Attach 1 - Applications — Laguna Beach City Council, June 23, 2026

Attachment 1
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ALEX A. BALEKIAN, MD, MSHS
1146 N. Central Ave, #335
Glendale, CA 91202

EDUCATION
MD UC San Diego Sep 1999 – Jun 2003
MS UCLA School of Public Health Sep 2008 – Jun 2009
Health Services Research
BS UCLA Sep 1995 – Jun 1999
Physiological Sciences

POST-GRADUATE TRAINING
Res Internal Medicine: University of Texas, Southwestern Jul 2003-Jun 2006 Fell Pulmonary/Critical Care: UCLA Jul 2006-Jun 2009

LICENSURE AND BOARD CERTIFICATION
Medical Board of California, A96050 Current
Medical Board of Illinois, 036154174 Current
Medical Board of New York, 307042 Current
Medical Board of Texas, M0009 Current
ABIM: Internal Medicine Current
ABIM: Pulmonary Medicine Current
ABIM: Critical Care Medicine Current

HONORS AND AWARDS
UCLA Alumni Scholar 1995-1999
UCLA Regents Scholar 1995-1999
UT Southwestern, Outstanding Teacher 2004
UT Southwestern, John S. Miller Award for Outstanding Senior Resident 2006 American Thoracic Society, Early Career Achievement Award 2016 Keck School of Medicine, Year II Faculty Teaching Award 2016 American College of Chest Physicians, Distinguished CHEST Educator 2018

TEACHING AND RESEARCH EXPERIENCE
Keck School of Medicine of USC, Los Angeles, CA Oct 2009 – Jan 2019 Assistant Professor of Clinical Medicine, Division of Pulmonary/Critical Care • System Chair, USC Keck School of Medicine, Respiratory System • Discipline Coordinator, USC Keck School of Medicine, Evidence-Based Medicine • Associate Program Director, USC Pulmonary/Critical Care Fellowship • Assistant Director, Chest Clinic, LAC+USC Medical Center 5 SMALL BUSINESS EXPERIENCE
Clarkian Medical Corporation: Intensive Care Unit Staffing 2020 – Present Clarkian Hospitalist Corporation: Inpatient Hospitalist Staffing 2021 – Present Clarkian Pulmonary Corporation: Community Lung Clinic Coming in 2025

CLINICAL EXPERIENCE
Seton Medical Center, Daly City, CA Dec 2020 – Present
Director, Intensive Care Unit
Seton Medical Center, Daly City, CA Nov 2021 – Present
Director, Hospitalist Service
Providence Mission Hospital, Mission Viejo, CA Dec 2025 – May 2026 Pulmonary, Clinic Physician
Glendale Memorial Hospital, Glendale, CA Jul 2023 – Present Pulmonary, Attending Physician
Glendale Adventist Medical Center, Glendale, CA Jul 2023 – Present Pulmonary, Attending Physician
Glendale Memorial Hospital, Glendale, CA Jul 2023 – Present Pulmonary, Attending Physician
Health Alliance Hospital Mary’s Ave, Kingston, NY Apr 2023 – Dec 2025 Pulmonary, Attending Physician
St Francis Medical Center, Lynwood, CA Mar 2021 – Sep 2022 Critical Care, Attending Physician
Parkland Memorial Hospital, Dallas, TX Jul 2020 – Nov 2020 Critical Care, Attending Physician
Northridge Hospital Medical Center, Northridge, CA Jan 2019 – Jan 2024 Critical Care, Attending Physician
Garfield Medical Center, Monterey Park, CA Aug 2019 – Jun 2020 Director, Intensive Care Unit
Hollywood Presbyterian Medical Center, Hollywood, CA Mar 2019 – Jun 2019 Critical Care, Attending Physician
Keck School of Medicine of USC, Los Angeles, CA Oct 2009 – Jan 2019 Critical Care, Attending Physician
Pulmonary Medicine, Attending Physician
LAC+USC Medical Center, Los Angeles, CA Oct 2009 – Jan 2019 Critical Care, Attending Physician
Pulmonary Medicine, Attending Physician
Norris Cancer Hospital, Los Angeles, CA Oct 2009 – Jan 2019 Critical Care, Attending Physician
Pulmonary Medicine, Attending Physician
Kindred Hospital, Los Angeles, CA Mar 2008 – Feb 2010
Internal Medicine, Attending Physician
6 Barlow Respiratory Hospital, Los Angeles, CA Mar 2007 – Sep 2007 Internal Medicine, Attending Physician

PUBLICATIONS

1. Balekian AA, Keeler E, Spiegel B. Cost-effectiveness of routine mediastinoscopy with endoscopic ultrasound versus positron-emission tomography for the staging of non-small cell lung cancer. Chest 2009 136:40S-h.

2. Susan R. Kahn MD, MSc, Wendy Lim MD, MSc, Andrew Dunn MD, Mary Cushman MD, Francesco, Dentali MD, Elie A. Akl, MD, MPH, PhD, Deborah J. Cook MD, MSc(Epi), Alex A.

Balekian, MD, MSHS, Russell C. Klein MD, Hoang Le, MD, FCCP, Mohammad Hassan Murad, MD, MPH: Prevention of Venous Thromboembolism in Non-Surgical Patients: An ACCP Evidence-Based Clinical Practice Guideline (9th Edition). Chest, Feb 2012, vol 141(2), suppl e195S – e226S.

3. Balekian AA, Gould MK. Predicting in-hospital mortality among critically ill patients with endstage liver disease. Journal of Critical Care, 2012 Dec:27(6):740 e1-7.

