Our sites are experiencing significant annual increases in patient volume, while 95 to 98 percent of patients report that they are “very satisfied” with our services. Austin Immediate Care is staffed and managed by professionals from the Austin area. As an organization, we are committed to becoming active, contributing members to the Austin community. Customer service is the essence of our organization—we recognize that the satisfaction and care of our patients takes precedence above all else. We create an environment and experience that exceeds expectations.
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Gregory F. Daniel, MD, MBA
Chief Executive Officer
Dr. Gregory Daniel brings a unique mix of skill, experience, and knowledge to the role of Exigence CEO. In addition to more than 20 years of experience as an emergency medicine physician, Dr. Daniel also 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 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, Exigence has expanded its footprint, 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.
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. Providing oversight of all clinical aspects within Exigence makes him 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.
Brian Bobb, MD
Medical Director
As Medical Director of Austin Immediate Care, Dr. Laroe is responsible for setting and maintaining policies for medical care, providing oversight and quality assurance for physicians and staff, assisting with physician recruiting and patient satisfaction.
Dr. Laroe, who is Board Certified in Emergency Medicine, has experience working in a variety of settings including the Emergency Departments of small community hospitals and Level 1 trauma centers. She also worked for the National Institutes of Health performing clinical research in diabetes and kidney disease. Prior to joining Austin Immediate Care, she was Medical Director of Physicians Medical Care in Jacksonville, Florida.
Dr. Laroe earned a BS in Molecular and Cellular Biology, summa cum laude, from the University of Arizona. She graduated from the University of Virginia School of Medicine and completed a residency in Emergency Medicine at the University of Florida. She has earned certification in Advanced Cardiac Life Support, Pediatric Advanced Life Support and Advanced Trauma Life Support.
Saundra Monroe has been actively involved in the healthcare industry since 1996 and specifically in healthcare management since 2003.
Ms. Monroe holds a Bachelor of Science in Electrical Engineering from the University of Texas at Austin. Initially, Saundra pursued a more technical avenue as a developer for an EMR and practice management software company, and had the chance to perform an analysis of a client practice’s business and clinical procedures. This experience led her to realize her true passion for the challenges of the business of healthcare.
Previously, Ms. Monroe provided administration at a seven-physician family care practice where she took a struggling practice and increased annual revenue from $1.2 million to $3.0 million. Ms. Monroe was instrumental in transitioning the billing back in-house and streamline the billing process.
She has worked for a small dermatology and medi-spa start-up where she directly handled the creation and management of four sites including all site design and construction, physician recruitment, staff recruitment, and contract negotiations.
Ms. Monroe’s experiences in practice management include site design and construction, satellite office development, ancillary service addition, billing and coding, EMR implementation, physician recruitment, contract negotiations and A/R management.
She also holds credentials as a Certified Professional Coder and is an active member of the Medical Group Management Association.
