Leadership

Senior Management Team

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Nick Mendez

Chief Executive Officer

Nick Mendez

Chief Executive Officer

A veteran healthcare and medical device industry executive, Nick Mendez brings an entrepreneurial orientation and purpose-driven focus propelling enterprise value, earnings and client base. Building on 30 years of experience within the healthcare and medical industry landscape, he understands how to shape, direct and grow innovative businesses in highly competitive markets.

Mendez has an extensive track record building intrinsic value through opportunity, purpose and leadership on a global level. Before joining IRC, Mendez was CEO of OrthoNOW, the nation’s only orthopedic care franchise. He has served as President and CEO of Enovate Medical, a manufacturer of IT equipment for the healthcare industry. He also served in leadership roles for Gambro AB, now part of Baxter, including President of both Gambro Americas and Gambro Global Acute Business, led the efforts as Vice President–OM Specialties of Owens & Minor, a Richmond, Virginia-based healthcare logistics company.

Nick is a graduate of the University of Colorado Boulder. He has completed graduate level programs at both the Darden School at the University of Virginia and the IMD Business School where he studied international business.


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Syed Kamal

President

Syed Kamal

President

Syed Kamal is a co-founder of our Company and has served as our President and as a director of our Company since our inception in 1999. Mr. Kamal also served as Executive Vice President from 1999 to 2005. Mr. Kamal has nearly 40 years of experience in the dialysis services industry. Prior to founding our company, Mr. Kamal served in various management roles at Fresenius Medical Care North America (“FMCNA”), including as President of FMCNA’s southern business unit, Vice President of Operations for FMCNA’s North America division, Director and Vice President of Operations for FMNCA’s International division and Regional Manager of FMNCA’s Mid-Atlantic and Southeast regions (U.S.). Mr. Kamal holds a B.A. degree in Economics and Statistics and an M.B.A. degree from the University of Punjab in Pakistan.

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Jon Sundock

General Counsel and Secretary

Jon Sundock

General Counsel and Secretary

Jon Sundock has more than 29 years of experience offering legal and regulatory guidance to a variety of private and public healthcare companies. Jon has served as chief legal officer for PhyMed Healthcare Group, Solantic Corporation, Renal Advantage and Aveta Health, as division counsel for Gambro Healthcare, and as associate general counsel for PhyCor. He started his career at the Nashville, Tennessee law firm of Waller, Lansden, Dortch & Davis.

In the complex world of healthcare delivery, compliance and regulatory management are paramount. Layering corporate acquisition and growth in healthcare delivery requires special experience and careful execution. Jon has an outstanding record in working to expand healthcare companies within this complex environment.

His work in the broader healthcare sector and entrepreneurial growth matched with his detailed understanding of the dialysis business makes him ideal to provide legal and strategic support to IRC. Jon completed his legal training at the University of Alabama School of Law in 1990. He received his bachelor’s degree in Communications from Vanderbilt University.

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George Attmore

Chief Financial Officer

George Attmore

Chief Financial Officer

George Attmore is Chief Financial Officer for ARA where he provides oversight that includes central billing management, auditing, budget forecasting and reporting. Previously, he served as CFO at Emerus, the nation’s largest operator of micro-hospitals, and CFO at CareSpot Express Healthcare. Prior to that, he was senior financial officer at DSI Renal Inc., a multisite provider of dialysis services, where he was responsible for all treasury and capital markets functions. Attmore also worked at Archon as leader for the healthcare middle market lending and investing platform; at GE Capital Corp as a healthcare leader; and as an accountant with Ernst & Young LLP.

A graduate of the University of North Carolina at Chapel Hill, Attmore is a certified public accountant and is a CFA® charterholder.

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Patric Wiesmann

Chief Development Officer

Patric Wiesmann

Chief Development Officer

Patric Wiesmann is Chief Development Officer for American Renal Associates (ARA). Patric has more than three decades of experience in the healthcare and life sciences industry, successfully growing and scaling in the healthcare sector. He has consistently built world-class sales, business development and marketing teams that provide the organizations he serves with tangible and quantifiable value and deliver a positive impact on patient care and experience.

