Oversaw all aspects of the clinic operations including the development of yearly strategic plans, creating and monitoring of yearly budgets, development of financials goals for each clinic and each doctor, and provided weekly, monthly, and yearly financial, as well as statistical, reports to the owners and associate doctors. Organized and facilitated owner, doctor and staff meetings. Oversaw the building of the clinic in Miller, SD the development of clinics in Faulkton, SD, Redfield, SD, and Kimball, SD and the relocation of the clinic in Huron, SD. Oversaw the staff in all locations. Developed the marketing, promotion, and community involvement programs. Represented the clinic on numerous community, civic and volunteer organizations and gave many presentations to community and civic organizations.