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   the process of documenting best practices, reviewing metrics and adopting
   innovative solutions that we find success with our nationwide partners.
   
   General News
   
   May 24, 2024
   
   
   
   
   US ACUTE CARE SOLUTIONS NAMES DR. SHEA COMBS REGIONAL VICE PRESIDENT OF SOUTH
   DIVISION
   
   CANTON, Ohio, May 24, 2024 – US Acute Care Solutions (USACS), the nation’s
   largest physician-owned provider of hospital-based emergency and inpatient
   medicine, announced today that it has named Shea Combs, MD, FACEP, a Regional
   Vice President of its South Division. Most recently, Dr. Combs served as the
   Regional Integrated Acute Care (IAC) Medical Director of the USACS South
   Division and System Medical Director of Hospital Medicine. In this role she
   was responsible for the management of several service lines at both Cedar
   Park Regional Medical Center in Cedar Park, TX, and Peterson Regional Medical
   Center in Kerrville, TX. Dr. Combs is also an active member of the USACS
   South Clinical Governance Board which aims to ensure consistency and quality
   patient care throughout all USACS locations. “Our team is looking forward to
   welcoming Dr. Combs as she steps into her new leadership role within our
   division,” said Brandon Lewis, DO, MBA, FACOEP, FACEP, President of the USACS
   South Division. “Dr. Combs has proven to be an outstanding leader and we are
   fully confident she will continue to excel as a regional vice president.” Dr.
   Combs said, “Being selected to fill this role for our group is an honor and a
   privilege. I am ready to embrace new responsibilities with the goal of
   leading our division to continued success. I am grateful to our existing
   leadership team for their confidence and look forward to making an impact
   both regionally and company-wide.” A board-certified emergency physician, Dr.
   Combs completed her bachelor’s and master’s degrees at the University of
   Texas at Austin then went on to earn her medical degree at the University of
   Texas Health Science Center at San Antonio. She completed her emergency
   medicine residency at Allegheny General Hospital in Pittsburgh, PA. About
   USACS Founded by emergency medicine and inpatient physicians across the
   country, USACS is solely owned by its physicians and hospital system
   partners. The group is a national leader in integrated acute care, including
   emergency medicine, hospitalist, and critical care services. USACS provides
   high-quality care to approximately ten million patients annually across more
   than 400 programs and is aligned with many of the leading health systems in
   the country. Visit usacs.com for more. ### Media Contact Marty Richmond
   Corporate Communications Department US Acute Care Solutions 330.493.4443
   x1406 richmondm@usacs.com
   
   
 * About Us
   Who We Are Mission & Values Ownership at USACS Academics National Clinical
   Governance Board Diversity and Inclusion Women's Destination National
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   OWNERSHIP MATTERS
   
   When physicians own the business, they’re empowered to make the best
   decisions.
   
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   BENEFITS
   
   An industry leading benefits package is just the beginning. A collaborative
   culture helps us thrive.
   
   Play Video World Class Benefits World Class Benefits World Class Benefits
   
 * Services
   What We Do Emergency Medicine Management Hospital Medicine Management
   Critical Care Medicine Management Observation Medicine Management Post-Acute
   Care Management Transitional Care Management OB Hospitalist Management
   Telemedicine Services Emergency Department Leadership Executive Coaching Case
   Studies
   
   
   OUR RESULTS
   
   We work to improve the health care continuum, based on our extensive research
   and experience.
   
   Read Case Studies
   
   10
   
   % INCREASE IN PATIENT VOLUME
   
   
   
   Learn More
 * Locations
   Clinical Locations
   Alabama California Colorado Connecticut Florida Georgia Hawaii Idaho Illinois
   Kansas Kentucky
   Louisiana Maryland Michigan Nevada New Hampshire New York North Carolina Ohio
   Oklahoma Pennsylvania Tennessee
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   CLINICAL LOCATIONS
   
   If you have a location in mind, use our Locations search to find clinical
   careers.
   
