Christopher Guiao
Sterling Heights,MI
Overview
25
25
years of professional experience
Work History
Assistant Chief Financial Officer of the Adult Central Campus
Detroit Medical Center
Detroit, MI
08.2022 - Current
- Leads team of Controller, Assistant Controller, and eight overseas accountants through month end close process, yearly cost reporting, and monthly financial review.
- Analyze daily productivity metrics and advise leaders on necessary actions.
- Develop the annual operating budget and monitor hospital performance against budget by engaging with leadership.
- Work with nursing leadership on developing staffing matrices and monitor staffing compliance.
- Develop the hospital mid month and quarterly forecast and monitor hospital performance against forecast by engaging with leadership.
- Develop and manage financial controls and compliance.
- Partner with administrative team to develop and manage action plans and initiatives to improve EBITDA and hospital margin.
- Coordinate capital expenditures with the administrative team.
- Assist in developing strategic and growth initiatives.
- Completed Tenet CFO Development Program and developed a patient discharge status dashboard that improved discharges before noon by ten percent.
- Coordinate the yearly hospital Sarbanes-Oxley (SOX) Self-Assessment process and coordinate the triennial SOX audit process for Detroit Receiving and Harper University Hospital, where we achieved ratings of 48 (good) and 35 (good) at Detroit Receiving and Harper Hospital, respectively.
- Implemented premium pay reduction plan through usage of templates and action plans with managers, which resulted in a reduction of 5% or $1M in premium pay reductions from June 2025-December 2025.
- Finance Executive leader for the Adult Central Campus Consolidation of Detroit Receiving and Harper University Hospital.
- Assistant Chief Financial Officer of Adult Central Campus, which has 483 total beds and a yearly EBITDA of $151 Million.
Director of Business Operations
Ascension St. John Hospital
Detroit, MI
01.2020 - 08.2022
- Prepared pro forma analysis for strategic initiatives; Coordinate productivity review process with hospital leadership.
- Negotiated Physician contracts with Hospital Leadership; Manage hospital capital expense process.
- Reviewed coding discrepancies with Revenue Cycle Team.
- Developed scorecards for Surgical Leadership.
- Developed Scorecards for Hospital Operational Leadership.
- Hospital Liaison to System Finance Team for Budget and Forecast Process.
- Managed a team of 30 Surgical Advanced Practice Providers.
- Interim Chief Operating Officer from Mar 2022-May 2022.
- Financial Administrative support for St. John Hospital Executive Leadership.
Director of Finance
Beaumont Hospital-Grosse Pointe
Grosse Pointe, MI
10.2019 - 01.2020
- Coordinated month end accounting close process.
- Coordinated yearly budget process.
- Developed ad hoc financial analysis for hospital executive team.
- Developed hospital forecast for health system leadership.
- Managed hospital capital expense process.
- Coordinated monthly financial review process with hospital leadership.
- Coordinate productivity review process with hospital leadership.
Interim Chief Financial Officer
Beaumont Hospital-Grosse Pointe
Grosse Pointe, MI
08.2018 - 03.2019
- Directed the month end accounting close process.
- Developed the hospital operating budget.
- Developed the hospital quarterly operating forecast.
- Managed hospital accounts receivables with system reimbursement team.
- Managed write off activity with revenue cycle team.
- Developed productivity review process with hospital leadership.
- Presented monthly financial and productivity results to Beaumont Health System monthly operating review (MOR).
- Managed capital expense allocation and prioritization.
- Implemented monthly financial review process with hospital leadership.
- Developed a finance class for hospital leadership.
Business Manager-Financial and Clinical Services
Beaumont Hospital-Grosse Pointe
Grosse Pointe, MI
05.2016 - 10.2019
- Provided financial support for Surgical, Cardiology, and Ancillary Services.
- Assisted in developing hospital operating budget.
- Prepared profitability analysis for Surgical Services programs.
- Prepared Ad-Hoc analysis for hospital executive team.
- Prepared reports for monthly reports for hospital operations analysis and month end close process.
- Coordinated Laborlytics productivity system implementation.
Business Manager-Surgical Services East Region
Ascension St. John Hospital
Detroit, MI
08.2014 - 05.2016
- Developed scorecard for surgical service line.
- Developed block utilization template and process.
- Managed surgical services capital budget.
- Prepared operating budgets and profitability analysis for surgical services.
- Participated in published American Journal of Surgery article: 'The impact of robotic cholecystectomy on private practice in a community teaching hospital.'
Sr. Financial Analyst-East Region
Ascension St. John Health System
Detroit, MI
05.2001 - 08.2014
- Provided financial support for Ascension east region surgical, cardiology, and oncology services.
- Generated operating budgets for service lines.
- Generated and reviewed expense accruals for month end close process.
- Developed finance course for St. John Hospital leadership.
Timeline
Assistant Chief Financial Officer of the Adult Central Campus
Detroit Medical Center
08.2022 - Current
Director of Business Operations
Ascension St. John Hospital
01.2020 - 08.2022
Director of Finance
Beaumont Hospital-Grosse Pointe
10.2019 - 01.2020
Interim Chief Financial Officer
Beaumont Hospital-Grosse Pointe
08.2018 - 03.2019
Business Manager-Financial and Clinical Services
Beaumont Hospital-Grosse Pointe
05.2016 - 10.2019
Business Manager-Surgical Services East Region
Ascension St. John Hospital
08.2014 - 05.2016
Sr. Financial Analyst-East Region
Ascension St. John Health System
05.2001 - 08.2014