BRETT SHELTON BRATCHER, LNFA

4112 Winding Way Ln. Cell: (512) 905-5740, Fax: (817)448-9083

Ft. Worth, TX 76126 Email: bbb931e4@westpost.net
PROFILE:
Dynamic Hospice and Skilled Nursing Administrator with a record of census growth
and achievement
* 12 years executive level healthcare management and sales and marketing experie
nce
* 5 years in the hospice field in management and sales with IHS Hospice and Trin
ity Hospice
* 7 years sales in management and marketing of skilled nursing facilities
Enthusiastic self-starter with extensive experience in management and outside me
dical sales and marketing background at corporate, and division levels. Develop
ed and implemented successful market analysis for national hospital chains, nati
onal long term care facilities, home health & hospice agencies. Generating finan
cial forecasts, sales plans and strategies for offices at all levels.
PROFESSIONAL EXPERIENCE
SAMARITAN CARE HOSPICE a.k.a HOSPICE COMPASUS (New Acquisition) 2008-Present
Executive Director, (2 Programs) Dallas & Ft. Worth, TX
* Recovered $20K in 2 months for the Hospice Agency by appropriately aligning st
aff (via RIF) to patient ratios to meet NHPCO statistical guidelines. Going fro
m 1:10 to 1:15 (in Ft. Worth program) resulting in a recovery of $20K in 2months
.
* Moved Hospice Admissions from 65% to 88% conversions in 30days by realigning a
dmissions staff and utilizing open access methods. Training on "dual diagnosis"
for nursing home SNF clients.
* Census increase in 3 months by 14% (Dallas) and 18% (Ft. Worth) through realig
ning marketing staff.
* * 7 day Mortality from admissions went from 24% to 19% in 60 days based on ear
lier interventions and admissions improvements. Length of Stay remained at 57 d
ays entire time.
* Accounts Payable for MCD pass thru remained consistent (no slow or late pays)
over 90 days presently maintained average 30 day direct deposit payments.
* QAPI improved through better documentation to show resolutions from 77% to 80%
and increased performance in pain intervention from 91% to 94%.
* Oversight of Dallas program 116-132 ADC Ft. Worth program. 40-47ADC.
* Ft. Worth Program received incentive bonus for exceeding census plan after 90
days (all staff bonus)