4. Balekian AA, Gould MK. AHRQ Spotlight: The Nodule that Wouldn’t Grow. December 2012, http://webmm.ahrq.gov/case.aspx?caseID=287

5. Howington J, Blum MG, Chang AC, Balekian AA, Murthy SC. Treatment of Stage I and II NonSmall Cell Lung Cancer. Diagnosis and Management of Lung Cancer, 3rd edition. American College of Chest Physicians Evidence-Based Clinical Practice Guideline. Chest 2013 May;143(5 Suppl):e278S-313S.

6. Ramnath M, Dilling TJ, Harris LJ, Kim AW, Michaud GS, Balekian AA, Diekemper R, Detterbeck FC, Arenberg DA. Treatment of Stage III Non-Small Cell Lung Cancer. Diagnosis and Management of Lung Cancer, 3rd edition. American College of Chest Physicians EvidenceBased Clinical Practice Guideline. Chest, 2013 May;143(5 Suppl):e314S-40S.

7. Balekian AA, Silvestri GA, Simkovich SM, Mestaz PJ, Sanders GD, Daniel J, Porcel J, Gould MK. Accuracy of clinicians and models for estimating the probability that a pulmonary nodule is malignant. Ann Am Thorac Soc. 2013 Dec;10(6):629-35.

8. Balekian AA, Fisher JM, Gould MK. Brain Imaging for Staging of Patients with Clinical Stage IA Non-Small Cell Lung Cancer in the National Lung Screening Trial: Adherence with Recommendations From the Choosing Wisely Campaign. Chest. 2015 Sep 10.

9. Balekian AA, Tanner NT, Fisher JM, Silvestri GA, Gould MK. Factors Associated with a Positive Baseline Screening Exam Result in the National Lung Screening Trial. Ann Am Thorac Soc. 2016 Sep;13(9):1568-74.

10. Feller-Kopman DJ, Reddy CB, DeCamp MM, Diekemper RL, Gould MK, Henry T, Iyer NP, Lee YCG, Lewis SZ, Maskell NA, Rahman NM, Sterman DH, Wahidi MM, Balekian AA. Official American Thoracic Society / Society of Thoracic Surgeons / Society of Thoracic Radiology Clinical Practice Guideline, "Management of Malignant Pleural Effusions". American Journal of Resp and Critical Care Med. 2018 Oct 1; 198(7):839-849.

11. Iyer NP, Reddy CB, Wahidi MM, Lewis SZ, Diekemper RL, Feller-Kopman D, Gould MK, Balekian AA. Indwelling Pleural Catheter versus Pleurodesis for Malignant Pleural Effusions: A Systematic Review and Meta-Analysis. Annals Am Thorac Soc. 2019 Jan;16(1)124-131.

12. Balekian AA, Wisnivesky JP, Gould MK. Surgical Disparities among Stage I Lung Cancer Patients in the National Lung Screening Trial. Chest. 2019 Jan;155(1)44-52. 7 8
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PROFESSIONAL EXPERIENCE
Chairman and CEO for Strategic Sourcing Advisors, LLC | Laguna Beach, CA| 2025 – Present
 Fractional Leadership: Provide executive-level strategic sourcing and supply chain consulting for small-to-mid-sized health systems.  Margin Optimization: Develop customized cost-reduction roadmaps for nonlabor and purchased services, significantly enhancing institutional operating margins.
 Advisory: Act as a Key Opinion Leader (KOL) on procedural analytics and innovative supplier relationship management.
 Supplier Harmonization: creates coherent, resilient strategies, and an innovative supplier network that consistently supports your system's standard of care.

Director of Strategic Sourcing for the UC San Diego Health | San Diego, CA | 2021 – 2025
 Executive Oversight: Directed a $1B annual budget across capital equipment, professional services, and medical supplies.
 Transformation: Created the Strategic Sourcing Department and re-engineered the entire procurement lifecycle to balance clinical requirements with aggressive fiscal targets, resulting in $100M+ in savings.
 Stakeholder Alignment: Collaborated with health system leadership to ensure sourcing strategies supported long-term patient care and operational goals.

Procurement Analyst V & IV for the UC San Diego Health | San Diego, CA | 2018 – 2021
 Data-Driven Results: Implemented a strategic sourcing program utilizing advanced spend analytics and reengineered the RFP process that delivered $17M in annual cost reductions.
 Contract Management: Managed complex professional services agreements, establishing best-in-class benchmarking and procurement practices.

Procurement Supervisor IV (Scientific & Medical) for the University of California, Riverside | Riverside, CA | 2014 – 2018
 Specialized Procurement: Led campus-wide and UC-systemwide initiatives for highly technical commodities, achieving $1.7M+ in annual benefits.  Project Leadership: Managed the end-to-end purchase of a $5.5M fMRI brainimaging center and the university’s first 3D metal printer.  ESG Integration: Successfully balanced economic value with the university’s sustainability and social justice objectives.
13 Procurement Specialist for the University of Pittsburgh | Pittsburgh, PA | 2005 – 2013  Liaison Excellence: Partnered with the CFO and 11 academic centers to streamline the B2P cycle.

EARLY CAREER HISTORY
 Administrator / Midwest Unit Officer for Mercer Human Resource Consulting | Pittsburgh, PA. Operational Growth: Scaled revenue by $2.25M annually for the Retirement Practice; and Change Management: Led cross-practice international teams, introduced project management and marketing frameworks across 8 offices in 7 states. (2000 – 2005)
 Manager of Special Projects for Reed Smith LLP. Developed econometric models for merger profitability and firm-wide P&L packages, introduced project management frameworks across 6 offices in 3 states. (1993 – 1999)  Business/Commercial Manager for the Elliott Company. Authored 5-year business plans and product cost models for a high-output Small Business Unit. (1980 – 1993)

EDUCATION & CERTIFICATIONS
 MBA, Finance/Operations | Cum Laude, Beta Gamma Sigma | Duquesne University
 BS, Industrial Relations & BS, Economics | University of North Carolina at Chapel Hill
 CPSM (Certified Professional in Supply Management) | CPM (Certified Purchasing Manager)
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-I am an MICN (Mobile Intensive Care Nurse) which answers paramedic calls and gives base hospital orders.
- STEMI and Stroke receiving center at Mission Viejo
-Level 2 trauma at Mission Viejo
- Member of Physician Collaboration Counsel
- Currently serve as a relief charge.
- Education for all staff at Laguna Beach Emergency Room on the implementation of the new Stroke protocol and administration of TNK to help break down clots during a stroke.

