15 PALMENTOWAY, IRVINE, CALIFORNIA 92612 949-262-9773 ANTHONY J. MESSANA EDUCATION University of Phoenix Graduate Studies June 1999 to July 2000 Wayne State University Bachelor of Science, Humanistic Studies, 1984 Majors: Business Administration and Psychology PROFESSIONAL EXPERIENCE December 2004 to Present St. Joseph Hospital, Orange, CA, Executive Director – Renal Services Executive Director for a dialysis and kidney transplant program caring for over 350 pediatric and adult dialysis patients in the acute, home and incenter settings. Accomplishments Successful surveys by the Joint Commission, CMS and UNOS for all departments. Only kidney transplant program in the nation with no citations or recommendations from CMS. Improved clinical outcomes in all departments. Successful opening of satellite dialysis program in 2010. Improved revenue and reduced expenses in all renal departments in collaboration with the business office and finance department. Expenses and productivity in all departments at or above budget targets. June 2000 to January 2005 Nephrology Consulting and Management Services, LLC Drexel Hill, PA President Providing management and consulting services for hospital based and independent dialysis facilities and nephrology practices. Consulting services including: facility development, corporate compliance assistance, reimbursement audits and reviews, operations audits, financial feasibility, and programmatic options analysis. Management services include administrative, financial, clinical and technical areas. Consulting services for manufacturing, pharmaceutical and laboratories companies regarding the renal industry, financial modeling, industry drivers and market understanding. 1 July 1998 to June 2000 Fresenius Medical Care - San Diego, CA Vice President of Operations Vice President of Operations for the Western Business Unit for 220 dialysis facilities treating 12,000 dialysis patients with annual revenues in excess of $550 million. Oversee all operational aspects including development of new clinics, relationship with payers and community nephrologists and other organizations. September 1995 – July 1998 Amgen, Thousand Oaks, CA Manager/Product Economics Marketing Manager – Product Economics and Policy for Amgen’s product EPOGEN® used in the dialysis marketplace. July 1990 - August 1995 Dialysis Clinic, Inc., Nashville, Tennessee Director of Dialysis Operations Director of Operations for 105 non-profit dialysis facilities treating over 6,500 patients with revenues in excess of $275 million. February 1989 - June 1990 Nephrology Associates of Tidewater, LTD., Norfolk, Virginia Administrator/CEO for a Nephrology group practice of five physicians, four dialysis units and a home supply company. 1984-1989 Henry Ford Hospital/Greenfield Health Systems Corporation/Fairlane Health Services Corporation, Birmingham, Michigan Administrative Manager - 1986 – 1989 Clinical Research Coordinator, Chief Technician, Clinical Technician 19841986 1981 – 1983 Bio-Medical Applications of Detroit, Division of National Medical Care, Detroit, Michigan Chief Technician - Supervisory position for a 48-station chronic care dialysis unit. 1979 – 1981 Bio-Medical Applications of Livonia, Division of National Medical Care, Livonia, Michigan Supply & Equipment Technician 1975 – 1979 Wayne State University, Detroit, Michigan Research Technician II 2 PROFESSIONAL MEMBERS HIPS National Renal Administration Association (NRAA) Member 1985 to present President/President –Elect/Past President 2004 – 2007, 1989 - 1992 Secretary 2010 to present Director at Large 2009– 2010, 2000 – 2004, 1994 – 1996 Director - North Central Region l987-l989 National Renal Administrators Association – Renal Services Exchange (RSE) 20032007, 2011 - 2013 Co-Chair Board of Directors 2003 – 2007 Explore Transplant Member of the Board of Directors 2013 – Present American Kidney Fund – Board of Trustees 2005 – 2010, 2014 – Present Executive Committee 2006-2008, 2015 – Present Public Policy Committee 2005 -Present Life Options Rehabilitation Advisory Council – LORAC Emeritus Founding Member 1993 to Present National Kidney Foundation, NKF 1986 to present Emeritus Member of NKF Public Policy Committee Kidney Dialysis Outcome Quality Initiative (KDOQI) –Adequacy of Hemodialysis 1995 - 2000 Dialysis Technician Task Force - 1987 to 1989 National Association of Nephrology Technologists, NANT Member 1993-1997, 2005 to 2006 Mid-Atlantic Renal Coalition MARC Member of Executive Board 1989 – 1991 Dialysis and Transplantation Magazine Editorial Advisory Board - September 1990 to 2007 Nephrology News and Issues Magazine Editorial Advisory Board - October 1991 to present AWARDS Mark Zawiski Memorial Award for Leadership and Community Service, 2001 National Renal Administrators Association Lifetime Contribution Award, 1995 National Association of Nephrology Technologists, Torch Bearer Award, 1993 and 2009, National Association of Nephrology Technologists Jim Boag, Lifetime Achievement Award 2013, National Association of Nephrology Technologists 3 PUBLICATIONS “Managing a dialysis clinic: The ever-changing landscape.” Nephrology News Issues, April, 2013 “Vascular Access for HD: Aligning Payment with Quality”, February 2011 Seminars in Dialysis, Co-Author “Finding a rational approach to ESA Therapy – for payers and patients” Nephrology News and Issues, September 2007 “Document It – Coverage for more frequent dialysis is possible if you justify the need to the payers” Nephrology News and Issues October 2006 “Erythropoietin Claims Monitoring Policy – Implications of the October 2006 Update” Nephrology Nursing Journal August 2006 “Preparing for the new national claims monitoring policy for EPOGEN” Nephrology News and Issues, May 2006 “Case Mix Adjusted Composite Rate – Did Medicare Get It