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BEA/Exigence

Greg Daniel, MD, MBA
Chief Executive Officer

Dr. Greg Daniel brings a unique mix of skill, experience and knowledge to the role of chief executive officer of Buffalo Emergency Associates and Exigence. In addition to more than 20 years of experience as an emergency medicine physician, Dr. Daniel has a keen business sense fostered with both real-life experience and an MBA degree. It is the combination of those skills that built the successful model that is Exigence.

Since he founded the organization in 2000, Dr. Daniel has used this model to provide a vision for the growth of the company. Dr. Daniel has personally directed a number of development efforts including successful contract negotiations with HMOs, establishment and implementation of operational policies and procedures, and the design and implementation of a partnership tract for BEA and Exigence professionals.

During the evolution of these efforts, continuous improvements to the company’s financial operations and physician and staff performance have blossomed. He has introduced numerous innovations and efficiencies, including identifying strategic expansion opportunities and the introduction of incentive structures with specific criteria for attainment and measurement.

With Dr. Daniel’s guidance, BEA and Exigence have expanded, further enhanced its reputation and is known for strong management and fiscal responsibility. With attention to detail and an eye on the future, he has stressed the importance of innovation within the company to meet emerging client needs. The Buffalo Niagara Partnership honored Exigence and Dr. Daniel with their New Minority Business of the Year Award in 2006.

Dr. Daniel earned his doctorate of medicine and a bachelor’s degree in biochemistry from the University of Wisconsin, Madison, and is licensed to practice medicine in eight states. He earned his MBA from the University of California, Irvine, and was named “Best Leader” for his class. Dr. Daniel received the 2005 Business Leadership Buffalo Niagara award.

He is a member of the board of governors for the Catholic Independent Practice Association (IPA) of Western New York, where he serves on the negotiation and compensation and utilization committees. He’s held roles in the past with the U.S. Air Force Reserves and the U.S. Amateur Boxing Federation.

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Frank Lee, MD, FAAEM
Vice President of Medical Affairs

Making the connection between administration and the clinical aspects of our organization is where Dr. Frank Lee, our vice president of medical affairs, excels. He provides oversight of all clinical operations and is a key figure in helping shape our future direction.

Dr. Lee quickly made a name for himself both within and outside of our organization. He was named a full general partner in 2002; three years later, as an Exigence regional director, he provided clinical and administrative expertise for our Western region connections. He was named vice president in 2006.

He excels at identifying process improvement opportunities, analysis of processes, and has thorough knowledge in the implementation of electronic medical records systems.

Board certified in emergency medicine, Dr. Lee was named chair of the emergency department at St. Joseph Hospital in 2002, a position he maintains today. He spearheaded an initiative at St. Joseph’s called Project Renaissance, which has been met with high praise in the medical community. It featured the implementation of a new electronic medical records system, the first for a private ER in the region. He also led the design of the hospital’s new emergency department, which won several design element awards. The success of that effort has been measured in improvements in the patient length of stay, patient satisfaction, and increased volume.

St. Joseph Hospital recently honored Dr. Lee with the Caritas Award that recognizes outstanding service and dedication along with support to the community. He also serves on the hospital foundation’s board of directors.

Dr. Lee is a frequent lecturer to medical staffs and organizations on a range of topics related to emergency medicine. He is also certified in ultrasound. Dr. Lee continues to practice emergency medicine at St. Joseph Hospital, Mercy Hospital, Sisters of Charity Hospital, and urgent care facilities. He is also an assistant clinical professor.

He completed his residency at the University at Buffalo’s School of Medicine, earning his medical doctorate along with a bachelor’s degree in biological sciences from the University at Buffalo.

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Irving Levy, CPA
Chief Financial Officer

Bringing more than 20 years of experience to BEA and Exigence along with a thorough knowledge of healthcare practice management, Irv Levy has served as Chief Financial Officer since 2005.

His focus on growing the business through successful financial operations returns strong results for our organization and our clients. Mr. Levy is responsible for all accounting and reporting practices, billing and collections, human resources and recruitment of new physicians.

Mr. Levy’s keen ability to adapt to the ever-changing business environment and his expertise related to issues in healthcare practice management and administration gives Exigence a CFO who knows what it takes to continuously improve our operations and expand our business. In fact, his reputation in the industry has made him a popular consultant and sought-after speaker on physician practice management issues. He regularly conducts seminars locally and nationwide for the Medical Group Management Association.

His career path and experience has provided Mr. Levy with a strong background in physician practice management. He has been involved with projects involving medical practice profit enhancement, collections enhancements and the structure, sale and acquisition of medical practices.

He joined BEA and Exigence after spending 20 years at the regional accounting firm Freed Maxick & Battaglia. He was a managing director in the auditing and accounting department, chaired its physician practice niche, and built its business advisory services division from the ground up. That division accounted for 10 percent of the firm’s volume. Mr. Levy spent 13 years as a tax consultant where he managed federal, state and international tax issues for the firm.