EDU CA TIO N
-University of Alabama Political Science major 1989-1991 -University Georgia at Darton bachelor’s degree in nursing 1997 -University of Georgia System bachelor's in psychology 1997 -Chamberlain University BSN in Nursing policy and procedure - 2014 - Capstone @University of Alabama Master's in nursing program - current-Current licensure in California
-Current Certified Pediatric Nurse National Certification -Current ENPC, TNCC and PALS.
-Hold national certification in ATLS/ATCN
-Certification in ACLS, PALS, BLS, NRP

SKILLS/RES PONS IB ILITIES
-Effective communicator with patients, staff and family. - Quick and effective critical thinker in all situations from minor to the most lifethreatening. - Productive problem solver
- Highly motivated
- Initial triage assessment and appropriate placement of patients. - Utilize basic and advanced standard nursing process: to provide patient care and enhance daily health care practices.
20 - Demonstrate ongoing needs and education opportunities within my field and with coworkers to assist my team members with leadership and direction to reach optimal standards of patient care
- Experience with staff development and improvement by being a preceptor and on educational boards.
- Continually search out opportunities for my own professional development and improvement and bring what i have found by my team members to assist all in providing perfect care and education to patients and families.
- Collaborate with all team members on every level to identify patients' conditions, needs, and improve outcomes even after discharge.
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29 CITY OF LAGUNA BEACH
APPLICATION FOR APPOINTMENT TO:
2026/27 Hospital Task Force – Mission Hospital, Laguna Beach

PERSONAL INFORMATION
NAME:

Matt Kelliher
CURRENT / PERMANENT RESIDENCE ADDRESS:

Dana Point, CA
YEARS RESIDING IN LAGUNA BEACH¹
(if applicable):
20 Years in DP
PHONE NUMBER:

EMAIL ADDRESS:

OCCUPATION:

Retired

BACKGROUND & COMMUNITY INVOLVEMENT
CIVIC / COMMUNITY INVOLVEMENT:

Board Member of Monarch Bay Terrace HOA; Member of Heart and Vascular Institute Advisory Council Mission Hospital
30 REASON FOR INTEREST IN THIS TASK FORCE:

I have much career experience in healthcare strategy, I am a user of Mission Hospital Laguna including the ER and various support services. My residence while in Dana Point, is in very close proximity to the hospital campus.

RELATED EXPERIENCE: Could include, but is not limited to: persons who have worked in hospital, EMS, or similar healthcare setting; persons with long-time knowledge of this hospital's role and history; personal experience with Mission Hospital / Laguna Beach, and more.

I have worked in healthcare at Harvard, UCSD regarding hospital expansion/downsizing and co-location of services. I am a systems engineer with 40 years senior leadership experience in medical centers and community health services in US and internationally.

As a user of the Laguna hospital emergency room, I have a direct knowledge of the situation. I have been briefed by Mission Hospital management on their view of the current circumstances.

TASK FORCE-SPECIFIC QUESTIONS
Personal experience with Mission Hospital, Laguna Beach, and direct connections to its current operations:

I have been a patient in both Laguna Hospital and “big” Mission. I have been appointed to the Mission Hospital Heart and Vascular Advisory Council and I am interacting with the Mission Quality Dept on various initiatives there.

Perspectives, interest, or experience in overall site visioning:

The Mission Hospital / Laguna Beach campus is a large site. Discussions may include health services, parking, housing, and more.
31 I personally would like to find a path forward which aligns community interests with those of Mission Hospital. I believe we need continuity of services on the campus which enables the community to receive emergency care while supporting the re-engineering of services between various locations.

Schedule constraints (if any) for Task Force meetings beginning June 2026:

We envision this Task Force meeting fairly frequently, at least initially — possibly 2× a month for 3–4 months, in the early evening for approximately 90 minutes.

I will be on vacation the last 2 weeks of July. Otherwise I should be able participate as needed.

DECLARATION
I declare under penalty of perjury that the information contained in this application is true and correct, and I understand that any falsification or omission may be cause for disqualification. I understand and agree to the following: a) that any or all information on this form may be verified and b) that this document is a public record subject to disclosure under the Public Records Act.

SIGNATURE:

ME Kelliher. 4/17/26
DATE:
4/17/26

YOU ARE ENCOURAGED TO SUBMIT A RESUME WITH THIS APPLICATION AND/OR ATTACH A SEPARATE DOCUMENT IF MORE SPACE IS NEEDED.
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36 CITY OF LAGUNA BEACH
APPLICATION FOR APPOINTMENT TO:
2026/27 Hospital Task Force – Mission Hospital, Laguna Beach

PERSONAL INFORMATION
NAME:

CURRENT / PERMANENT RESIDENCE ADDRESS:

EMAIL ADDRESS:

OCCUPATION:

BACKGROUND & COMMUNITY INVOLVEMENT
CIVIC / COMMUNITY INVOLVEMENT:

REASON FOR INTEREST IN THIS TASK FORCE:

Amila Nissanka
YEARS RESIDING IN LAGUNA BEACH¹
(if applicable):

<1 year
PHONE NUMBER:

Physician; Medical Director & Owner, Laguna Urgent Care - Medical Director and Owner of Laguna Urgent Care, serving the Laguna Beach community with walkin medical care 7 days per week. - Provide care for residents, visitors, and local workforce, including acute care, occupational health, and public safety personnel.
- Established relationships with local organizations, including city departments for pre-employment and workers’ compensation services
As a frontline urgent care physician and owner of a medical clinic in Laguna Beach, I directly see the impact that reduced access to emergency and acute care services has on our community. The closure of the Mission Hospital Emergency Department has significant implications for patient safety, care delays, and strain on nearby healthcare systems. I am deeply invested in ensuring that Laguna Beach residents, and public safety personnel have timely access to appropriate levels of care. ¹ Residency in Laguna Beach may be advantageous for an appointment to this Task Force, but it is not required.