   Search Locations by State
   
   
 * For Patients
 * News & Resources
   News & Resources Latest News Video Gallery Podcast Case Studies Academics
   Media Center Student Loan Calculator The Shift Blog
   
   
   NEWS & RESOURCES
   
   At USACS, we are always gathering – and sharing – information. It’s through
   the process of documenting best practices, reviewing metrics and adopting
   innovative solutions that we find success with our nationwide partners.
   
   General News
   
   May 24, 2024
   
   
   
   
   US ACUTE CARE SOLUTIONS NAMES DR. SHEA COMBS REGIONAL VICE PRESIDENT OF SOUTH
   DIVISION
   
   CANTON, Ohio, May 24, 2024 – US Acute Care Solutions (USACS), the nation’s
   largest physician-owned provider of hospital-based emergency and inpatient
   medicine, announced today that it has named Shea Combs, MD, FACEP, a Regional
   Vice President of its South Division. Most recently, Dr. Combs served as the
   Regional Integrated Acute Care (IAC) Medical Director of the USACS South
   Division and System Medical Director of Hospital Medicine. In this role she
   was responsible for the management of several service lines at both Cedar
   Park Regional Medical Center in Cedar Park, TX, and Peterson Regional Medical
   Center in Kerrville, TX. Dr. Combs is also an active member of the USACS
   South Clinical Governance Board which aims to ensure consistency and quality
   patient care throughout all USACS locations. “Our team is looking forward to
   welcoming Dr. Combs as she steps into her new leadership role within our
   division,” said Brandon Lewis, DO, MBA, FACOEP, FACEP, President of the USACS
   South Division. “Dr. Combs has proven to be an outstanding leader and we are
   fully confident she will continue to excel as a regional vice president.” Dr.
   Combs said, “Being selected to fill this role for our group is an honor and a
   privilege. I am ready to embrace new responsibilities with the goal of
   leading our division to continued success. I am grateful to our existing
   leadership team for their confidence and look forward to making an impact
   both regionally and company-wide.” A board-certified emergency physician, Dr.
   Combs completed her bachelor’s and master’s degrees at the University of
   Texas at Austin then went on to earn her medical degree at the University of
   Texas Health Science Center at San Antonio. She completed her emergency
   medicine residency at Allegheny General Hospital in Pittsburgh, PA. About
   USACS Founded by emergency medicine and inpatient physicians across the
   country, USACS is solely owned by its physicians and hospital system
   partners. The group is a national leader in integrated acute care, including
   emergency medicine, hospitalist, and critical care services. USACS provides
   high-quality care to approximately ten million patients annually across more
   than 400 programs and is aligned with many of the leading health systems in
   the country. Visit usacs.com for more. ### Media Contact Marty Richmond
   Corporate Communications Department US Acute Care Solutions 330.493.4443
   x1406 richmondm@usacs.com
   
   
 * About Us
   Who We Are Mission & Values Ownership at USACS Academics National Clinical
   Governance Board Diversity and Inclusion Women's Destination National
   Advocacy USACS Foundation Leadership Team History Partners Innovations
   Interim Nurse Leader Program
   
   
   OWNERSHIP MATTERS
   
   When physicians own the business, they’re empowered to make the best
   decisions.
   
