Nicole Toole MSN,RN,FACHE
Brownsburg,IN
Summary
Healthcare executive with extensive experience leading physician enterprise operations, ambulatory services, and strategic growth initiatives across complex healthcare organizations. Demonstrated success overseeing multi-specialty physician practices, developing leaders, managing large-scale operating budgets, and driving access and quality improvement. Proven ability to build strong partnerships with physicians, executives, and community stakeholders while delivering sustainable growth, operational excellence, and exceptional patient experiences. Trusted leader known for servant leadership, strategic vision, and consistent record of achieving organizational goals through collaboration, accountability and innovation.
Overview
1
1
Certification
18
18
years of professional experience
Work History
Director, Physician Practices
Hendricks Regional Health
Danville, IN
06.2025 - Current
- Provided operational and fiscal support for primary care, internal medicine, pediatrics, and medical specialties, managing an annual budget of $76.5 million and 436 staff members, including physicians, advanced practice providers, and administrative and office personnel.
- Directed provider recruitment and onboarding efforts resulting in the successful placement of six physicians and six advanced practice providers, improving patient access and supporting strategic growth objectives.
- Restructured leadership model for physician practices to provide onsite expertise, leveraging leaders’ strengths, reducing variation, improving front line training, and supporting overall lower FTE usage.
- Led physician practice engagement in population health and ACO initiatives, partnering with providers and the quality team to improve quality performance, care standardization, and value-based care outcomes.
- Implemented compensation plans and productivity targets through provider contracts.
- Coached practice managers on FTE optimization and performance accountability frameworks, contributing to a 6% reduction in controllable costs.
- Led front and back office workgroups to streamline workflows and improve safety, consistency, and operational efficiency.
- Created policies and workflows to support HRSA compliance and readiness for FQHC look-alike designation.
Director, Maternity and Newborn Health
Riley Children's Health
Indianapolis, IN
05.2020 - 12.2024
- Led clinical workflow redesign for Riley Maternity Tower activation, ensuring minimal-disruption transfer of maternity and NICU services for Level IV care.
- Ensured physician alignment with new clinical workflows and coverage models to maintain the highest level of care.
- Secured Level IV Perinatal Center designation and negotiated affiliation agreements with 6 non-IU hospitals to expand regional referral network.
- Expanded the fetal center program by recruiting 2 fetal interventionalists and successfully implementing a fetal surgery program, the only program in Indiana.
- Implemented Cradle Indy initiative to target infant mortality in Marion County.
- Collaborated with marketing team and medical directors to develop targeted outreach strategy, resulting in 72% increase in new patient referrals over 3 years.
- Worked closely with marketing to develop comprehensive plan for new Riley Maternity Tower, conducting outreach visits, provider tours, and targeted events that resulted in 29% increase in delivery volumes in year 1.
- Developed strategic partnerships with providers and hospitals statewide, leading to 67% increase in new patient referrals for Fetal Center in 2 years.
- Implemented inpatient telehealth neonatology rounding and call coverage for a rural hospital.
- Participated in 6 IPQIC workgroups focused on statewide maternal and infant mortality reduction initiatives.
- Received a Women for Riley grant to implement remote monitoring of maternity patients with hypertensive disorders in pregnancy in the Maternity Tower to reduce morbidity and mortality rates.
- Awarded a Federal Grant from Andre Carson for the Cradle Indy initiative to reduce infant mortality in Marion County.
Director, Clinical Operations
St. Vincent Hospital and Healthcare Center
Indianapolis, IN
10.2015 - 12.2019
- Established Peyton Manning Children's Hospital Evansville through standardizing processes and protocols to provide the highest level of care locally. Worked with administrators and physicians to grow pediatric specialty services in the community and align care models with PMCH Indianapolis.
- Led recruitment of pediatric specialty providers in Evansville to enhance local healthcare services.
- Spearheaded PMCH pediatric service line expansion into 5 Indiana markets (Lafayette, Mishawaka, Fort Wayne, Evansville, Fishers), and established 12 new specialty clinics.
- Managed 15 pediatric specialty physician practices generating gross revenue of $69 million (physician offices), including 182 employees with 61 providers at Peyton Manning Children's Hospital Indianapolis.
- Restructured and then managed all pediatric specialty practice operations at PMCH Evansville, including inpatient physicians and all outpatient pediatric specialty programs.
- Achieved operational goals and targets for outpatient pediatric service line at Peyton Manning Children's Hospital along with pediatric statewide strategies developed by Ascension.
- Achieved 8.7% growth in surgical case volume (FY18-19) through optimization of physician scheduling, service line growth, and restructuring of OR blocks.
- Exceeded yearly revenue budget targets for pediatric specialty practices while increasing subspecialty clinic encounters by 19% from Fiscal Year 17 through Fiscal Year 19.
- Worked collaboratively with physician leaders and system administrators to identify statewide growth opportunities to solidify and enhance referral patterns.
- Recruited 14 new pediatric specialty physicians to join the Peyton Manning Children's Hospital employed physician group.
- Developed strong professional relationships with pediatric physician leaders to identify, develop, and implement yearly operational goals.
- Reduced time to next patient appointment for pediatric specialty practices to 2 weeks through physician recruitment, online scheduling implementation, and front office process improvements.
Manager of Practice Operations
St. Vincent Medical Group
Indianapolis, IN
03.2009 - 10.2015
- Managed multi-specialty surgical practice (cardiovascular surgery, vascular surgery, thoracic surgery, interventional radiology) with 50+ providers, enhancing collaborative care and operational efficiency.
- Oversaw clinical operations at 3 locations, coordinating services with hospitals to ensure seamless patient care and operational alignment.
- Effectively implemented a new EHR system across all practice locations.
- Designed and deployed system-wide clinical onboarding and competency framework for St. Vincent Medical Group, training all clinical staff annually across Indiana.
- Led project for training and certification of all medical assistants, improving staff competency and compliance across all practice locations.
Education
Bachelor of Science - Nursing
University of Indianapolis
2008
Master of Science - Nursing Leadership and Management
University of Indianapolis
2015
Associate of Science - Nursing
Marian College
2002
Skills
- Practice management
- Clinical management
- Operations leadership
- Service line strategy
- Physician recruitment
- Physician Relations
- Provider Productivity
- Ambulatory Care Operations
- Strategic Planning
- Population Health
- Performance Management
- Budgeting
- Cost Reduction
- Quality enhancement
- Safety management
- Staff Development
- Staff planning
- Regional Growth
- Business Development
- Change leadership
- EHR deployment
- Data Analytics
- Project Management
- Access management
- Associate Engagement
Affiliations
- American College of Healthcare Executives, Fellow, 2025
- Family Promise of Greater Indianapolis, Board Member, 2025-Present
- Executive Women in Healthcare
- Indiana Organization of Nurse Executives
- American Organization of Nurse Executives
- Fetal Infant Mortality Review Committee (Marion County)
- Indiana Perinatal Quality Improvement Collaborative
- Life's Journey Hospice Volunteer
Certification
- Fellow, American College of Healthcare Executives
- Registered Nurse
Timeline
Director, Physician Practices
Hendricks Regional Health
06.2025 - Current
Director, Maternity and Newborn Health
Riley Children's Health
05.2020 - 12.2024
Director, Clinical Operations
St. Vincent Hospital and Healthcare Center
10.2015 - 12.2019
Manager of Practice Operations
St. Vincent Medical Group
03.2009 - 10.2015
Master of Science - Nursing Leadership and Management
University of Indianapolis
Bachelor of Science - Nursing
University of Indianapolis
Associate of Science - Nursing
Marian College