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37 TASK FORCE-SPECIFIC QUESTIONS
Personal experience with Mission Hospital, Laguna Beach, and direct connections to its current operations:

Perspectives, interest, or experience in overall site visioning:

The Mission Hospital / Laguna Beach campus is a large site. Discussions may include health services, parking, housing, and more.

Schedule constraints (if any) for Task Force meetings beginning June 2026:

We envision this Task Force meeting fairly frequently, at least initially — possibly 2× a month for 3–4 months, in the early evening for approximately 90 minutes.

YOU ARE ENCOURAGED TO SUBMIT A RESUME WITH THIS APPLICATION AND/OR ATTACH A SEPARATE DOCUMENT IF MORE SPACE IS NEEDED.

EMAIL COMPLETED APPLICATION TO: [email protected] - Physician and Medical Director of Laguna Urgent Care, managing day-to-day operations and clinical care.
- Experience triaging and managing conditions that would traditionally present to an emergency department. Familiar with local patient population needs, including residents, tourists, and workforce. - Experience coordinating care transitions to higher levels of care, including hospital systems. - Understanding of healthcare systems, access challenges, and operational constraints In my role as an urgent care physician in Laguna Beach, I have frequently referred patients to Mission Hospital, Laguna Beach for higher levels of care when necessary. I am familiar with its role as a critical access point for emergency services in the community.

From a healthcare perspective, maintaining medical services on this campus should be a priority, given its strategic importance to the Laguna Beach community.

Potential considerations include:
• Emergency stabilization services
• Outpatient specialty and diagnostic services
• Integration with regional healthcare system
I work full-time at my clinic from 9:00 AM to 5:00 PM, Monday through Friday, seeing walk-in patients. I am generally available for evening meetings after work and can accommodate the proposed schedule of approximately twice monthly meetings.

SIGNATURE:

DATE: 04/17/2026

38 Amila V. Nissanka, MD DABFM
Laguna Niguel, CA 92677

PROFESSIONAL SUMMARY
Board-certified physician with extensive experience in urgent care, telemedicine, disability assessments, and clinical leadership. Dedicated to advancing physician-led healthcare initiatives, fostering efficient and patient-centered environments, and contributing to the strategic success of medical organizations. Recognized for proven leadership in clinical practice and organizational collaboration, with a strong commitment to mentorship and innovative healthcare solutions.

EDUCATION
Doctor of Medicine (MD)
Windsor University School of Medicine, Cayon, St. Kitts (01/2011 – 05/2015) Bachelor of Science, Biology
York University, Bethune College, Toronto, Canada (09/1997 – 06/2002)

LICENSURE
• California Medical License: A 174462 (Expires: 08/31/2027) • Illinois Medical License: 036.157093 (Expires: 07/31/2026) • Illinois Controlled Substance License: 336.116280 (Expires: 07/31/2026) • Wisconsin Medical License: 74854-20 (Expires: 10/31/2027) • DEA Registration Number: FN0423892 (Expires: 10/31/2026)

CREDENTIALS & CERTIFICATIONS
• Board Certification: Family Medicine
• National Registry of Certified Medical Examiners (DOT) Certification: Certified Medical Examiner (Registry ID: 5865710056). Certified to perform physical qualification examinations for commercial motor vehicle drivers (Valid through 09/24/2034). • Advanced Cardiovascular Life Support (ACLS)
• Basic Life Support (BLS)

POSTGRADUATE TRAINING

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39 Family Medicine Residency Program
John H. Stroger, Jr. Hospital of Cook County, Chicago, IL (07/2018 – 06/2021) • Managed patients with diverse medical conditions in inpatient and outpatient settings. • Supervised junior residents and medical students, providing hands-on training and mentorship.
• Participated in M&M meetings, journal club, and resident didactic lectures.

Burn Fellowship
John H. Stroger, Jr. Hospital of Cook County, Chicago, IL (10/2017 – 06/2018) • Managed critically ill burn patients in inpatient settings, including resuscitation, operative care, and reconstructive operations.
• Conducted weekly outpatient follow-ups and supervised rotating medical students and residents.

PROFESSIONAL EXPERIENCE
Fellow
Cooperative of American Physicians, Inc. | Los Angeles, CA 06/2025 – Present
• Invited to partner with physician leaders to contribute to the continued success of the Cooperative for American Physicians organization and their members.

Owner & Lead Physician
Laguna Urgent Care | Laguna Beach, CA
02/2023 – Present
• Manage daily operations and clinical oversight of an urgent care clinic. • Provide care for patients of all ages, focusing on non-life-threatening conditions and preventative health.
• Offer a wide range of services, including X-rays, fracture care, laceration repairs, IV hydration, and medical weight loss programs.
• Ensure compliance with regulatory standards and maintain strong relationships with insurers and community partners.

Telemedicine Provider
Teladoc Health Medical Group | Remote
09/2021 – 09/2024
• Provide virtual primary care consultations to patients across multiple states using a secure telehealth platform.
• Perform comprehensive assessments, diagnose conditions, and prescribe treatments through audio and video interactions.
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SLMG (Disability Assessments) | Various Locations
07/2022 – 02/2023
• Conducted detailed disability evaluations for Social Security and insurance claims. • Prepared comprehensive medical reports to assist in determining disability eligibility. • Ensured accurate documentation in compliance with federal and organizational standards.