   Play Video Ownership Ownership Ownership
   

 * Careers Expand
   Back to Main Menu Close Navigation
   Why USACS Benefits Mission & Values Our Recruiters Professional Development
   Search Careers... All Clinical Careers Physicians Advanced Practice Providers
   Emergency Medicine Hospital Medicine Critical Care Observation Medicine
   Palliative Medicine Traveling Physician Pediatrics/PEM OB/GYN Hospitalist
   Corporate Careers
 * Services Expand
   Back to Main Menu Close Navigation
   What We Do Emergency Medicine Management Hospital Medicine Management
   Critical Care Medicine Management Observation Medicine Management Post-Acute
   Care Management Transitional Care Management OB Hospitalist Management
   Telemedicine Services Emergency Department Leadership Executive Coaching Case
   Studies
 * Locations Expand
   Back to Main Menu Close Navigation
   Clinical Locations
   Alabama California Colorado Connecticut Florida Georgia Hawaii Idaho Illinois
   Kansas Kentucky
   Louisiana Maryland Michigan Nevada New Hampshire New York North Carolina Ohio
   Oklahoma Pennsylvania Tennessee
   Texas Utah Virginia West Virginia
 * For Patients
 * News & Resources Expand
   Back to Main Menu Close Navigation
   News & Resources Latest News Video Gallery Podcast Case Studies Academics
   Media Center Student Loan Calculator The Shift Blog
 * About Us Expand
   Back to Main Menu Close Navigation
   Who We Are Mission & Values Ownership at USACS Academics National Clinical
   Governance Board Diversity and Inclusion Women's Destination National
   Advocacy USACS Foundation Leadership Team History Partners Innovations
   Interim Nurse Leader Program

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OWNERSHIP MEANS
COMMITMENT

A physician-owned model of care works better –
for our physicians and the hospitals they serve.
 

Why Ownership Matters +


OWNERSHIP EQUALS BETTER
PATIENT CARE

We have a vision for our future; then we work to achieve it.
 

Why Ownership Matters +


OWNERSHIP DRIVES
RESULTS

Why does a physician-owned model make a difference? Control and accountability.
 

Why Ownership Matters +


OWNERSHIP IMPROVES
PROCESSES

Ownership means we work as a team and adjust
to improve patient care – from door to discharge.
 

Why Ownership Matters +


I AM A CLINICIAN


I AM AHEALTH CARE
ADMINISTRATOR

Our Mission & Values


SERVANT'S HEART.
OWNER'S MIND.

At USACS, we embrace these core characteristics of our team. Our jobs as
physicians and acute care providers are a labor of love. We work together to
make top-level decisions that help create better patient outcomes.

See Mission and Values +




10M+
Patients
Over 10 million patient visits annually
6,000+
Clinicians
Acute care clinicians nationwide
26
States
Sites from New York to Hawaii
400+
Programs
More than 400 programs across the country


FEATURED CAREERS

EMERGENCY MEDICINE - PHYSICIAN

Valley Baptist Emergency Center Brownsville ED Volume: 10000 Brownsville, TX



Search All Careers +
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Search All Careers +
10M+
Patients
Over 10 million patient visits annually
6,000+
Clinicians
Acute care clinicians nationwide
26
States
Sites from New York to Hawaii
400+
Programs
More than 400 programs across the country




INDUSTRY LEADING BENEFITS

A competitive benefits package means more at USACS – going beyond financial
compensation to encompass everything physicians and APPs need for unparalleled
support.

 * Industry leading, 10% company-funded retirement plan
 * Top-tier medical malpractice insurance with tail coverage
 * Location flexibility
 * Empowerment through leadership opportunities
 * Continued learning and clinical training
 * 100% paid parental leave for all new parents
 * Pioneering paid military leave

This is just the beginning of our career benefits package. Find out what USACS
can do for you.

 

Physician Benefits +

SEE APP BENEFITS




Student Loan Refinancing

Because we’re physician owned, we understand paying off substantial student
loans brings financial success and peace of mind. We’re committed to helping you
pay off your student loans quickly, at the lowest rate possible. 

Student Loan Calculator +


VIDEO GALLERY

Play Video Ownership Ownership Ownership

EXPLORE ALL VIDEOS
Play Video Why I Chose USACS Why I Chose USACS Why I Chose USACS

EXPLORE ALL VIDEOS


WE CARE FOR THOSE
WHO CARE FOR PATIENTS

Find your support system, your team and your success at USACS. We believe:

 * Your expertise matters.
   We want your input, and we trust the experience of our team.
 * Our culture helps us thrive.
   With us, teamwork and camaraderie isn’t a nice “extra” – it’s essential.
 * Location is a huge differentiator.
   Being able to practice where you want to live improves quality of life.
   Family, friends and hobbies need to be part of the equation.
 * You plan for long-term success.
   We offer wealth management advice, malpractice coverage and a company funded
   retirement plan.




