Senior Management

Rubén A. Medina
Chief Executive Officer, Promesa Systems, Inc.

Mr. Medina graduated from Harvard College in 1980. He started in the health care industry in 1981 when he joined the New York City Medicaid program designing and developing programming for the Medicaid beneficiaries based on primary provider models. He then moved to Sunset Park Health Center in Brooklyn to help develop the New York State’s first non-HMO capitated program. Mr. Medina obtained his MBA and MPH from Columbia University in 1985, during which time, he served as an administrative resident at Presbyterian Hospital in New York City working on the design and development of the Ambulatory Care Network Corporation for the Hospital organization. He joined Paine Webber as an Associate in the Capital markets group specializing in capital formation for the Health Care industry. He became Vice President at the age of 31. Mr. Medina financed over $1 billion in a variety of tax-exempt and taxable instruments for 33 separate institutions throughout the country.

Mr. Medina also participated in several corporate restructuring and reorganizations including the mergers and or acquisitions for eight separate organizations. Mr. Medina moved into health facility operations in 1991 when he joined a start-up organization called Kurron Shares of America as a consultant specializing in turnaround and restructuring for financially distressed health care organizations. He managed three different hospital organizations as a project manager and interim administrator working on design and implementation of reorganization strategies for these facilities including the creation of ambulatory care practices in support of these facilities. He then moved to Boston to manage the business organization servicing the Boston City Hospital. Managing over $75 million in programming, Mr. Medina implemented an organizational restructuring for the organization, including a full MIS conversion. He cut financial loses by half and improved the responsiveness of the organization to its customers and funding sources. In addition, Mr. Medina had functional responsibility for managing the Boston City Specialty and Rehabilitative Hospital which he turned from a $5 million dollar loss to a breakeven operation through a fiscal and operational reorganizing process. Mr. Medina then moved to Buffalo where he was the CEO of Sheehan Memorial Hospital, a 109-bed community hospital in Buffalo. During his tenure, Mr. Medina reduced a million dollar loss into a breakeven operation through a focused and targeted approach on reduction of operation expenses and clinical practice protocols. He worked to successfully restructure a loan with HUD that the Hospital defaulted on four years prior. He also created a primary care network of five sites and linked this network to the development of a hospital organized physician hospital practice.

As the CEO of PROMESA, Mr. Medina is working with his colleagues to create an operating vision of PROMESA which will facilitate a movement of PROMESA from a community based organization that happens to generate revenue to a business with a community focused mission. Currently, PROMESA is a $31 million dollar organization with operations in primary health care, in a residential outpatient care services to people living with HIV, residential and outpatient substance abuse services, housing, day care, education and vocational training, community policy and economic development. It employs 450 people 65% of which come from PROMESA’s immediate service area. PROMESA’s viability lies in its diversity of service array and in the potential of the significant linkages that can be developed with other similar organizations through trust and overlapping goals and objectives.