HOPE HOSPICE, INC. (Non-Profit) Central, TX 4/08- 12/08

Executive Director/CEO
Hospice Agency, Palliative Program, Foundation, Thrift Store Operations
* Recovered $200K in 5 months for the Hospice Agency by appropriately aligning s
taff (via RIF) to patient ratios to meet NHPCO statistical guidelines. Going fr
om 1:5 to 1:12 resulting in a recovery of $200K in 5months.
* Moved Hospice Admissions from 60% to 90% conversions by realigning admissions
staff and utilizing open access methods. Training on "dual diagnosis" for nursin
g home SNF clients.
* Census increase in 6 months by 60% through training marketing staff on clinica
l criteria, "S.P.I.N. selling"(R) and physician staff collaborative initiatives.
* * 30 day Mortality went from 77% to 52% in 90 days based on earlier interventi
ons and admissions improvements. Increasing length of Stay by 15 days per patie
nt per day up to 47 days in 90 days and remains 47-52 LOS avg.
* Reduced Aging (90day+) A/P for MCD pass thru by $159K over 90 days presently m
aintaining avg. 30 day payments.
* QAPI maintains 92% overall patient satisfaction (up from 89%). Increased perfo
rmance in Pain intervention from 81% to 89% and Family Recommendation from 95%
to 100% for 2nd and 3rd QTR.
* Thrift Store volunteer hours 17000 savings of $385K increasing revenues of fro
m $15K to $18k a month or $252K annually.
BRIDGEWAY HEALTHCARE SERVICES, INC. LNFA TX #9197. - Ft. Worth, TX 200
6 - 2008
Regional Administrator, North Texas, Bridgeway Hospice Services, Inc.
* $5.7 million dollar Multi-Site Operations over (5 Hospice sites in Ft. Worth,
Hillsboro, Kauffman, Denton and Granbury). Created budgets, secured financing, a
nd built-out offices for core hospice staff. Filed all necessary documentation
to secure licensure (HCFA-855A, 2023's, CLIA, etc.) and met the initial conditio
ns of participation by both Federal and State agencies. INCREASED GROWTH 210% in
2 years!!!
* Regional Sales Management of 6 Sales Rep in Dallas / Ft. Worth metro area. Dev
eloped territories for the Kauffman, Grand Prairie, Arlington, Ft Worth, Hillsbo
ro (Waco), Denton, Weatherford, Granbury areas.
* Developed all policies/procedures for guidance to all disciplines and performi
ng core services.
* Recruited, Hired and Trained all staff for core team positions, including 6 Me
dical Directors, 4DON's, RN's. LMSW's, Chaplain, Aides, etc. IMPROVED QAPI 300%
in 2 years!!!! (OCS, NHPCO benchmarks)
* Negotiated all contracts with area hospitals, LTC's, managed care companies an
d ancillary providers.
* Manage RN Clinical / Site Managers from each location ensuring compliance with
the conditions of participation in the Medicare Program, monitoring and enforci
ng conditions of participation in Texas Medicaid, Blue Cross/Blue Shield, and ot
her managed care contracts.
PYRAMID HEALTHCARE, INC. - Whitney, TX 2004 - 2006
Administrator, North Texas, Pyramid Paris Nursing and Rehabilitation, Paris, TX
(2005 - 2006)
* Promoted from an 88 bed SNF to a 144 bed SNF within Pyramid Healthcare in 6 mo
nths. Received recognition monthly as the leading home with the lowest O.T. Ave
raging 4 to 5 hrs a week on total building overtime. Received 35% wage increase
due to promotion.
* Winner of the Pyramid Healthcare Cozumel Cruise Award. Won an all expenses pa
id cruise to Cozumel, for achieving the highest financials in the company for Ma
y, June, July, August, etc.. Continue to have the lowest O.T. in the company wh
ile increasing census, controlling cost and making physical improvements to the
building.
* Maintained all departmental budgets rendering effective cost containment for a
$4.4M budget.
* Ensured compliance with all Federal/ State regulations, excellent survey resul
ts all going to desk review.
Administrator - Pyramid Collinsville Care Center, Texas (2004 - 2005)
* Planned and administered daily operations of an 88 bed skilled nursing facilit
y. Ensured compliance with the conditions of participation in the Medicare Prog
ram, monitored and enforced conditions of participation in Texas Medicaid, Blue
Cross/Blue Shield programs. Managed community education programs with staff of 5
. Worked with area agencies of Long Term Care, Home Care and Hospice in tri-coun
ty marketing campaigns with a collective personnel support of 35 staff.
* Lowered PPD's by 22% realizing a profitable revenue stream in the first month.
Increased census by 13% in 4 weeks exceeding the 2005 annual budget in January
and continuing to beat census and Medicare budgets monthly.
ICON DIGITAL SOLUTIONS, LLC/ Healthcare Software Sales, Weatherford, TX
2002 - 2004
Regional Sales Manager OK, TX, AR, NM regions
* HIPPA/ Compliance & software security company, biometric security, & high leve
l clearance RFID, targeting hospitals, surgery centers, nursing homes, insurance
companies, and large private industry.
* Managed a team of 5 Sales Rep's. Mentored each team member in prospecting, qu
alifying, developing and closing software and professional services opportunitie
s.
* Performed strategic plans, for senior executive staff (CEO, CFO, CSO) developi
ng ROI's, & proposed JV's developing high ticket security programs for major
hospital systems (THR & Tenet, HCA, Ardent, Baptist).
TRINITY HOSPICE OF TEXAS, LLC. LNFA TX #9197, Ft. Worth, TX 2000 -
2002
Administrator
* Managed/Directed formation of a new hospice start-up, (3 Offices in Ft Worth,
Bridgeport, & Weatherford). Created budgets, secured financing, and built-out of
fices for core hospice staff. Filed all necessary documentation to secure licen
sure (HCFA-855, HCFA-1561,CLIA, etc.) and met the initial conditions of particip
ation by both Federal and State agencies.
* Developed policies/procedures for implementing guidance to all disciplines; pe
rforming core services.
* Recruited, Hired and Trained all staff for core team positions, including 3 Me
dical Directors, 2 DON's, RN's. LMSW's, Chaplain, Aides, etc.
* Negotiated all necessary contracts with area hospitals, long term care facilit
ies, managed care companies and ancillary providers.
* Lead a staff of 4 increasing to 14 in daily operations of the hospice ensuring
compliance with the conditions of participation in the Medicare Program, monito
ring and enforcing conditions of participation in Texas Medicaid, Blue Cross/Blu
e Shield, and other managed care contracts. Grew from single office to 3 branche
s in 18 months and from a census of zero to 51 at time of sale.
* Directing a new sales team of 4 to develop strong territories for the Grand Pr
airie, Arlington, Fort Worth, Bridgeport, Denton, Weatherford and Granbury areas
.
* Sold to Integracare Home Health in 2002

