Urban Indian health system, Los Angeles
CEO of an urban Indian health and community-services organization serving 252,000 American Indian, Alaska Native, and Native Hawaiian people across Los Angeles and Orange counties.
Building
What I've built. What I'm building.
Clinics opened, systems run, platforms shipped, books written, podcast conversations recorded. The work is the argument.
Currently, April 2026
Two clinics opening, one platform launching, one book on press.
- Los Angeles clinic opens May 2026, IHA flagship serving urban Indian Country.
- Northern California clinic opens June 2026, transitions to 638 self-determination in July. The two operate as an integrated dual-site model.
- indigenous.health launches alongside IHA Suite, our flagship integrated management platform.
- Truth as Medicine podcast in production: cultural foundations, tribal sovereignty, traditional medicine.
- A third book in early drafts: cultural infrastructure for community-grounded healthcare.
Clinics and systems built or run
Operator seats, not advisor seats.
Tribal health system, Oregon Coast
Tribal COO Health for a coastal Oregon tribal nation. Took a 20-year dental-only program and built it into a four-site Tribal FQHC. Grew staff 8 to 48. First-of-its-kind telehealth pod deployment.
Tribal health system, Northern California
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.
HHSC Kauai Region
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.
Tribal health center, South Dakota
Clinic COO and Interim Health Administrator at a P.L. 638 health center. Drove FY2010 revenue to a facility-record $1.2M. Built a 42,000 sqft joint-venture facility with IHS, creating 20 reservation jobs.
Fresenius Medical Care
Director of Operations for 32 hospital inpatient dialysis programs across AK, WA, OR. Inherited a 49 of 50 region, brought it to top 10 monthly. Established FMC's first Seattle market footprint.
Companies founded
Two companies, eleven years.
Indigenous Healthcare Advancements
Operator, technology builder, and consulting firm advancing health and wellbeing in Indian Country. Clinics, software platforms, and pillar consulting under one roof.
Visit ↗Tribal Healthcare Consultants
Founded to support struggling Tribal Health Organizations. Evolved to serve critical access hospitals, non-profit hospital systems, rural health clinics, FQHCs, and private physician groups.
Technology shipped
Tools tribes actually use.
Designed and built within IHA, these platforms are now live or in active beta. Two are free public goods.
Market Intelligence
County-level tribal health analytics for feasibility studies, service-line analysis, workforce planning.
Visit ↗IHA Suite
Integrated management platform for tribal health: workforce, revenue cycle, quality, asset control, finance, and market intelligence on one platform.
Visit ↗WayFinder
Healthcare facility locator for Indian Country. Patient self-navigation, care-coordinator referrals, emergency routing.
Visit ↗Equity Dashboard
Public tribal health equity data for grant applications, congressional advocacy, and journalism.
Visit ↗fin990
Financial analysis platform for tribal nonprofits, automating 990 ingestion and benchmarking.
Visit ↗Marketplace
Connecting tribal organizations with vetted consultants and vendors. Beta with limited access.
Visit ↗Writing and voice
Two books. Ten field notes. Six episodes.
Leadership Without the Mask
Lessons in power, politics, and humanity from Indian Country and beyond. Twenty years inside Tribal health systems, distilled.
Learn more →Culture Is the Operating System
A field manual for culture-first leadership. Why culture is not a soft skill but the operating layer everything runs on.
Learn more →Truth as Medicine
Real conversations with the people reshaping tribal and Indigenous healthcare. Six episodes shipped, more in production.
Learn more →Systems built
Clinics from scratch. Systems from inside. Markets reshaped.
The big-picture outcomes. Things that did not exist before, or did not work this way until I built or rebuilt them.
Two healthcare companies founded
Tribal Healthcare Consultants in 2015, Indigenous Healthcare Advancements in 2020. Eleven years of building organizations end to end, including legal, operating, brand, hiring, and contracting.
A four-site Tribal FQHC, built from a single dental clinic
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.
A 42,000 square foot IHS joint-venture facility
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.
Two IHA clinics opening now
A Los Angeles clinic opens May 2026. A Northern California clinic opens June 2026, transitioning to 638 self-determination in July. Operating as an integrated dual-site model. Founded, funded, staffed, and run.
Six technology platforms designed and shipped
Market Intelligence (mi.indigenous.health), IHA Suite (suite.indigenous.health), WayFinder (free, public good), Equity Dashboard (free, public good), fin990, and Marketplace. Conceived, scoped, and built within IHA.
Four industry firsts in tribal health operations
The first $1.4M IHS Case Management approval through Indirect Cost allocations. The first 'outside-the-four-walls' billing implementation in Oregon. The first-of-its-kind telehealth pod deployment in Indian Country. The first 'Care Concierge' SDOH model.
Three local specialty practices acquired and integrated
Brought OB/GYN, Podiatry, and Pediatric practices under a Tribal health system, extending the IHS Memorandum of Agreement distinction beyond IHS into the local market for the first time.
A regional COVID testing partnership
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.
A new market footprint in Seattle
At Fresenius Medical Care, established the company's first ever Seattle inpatient services footprint. Profitable in the second month.
A rural provider network reshaped
Hired 12 new providers into a 20-year-stagnant rural area on the Oregon coast. The shift was so significant that four local healthcare entities had to merge to compete. Transformed the regional healthcare landscape, not just the tribe's clinic.
Numbers behind the work
The granular proof.
- 30% revenue growth through COVID at the Northern California tribal health system, with kept-visit rates up 30%, cancellations down 38%, and no-shows down 5%.
- 187.5% provider capacity boost in six months via the Sweet 16 initiative at the Kauai critical access system.
- 61.4% reduction in days in AR in four months at the Kauai critical access system.
- $1.2M overspend managed down without eliminating a single position in a Tribal Health Organization.
- 130% 3rd party revenue increase in 18 months for a struggling Tribal Health Organization.
- 108% provider productivity increase (patients seen per day) in a Tribal Health Organization turnaround.
- Outperformed FY2014 EBIT budget by $650,000 across a 32-program, $60M Pacific Northwest dialysis region.
- Region 49 of 50 to consistent top 10 monthly in productivity ranking, same Pacific Northwest region.
- $50 per treatment profitability increase in one year, transformed a negative-revenue business into the only profitable inpatient services region in the Western group.
- FY2010 facility-record revenue of $1.2M at a P.L. 638 health center serving 1,300 patients in eastern South Dakota.
Recognition and service
Awards, boards, and education.
- NAU Outstanding Achievement Award, Healthcare Management, Class of 2009 (sole recipient).
- MHA Alumni Advisory Board, University of Minnesota Carlson School, 2025 to present.
- Board of Directors, Health Center Partners of Southern California, 2020 to 2022.
- Board of Commissioners, Partnership HealthPlan of California (Medi-Cal), 2019 to 2021.
- US Army, 2000 to 2005, Tripler Army Medical Center. Recipient of the Global War on Terror Medal, National Defense Service Medal, Overseas Service Ribbon Medal, and Army Good Conduct Medal.