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Operational Excellence

NSH's Guiding Operational Principles:

  • Our primary objective is to deliver high quality medical care with services provided at competitive prices.
  • We strive to have the most advanced technology in the markets we serve.
  • NSH recognizes the unique nature of each market and allows autonomy in the management and operation of each facility.
  • Physicians are actively engaged in the governance of each facility.
  • We recognize and acknowledge our patients, physicians, and the community at large.
  • Our goal is to provide an environment where physicians are involved in every aspect of the delivery of care.
  • NSH employs a highly skilled staff with a high nurse to patient ratio. This results in more personal care and attention, fewer infections, better pain control, faster recovery and shorter lengths of stay.
Operational Leadership
Bryan Fisher, President and Chief Operating Officer

Bryan Fisher is a co-founder of NSH. Most recently, Mr. Fisher served as Chief Financial Officer for NSH from 1999 to 2011.  Prior to NSH, Mr. Fisher served as Chief Financial Officer for National Surgery Centers (“NSC”) from 1996 to 1998, and was its controller from 1991 to 1998. He was instrumental in taking NSC public and raising additional capital through public equity offerings and private debt financings.  Mr. Fisher is also a certified public accountant.  Prior to joining NSC, he was an assistant controller for Medical Care International and an auditor with KPMG LLP.

Carollee Brinkman, Senior Vice President of Operations

Carollee Brinkman, Vice President of Operations joined NSH in 2005 with responsibility for operations oversight of several NSH hospitals throughout the country. Prior to joining NSH, Ms. Brinkman was the Vice President of Operations for HealthSouth Corporation and was responsible for the management and operations of nine multi-speciality surgery and imaging centers in Colorado, Iowa and Illinois.  She also served as a hospital CEO and physician practice consultant.  She received her degree from Concordia College in Healthcare Finance and Administration.

Charlie Smith, Senior Vice President of Operations

Mr. Smith joined NSH in 1999 with responsibility for hospital acquisitions and development including physician syndication. Most recently, he has been responsible for operations oversight of several NSH hospitals throughout the country and joint venture initiatives involving hospital systems, physicians and NSH. Prior to joining NSH, Mr. Smith was with National Surgery Centers, a leading operator of physician joint ventured surgery centers throughout the country, and was co-founder and CEO of Auburn Pain Rehabilitation Medical Clinic. He received his law degree from Lewis & Clark Law School, Master of Science from the University of Arizona and Bachelor of Arts from Monmouth University.

Mike Cowling, Senior Vice President of Operations

Mike Cowling joined NSH in 2014 as a Vice President of Operations. Prior to joining NSH, Mike has served in healthcare leadership roles for the past thirty-five years. These roles include serving as CFO, COO, CEO, Regional Vice President, and Divisional Vice President in both the not-for-profit and for-profit healthcare setting. Mike has experience managing hospitals with major residency programs, small and mid-size general acute care hospitals, and multi-hospital tertiary systems. He was also responsible for the management, construction, and opening of seven cardiac hospitals throughout the country. Some of Mike's career accomplishments include extensive experience in financial turnarounds, hospital start-ups, physician relations, and program development.

Randi Shults, Regional Operational Vice President

Randi joined NSH in 2004 to oversee the construction and development of North Carolina Specialty's new replacement hospital located in Durham, NC. Since that time, she has held the position of CEO. Her responsibilities include the overall performance of hospital, including care delivery, quality, satisfaction, and fiscal well-being. Under her leadership, the hospital has been rated one of the best hospitals in the country for patient satisfaction and quality. Recently, Randi has assumed the role of Regional Operational VP for NSH and oversees the management and development of an ASC in the Raleigh-Durham market. Randi has 22 years of experience in the management of surgical care delivery and overall hospital administration. She currently serves on the Executive Board for Project Access of Durham County, a charitable organization focused on the delivery of specialty care to the uninsured. Randi earned an undergraduate degree in Nursing from LaSalle University in Philadelphia, PA and a Master's degree in Health Service Administration from the University of St. Francis, Joliet, IL.