Spine, Rehabilitation, and Strategic Surgical Integration 2009 - 2014
Tanner Medical Center - Carrollton, Georgia
A regional healthcare system with $700 million in net revenues, 5 hospitals, over 5,000 employees and a medical staff of
over 300; recognized as one of America’s Best 100 Hospital’s for Orthopedic Surgery (2012-2014) and HealthGrades
Orthopedic Surgery Excellence (2008-2014).
Directly responsible for the operations and strategic development of a 20-bed rehabilitation hospital, conversion of a
skilled nursing facility, (12) orthopedic and spine physicians; created and operationalized an orthopedic, ENT and urology
co-management agreement; operational management of (25) clinical staff; held various department responsibilities at
different times over the course of my career at Tanner
Selected Accomplishments:
Created 5-year strategic plan for inpatient rehabilitation facility to include revenue impact for health system
collaboratively with hospital administrators, physicians and other stakeholders
Developed new 20-bed Comprehensive Inpatient Rehabilitation Facility (CIRF); Led CON submittal and
developed CIRF facility with revenues in excess of $4.8m in Year 1
Provided due diligence and analyses of Skilled Nursing facility and redeployed resources to Critical Access
hospital, resulting in increased utilization and revenues for Health System
Involved surgeons and multiple stakeholders in the creation of a new over-arching brand, to form a new vision for
Orthopedics, creating new marketing programs and demonstrating the competitive advantages versus traveling
outside the market area, resulting in 9-14% increases yearly of orthopedic and spine surgical growth
Developed Orthopedic and other surgical specialties co-management models, encompassing an incentive structure
with national and local quality metric goals; Chaired co-management meetings between surgeons and hospital
administration
Developed plans towards regaining market share, improving physician access, quality outcomes, and increasing
revenues, resulting in growth of orthopedic and spine services within PSA
Aggressively recruited 3 new surgeons to market; met community need via the State data and Needs Assessment
Actively market CIPF admissions criteria to physicians and educate community on resources available, keeping
census between 80-90% at all times
Standardized multiple order sets into a single working document, creating ease of use for physicians and staff,
resulting in more consistent and predictable patient outcomes
Expanded physical and occupational therapy outsourced contract to include additional quality and efficiency
measures resulting in the largest outsourced contract for the health system and continuous patient care
Coordinated community outreach programs which resulted in increased exposure for the local hospitals and
physicians
Administrator & CEO, Shelby Baptist Ambulatory Surgery Center, LLC - Alabaster, AL 2006 - 2009
Health Inventures, LLC - Parent Company - Broomfield, CO
Shelby Baptist ASC was a free-standing, multi-specialty, outpatient surgery center joint venture between surgeons and a
local hospital; consisted of (4) OR’s, (2) Procedure rooms and 32 physician investors.
Directly responsible for the initial development of center, gaining physician investors, and ultimately leading the
operations of the JV surgery center
Selected Accomplishments:
Led the solicitation of investments from 32 surgeons in this new surgery center
Created budget and new revenue sources for center with ROI > 24%
Decreased Days in A/R from 45 to 28
Increased Cash Collections 14% in 2009
Strategically developed business plan through collaboration between ASC Board and hospital administration
Actively worked with Payer Relations team to establish favorable reimbursement contracts
Operational management of 45 business and clinical personnel
Developed data metrics and worked collectively with physician Board Chairman to communicate plans and
results to other physicians
Utilized data to educate physicians, hospital administration and staff on revenue and expense issues
Coordinated and participated in all State and Medicare licensing and JCAHO accreditation surveys
Regional Administrator 2004 - 2005
Healthcare Management Associates - Birmingham, AL
An ambulatory surgery center and physician practice development and management company, operating in AL, MS and
South FL.
Selected Accomplishments:
Managed the development of ambulatory surgical centers and physician practices in AL, MS, and FL
Facilitated the initial development, recruitment and start-up of large Orthopedic practice (9 surgeons/physicians, 5
mid-levels, and 50+ support staff), to include management of the practice
Coordinated strategic initiatives between Orthopedic practice and hospital to expand services and increase market
share and revenues for both the practice and hospital
Developed strategic plans for growth and expansion of ambulatory surgery centers and physician practices
Performed marketing initiatives to grow physician practices, increase market share, and recruitment of additional
physicians
HealthSouth - Birmingham, AL 1999 - 2004
A national healthcare provider of ambulatory surgery centers, inpatient rehabilitation facilities and acute care hospitals;
responsible for managed care contracting, administration of an ambulatory surgery center, marketing and coordination of
multiple ambulatory services within primary service area market.
Sales Representative 1998 - 1999
GlaxoSmithKline - Birmingham, AL
Marketing Representative 1998
Columbia/HCA - Birmingham, AL
Senior Sales Representative 1991 - 1998
Lanier Worldwide - Birmingham, AL
Education
Master’s in Business Administration
Troy University, Troy, Alabama, 2003
Bachelor of Science, Marketing
University of Alabama, Tuscaloosa, Alabama, 1990
*University of Alabama Football Player (1986 – 1990)
Professional Accomplishments, Presentations & Memberships
Becker’s Hospital Conference, April 2018, Chicago, Illinois, panel presenter, “Hospital-Physician Alignment Strategies”
Orthopedic content expert for Sg2
Becker’s Hospital Conference, May 2012, Chicago, Illinois, co-presenter with J. Johnson on “Using Co-management
Effectively to Improve Results”
Alabama Association of Ambulatory Surgery Centers
Board of Directors (2004-2009)
President (2000-2004)
Fellow, ACHE – 2014 to Present