Before joining IRC, Patric was General Manager of Healthcare & Life Sciences at Reputation.com, a pioneer in the online reputation management space and recently named one of Silicon Valley's Fastest Growing Private Companies. He has served as SVP of Sales and Marketing at Medversant, the market leader technology to ensure the quality and accuracy of provider data. He also started and led the healthcare vertical as Managing Director of Healthcare for Docusign, the global standard for electronic signatures and workflow solutions.

Patric is a graduate of the University of Puget Sound. He completed an executive leadership program at the Wharton School of Business at University of Pennsylvania where he studied finance.

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Neal Minahan

Vice President and Chief Compliance Officer

Neal Minahan

Vice President and Chief Compliance Officer

Neal Minahan is Vice President and Chief Compliance Officer at American Renal Associates (ARA). Mr. Minahan has more than 12 years of legal and compliance experience in the dialysis industry. Prior to joining ARA, he served as a partner at McDermott Will & Emery LLP, where he focused on healthcare litigation, government enforcement and regulatory compliance. Mr. Minahan’s dialysis experience includes responding to large-scale OIG and DOJ investigations, and developing and maintaining comprehensive compliance programs. Mr. Minahan has received a number of accolades throughout his legal career, including the American Bar Association’s prestigious Pro Bono Publico Award in 2012. Mr. Minahan received his B.A. from Columbia University and a J.D. from Boston University School of Law.

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Alan Douglas

Vice President of Revenue Cycle Management

Alan Douglas

Vice President of Revenue Cycle Management

Alan Douglas is Vice President of Revenue Cycle Management for the consolidated revenue cycle functions of American Renal Associates, providing the company corporate and healthcare finance leadership.

Prior to joining ARA, Alan served in an operational role at LifePoint Health as the Regional Vice President of the Central Division, Physician Services from June 2015 until October 2020. Before that, he served in various senior leadership roles as Chief Revenue Officer for Cogent HMG/Sound Physicians (hospitalist and intensivist management companies), as Vice President of Revenue Cycle for Renal Advantage/Fresenius Medical Care (dialysis operators), as Vice President of Revenue Cycle Operations for HealthSouth/Surgical Care Affiliates (inpatient and outpatient rehab, ambulatory surgery centers and diagnostic centers), as a Manager in Internal Audit with HCA (national hospital operator), and started his career as a Director for Occupational Medicine and Urgent Care Centers with Corporate Health Institute/Baptist Hospital Affiliates in Nashville.

Alan has an MBA from Belmont University and a Bachelor of Science in Chemistry from Tennessee Technological University. He is an inactive Certified Public Accountant (CPA) and an inactive Certified Information Systems Auditor (CISA).

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Keisha Greene

Vice President of Clinical Services and Regulatory Affairs

Keisha Greene

Vice President of Clinical Services and Regulatory Affairs

Keisha Greene has 26 years of experience as a Registered Nurse and in Healthcare Management with over 17 years specifically in Nephrology Nursing and Dialysis Management. Keisha holds an MBA with a concentration in Healthcare Administration. She is a Certified Professional in Healthcare Quality and a Certified Electronic Health Records Specialist. Keisha has significant experience in the large-scale multi- site implementation of Policies, Procedures, and Electronic Medical Records systems. Keisha is a systems thinking and process driven leader specializing in Risk Management, Quality Assessment & Performance Improvement, and Training & Education.

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Steve Duke

Vice President of Information Technology

Steve Duke

Vice President of Information Technology

Steve Duke is Vice President of Information Technology, responsible for the leadership of the IT organization, supporting enterprise systems and business processes.     

Steve has more than 35 years of information technology experience, including the past 17 years in healthcare. He has led organizational transformation through strategic adoption and management of IT solutions. He joins ARA after serving as the IT lead for Spero Health and Quality Dermatology Partners. Previously, he was responsible for IT operations for Specialty Services, as well as the Director of IT for Renal Advantage and Renal Care Group.    

