Aaron R. Crane MHA, FHFMA

Executive Vice President Chief
Financial Officer
Seattle Cancer Care Alliance
Seattle, WA

Healthcare Leadership and Finance

2019 to 2022
2018 to 2019

Chief Executive Officer
Population Health Alliance of Oregon dba Propel Health
Portland, OR

Chief Financial Officer
Chief Finance and Strategy Officer
Senior Vice-President of Strategy/CFO
Chief Financial Officer
Salem Health
Salem, OR

2014 to 2018

2014 to 2014
2010 to 2013
2007 to 2010
2004 to 2007

2004 to 2014

Chief Financial Officer, Hospitals and Clinics
Comptroller
Oregon Health and Science University,
Portland, OR

2000 to 2004
1997 to 2000

1997 to 2004

Vice President, Financial Services
Director of Finance
Controller
McKenzie-Willamette Hospital, Springfield, OR

1995 to 1996
1994 to 1995

1993 to 1994
1993 to 1996

Career Details

Executive Vice President Chief
Financial Officer

Seattle Cancer Care Alliance (SCCA)

2019 to 2022
2018 to 2019

A nonprofit organization that was formed in partnership by the Fred Hutchinson Cancer Research Center, Seattle Children’s Hospital, and the University of Washington Medicine. One of the ten national dedicated cancer centers. Consistently named one of the top 10 hospitals for cancer care by US News and World Report.

Executive Vice President: Strategic leader and operational executive of SCCA. Direct reports include the Chiefs of Finance, Information Technology, Nursing, People and Strategy. Reports directly to the SCCA Executive Director. Key leader for establishing strategy, structure and culture that executes on the performance commitments. Key accomplishments:

  • Built credibility with the Board and member owners to secure support for:

    • $281 million clinical expansion ground-breaking opening Spring 2023

    • $236 million financing for the clinical expansion

    • Land swap transaction with the Fred Hutchinson Cancer Research Center

    • Joint Venture with Overlake Medical Centered, opened July 2020

    • $40 million proton center acquisition, closing February 2021

    • Launched a three-year project to refine the operating model and transform the culture to

      one of high performance

    • Collaboration with UW Medicine to produce the first joint Adult Oncology Strategic Plan

  • Guided the organization through a major restructure of governance and management of
    Adult Oncology Program

    • Converted to a non-member owned nonprofit corporation.

    • Seattle Cancer Care Alliance merged with the Fred Hutchinson Cancer Research Center

      to form the Fred Hutchinson Cancer Center

    • Negotiated a management services agreement with UW Medicine to provide strategic

      oversite for the combined clinically integrated adult oncology program

  • Financial Accomplishment as the Executive Vice President

    • Cash flow from operations grew at 70% per year during this period compared to 20% per year the previous five years

    • Growth in net assets was 78% per year during this period compared to 56% per year the previous five years

  • Workforce Engagement

    • Established leadership position and funding to launch a focus on diversity, equity and

      inclusion

    • Appointed a Chief People Officer to drive activities in organizational development and

      improvement of employee engagement

    • Launched Project Compass to build a sustainable operating and leadership model

  • Successful navigation through the COVID-19 pandemic

    • Enhanced collaboration with our member organizations and the State of Washington

      through our incident command structure

    • Successfully managed to budget

    • Established telemedicine program that comprises 20% of office visits

    • Conversion of electronic health record from Cerner to Epic, Spring 2021

  • Established greater transparency with physicians and the management team through formal meetings, individual conversations and periodic rounding while promoting a servant leadership model.

Chief Financial Officer: Preserves the assets of the organization, directs efficient and effective financial operations, provides the financial perspective in strategy development, and drives a fiscal accountability mindset throughout the organization. Direct reports included: Director of Revenue Cycle; Director of Financial Operations; Director of Corporate Finance; Director of Public Affairs and Payer Contracting.

Key Accomplishments:

  • Successful collaboration on the financial projections of a proposed governance reorganization

  • Updated long-range financial plan secured Board endorsement

  • Led the development of the business case for a $281 million clinical expansion at South

    Lake Union

  • Completed a revenue cycle assessment leading to initiatives targeting $5 million in

    annual improvement

  • Completed annual rating review with Fitch Rating Service, confirmed A+ rating

  • Co-Sponsor of the value-based care vision and strategy for the organization

Chief Executive Officer
Population Health Alliance of Oregon, Portland, OR (dba Propel Health, Oregon ACO)

2014 to 2018

A partnership comprised of six health systems located across Oregon and one large Oregon based provider of medical insurance. The mission of the partnership is to deliver the tools, methods and support necessary for optimal health management in the communities served.