OUR SERVICES




LATEST NEWS

Category - Any -General NewsPress Release


General News

May 24, 2024




US ACUTE CARE SOLUTIONS NAMES DR. SHEA COMBS REGIONAL VICE PRESIDENT OF SOUTH
DIVISION

CANTON, Ohio, May 24, 2024 – US Acute Care Solutions (USACS), the nation’s
largest physician-owned provider of hospital-based emergency and inpatient
medicine, announced today that it has named Shea Combs, MD, FACEP, a Regional
Vice President of its South Division. Most recently, Dr. Combs served as the
Regional Integrated Acute Care (IAC) Medical Director of the USACS South
Division and System Medical Director of Hospital Medicine. In this role she was
responsible for the management of several service lines at both Cedar Park
Regional Medical Center in Cedar Park, TX, and Peterson Regional Medical Center
in Kerrville, TX. Dr. Combs is also an active member of the USACS South Clinical
Governance Board which aims to ensure consistency and quality patient care
throughout all USACS locations. “Our team is looking forward to welcoming Dr.
Combs as she steps into her new leadership role within our division,” said
Brandon Lewis, DO, MBA, FACOEP, FACEP, President of the USACS South Division.
“Dr. Combs has proven to be an outstanding leader and we are fully confident she
will continue to excel as a regional vice president.” Dr. Combs said, “Being
selected to fill this role for our group is an honor and a privilege. I am ready
to embrace new responsibilities with the goal of leading our division to
continued success. I am grateful to our existing leadership team for their
confidence and look forward to making an impact both regionally and
company-wide.” A board-certified emergency physician, Dr. Combs completed her
bachelor’s and master’s degrees at the University of Texas at Austin then went
on to earn her medical degree at the University of Texas Health Science Center
at San Antonio. She completed her emergency medicine residency at Allegheny
General Hospital in Pittsburgh, PA. About USACS Founded by emergency medicine
and inpatient physicians across the country, USACS is solely owned by its
physicians and hospital system partners. The group is a national leader in
integrated acute care, including emergency medicine, hospitalist, and critical
care services. USACS provides high-quality care to approximately ten million
patients annually across more than 400 programs and is aligned with many of the
leading health systems in the country. Visit usacs.com for more. ### Media
Contact Marty Richmond Corporate Communications Department US Acute Care
Solutions 330.493.4443 x1406 richmondm@usacs.com

General News

Mar 7, 2024




USACS ANNOUNCES ANNUAL CLINICAL EXCELLENCE AWARD WINNERS

CANTON, Ohio, March 7, 2024 – US Acute Care Solutions (USACS), the nation’s
largest physician-owned provider of hospital-based emergency and inpatient
medicine, is pleased to announce eight clinicians who have been named recipients
of the National Clinical Governance Board’s (NCGB) Clinical Excellence Award.
These recipients were honored during USACS’ annual Assembly meeting held in
Denver, CO, last month. The Clinical Excellence Award was created to recognize
outstanding clinical care by individual physicians and advanced practice
providers (APPs) who do not serve in leadership or management roles and
represent each USACS service line. Nominations are submitted year-round by
clinical colleagues and are reviewed at the beginning of each calendar year.
Recipients are selected and notified before the annual spring Assembly meeting.
Congratulations to the following recipients of the 2024 Clinical Excellence
Award: Matthew Baltz, MD, Bon Secours Memorial Regional Medical Center—
Mechanicsville, VA Calen Hart, MD, AdventHealth Tampa—Tampa, FL Waleed Hussein,
MD, Hazel Hawkins Memorial Hospital—Hollister, CA Omar Naji, MD, StoneSprings
Hospital Center—Dulles, VA Ryan Nguyen, PA-C, Dell Children's Medical Center of
Central Texas—Austin, TX James (Ian) Richardson, DO, Bon Secours Memorial
Regional Medical Center—Mechanicsville, VA Nathan Scherer, DO, AdventHealth ER
and Urgent Care at Meridian—Parker, CO Melissa Volpe, PA-C, Sentara Martha
Jefferson Hospital—Charlottesville, VA National Director of Clinical Education
and Vice Chair of the NCGB, Roya Caloia, DO, MPH, FACEP, shared, “These are the
people you work alongside who make you want to be a better physician or APP.
Their efforts and commitment to high-quality patient care remind you of why you
chose to go into medicine in the first place. Congratulations to each recipient,
I am honored to call each of you colleagues!” About USACS Founded by emergency
medicine and inpatient physicians across the country, USACS is solely owned by
its physicians and hospital system partners. The group is a national leader in
integrated acute care, including emergency medicine, hospitalist, and critical
care services. USACS provides high-quality care to approximately ten million
patients annually across more than 400 programs and is aligned with many of the
leading health systems in the country. Visit usacs.com for more. ### Media
Contact Marty Richmond Corporate Communications Department US Acute Care
Solutions 330.493.4443 x1406 richmondm@usacs.com


