CoalesCo was formed on the premise that, with the emergence of Integrated Healthcare Delivery systems, healthcare was returning to a regionally driven marketplace. Assertive Integrated Delivery Networks in today's marketplace are in a position to achieve significant regional benefits rather than relying on 3rd party contracts.

With that thought in mind, CoalesCo has chosen to emphasize quality versus quantity and fosters that idea in all that we do. We deploy cutting edge management who would rather think for our clients than follow industry trends. Our senior management team brings more than 100 years' experience from the healthcare industry to your organization.

Robert P. Bissell, Principal
Mr. Bissell started his career in 1985 with General Medical Corporation (McKessonGM) and held many positions, mostly sales and management related, in that organization. In 1992, he accepted the position of Regional Vice President for MedEcon Services, a large national GPO, with direct responsibilities for sixteen states. Later, he assumed the position of Vice President responsible for selling and implementing MedEcon's Regional Cooperative Program. In 1996, he co-founded CoalesCo, Ltd. and heads up the organization as President & CEO. His success and leadership have propelled CoalesCo to become the market leader of cooperative management companies and, in fact, the only truly successful company in its field.

John J. Little, Executive Vice President
Mr. Little started his healthcare career in 1989 with the Western New York Healthcare Association where he developed group purchasing and shared services contracts. In 1994, he became Vice President of MedEcon Services where he was responsible for selling and implementing regional healthcare cooperatives. In 1996, Mr. Little joined Concepts in Healthcare (later BD Healthcare Consulting), a healthcare supply-chain consulting firm, where he developed Institutional Change Management and IDN supply-chain/self-contracting models with many leading IDNs such as the Duke Health System, the Mayo Foundation and various IDNs within VHA Southeast (VHASE). He was instrumental in the formation of the VHASE regional supply chain program called Supply Cost Management Partners (SCMP). In 1998, Mr. Little joined VHA Southeast as the Senior Director of Supply Chain Operations. There he was responsible for managing their regional supply chain program (SCMP). His focus was on regional supply standardization and committed volume contracting. . In this model he assisted in the creation of "PODs" for the 85 VHA SE hospitals. With these "PODs", VHASE orchestrated various supply contracts and supply standardization protocols resulting in over $20 million in available savings. He joined CoalesCo in 2001. Mr. Little was instrumental in the daily operations, management and transition of Cooperative Services of Florida, Inc. Mr. Little currently serves as the Executive Director of the SCM Alliance, Inc.

John J. Skalko, Vice President, Management Services
Mr. Skalko has over 25 years of healthcare experience primarily focused on materials management, healthcare re-engineering and regional supply-chain strategies. He has been instrumental in the development of IDN programs that include purchasing cooperatives and supply distribution centers. Mr. Skalko received his BS and MS degrees from Georgia Institute of Technology. He joined the CoalesCo team in 2001 and has been actively involved in our successful engagement with the Iowa Health System.

Kathy Elsis, RN, Director, Clinical Resources
Ms. Elsis began her career in nursing in 1977 at Mt. Sinai Hospital in Miami Beach. Since that time, she spent 19 years in clinical nursing, both as a staff RN and also in varied nurse management positions in critical care with a specialty in open heart nursing. She achieved both CCRN and CPAN certification over that time period. She has spent the most recent 17 years of her career working for Martin Memorial Health Systems in both clinical roles as a nurse manager of PACU and Pain Management Services, and in developing the role of Clinical Resource Manager. Ms. Elsis accepted the position of Clinical Resource Manager in Materials Resources in 1996 with the primary goal of reducing. supply chain expenses while maintaining clinical quality. During this 9 year time period, a cumulative 11 million dollars was saved in the Health System directly resulting from the processes she developed. In her role, Ms. Elsis has also worked with various GPO's such as Novation and Shared Services on implementation of national contracts. Ms. Elsis was an integral member of SCM Alliance (Regional Florida Purchasing Alliance) from its inception in 2002 As a member of AHRMM since 1996, Ms. Elsis has presented at the National Conference, and has achieved her CMRP certification in 2005. She joined the management team of CoalesCo in April 2005 as the Director of Clinical Resources.

Marvin L. Smart, Consultant
Mr. Smart started his career in healthcare in 1976 with General Medical Corporation (McKessonGM). During his fourteen years with GM, he held various positions in sales, sales management, district management and regional management ending as Vice President Corporate Marketing. In 1991, he took a position as Senior Vice President with a provider consulting organization, and in 1993 accepted a Regional Vice President role with MedEcon, a large national GPO. Later, he assumed the responsibility for selling and implementing MedEcon's Regional Cooperative Program. In 1996, he co-founded CoalesCo, Ltd. and serves as Chief Operating Officer. Mr. Smart received his BBA and MBA from Texas A&M University.