Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Nancy L. Toy

Reno

Summary

Seeking part-time position where 30 year non-profit, EMS prehospital care/finance experience will be a positive addition to the team. Retirement was given a one-year trial run which has been a welcome change of pace but exceedingly too idle.

Overview

31
31
years of professional experience

Work History

Chief Executive Officer

Sierra Medical Services Alliance
11.2020 - 01.2024
  • Successfully oversaw and navigated the complexities of providing emergency (911) and non-emergency transportation, air, ground and wheelchair, during mid and post cycle Covid-19 pandemic to several counties in California and Nevada.
  • Devised and presented business plans, forecasts and financial statements to board of directors.
  • Managed partnerships and strategic business relationships by negotiating contract terms and handling conflicts.
  • Implemented strong financial controls, ensuring accurate reporting and solid decision-making capabilities.
  • Drove continuous improvement by fostering a culture of collaboration, accountability, and open communication across all levels of the organization.

Chief Administrative Officer

Sierra Medical Services Alliance
12.2013 - 10.2020
  • Developed RFP proposal through team collaboration resulting in securing the successful contract for Merced County, CA 911 Ground Transportation Operations.
  • Maintained internal accuracy and transparency controls in accounting and bookkeeping.
  • Oversee financial operations company-wide, including budgets, payroll and accounts payable and receivable and human resources.
  • Researched, applied and received appropriate stimulus funds available during COVID-19 pandemic.

Chief Financial Officer

Regional Emergency Medical Services Authority
07.1995 - 12.2013
  • Provided grant accounting for $10MM Federal CMS grant the last 18 months while at REMSA.
  • Conducted detailed analysis of company financial information and oversaw preparation of related reports to assist department heads.
  • Oversaw various financial, worker's compensation and State audits.
  • Developed and oversaw yearly budgets in excess of $37MM.
  • Oversaw financial operations company-wide, including budgets, payroll and accounts payable and receivable.
  • Managed accounting and payroll office staff.

Payroll Manager

International Game Technology
09.1992 - 07.1995
  • Oversaw payroll and payroll staff for organization of 3300 personnel in various states and countries.
  • Compiled and analyzed financial information to prepare entries to general ledger accounts documenting all payroll transactions.
  • Reconciled general ledger payroll, tax and retirement accounts.
  • Researched payroll errors and processed payments for federal and state taxes, social security, Medicare, and various employee deductions, Section 125 plan and retirement plan withholdings.

Education

Bachelor of Science - Accounting And Business Management

University of Nevada - Reno

Skills

  • Non-Profit Experience - 501(c)(3)
  • Operating Budgets
  • Business Works, Quickbooks, Sage Experience
  • Detail Oriented
  • Audit Management
  • Team Building and Collaboration

Accomplishments

Certified Ambulance Privacy Officer Training, April 2020

Successfully passed the State of Nevada CPA Exam, May 1999

Timeline

Chief Executive Officer

Sierra Medical Services Alliance
11.2020 - 01.2024

Chief Administrative Officer

Sierra Medical Services Alliance
12.2013 - 10.2020

Chief Financial Officer

Regional Emergency Medical Services Authority
07.1995 - 12.2013

Payroll Manager

International Game Technology
09.1992 - 07.1995

Bachelor of Science - Accounting And Business Management

University of Nevada - Reno
Nancy L. Toy