  • Transformed a vision and conceptual plan into a formal partnership with a capital funding plan and specific strategies to achieve the adopted mission

  • Established a governance model with a board of directors and a Quality and Health Management Committee with 14 physician leaders

  • Filed articles of organization and developed a formal operating agreement fully executed by all partners

  • Implemented population health management technology from Evolent Health

  • Implemented Medicare Shared Savings Program ACO and executed a Track 3 contract with CMS beginning January 1, 2016

  • Developed a seven-year business plan with a net present value of $37 million generating an internal rate of return of 30%.

  • Built a central operation of 25 full-time employees supporting value-based business and clinical transformation initiatives. Key competencies include:

    • Data aggregation and analytics: Clinical and claims data for 90,000 lives

    • Care advisory services for rising risk and readmission risk patients

    • Program management supporting network expansion, new risk arrangements and clinical transformation

  • Developed strategy for a statewide clinically integrated network. Current composition includes six health systems and five independent physician organizations.

Chief Financial Officer
Salem Health, Salem, OR

2004 to 2014

A 450-bed large community hospital, 25 bed Critical access hospital, 80-provider multi- specialty clinic.

  • Investment, debt, and margin strategies led to the accumulation of $570 million in assets from 2004-2014

    • 2005 - Secured board support for investment and debt strategies that accumulated $40 million in additional investment earnings.

    • 2009 – Revenue cycle improvement project produced $9 million in additional revenue and $14 million in cash acceleration.

    • 2010 - $16 million in cost reductions, 13% EBIDA in 2011

    • 2012 - $24 million in savings through revenue cycle improvement, supply chain

      savings and other cost initiatives

  • Partnered with chief executive officer to develop an affiliation strategy including identification of and interviews with potential candidates. Provided executive leadership and strategic input in the proposed affiliation of Salem Health with Oregon Health and Science University.

  • Utilized LEAN process to establish a new vision for Salem Health. Facilitated alignment of the Board and leadership team on the key strategies advancing the vision.

  • Replaced the traditional budget process with a rolling forecast.

  • Refined the long-range financial plan incorporating capital needs and resources generated over 10 years to communicate the path of financial stability for the organization. Adopted in October 2009.

  • Extensive capital financing experience

    • Developed and executed a financing plan for a $285 million patient care tower

      project completed in the Spring of 2009

    • Refinanced $175 million of auction rate debt into fixed and variable rate demand

      bonds. Secured A+ bond ratings (Fitch, Standard and Poors) and letters of credit for $125 million. Financing complete in November of 2008.

Chief Finance and Strategy Officer (2010-2014)

  • Accepted responsibility for the strategic and business planning functions of the organization, while laboratory and hospitality services were transferred to the Chief Operating Officer.

Senior Vice President of Operations/CFO (2007-2010)

  • Leadership responsibility for access services, facilities, financial services, Health Information Management, Hospitality Services, Laboratory, Risk Management, Supply Chain Services

Chief Financial Officer (2004-2007)

  • Leadership responsibility for access services, financial services, Health Information Management, Risk Management, Supply Chain Services

Oregon Health & Science University
Portland, OR

1997 to 2004

Chief Financial Officer, Hospitals and Clinics

  • Responsible for Admitting, Fiscal Services, Health Information Services, Patient Accounting Office, and Health System ITG.

  • Established a new model for financial leadership in the health system. Recruited three directors to strengthen the hospital’s financial management team.

  • Worked with senior hospital leadership to develop a collaborative methodology for capital allocation that included a model for consistently measuring return on each capital investment.

  • Cultivated a collaborative and open relationship with physician practice leadership. Coordinated the development of the financial data and analysis that enabled completion of the Memo of Understanding between the hospital and the medical group.

  • Worked with the ONA negotiating team to reach a final settlement. Facilitated development of key financial information for internal and external communication.

Comptroller

1997 to 2000

2000 to 2004

Professional Service & Memberships

  • Healthcare Financial Management Association, Fellow

    • National Board of Directors, 2016 – Chair, June 2022 – May 2023

    • National Chapter Advancement Team Member 2014-2016

    • Oregon Chapter President (2013-14)

    • Medal of Honor, Follmer Bronze, Reeves Silver and Muncie merit awards.

  • Washington Hospital Services, Board of Directors, (a Washington State Hospital Association company)

  • Apprise Health Insights (Oregon Association of Hospitals and Health Systems, For-profit company), Board of Directors (2012-2022)

  • Patient Financial Interactions Best Practices Project – National Blue-Ribbon Panel (2013)

  • Strategic Economic Development Corporation (Marion and Polk counties), Board of

    Directors (2008-2014)

  • Certified Public Accountant, 1989 (Currently inactive)

Education

2010

1985

University of Minnesota
Masters in Healthcare Administration

Oregon State University
Bachelor of Science – Business Administration, Accounting