DOUGLAS METZGER
Las Vegas
Summary
Finance Executive with 25 years of experience in driving organizational success and enhancing collaboration. Expertise in strategic planning, financial oversight, and stakeholder engagement. Proven ability to adapt and deliver results in dynamic environments. Strong communicator with a focus on achieving measurable outcomes.
Overview
31
31
years of professional experience
Work History
Executive Director of Finance / Controller
University Medical Center of Southern Nevada
05.2017 - Current
- Lead financial operations for a 541-bed Level I trauma hospital generating $587B in annual revenue and $1B in Net Revenue
- Direct all aspects of accounting, accounts payable, payroll, reimbursement, and financial analytics.
- Manage preparation of UMC’s annual budget, Medicare cost reports, and financial board presentations.
- Reduced month-end reporting timeline from 60 to 10 days through improved processes and scheduling.
- Oversee internal controls and ensure compliance with GAAP, GASB, FASB and State of Nevada regulations.
- Supervise finance staff, determining priorities, hiring, performance evaluations, and policy implementation.
- Advise senior leadership and UMC management on financial strategy and reporting outcomes.
- Negotiate payment terms with vendors and approve cost reimbursement proposals.
- Direct preparation of interim and audited financial reports, driving financial transparency.
- Participate in hospital-wide planning, decision support, and strategic financial modeling efforts.
Director of Finance
St. Mary’s Medical Center (Dignity Health)
12.2016 - 04.2017
- Led financial operations and reporting for hospital operations.
- Collaborated with executive leadership team in developing long-term financial goals, ensuring alignment with overall business objectives.
Director of Finance
Saddleback Memorial Medical Center (MemorialCare Health System)
04.2014 - 11.2016
- Oversaw financial operations for 252-bed hospital and Home Health joint venture with $350M in revenue and $48M EBITDA.
- Consolidated financial statements for multiple subsidiaries, ensuring accuracy and compliance with GAAP and IFRS standards.
- Ensured compliance with GAAP, OSHPD, and regulatory agencies.
Controller
Valley Health System (UHS)
11.2012 - 04.2014
- Directed general ledger for six hospitals with $1.1B in net revenues and $199M EBITDA.
- Managed a staff of 15 and supported SOX audits and Medicaid reporting.
- Completed system net revenue analysis and developed budgeting processes.
- Completed journal entries, reconciliations, and account analysis to prepare quarterly financial documents and general account management.
- Prepared balance sheets, cash flow reports and income statements.
Controller
Summerlin Hospital Medical Center
04.2010 - 11.2012
- Led financial operations for a 454-bed hospital with $300M in revenue and $78M EBITDA.
- Implemented Lean Six Sigma to improve emergency department throughput.
- Completed journal entries, reconciliations, and account analysis to prepare quarterly financial documents and general account management.
- Prepared balance sheets, cash flow reports and income statements.
- Led capital project financial planning and managed Sarbanes-Oxley compliance.
Assistant Controller II
MountainView Hospital (HCA)
10.2007 - 03.2010
- Managed financial reporting for 235-bed facility with $200M in revenue.
- Directed monthly variance analysis and daily statistics dashboard creation.
- Maintained compliance with Sarbanes Oxley standards.
- Ensured integrity of general ledger accounts through regular reconciliations, adjustments, and detailed documentation.
- Streamlined month-end closing procedures, reducing time spent on manual tasks and increasing efficiency.
Corporate Accounting Manager
Patient Account Services (HCA)
12.2003 - 09.2007
- Directed month-end close and expense allocations for 19 HCA hospitals.
- Improved month-end accuracy and saved $50K annually in overtime.
- Developed comprehensive financial reports, providing valuable insights for executive leadership team decisions.
Assistant Controller I
St. Mark’s Hospital (HCA)
02.2001 - 12.2003
- Oversaw general ledger for a 317-bed facility with $200M+ revenue.
- Directed payroll, accounts payable, and cash management.
- Ensured integrity of general ledger accounts through regular reconciliations, adjustments, and detailed documentation.
- Facilitated cross-functional collaboration by partnering with other departments on special projects aimed at improving overall company performance.
Senior Accountant / Staff Accountant
Marriott Management Services
01.1994 - 01.2001
- Performed general accounting functions and financial reporting across locations.
- Assisted in audits, payroll, and reconciliations in hospitality finance.
- Prepared monthly journal entries and reconciliations.
- Reconciled accounts and created documents for monthly closure procedures.
Education
Bachelor of Science - Business Accounting
University of Phoenix
Salt Lake City, UT01-2001
Skills
- Budgeting and financial management
- Profit and loss statements
- Data interpretation
- Negotiation
- Analytical and critical thinker
- Executive leadership
- Budget planning
- Employee motivation and performance
- Approachable leader
- Board reporting
Timeline
Executive Director of Finance / Controller
University Medical Center of Southern Nevada
05.2017 - Current
Director of Finance
St. Mary’s Medical Center (Dignity Health)
12.2016 - 04.2017
Director of Finance
Saddleback Memorial Medical Center (MemorialCare Health System)
04.2014 - 11.2016
Controller
Valley Health System (UHS)
11.2012 - 04.2014
Controller
Summerlin Hospital Medical Center
04.2010 - 11.2012
Assistant Controller II
MountainView Hospital (HCA)
10.2007 - 03.2010
Corporate Accounting Manager
Patient Account Services (HCA)
12.2003 - 09.2007
Assistant Controller I
St. Mark’s Hospital (HCA)
02.2001 - 12.2003
Senior Accountant / Staff Accountant
Marriott Management Services
01.1994 - 01.2001
Bachelor of Science - Business Accounting
University of Phoenix
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