Steve holds a Bachelor of Science in Computer Science Engineering from the University of Alabama and is an avid fan. He is married and has three grown sons.   

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Lindsay Neese Burton

Vice President of Marketing

Lindsay Neese Burton

Vice President of Marketing

Lindsay is the Vice President of Marketing, responsible for all marketing, digital, communications and media efforts for the company. Lindsay has more than 15 years of experience in healthcare marketing working at large health systems including Duke Health, Wake Forest Baptist Health and UVA Health. Prior to joining ARA, Lindsay served as the Sr. Director of Healthcare Strategy and Marketing at Reputation.com, an online reputation management company in Silicon Valley, where she built out their healthcare vertical. 

Lindsay has a bachelor’s degree from Virginia Tech, and a Masters in Business Administration from William & Mary.

Divisional Vice Presidents

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Karen Bowman

Divisional Vice President

Karen Bowman

Divisional Vice President

Karen Bowman is a Divisional Vice President at American Renal Associates (ARA). She has more than 25 years of experience in the field of nephrology. Over the course of her career with ARA, Ms. Bowman served as Clinic Manager in three ARA facilities in the Jacksonville, Florida area, and was promoted to Manager of Clinical and Regulatory Services in February of 2008, before her promotion to the position of Regional Vice President of Operations in 2010. She currently covers facilities in Georgia and North Florida. Ms. Bowman is also member of ANNA.

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James M. Dilts, RN

Divisional Vice President

James M. Dilts, RN

Divisional Vice President

James Dilts got his start in dialysis in 1993 as a patient care technician and continued his education to become a registered nurse in 2000. He joined American Renal Associates in 2002 in the role of Clinic Manager and assisted in the opening of three facilities in Columbus, Ohio. He was promoted to Regional Director of Operations for Ohio in 2007 and assisted in opening numerous facilities across the state. His territory has since expanded to include Illinois, Wisconsin, Michigan and Kentucky, where he leads the operational activities for both new and existing facilities. He currently serves as a Divisional Vice President. Mr. Dilts is a member of the NKF’s Board of Directors in Ohio and previously served on the Ohio Board of Nursing’s Advisory Group on Dialysis. He is also a member of the Ohio Renal Association, NRAA and ANNA.

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Ashwin Patel

Divisional Vice President

Ashwin Patel

Divisional Vice President

Ashwin Patel has extensive experience in the development and operations management of outpatient dialysis facilities and acute dialysis programs. He started his career in dialysis more than 35 years ago as an independent dialysis facility administrator, which led to successful partnerships with physicians in several de novo independent facilities. Mr. Patel worked as a Regional Operations Director for DaVita for 15 years, where he was responsible for managing the operations in DaVita’s top-performing South Florida region. He joined American Renal Associates (ARA) in November 2010 as a Regional Director of Operations supporting ARA facilities in Florida, Louisiana and Texas, and currently serves as a Divisional Vice President. Mr. Patel received his Bachelor’s Degree in Business Administration from Florida Atlantic University in Boca Raton, Florida. He is an active member of the NRAA and FRAA.

Regional Vice Presidents & Corporate Leadership

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Kathleen Cardenas, R.N.

Regional Vice President of Operations

Kathleen Cardenas, R.N.

Regional Vice President of Operations

Kathleen (Kathy) Cardenas was named Regional Vice President of Operations at American Renal Associates (ARA) in May 2014. Prior to this role, she served ARA in a variety of positions, including Director of Clinical and Regulatory Services, Manager of Clinical and Regulatory Services, and Area Clinic Manager of four ARA facilities in Pennsylvania. She began her career as a nephrology staff nurse in 1978 and has worked in hemodialysis, acute dialysis and peritoneal dialysis. She is a graduate of Thomas Jefferson University Hospital School of Nursing in Philadelphia, Pennsylvania and has more than 30 years of dialysis experience.

