Ralph M. Costanzo is an accomplished physician leader who currently serves as Chief Medical Officer at Alaska Regional Hospital. He has over 23 years of experience as an orthopedic hand surgeon and recently completed an MHA. His experience includes serving as Chairman of the Orthopedics Department and on the Board of Directors at St. Vincent Healthcare. He also previously served as President of Ortho Montana, a large orthopedic practice group.

1. Ralph M. Costanzo, MD, MHA
11509 Tulin Park Loop; Anchorage, AK 99516
406-690-4173 | mdrmcsky@gmail.com | https://www.linkedin.com/in/ralphcostanzo1
PROFESSIONAL PROFILE
Accomplished physician leader who has demonstrated abilitiestodrive innovative change, especiallyin the areasof
provider engagement, hospital qualityand process improvement, and alignment around value-based care initiatives.
Currently, employed as the Chief Medical Officer at Alaska Regional Hospital, a member of the HCA healthcare system, in
Anchorage, Alaska.
A Board-certified orthopedichand surgeon with 23 yearsof independent practice experience and recentlycompleted a
Masters in Healthcare Administration in the Carlson School of Management at the Universityof Minnesota.
LEADERSHIP & MANAGEMENTEXPERIENCE
Chief Medical Officer, Alaska Regional Hospital; Anchorage, AK September 2016 – present
Alaska Regional Hospital is a member of the HCA healthcare system, which is comprised of more than 250 hospitalsand
ambulatorycare facilities in 20 U.S. statesand in the United Kingdom. Alaska Regional Hospital is a 250-bed licensed
and accredited hospital with more than 1000 employeesand a medical staff of over 550 independent providers. The
hospital is one of two major trauma centersin Alaska and offers a broad range of health servicesto the community,
includinga fully-staffed ED, ICU, NICU, as well as comprehensive cardiacand stroke programs. It is also the designated
Shrinersclinic facilityin Alaska.
As the Chief Medical Officer, I am responsible for assistingleadership drive strategicalignment and execution around
value-based care initiatives; utilizing performance data and evidence-based protocols to assist membersof the medical
staff elevate care qualityand safety while leveragingopportunitiesto lower care costs. Finally, thisposition provides
senior level leadership for traditional medical staff functions such as credentialing, riskmanagement, staffeducation,
and utilization review.
Chairman, Department of Orthopedics; St. Vincent Healthcare, Billings, MT January 2016 - September 2016
St. Vincent Hospital is a member of SCL Healthcare, a non-profit multistate healthcare organization based in Denver, CO.
The hospital is a level II trauma center and functions as a tertiaryreferral center for a three-state region. The medical
staff is comprised of 431 physician providers,includinga large employed enterprise group, 1750 FTE employees,a 286
bed acute care facility, and 32 outpatient clinic sites. It wasrecently named a Truven “Top 100” hospital for 2015.
As Department Chairman, I am responsible for assisting hospital leadership align providerswith strategiesto improve
care quality, patient access,and the patient experience across all care deliverysites. In addition, I am tasked to help
develop and operationalize a more comprehensive and transparent Balanced Scorecard related tothese efforts that can
be applied across the care continuum for orthopedic patients. I am also responsible for representingthe interestsof
orthopedic providersand our patientsat the Medical Executive Committee level.
Achievements
 Engaged with stakeholdersfrom the hospital, our ASC partner, and a transitional care provider to develop an
ACC campusfor 72 hour stay surgical cases. This requiresongoing work with clinicians, both orthopedic and
other surgical subspecialists,and non-cliniciansin order to deliver a comprehensive care model for these
patients,includingthe post-acute care piece. It also requiresnegotiationswith payors in order to develop a
bundled payment reimbursement model, which includesagreed upon qualityand patient experience metrics.
 Ongoing work with hospital administration, specificallythe COO, to develop a formal Qualityand Process
Improvement program within the orthopedic department in order to further improve patient safetyand the
patient experience across all access points within the organization.
Member, Hospital Board of Directors; St. Vincent Healthcare, Billings, MT 2012 – 2016

2. The hospital BOD functions as an advisory board byrepresentingthe needsof our communityand our providersto our
parent SCL organization. The BOD is responsible for monitoringthe overall qualityand safety performance within the
organization, the development of an annual budget and capital request list, and efforts taken to meet the expectationsof
an annual system-wide Balanced Scorecard.