Right?” – Nephrology News and Issues, September 2005 “Home Dialysis – Time to Revisit the Opportunity” – Nephrology News and Issues, June 2003, Cover Story. “Common Concerns Among Hospital Based Dialysis Providers” – Nephrology News and Issues Magazine, September 2003 “Staffing - A Continuing Crisis – A Solution” – Nephrology News and Issues Magazine, Volume 16, No 4 March 2002 “A Concern for Today and Tomorrow” Nephrology News and Issues Magazine, Vol. 15, No. 3, February 2001. Publications prior to 2000 are available upon request. LECTURES National Renal Administrators Association Annual Meeting , “A History of the Medicare ESRD Program”, October 2014, Chicago, IL National Association of Nephrology Technologists Annual Meeting, NANT, “Impact of Reimbursement Changes on Who Provides Care ” Las Vegas, NV, March 2014 National Association of Nephrology Technologists Annual Meeting, NANT, “Budgeting for the Biomedical Department” Las Vegas, NV, March 2014 National Association of Nephrology Technologists Annual Meeting, NANT, “Taking your Career to the Next Level” Las Vegas, NV, March 2013 National Kidney Foundation – Spring Clinical Meeting, “Impact of Medicare Bundled Reimbursement on Providers”, Las Vegas, NV, April 29 2011 4 National Association of Nephrology Technologists Annual Meeting, NANT, “Impact of Medicare Bundled Reimbursement on Providers” Las Vegas, NV, March 9, 2011 National Kidney Foundation of Wisconsin Annual Meeting, “Impact of Medicare Bundled Reimbursement on Providers”, Madison, WI, November 2010 National Renal Administrators Association, Annual Meeting – Philadelphia, PA “ Common Problems with Hospital Based Dialysis Programs”, “Reimbursement 101”, Hot Topics Panel, September 2006 National Renal Administrators Association, Annual Meeting – Huntington Beach, CA “ Managing your Dialysis Unit Effectively”, September 2010 National Association of Nephrology Technologists Annual Meeting, NANT, “Change is Coming Are Your Ready” and “ Finance and Budgeting 101” Las Vegas, NV, March , 2010 Heartland Kidney Network, “ Managing your Dialysis Clinic Effectively” Kansas City, KS January 2010 National Kidney Foundation – Spring Clinical Meeting, “Effective Facility Management and Dealing with the Nursing Shortage”, Las Vegas, NV, March 27 2009 National Association of Nephrology Technologists Annual Meeting, NANT, “Reimbursement Changes and Its Impact on Dialysis Patients” and “Turn Yourself into a Leader” Las Vegas, NV, 2008 “Validating and Optimizing Revenue Generation” Audio conference presentations, Spring 2008 National Renal Administrators Association, Spring Meeting Palm Springs CA, “ Reimbursement Changes for the ESRD Program” April 2008 National Renal Administrators Association, Spring Meeting, “Home Dialysis Reimbursement”, “Hot Topics Panel Member”, April 2006 National Renal Administrators Association, Annual Meeting – Philadelphia, PA “ Common Problems with Hospital Based Dialysis Programs”, “Reimbursement 101”, Hot Topics Panel, September 2006 National Association of Nephrology Technologists, NANT Annual Conference: “Tools to Create Opportunities for your Advancement” May 2005 National Association of Nephrology Technologists, NANT Annual Conference: “ How the Heck Did We Get Here”, May 2005 National Renal Administrators Association, Regional Meetings “How to Manage the Details” April – May 2005 National Renal Administrators Association, Spring Meeting: “Post MMA Blues”, May 2005 California Dialysis Council: “Medicare Reimbursement and Regulatory Changes for 2005 and Beyond”, April 2005 Caring Through the End: Palliative Care Along the Continuum of CKD – Orlando, FL “Barriers to Palliative Care in the Dialysis Setting” December, 2004 5 National Renal Administrators Association, Annual Meeting, - Denver, CO “Medicare Modernization Act – It’s Potential Impact on Dialysis Providers” , September 2004 National Renal Administrators Association, Annual Meeting – Atlanta, GA, “Common Issues Found in Hospital Based Dialysis Providers. September 2003 National Renal Administrators Association, Regional Meetings – Philadelphia, PA, Tampa, FL, and Las Vegas, NV, Spring Meeting – Cancun, Mexico “Regulations and Compliance for Dialysis Providers”, 2002. National Renal Administrators Association, Annual Meeting, “Today’s Staffing Dilemma – Solutions for Today and Tomorrow”, Orlando, Florida September, 2001, American Nephrology Nurses Association, Advance Practice and Management Meeting, “Regulatory Compliance” and “ Cost Reports – Their Impact on your Financial Performance”, New Orleans, Louisiana, February 2001 Advanced Nephrology for the Consultant, University of San Diego School of Medicine, “Regulatory Compliance – The Medical Director’s Role”, “ Medicare Reimbursement for the Dialysis Unit”, San Diego California, February 2001 American Nephrology Nurses Association, Regional Meeting, “ Managing to Care in Today’s Healthcare Environment”, “ Financial Analysis – Making Sense of the Numbers” Breckinridge, Colorado, May 2000 American Society of Pediatric Nephrology, “Exception Requests – a Window of Opportunity for Improved Reimbursement”, Boston, Massachusetts, May 2000 National Kidney Foundation – Spring Clinical Meeting, “Medicare Regulations – an update”, “Managed Care – Still Managing to Care”, Atlanta, Georgia, April 2000 European Dialysis and Transplant Nurses Association & European Dialysis and Transplant Association, EDTNA & EDTA, - Management Tools and Financial Accounting Utilized in the United States - Vienna, Austria July 1994 First International Congress on Dialysis for Developing Countries, - various topics including technical and financial issues - Singapore, November 1994 Fresenius, AG Meeting, "Dialysis in the United States", November, 1987, Bad Homburg, West Germany Additional Lectures are available upon request. 6