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Richard E. Fishpaw

Regional Vice President of Operations

Richard E. Fishpaw

Regional Vice President of Operations

Richard Fishpaw is a Regional Vice President of Operations at American Renal Associates (ARA). With more than 35 years of experience in health care administration, he has specific experience in the  management of dialysis facilities, including the opening and development of new and existing dialysis facilities. In his current position with ARA, Mr. Fishpaw manages and coordinates the operations of dialysis facilities located in Rhode Island, as well as facilities in Attleboro and Fall River, Massachusetts. Prior to joining ARA in 2005, he served as Vice President of Roger Williams Medical Center and Vice President of Operations for Village Retirement Communities. Mr. Fishpaw received his B.S. in Health Care Administration from Providence College.

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Rosalynn Handler, RN

Regional Vice President of Operations

Rosalynn Handler, RN

Regional Vice President of Operations

Rosalynn Handler is a Regional Vice President of Operations at American Renal Associates (ARA). Ms. Handler has more than 30 years of experience in the healthcare industry and has served in a variety of roles, including direct patient care and operations management. In 2000, she transitioned into the dialysis industry to focus on providing quality patient care through facility operations management. Prior to her current role as Regional Vice President, she served as Clinical & Regulatory Manager, providing support to clinic managers for clinical goals and regulatory compliance efforts. And before joining ARA in 2014, she served as Regional Director of Operations at Fresenius Medical Care, where she was responsible for assisting clinics work toward clinical performance goals while managing expense budgets. 

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Angie Howe

Regional Vice President of Operations

Angie Howe

Regional Vice President of Operations

Angie Howe is a Regional Vice President of Operations at American Renal Associates (ARA). With more than 20 years of experience in the dialysis industry, Ms. Howe has worked with patients across all modalities, including working with acute dialysis patients. As Clinic Manager at ARA, Ms. Howe opened her first clinic with ARA in Zanesville, OH in 2008 and has since assisted in opening two others in the area. Prior to her current role as Regional Vice President, Ms. Howe served as Clinical & Regulatory Manager, where she was responsible for ensuring clinics maintained CMS requirements and monitoring TQM outcomes and clinic schedules to optimize efficiency and cost effectives.

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Bernadette Johnson

Regional Vice President of Operations

Bernadette Johnson

Regional Vice President of Operations

Bernadette Johnson is a Regional Vice President of Operations at American Renal Associates (ARA). Prior to this role, Ms. Johnson served as a Regional Operations Director at DaVita, where she was responsible for overseeing facility operations for the Northern part of the Dallas metropolis area. With extensive experience in healthcare, team building and operations management, Ms. Johnson has specific expertise in guiding and transforming clinics to become top performers. Ms. Johnson has her BS in Communication from Colorado State University-Pueblo and obtained her AS in Nursing from Denver School of Nursing. She also received her MBA from the University of Phoenix-Colorado Campus.

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Stan Langhofer, RN, CNN

Dallas Texas Regional Vice President

Stan Langhofer, RN, CNN

Dallas Texas Regional Vice President

Stan Langhofer is the Dallas Texas Regional Vice President at American Renal Associates (ARA). In this role, he works closely with ARA’s physician partner, Dallas Nephrology Associates, to open state-of-the-art dialysis clinics throughout the state of Texas. Mr. Langhofer began his dialysis career in 1981, accumulating experience in a variety of positions, including technician, staff nurse, education coordinator and administrator. In 1995, Mr. Langhofer became CEO of Kansas Dialysis Services (KDS), an SDO in northeastern Kansas. Under his leadership, KDS grew to include six inpatient clinics, multiple acute hospital contracts and a large home dialysis program. Mr. Langhofer also served as the Regional Operations Director for the northeastern Kansas and northwestern Missouri territories for DaVita, following DaVita’s acquisition of KDS in 2012. Mr. Langhofer is a member of ANNA and a past president of NRAA.