Achievements
 Worked closely with hospital administration and board membersto build a coalition supportive of developing
an AmbulatoryCare Campuson undeveloped propertyowned by SCL Health. The infrastructure iscompleted
with possible ground-breakingtooccur in 2017.
 As a member of the Strategyand BusinessDevelopment subcommittee, saw improvement in the activitieswithin
the employed physician enterprise alongwith acquisitionsof cardiology, oncology, and neurosurgeryservices
coupled with marketingactivities that drove market share in our service areas above 50%.
Director, Orthopedic Service Line; St. Vincent Healthcare, Billings, MT 2011 – 2013
The orthopedic service line functions to bringstakeholderstogether from across the organization in order to more
effectively deliver musculoskeletal care within our acute care facility. The service line is led by a physician director and
a non-clinical administrator working in a dyad relationship. Additional membersinclude representativesfrom nursing
services, pharmacy, care management, supplychain resources, the hospitalist service, and the operatingroom .
Achievements
 Completed an 8 million dollar renovation of the orthopedic inpatient physical space, includingan innovative
“hospital-within-hospital”model for deliveringconcierge care to patientsrequiringelective total joint
arthroplastyand spine procedures.
 Worked with an outside consultinggroup to elevate aggregate orthopedic HCAPHSscores from the 50th to
above the 80th percentile.
 Worked with our joint arthroplastysurgeons and supplychain director to standardize implant optionsand
therebydrive implant costs well below the national median.
 Acted as a physician champion for orthopedics duringEPIC EHR implementation at St. Vincent Hospital
 Member, Medical Staff QualityImprovement Committee (MSQIC) which is responsible for peer review across
the organization.
President, Ortho Montana, PSC; Billings, MT 2011 – 2013
Ortho Montana is a single specialtyorthopedic group comprised of 14 fellowship-trained physicians, one employed
sports-medicine fellowship-trained familyphysician, 13 advanced practice providers, and 130 FTE staff members. We
provide tertiaryreferral care for patientsin central and eastern Montana, western North Dakota, and northern
Wyoming. We are the largest musculoskeletal group between Minneapolis, MN, and Spokane, WA.
As group president, I had purview over all clinical and non-clinical services and activities. The organization experienced
over 10,000 patient visits last year and had gross revenue of approximately$20,000,000.
Achievements
 Developed a dyad management model with our current CEO, which included weeklymeetingsalong with
runninga monthlyBOD meetingand the responsibilityfor organizing an annual retreat.
 Oversaw the expansion of the group from 10 to 14 fellowship-trained orthopedicsurgeons, includingthe
addition of a new service line around trauma surgery. This included assistingour CEO in the negotiation of a
PSA for orthopedic trauma servicesand obtaininggroup reimbursement for trauma coverage.
 Instrumental in developingan effective service line model for orthopedics at St. Vincent Hospital.
Member, Executive Committee; Ortho Montana, PSC 2008 – 2011
Achievements

3.  Served on the Executive Committee and the Finance Committee assistingleadership with merger integration,
development of the Centersof Excellence infrastructure, solidifyinggroup culture and dynamics, and
consolidating non-clinical staff.
 Lead physician in investigating, purchasing, and then implementingan EHR for the entire organization.
 Established an internal Compliance Committee. I remain the physician lead for the group compliance program.
Chairman, Compliance Committee; Ortho Montana, PSC 2008 – present
Achievements
 Worked in conjunction with our CEO to develop all relevant policiespertainingto HIPAA, HITECH, Stark, and
ACA statutes.
 Responsible for performing annual provider chart reviews and giving feedback on coding performance.
 Developed a provider dashboard that is shared with physicians quarterlyregardingtheir performance in
accurate coding and documentation.
 Developed a matrix for monitoringprovider performance in chart completion and also institutingcorrective
policies for poor performance, includingfinancial penalties.
Member, Executive Council; Ortho Montana, PSC 2006 – 2008
Achievements
 Actingmember of a combined executive council along with membersof a competing orthopedicgroup in order
to investigate the possibility of a group merger. The merger was successfullyconsummated in 2008 along with
hiringour first CEO, forming a single-specialtyprivate practice orthopedicgroup.