During that time he was also a consultant for Exigence where he assisted with building our unique and successful membership model. Both a certified public accountant and a certified financial planner, he began his career at a small accounting firm in Houston, Texas.

Mr. Levy is a graduate of Canisius College. He is a member of the Healthcare Financial Management Association, the American Institute of Certified Public Accountants and the New York State Society of Certified Public Accountants.

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Nancy Ebling, DO
Vice President of Medical Affairs, Hospitalist Division

As the vice president of medical affairs for our hospitalist division, Dr. Nancy Ebling is leading the way for our managed care services in hospitals.

Dr. Ebling manages our contractual obligations to the hospitals we serve including management of the day-to-day operations of all physician-level services. She is responsible for providing the highest level of service to our clients, helping to grow our business and ensuring our patients are satisfied.

She joined Buffalo Emergency Associates in 2001 after completing her residency, and she has been a key figure in the growth and development of our business ever since. She was promoted to vice president of the Exigence Hospitalist Division in February 2007.

With her ambition to maintain first-hand knowledge of the needs of physicians and hospitals, Dr. Ebling also continues to practice medicine. She provides both hospitalist and emergency medicine services.

Dr. Ebling earned a Doctor of Osteopathy from the Lake Erie College of Osteopathic Medicine. She also holds a bachelor’s degree from Canisius College. She completed both her internship and her residency in internal medicine at Sisters of Charity Hospital in Buffalo.

Dr. Ebling is a member of the Society of Hospitalist Medicine, the American College of Internal Medicine and the American Osteopathic Association.

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Joseph DiVincenzo, JD
Corporate Counsel

Joseph DiVincenzo joined BEA and Exigence in 2007. He plays a key role in expanding the business and helping to manage our daily operations.

As corporate counsel, Mr. DiVincenzo is primarily responsible for the negotiation and drafting of contracts for BEA and Exigence across a number of spectrums. He manages this process for personnel within our organization, doctors who join our team, hospitals with whom we work and insurance companies. It is a pivotal position requiring a broad base of knowledge and skill.

Mr. DiVincenzo’s role also encompasses our corporate governance, providing oversight to our entities and others with whom we are contracted. Additionally, he possesses a background in accounting which allows him to examine business contracts and operations from both a legal and fiscal standpoint.

Mr. DiVincenzo specializes in contract law, healthcare, litigation and intellectual property. He has argued cases successfully in New York State and throughout the country. He was successful in an intellectual property trademark case, the results of which have been published multiple times in various journals. In addition to being admitted to practicing law in New York State, Mr. DiVincenzo is also admitted to practice in various federal courts across the U.S.

Prior to taking on this role at Exigence, he worked as counsel for Bausch & Lomb in Rochester, NY. He serviced their global manufacturing and purchasing sector, which deals with operations in both the United States and in Europe. He provided oversight on the drafting and review of contracts, negotiations with prospective business partners and corporate governance.

Mr. DiVincenzo has also worked for the Buffalo firm of Hodgson Russ, where he practiced in their business litigation group and he worked as an accountant with Price Waterhouse. In addition, he previously was a member of the Erie County Board of Ethics.

He earned his law degree from the University at Buffalo. He formerly served as the assistant executive editor of The Buffalo Law Review. In addition, Mr. DiVincenzo received a Special Services Award from the Federal Western District of New York Bench and Bar and a writing award from the National Judges Association.

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Irene Nye, MBA
Practice Manager

Irene Nye is a practice manager for the emergency services unit of BEA and Exigence. She serves as the key liaison to hospital administration, emergency room physicians and other medical personnel. Ms. Nye joined Exigence in September 2006.

Prior to joining Exigence, Ms. Nye spent six years with Catholic Health where she was most recently the purchasing manager. In addition to managing the day-to-day operations of the purchasing department, she was involved in direct contract and price negotiations for four acute care facilities. Previous to that role, she was responsible for the review and approval of all new products in use at the four acute care facilities as senior director for value analysis. She also led an effort negotiating physician preference items that resulted in savings of more than $1.75 million.

Ms. Nye also spent 14 years as an instructor at the OSHA Training Center at Niagara County Community College. She was an OSHA 501 instructor and was the lead instructor for the development of medical programs pertaining to asbestos, hazardous waste management, lead and blood borne pathogen.

She began her career at Bertrand Chaffee Hospital as director of respiratory and cardiology service. She has also spent time at DeGraff Memorial Hospital as the director of occupational health services, Wyoming County Community Hospital as the assistant administrator for outpatient services, and at Brittanic Occupational Health Services/Amherst Training Associates, where she was the director of administrative and clinical services and was a program designer, trainer and safety auditor.

Ms. Nye earned a master’s in business administration from the University at Buffalo along with a bachelor’s of science degree from Medaille College.

A registered respiratory therapist, Nye also holds an associate’s degree in respiratory care technology.

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