Contract Primary Care Physician
Veterans Affairs | Oceanside Clinic, CA
09/2021 – 12/2021
• Delivered primary care and preventive health services to U.S. veterans in a multidisciplinary team environment.
• Managed chronic and acute medical conditions, ensuring adherence to evidence-based guidelines.
• Collaborated with nurse practitioners, RNs, and support staff to optimize care delivery and patient outcomes.

LEADERSHIP EXPERIENCE
Chief Resident
John H. Stroger, Jr. Hospital of Cook County (07/2020 – 06/2021) • Oversaw 36 residents, coordinated schedules, and led residency recruitment efforts. • Served as the primary liaison between residents and faculty to address challenges and enhance communication.
• Implemented strategic initiatives, including wellness programs and workflow optimization.

Communications Committee Leader
John H. Stroger, Jr. Hospital of Cook County (07/2020 – 06/2021) • Improved internal communication through newsletters and social media engagement. • Facilitated the residency's public presence and streamlined internal awareness of program updates.

GMEC Wellness & Business Committees Member
John H. Stroger, Jr. Hospital of Cook County (07/2020 – 06/2021) • Championed physician wellness initiatives and contributed to policy decisions impacting hospital operations.
• Planned and implemented programs aimed at minimizing physician burnout and promoting mental health support.
41 Burn Fellowship Program Evaluation Committee Member
John H. Stroger, Jr. Hospital of Cook County (09/2017 – 06/2018) • Evaluated program structure, contributed to curriculum development, and represented the fellowship at national recertification panels.

SKILLS
• Practice management and team leadership
• Urgent care procedures: laceration repair, fracture care, and I&D • Proficient in telemedicine platforms
• Risk management and compliance expertise
• Excellent patient communication and empathy

COMMUNITY ENGAGEMENT
• Mentor to medical students and residents, providing clinical training and career guidance. • Active participant in health education initiatives within the Laguna Beach community. 42 A native Californian, Dr. Prietto attained a Bachelor of Arts as well as a Masters Degree in Education at Gonzaga University. He taught high school science and coached basketball for a short period before going on to medical school and graduating from the University of California, Irvine with Alpha Omega Alpha Honors. An internship at USC was followed by an orthopedic residency at University of California, Irvine and then a sports medicine fellowship at the Kerlan-Jobe Clinic.

Early in his orthopedic career, he helped establish a Neuro-Muscular basic science laboratory on the medical school campus at UCI, and participated in many basic science and clinical publications in the sports medicine world. He has lectured and taught arthroscopic procedures in a variety of settings both here and abroad. He was in the clinical practice of Orthopedics in Orange County from 1979 through 2019. He has served as the President and CEO of Hoag Orthopedic institute, Program Director for the Hoag Orthopedic Institute’s Sports Medicine Fellowship, and is presently the Executive Director of the Orthopedic Education and Research Institute (OERI) dba Hoag Orthopedics. He serves on the Boards of OERI, Bionutritional Research Group and the Mater Dei Foundation.

Dr. Prietto was the Head Team Physician at the University of Calif., Irvine and Mater Dei High School from 1979 through 2019. He has been a Clinical Professor of Orthopedics at UCI and is a member of the American Academy of Orthopedic Surgeons and the American Orthopedic Society for Sports Medicine.

He has also been recognized as a distinguished Alumnus of the University of California, Irvine Medical School. And he has been honored by his peers in Orange Coast Magazine on three occasions as one of the ‘Top Docs’ for his work as an Orthopedic surgeon in Orange County.

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49 A native Californian, Dr. Prietto attained a Bachelor of Arts as well as a Masters Degree in Education at Gonzaga University. He taught high school science and coached basketball for a short period before going on to medical school and graduating from the University of California, Irvine with Alpha Omega Alpha Honors. An internship at USC was followed by an orthopedic residency at University of California, Irvine and then a sports medicine fellowship at the Kerlan-Jobe Clinic.

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52 Mark S. Rivera
___________________________________________________________________________________________________ PO Box 835 Corona del Mar, California 92625
1 RETIRED SENIOR-LEVEL MANAGED CARE EXECUTIVE
Recognized as a dynamic and innovative retired managed care veteran who optimized growth for an enterprising healthcare organization. Provider network specialist with 19+ years of experience who led professionals to achieve their strategic priorities. Brought success with providers, payers, and oversight entities throughout the United States. Strong people, and project management skills. Proficient in both English and Spanish.

AREAS OF EXPERTISE
• Complex Negotiations
• Strategic Thinking
• Performance
Improvement
• Persuasive
Communications
• State/Federal
Compliance
• Leadership/ Mentoring
• Financial Management
• Predictive Analytics
• Provider Relations