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Ann Mooney

Vice President of Clinical Research

Ann Mooney

Vice President of Clinical Research

Ann Mooney is the Vice President of Clinical Research. In this role, she oversees all research conducted at ARA locations, and is charged with establishing study management services and expanding the research site network across the ARA enterprise. Ms. Mooney aims to build a research infrastructure that provides ARA Investigators with a steady pipeline of ESRD and CKD projects, and a suite of study management services to reduce administrative burden while bringing efficiencies to all aspects of study conduct. 

Most recently, Ms. Mooney was Senior Director of Clinical Operations at Frenova Renal Research, LLC, the research division of Fresenius Medical Care, where she established the research services 17 years ago. Ms. Mooney is an Adult Nurse Practitioner as well as a certified nephrology nurse. She holds a Master’s degree in Nursing from the MGH Institute of Health Professions in Boston and a bachelor’s in Nursing from Regis College in Weston MA where she graduated Summa Cum Laude. She also received a Diploma in Nursing from Mount Auburn Hospital in Cambridge MA. In addition to extensive renal research experience, Ms. Mooney has held a variety of professional roles in the renal setting including clinic manager, in-center and acute care staff nurse.

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Mark Paglierani

Vice President of Financial Planning and Analysis

Mark Paglierani

Vice President of Financial Planning and Analysis

Mark Paglierani is the Vice President of Financial Planning and Analysis. Mr. Paglierani has more than 15 years of budgeting and planning experience and more than 7 years of experience in the dialysis industry. Prior to joining ARA, Mr. Paglierani was the Director of Financial Planning and Analysis at Forrester Research Inc., a public research company. Mr. Paglierani holds an MBA from Boston University’s Questrom School of Business and a B.S. in Resource Economics and Development from the University of New Hampshire.

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Fariba Rafieha

Regional Vice President of Operations

Fariba Rafieha

Regional Vice President of Operations

Fariba Rafieha is a Regional Vice President of Operations at American Renal Associates (ARA). Prior to joining ARA in 2012, she served as a Regional Operations Director at DaVita. She has more than 25 years of experience in the dialysis industry, including her role as PCT, staff/charge nurse and Facility Administrator. In these roles, she specialized in dialysis treatments for patients with acute kidney failure, as well as hemodialysis and peritoneal dialysis patients. Ms. Rafieha received her BS in Nursing from Prairie View A&M University and her MBA from Texas A&M University – Mays Business School.

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Toshiya Roberts

Vice President of Technical Services

Toshiya Roberts

Vice President of Technical Services

Toshiya Roberts is the Vice President of Technical Services at American Renal Associates (ARA). With more than 20 years of combined experience in the dialysis industry, he has specialized in a number of areas that span patient care, water treatment and management, including the management of technical staff in the hemodialysis field as well as management of enlisted personnel while serving in the U.S. Navy. Mr. Roberts is also an expert on several distinct types of hemodialysis equipment, the result of skills he acquired through specialized equipment training from some of the major hemodialysis-related equipment manufacturers. Prior to his current position with ARA, Mr. Roberts also served as a Facility Technical Manager in two of the Florida facilities as well as Manager of Technical Services, where he provided support to ARA facilities throughout the country. Mr. Roberts is a US Navy Veteran.

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Thomas Vander Ploeg

Vice President of Project Management

Thomas Vander Ploeg

Vice President of Project Management

Thomas (Tom) Vander Ploeg is the Vice President of Project Management at American Renal Associates (ARA). In this role, he provides strategic guidance for all ARA projects throughout the U.S., including building new dialysis facilities, expansion projects and relocations, and qualifying new project vendors. Prior to this role, he served as the Director of Project Management at ARA where he was responsible for development of individual dialysis facilities, including site search/acquisition, preliminary plan development and quality assurance. Before joining ARA, he served as the Technical Operations Manager at Fresenius Medical Care, where he developed and implemented a centralized technical structure throughout the North Florida Region, and Sr. Director of Project Management where he provided leadership and direction within the Real Estate and Construction Department.