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Jim Elco

Jim Elco

Vice President - Strategy & Financial Planning

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ScottsdaleMember since June 18, 2026
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About

Leadership of strategy and planning, including a purposeful multi-year growth plan of a robust ambulatory platform with business cases exceeding $150 Million in capital investment.

Experience

Vice President - Strategy & Financial Planning at Northern Arizona Healthcare (2022-02 – 2026-02)

Leadership of strategy and planning, including a purposeful multi-year growth plan of a robust ambulatory platform with business cases exceeding $150 Million in capital investment.

  • Acquisition and development of an urgent care platform, growing from 0 to 3 sites
  • Growth of outpatient oncology service offerings, including a $50M comprehensive cancer center
  • Renovation / expansion of outpatient surgery capacity, achieving 50% capacity growth
  • Development of 4-room outpatient endoscopy center and clinic space for newly-employed gastroenterologists
  • Expansion of outpatient physical therapy, outpatient imaging, primary care, and specialty care clinics
  • Collaboration with medical group leadership on business cases for added employed primary care and specialty physicians / services; Achieved 30% net gain in primary care providers over 2-year period
  • Physician alignment projects, including establishing a new NICU/PICU provider and solving Neurosurgery call
  • Relationship and strategy development for post-acute partnerships, including existing and potential joint ventures for Assisted Living / Skilled Nursing, Inpatient Rehabilitation, and Hospice / Home Care
  • Guided creation of the organization's new "2030 Strategic Plan", in partnership with external consultant, Board of Directors, and fellow executives; Established ongoing performance reporting with the Board
  • Development and performance monitoring for annual strategic initiatives
  • Executive oversight of Financial Planning & Analysis team, responsible for creation and ongoing monitoring of annual budgets, long-range strategic financial planning (LRSFP), labor productivity, capital planning, decision support, and pro forma development
  • Leadership over operational areas including Ground/Air Ambulance transport divisions (19,000 total transports, $65M Net Revenue, $15M Net Income) and Virtual Care / Telehealth department enabling virtual visits for employed medical group
  • Development of strategic partnership / care coordination agreement with City of Hope, a nationally recognized oncology services provider
  • Led bridge planning / financial turnaround efforts in FY 2023 that achieved breakeven Net Income in final 7 months of the fiscal year after experiencing a ($52 Million) loss through the first 5 months of the fiscal year
  • Net Revenue growth from $774 Million to ~$950 Million during this time

Senior Director - Strategy & Planning (Academic, Community Delivery, Western, and Post-Acute Divisions) at Banner Health (2019-02 – 2022-02)

Leadership of 9 team members, driving and influencing strategy and growth for 32 hospitals, Post-Acute services, and 6 formalized system-level service lines (Pediatrics, Women's, Cardiovascular, Oncology, Orthopedics, Neurosciences).

  • Acquisition / integration of Wyoming Medical Center (Casper, WY) into Banner Health
  • Direction of Community Health Needs Assessment development for all Banner hospitals in 2019 and 2022 cycles
  • Collaboration on teams developing / executing on business plans for several outpatient multi-specialty, multi-service "Banner Health Centers"; Services included imaging, retail pharmacy, primary care and specialist clinics, and lab
  • Oversight of business plan development for $400+ Million of campus expansions at Banner Gateway and Banner Desert
  • Management of the creation of analytical tools to monitor capacity, assess growth opportunities, and forecast volumes
  • Partnership development and recruitment of market-leading neurosurgeon, positioning Banner's Neuroscience Institute physician practice for growth; Capital investment exceeding $17 Million
  • Net Revenue growth from $8.5 Billion to ~$12.0 Billion during this time

Senior Director - Strategy & Planning (Academic and Arizona West Divisions) at Banner Health (2013-07 – 2019-02)

Leadership of 4 team members, driving and influencing strategy and growth for 8 hospitals in Arizona.

  • Strategic partnership development (and eventual dissolution) with Surgical Care Affiliates (SCA) for operation of Banner's ambulatory surgery centers; Ultimately led to the formation of Banner's current ASC joint venture (Banner – Atlas)
  • Strategic partnership development with Select Medical, leading to the creation of joint venture for inpatient/outpatient rehabilitation governing 3 inpatient hospitals and more than 40 Banner Physical Therapy sites
  • Acquisition leadership/support for the mergers of University of Arizona Health Network (Tucson, AZ) & Payson Regional Medical Center (Payson, AZ) into Banner Health
  • Development of revised Banner Graduate Medical Education (GME) strategy, in partnership with University of Arizona College of Medicine Deans, Associate Deans of GME, and Banner – University operational leaders
  • Collaboration in the development of 10 clinical institutes at Banner – University Medical Center Phoenix; Institutes included: Alzheimer's, Diabetes and Endocrinology, Digestive, Heart, Lung, Neuroscience, Orthopedics and Sports Medicine, Rehabilitation, Transplant, and Women's
  • Business plan development for $1 Billion of capital investment for inpatient and outpatient expansion projects at Banner – University Medical Centers in Phoenix and Tucson
  • Oversight of business planning for 96-bed tower addition to Banner Behavioral Health Hospital (Scottsdale, AZ)
  • Strategic partnership development with The CORE Institute for expansion of the Banner-CORE orthopedic co-management program, creation of a High Value Network (HVN) / Physician Hospital Organization (PHO), and joint venture development for 1 ambulatory surgery center
  • Net Revenue growth from $5.1 Billion to $8.5 Billion during this time

Director of Strategy & Planning (Various Hospitals) at Banner Health (2007-09 – 2013-07)

  • Multiple years served as strategic partner guiding administrator / physician dyad for Pediatric Service Line; Efforts included startup of Banner Children's Hospital, development of CT Surgery / Neurosurgery programs, expansion of subspecialty pediatric programs at secondary children's campus, and nursery/NICU expansions across the health system
  • Operational acquisition / integration leadership for bringing Arizona Regional Medical Center (Apache Junction, AZ) into Banner Health, creating Banner Goldfield; Remodeled and re-equipped a 25-bed hospital in 54 days, beating the maximum allowable 60-day closure timeframe to maintain the facility's Medicare enrollment
  • Capacity management and throughput analyses for key areas such as inpatient beds, operating rooms, endoscopy, cardiac catheterization labs, and emergency departments
  • Master Campus Planning, in partnership with Construction, architects, and C-Suites at multiple acute care campuses
  • Acquisition support for bringing Casa Grande Regional Medical Center (Casa Grande, AZ) into Banner Health
  • Fulfilled interim assignment during this time as Director of Environmental Services at Banner Baywood / Banner Heart campuses, overseeing a department of nearly 100 employees and a $4 Million budget
  • Net Revenue growth from $3.4 Billion to $5.1 Billion during this time

Project Manager (Care Management Department) at Banner Health (2005-07 – 2007-09)

  • Project management for implementation of an evidence-based, clinical protocol driven electronic medical record (EMR) for obstetric and neonatal care across 13 hospitals with maternal / fetal services
  • Project management for the implementation of Banner's first tele-ICU platform (eICU®), providing additional care and monitoring for all Banner ICU patients using remote intensivists and nursing staff
  • Clinical care improvement initiative design and action planning

Education

Master of Business Administration in MBA – Arizona State University

Master of Health Services Administration in MHSA – Arizona State University

Bachelor of Arts in Philosophy – Northern Arizona University

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