SELECT CAREER HIGHLIGHTS
➢ Completed health plan contracts including DOFR, language and capitated analysis and negotiations for bay area medical group for Medi-Cal, Medicare Advantage, and commercial products effective in 2022. ➢ Engaged by Molina Healthcare to negotiate complex managed care contracts over a two-year period. ➢ Recognized by HRSA as a national resource to FQHCs and federal staff on “value-based” configurations. ➢ Directed a department of 9 professionals at Loma Linda/ Adventist Health to analyze and negotiate reimbursements including capitation, fee-for-service, per diem, DRGs, value-based pricing, etc. ➢ Prepared financial projections and analysis to negotiate hundreds of contracts for a total of 7 Adventist Health hospitals delivering general acute care, tertiary, children’s and behavioral health inpatient services.
➢ Developed “bundled pricing” to secure 14 Center of Excellence contracts for solid organ and heart transplantation, and cardiovascular services generating millions in new revenue. Outstanding performance was rewarded with offer for a promotion to the position of Executive Director of the Transplant Institute. ➢ Used “pacesetter” approach with C-Suite executives to complete the ROI matrix tool (https://ybit.in/Jw8PF7) for the Michigan Primary Care Association. The tool is integral to a “value-based” managed care model.
➢ Improved clinical outcomes and STARS Rating at La Maestra CHC in San Diego by applying regression analysis to realize a 2.5% increase in patients with HeA1C < 7%. ➢ Delivered a two-part educational series on managed care concepts to over 200 HRSA officials located in 10 US HRSA Field offices. Engagement included curriculum/materials development, and 2-weeks of managed care contract training. The project was completed in 9 months with a 98% rating of "excellent." ➢ Led West-Coast team on a CMS-sponsored investigative research project in 4 major US markets to develop an early warning system for “steerage and discrimination” in Medicare Advantage marketing. ➢ Built and managed a premiere department of 14 healthcare professionals who served as the critical “link” to a countywide Medi-Cal provider network serving over 300,000 beneficiaries at CalOPTIMA. ➢ Developed and implemented a comprehensive Medi-Cal provider network and operations consisting of provider policies, education, database, credentialing, claims-support, and grievance system workflows while adhering to local, State, and Federal regulations. ➢ Completed a comprehensive rate, staff, and protocols analysis at California Department of Corrections and Rehabilitation that served as a precursor to receivership and a health system “makeover” in California. ➢ Consistently negotiated “double-digit” rate increases on behalf of Hoag Hospital and Loma Linda. ➢ Collaborated with the business office, legal, and finance departments to ensure contract compatibility.

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53 Mark S. Rivera
___________________________________________________________________________________________________ PO Box 835 Corona del Mar, California 92625
2 ➢ Developed and negotiated complex capitation fee structures and negotiated specialty OB/Gyn and Dermatology sub-capitation contracts capturing over $10 million in new revenue over an 18-month period. ➢ On behalf of Four Seasons Ambulatory Surgery Centers negotiated payer contracts and the recovered outstanding claims from totaling over $1.8 million during a 6-month engagement. ➢ Generated millions in new revenue through negotiations for Staff Builders Home Health Care during a 2- year engagement.

PROFESSIONAL EXPERIENCE
President, Managed Care Consulting, Inc. (mccfirm.com) Newport Beach, CA. (1996 - 2023) o Founded, developed, and sustained a managed care consulting firm with a national presence and a reputation for success.
o Engaged in 300+ healthcare projects to impact quality care/service, cost reduction, and efficiency.

OTHER PROFESSIONAL EXPERIENCE
➢ Director, Managed Care, Loma Linda University Medical Center (Adventist Health), Loma Linda, CA.
➢ Director, Contracts, Hoag Memorial Hospital Presbyterian, Newport Beach, CA. ➢ Manager/Director, Provider Network Development, Cal-OPTIMA, Orange, CA. ➢ Administrative Assistant, Kaiser Permanente, Orange County Outside Medical System, Anaheim, CA. ➢ Project Manager, CAPP Care, Inc. Fountain Valley, CA. ➢ Contracts Analyst/Negotiator, Diamond Benefits Group/Adventist Health, Diamond Bar, CA.

PROFESSIONAL AFFILIATIONS
❖ Healthcare Financial Management Association (HFMA), Southern California Chapter ❖ American Health Information Management Association (AHIMA) ❖ California Health Information Management Association (CHIA) IG Committee Member ❖ CSULB, Advisory Board Member, Health Care Administration Graduate Program ❖ Communities Joined in Action (CJA), Atlanta, Georgia
❖ Toastmasters International, Bronze Advanced Distinction, Newport Beach, California

PROFESSIONAL PRESENTATIONS
✓ Have delivered over 60 formal presentations to various professional audiences over the course of the past 24 years addressing a variety of healthcare topics.

EDUCATION
➢ Master of Public Health, University of Hawaii
➢ Bachelor of Science, Health Science, California State University, Long Beach ➢ Associate in Science, Physical Therapy, Cerritos College

TRAINING AND CERTIFICATIONS
• HRSA/ Management Solutions Consulting Group Certified Consultant • Predictive Analytics Program Two-year Certification, University of California, Irvine • AHIMA HIT Credential, AHIMA Commission on Certification, Cert: CHTS-2783 • HIT Pro Certification, Implementation Manager, Office of National Coordinator, Cert: 246754335 • Toastmasters International, Advanced Communicator Bronze Certificate

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Founded and directed a comprehensive treatment and training program for registered students.

Developed campus wide programs addressing: domestic violence; drug abuse; procrastination; smoking cessation.
1975--2002

1. Professor Human Development –Santa Ana College

2. Private Practice – Stephen Adams and Associates; Child Custody Evaluations Publications
Books Published
Schwartz, B, and Flowers, J. (2006). How to Fail as a Therapist, Atascadero, Ca: Impact Publishers Schwartz, B. and Flowers, J. (2008). Thoughts for Therapists, Atascadero, Ca: Impact Publishers Schwartz, B, and Wood, P. (1978). How to Get Your Children to Do What You Want Them To Do, Englewood Cliffs, NJ; Prentice-Hall.

Booraem, C. D., Flowers, J. V., & Schwartz, B. (1978). Help Your Child be Self-Confident. Englewood Cliffs, NJ: Prentice-Hall.

Flowers, J. V., Horsman, J. J., & Schwartz, B. (1981). Raising your gifted child. Englewood Cliffs, NJ:

Prentice-Hall.

Flowers, J. V., Schwartz, B., & Horsman, J. J. (1982). Raising your child to be a sexually health adult.

Englewood Cliffs, NJ: Prentice- Hall.