INTEGRATED HEALTH SERVICES. (I.H.S. Hospice), Dallas, TX 1998 -

2000
Sr. Sales Representative: (West Office)/Grand Prairie to Weatherford, TX
* Managed community education sales staff of 15 consisting of a new marketing re
presentatives, volunteer coordinator, chaplain services, and two administrative
assistants.
* Lead team to generate, collateral materials, television and newspaper stories.
* Developed a tracking system to follow referral sources and community media res
ponses.
* Worked with team members of Long Term Care, Home Care and Hospice care in tri
-county marketing campaigns with employee support of 35 staff.
* Frequently serving as interim administrator when current administration or nur
se management would travel or when office in hiring transition.
* Assisted Director of Operations in divisional offices in implementing agency b
udgets and operating margins, while supporting agency business functions.
* Ensured compliance with the "Conditions of Participation" in the Medicare Prog
ram. Monitored and enforced conditions of participation in Texas Medicaid, Blue
Cross/Blue Shield, and other managed care contracts.
* Developed new business for hospice acquisitions, (Samaritan Care Hospice & Hor
izon Hospice) generating new sales producing territories for the Grand Prairie,
Arlington, Fort Worth, Weatherford and Granbury areas within the first two years
. Increasing volume an additional 200%.
* Negotiated managed care and nursing home/ hospital contracts in Tarrant county
.
* Directed marketing and promotional activities to doctors, nurses, caseworkers,
discharge planners and the patients. Called on 16 long term care facilities, 11
hospitals, their social workers, case managers and 200+ physicians.

HORIZON HEALTHCARE CORP/ (CMS) Marketing & Contracting, Dallas, TX (Company beca
me IHS and sold to HealthSouth) 1994 -1998
Marketing Representative, Horizon Ft. Worth, (1995 - 1998)
* Developed new business for 62 bed Rehab hospital, outpatient rehab clinics & i
nside home health program through industrial contracts, tracking referral source
s and maintaining relations with physicians and healthcare agencies. Personally
called on 5 hospitals and their social workers, case managers and 200+ physicia
ns.
* Utilized principles of marketing, expense control, and revenue enhancement, to
develop managed care, private hospital, and Fortune 500 contracts throughout th
e Dallas Metroplex.
* Coordinated speakers to present information for CEUs and community education o
utreach (e.g. Sen. Mike Moncrief), to build community awareness and utilization.
* Liaisoned between hospitals, MD's, RN's, case managers, discharge planners and
patients.
Marketing Representative for Sleep Diagnostics Lab, (1994 - 1995)
* Personally called on 8 hospitals, their social workers, case managers and 400+
physicians.
* Initiated and participated in acquisition process of sleep laboratories in Dal
las/Fort Worth area.
* Developed new sales producing territories for the Plano, Dallas, and Irving ar
eas within the first two months. Increased volume by 180%.
* Oriented and trained new sales & marketing representatives.
EDUCATION
LNFA, Licensed Nursing Facility Administrator, Texas (LIC # 9197 exp 7/11/09)
M. Div. BL Theology/Communications, Southwestern Baptist Theological Seminary, F
t Worth, TX
B.A. Philosophy, Southern Methodist University, Dallas, TX