Physician Lead, Human Resources Department; Ortho Montana, PSC 2003 – 2008
Achievements
 Worked with existingmanagement personnel to develop a Human Resources department and then standardize
policy and operationsfor clinical and non-clinical staff, includingadvanced practice providers.
CLINICAL EXPERIENCE
Ortho Montana, Billings, MT – Physician Member September 2003 – Present
Ortho Montana is a multispecialtyorthopedicpractice in Billings, MT., which is dedicated to providing the highest
qualitysubspecialtycare in the region. The practice is comprised of fellowship-trained orthopedicand primarycare
physiciansas well as physician extendersoperatingwithin a dedicated Center of Excellence model. Practice focuses on
treatment of injuriesor disordersaffecting the hand, wrist, or elbow.
 Provide both non-operative and operative care in most major orthopedic disciplines; on-site ancillaryservices,
includingMRI, PT, hand therapy, on-site surgeryand an adjoiningASC, and an urgent care musculoskeletal
center; and tertiarycare for a three state region and partsof southern Canada.
 Serve asclinical faculty in the Rocky Mountain Physician Assistant program, the Montana Familypractice
residencyprogram, and the WAMI program that trains medical studentsthrough the Universityof Washington
Medical School.
Michigan Hand Center, Grand Rapids, MI – Physician Member August 1994 – August 2003
Michigan Hand Center is a single specialtyprivate-practice hand and upper extremitygroup located in Grand Rapids,MI.
The group covers Spectrum Health and the DeVos ChildrensHospital along with several outreach clinics.
 Consultant in the congenital limb difference clinic at Mary Free Bed Hospital.
 Served as a clinical associate facultymember in the division of orthopedicsand plasticsurgeryfor Michigan
State Universityand the GRAMEC post-graduate program with clinical responsibilitiesfor teachingboth medical
studentsand residents.
 Developed the orthopedic module for the physician assistant program at Grand Valley State Universityand
became the clinical coordinator of the program.
EDUCATION
University of Minnesota, School of Public Health, Minneapolis, MN

4. Master of Healthcare Administration (Executive Program) Received January 2016
 Internship: Universityof Minnesota Physiciansand M Health (worked with membersof senior leadership on
projects involvingorthopedic service line performance, volume forecasting, and qualityimprovement)
 Honor Society Member
 GPA: 3.91
Wayne State University School of Medicine, Detroit, MI
Medical Doctorate (with Distinction) June 1988
 Honors: Alpha Omega Alpha Medical Honor Society
 Fellowship: AOUpper ExtremityTrauma Fellowship, Salzburg, Austria and Bern, Switzerland (1995-1996)
 Fellowship: Hand, Wrist, and Upper ExtremitySurgeryand Microsurgery, Timbercourt Orthopaedicsand Hand
Surgery, P.C., Pittsburgh, PA (1993-1994)
 Residency: OrthopaedicSurgery, SUNY – Health Science Center, Syracuse, NY (1989-1993)
 Internship: General Surgery, SUNY –Health Science Center, Syracuse, NY(1988-1989)
Albion College, Albion, MI
Bachelor of Arts – Biology (Magna Cum Laude) May 1984
 Honors: Phi Beta Kappa; Tri-Beta BiologyHonor Society; Motor Board Senior ScholasticHonorary, Albion
College Fellow
CERTIFICATIONS& LICENSURES
Wyoming Board of Medicine License – February2007
Michigan Board of Medicine License – July, 1994-2004
Montana Board of Medicine License – September, 2003
Diplomate, National Board of Medical Examiners – 1988
BOARD CERTIFICATIONS
American Board of Orthopaedic Surgery
 Board Certification – July, 1996 (recertification 2006, 2014)
 Certificate of Added Qualificationsin Hand Surgery – August 1997 (recertification 2006, 2014)
 Current MOC Active Participant
MEDICAL MISSION WORK
Chinle Reservation, Chinle, Arizona – Public Health Service 2005 – Present
Health VolunteersOverseas, Trinidad, Tobago – Hand Surgery/Orthopaedics 2004
St. Luke Society, Tegucigalpa, Honduras – Hand Surgery/Orthopaedics 1996 – 2000
MEMBERSHIPS
American Academyof OrthopaedicSurgery; Fellow
American Society for Surgeryof the Hand; Active member
Member, American College of Healthcare Executives
Member, American Association of Physician Leaders