Flowers, J. V., & Schwartz, B. (1984). Newrosis: a humorous guide to new mental disorders. Englewood Cliffs, NJ: Prentice-Hall.

Chapters in Books
Flowers, J. V. & Schwartz, B. (1985). Behavioral group therapy with clients with homogeneous problems.

In D. Upper and S. M. Ross (Eds.) Handbook of Behavioral Group Therapy. New York: Plenum Press.

Selected Journal Articles
Booraem, C. D., Flowers, J. V., & Schwartz, B. (1993). Group therapy client outcome and satisfaction as a function of the counselor's use of rapid assessment instruments: as influenced by levels of computer assistance. Proceedings of the 1992 Western Psychological Association, 72, 135.

Flowers, J. V., Booraem, C. D., & Schwartz, B. (1992). Reliability and validity of a test for vocational 60 burnout, An invited article. Journal of Occupational Rehabilitation, 2, 1-7.

Flowers, J. V., Booraem, C. D., & Schwartz, B. (1993). The impact of computer scoring on the use of rapid assessment instruments by counselors, and subsequent impact on client outcome.

Proceedings of the 1992 Western Psychological Association. 72 135.

Flowers, J. V. , Booraem, C. D. & Schwartz, B. (1993). Group therapy client outcome and satisfaction as a function of the counselor's use of rapid assessment instruments: Influenced by levels of computer assistance. Small Group Research, 24, 116-126.

Flowers, J. V. , Booraem, C. D. & Schwartz, B. (1993). The impact of computer scoring on the use of rapid assessment instruments by counselors, and subsequent impact on client outcome. Computers in Human Service, 10, 9-15.

Presentations to Scientific Societies.

Numerous presentations to scientific societies from 1990-2004, citations available on request. 61 62
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GQR Healthcare - RN, Emergency Department - Kaiser SDMC San Diego, CA
04/2023 - 08/2023
Level III Trauma/ Stroke Receiving - 45 Beds
Providence Saint Joseph Medical Center - ER - RN, Emergency Department
Burbank
03/2020 - 01/2022
Non Trauma - 40 Beds
Gateways Hospital And Mental Health Center - Psychiatric Registered Nurse
Echo Park, CA
10/2020 - 11/2021
Providence Saint Joseph Medical Center - NeuroTele - Cardiac Monitor Technician
Burbank, CA
05/2019 - 03/2020
Impulse Ambulance - Emergency Medical Technician - B
North Hollywood, CA
09/2013 - 06/2019
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69 EMILY ANN SMITH
Laguna Beach, CA |

EDUC ATION
UNIVERSITY OF SOUTHERN CALIFORNIA, Los Angeles, CA August 2024 Master of Social Work
BOSTON UNIVERSITY, Boston, MA 2002
Bachelor of Science, Elementary Education
• Collegiate Athlete: Cross Country, Indoor/Outdoor Track | 4-year full athletic scholarship

PROFESSIONAL EXPERIENCE
EMANATE LOVE PODCAST, Laguna Beach, CA March 2026 – present • Solution focused mindset gathering that celebrates all humans. Shift your brain with experiential narrative
SPARKLE DIFFERENTLY NEWSLETTER Laguna Beach, CA September 2023 – 2024 MERCY HOUSE NEWSLETTER Santa Ana, CA
• Provide connection and community while recognizing and celebrating people that sparkle differently.

MERCY HOUSE INTERNSHIP, Santa Ana, CA August 2023 – 2024 Manager, Casa Querencia
• Managed OT Interns (occupational therapy) while creating and teaching culturally sensitive and trauma-informed psychoeducation and mindfulness groups to previously homeless individuals living with disabilities in public supported housing (PSH).
• Achieved over 50% club attendance with NO advertising. Created evidence-based curriculum: Love shark Program, “Doors to Success” program, power pancakes, Leader Ladder, “I am I can”, glitter yoga, Stress Alley, and M.A.P. It program.
• Engaged with clients doing case management, risk assessment, ethical decision-making skills, and professional code of ethics. Helped clients regulate with tactile mindfulness groups for all populations.

USC MSW USC and PRACTICUM May 2023 – August 2024
Research Presented International Trauma Conference with Bessel Van der Kolk May 2024 • Presented “You are 19-22% Short” U.S. Census Research at both the live poster session and online poster session. Gaps in data make research impossible for vulnerable groups. • Completed several community assessment reports and proposed policy in local communities in Orange County, California.

EMANATE LOVE ETCC | Newport Beach, CA 2018 – Present
Director
• Founded a nonprofit and began gold leaf experiential paint nights. Donated retreats and vacations.

PGA WEST (AirBNB/VRBO) | La Quinta, CA 2018 – 2020
Property Manager
• Achieved Superhost Status ($80k-$100k per year) by effectively managing client needs and providing exceptional vacation experience.

HARVARD BUSINESS SCHOOL (HBS) | Boston, MA 2000 – 2003
Project Manager (2002 – 2003); Intern (2000 – 2001)
• Oversaw content and logistics for multiple Executive Education programs for Harvard Business School. Worked on product development team at Harvard Business School Interactive (HBSi).

Coordinated with senior executives, HBS faculty, and staff to support e-learning CD platforms. • Sourced innovative product packaging materials for Leading Change and Organizational Renewal (LCOR) educational series.
70 CAREGIVER AND ADVOCATE
Primary Caregiver and Advocate 2006 – 2015
• Partnered with Autism Partnership to identify, coordinate, and participate in intensive ABA therapy 22-30 hours per week for 6 years. Coordinated care with school districts, therapists, medical providers, and other specialized programs for neurodiverse children.

VOLUNTEER EXPERIENCE
Laguna Beach Tree Club 2025
• Free connection club dedicated to helping people in communities connect with themselves and each other in person through nature.

COURREGES ELEMENTARY SCHOOL | Fountain Valley, CA 2016 – 2019 Running Club Coach
• Founded elementary school running club. Trained 75+ PreK- 5th grade students twice weekly two seasons per year. Oversaw parent volunteers and ran time trial event at the end of each season. Drove increased participation through creative incentives (1000+ slurpees, weekly recognition). Used ABA tools to guide participants and incentivize them.

GIRL SCOUTS OF AMERICA | Fountain Valley, CA 2015 – 2017 Troop Leader
• Founded Brownie Troop #4645 for local group of 8 girls. Used ABA tools to guide activity.

CERTIFIC ATIONS AND ACHIEVEMENTS
Think:Kids (Massachusetts General Hospital) Collaborative Problem Solving Tier I Training 11/20/23 – 11/22/2023 La Mirada)
PESI: 34th Annual International Trauma Conference: Psychological Trauma: Neuroscience, Embodiment, and the Restoration of the Self Participant (5/17/23 – 5/20/2023 Live In-person) 6 Policy proposal for Americans with Disability (ADA) Compliance to the City Council in Laguna Beach (April 2023). Proposed ADA Policy (1990) to the City Council to become compliant.

Participant in 1st Settlement Agreement in the State of California between the Department of Managed Health Care (DMCH) and Anthem Blue Cross. (July 15, 2011). Enforcement Matter numbers 10-578, 11-347, 11-348, 11-349, 11-350, and 11-351. Insurance providers are finally mandated to cover Applied Behavior Analysis (ABA) Therapy for individuals with Autism. 71 City of Laguna Beach
Application for Appointment
2026/27 Hospital Task Force – Mission Hospital, Laguna Beach Personal Information
Name: Aaron Talarico
t/Permanent Residence Address:

Phone Number:

Occupation: Real Estate / Community Development. Founder and President, ParkTerra, Inc.

Civic / Community Involvement
• Parking, Traffic and Circulation Committee, City of Laguna Beach, Past Chair, 2012 to 2017
• Recreation Committee, City of Laguna Beach, Past Chair, 2010 to 2012 • CEQA Thresholds Task Force, City of Laguna Beach, 2016 • Laguna Canyon Task Force, City of Laguna Beach, 2014 to 2015 • Laguna Beach Chamber of Commerce, Director, 2012 to 2017 Reason for Interest in This Task Force
I have lived in Laguna Beach for forty years and have spent much of that time working on behalf of the city in some form, including past chair roles on the Parking, Traffic and Circulation Committee and the Recreation Committee, and service on the CEQA Thresholds and Laguna Canyon task forces. The Mission Hospital campus is one of the most consequential properties in the city, and what happens there will shape Laguna for generations. I would like to put my experience to work on this one.

The questions this Task Force will face (health services, parking, housing, and overall site visioning) sit at the intersection of community input and technical planning. That is the kind of work I have done both in my civic service and in my profession, and I think I can contribute on both fronts.

Related Experience
More than twenty years in California residential real estate, focused on entitlements and the repositioning of underutilized properties. I previously led the land company at Meritage Homes for eight years, where my team entitled and delivered more than thirty communities totaling roughly 2,500 residential units across Southern California. I now run ParkTerra, a development and investment platform backed by institutional capital, with day to day work in the frameworks most relevant to a site like Mission Hospital.

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72 BBA in Finance, University of Notre Dame.

My prior service in Laguna Beach gives me a working knowledge of how the city's commissions and committees engage with staff, council, and the public, and how to translate competing community priorities into recommendations that can actually move forward.

Personal Experience with Mission Hospital, Laguna Beach, and Direct Connections to Its Current Operations
I was born at Mission Hospital in 1980. My wife and I had planned to have our first child there in 2008, but the maternity ward had closed by then. The contraction of services on that campus over the years is part of why I care about what comes next.

More recently, I have used the Mission ER a number of times, taking my kids in for the things kids do, and bringing my parents in as well. Maintaining emergency services on this campus is critical, especially given how hard it can be to get yourself or a family member out of town to an ER during peak visitor season in Laguna, when traffic on Coast Highway and Laguna Canyon Road can come to a stop.

As a parent, the other piece that matters to me is Mission's integration with the CHOC system.

Knowing that if I ever had to bring one of my kids in for a serious issue they were already in CHOC's network (and would not need to be transferred cold) has been a meaningful comfort.

That kind of integrated care is exactly the capability we should be working to preserve on this campus.

Perspectives, Interest, or Experience in Overall Site Visioning The Mission Hospital site sits at a difficult intersection of competing priorities: preserving health services for an aging community, addressing housing pressure in a city where new supply is scarce, managing a parking and circulation footprint that already strains the surrounding street network, and respecting the character of a campus that has served the community for generations. Site visioning at this scale requires balancing those demands honestly rather than picking a winner upfront.

Professionally, I work on California land use and entitlement projects every week, on sites with layered considerations of zoning, infrastructure, parking, affordable housing requirements, and community integration. I have led the entitlement and repositioning of more than thirty residential communities across Southern California. As Past Chair of the city's Parking, Traffic and Circulation Committee, I also understand how parking and circulation decisions on a site like this ripple into the surrounding neighborhood.

I do not come into this with a predetermined view of what the campus should become. I come into it with the conviction that a thoughtful process (one that takes technical constraints seriously while keeping community input front and center) produces better outcomes than top-down vision statements or piecemeal reactions to whatever proposal lands first. 73 I declare under penalty of perjury that the information contained in this application is true and correct, and I understand that any falsification or omission may be cause for disqualification. I understand and agree to the following: a) that any or all information on this form may be verified and b) that this document is a p der the Public Records Act.
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Laguna Beach City CouncilJune 23, 2026

Laguna Beach City Council
June 23, 2026