Read All News


CASE STUDIES

95

% PATIENT SATISFACTION SCORE

From Failure to Success

Learn More

90

TH PERCENTILE OR HIGHER FOR PATIENT SATISFACTION

Observation Care That Works

Learn More
See All Case Studies

Our Mission & Values


SERVANT'S HEART.
OWNER'S MIND.

At USACS, we embrace these core characteristics of our team. Our jobs as
physicians and acute care providers are a labor of love. We work together to
make top-level decisions that help create better patient outcomes.

See Mission and Values +


10M+
Patients
Over 10 million patient visits annually
6,000+
Clinicians
Acute care clinicians nationwide
30
States
Sites from New York to Hawaii
500+
Programs
More than 500 programs across the country


WE ENHANCE QUALITY
ACROSS PRACTICE AREAS


WE ENHANCE QUALITY
ACROSS PRACTICE AREAS

USACS partners with health systems to staff and manage critical hospital
services. Our practice areas include:

 * Emergency departments
 * Hospital medicine management
 * Observation medicine management
 * Post-acute care management
 * Transitional care management
 * Pulmonary and critical care services
 * Telemedicine services

And more ...

USACS offers a team of clinicians, united in purpose, providing the best patient
care within the framework of accountability, innovation and efficiency.

Contact Us +

10M+
Patients
Over 10 million patient visits annually
6,000+
Clinicians
Acute care clinicians nationwide
30
States
Sites from New York to Hawaii
500+
Programs
More than 500 programs across the country


Our Services


BRINGING CLINICAL SERVICES INTO ALIGNMENT

USACS offers a team of clinicians, united in purpose, providing the best patient
care within the framework of accountability, innovation and efficiency.

WHY OWNERSHIP MATTERS +


CASE STUDIES

94

% PATIENT SATISFACTION SCORE


INCREASING PATIENT VOLUME AND SATISFACTION

Learn More
See All Case Studies

102

BED HOSPITAL IMPROVES THE PATIENT EXPERIENCE


PROFESSIONAL EXCELLENCE GAINS TRUST AND RESPECT

Learn More
See All Case Studies


LATEST NEWS

Press Release

Jan 23, 2023




US ACUTE CARE SOLUTIONS AND ARRAY BEHAVIORAL CARE PARTNER TO DELIVER VIRTUAL
PSYCHIATRIC CARE IN EMERGENCY DEPARTMENTS

CANTON, Ohio, Jan 23, 2023– US Acute Care Solutions (USACS), the largest
physician-owned acute care practice in the nation, and Array Behavioral Care,
the nation’s leading virtual psychiatry and therapy practice, today announced a
strategic partnership to offer comprehensive acute medical and psychiatric care
services to health systems. With the newly formed Behavioral Emergency
Stabilization and Treatment(BEST) model*, USACS and Array will unite their
clinical and technological expertise to combat the growing epidemic of acute
mental illness that has impacted the nation for decades. Patients with acute
psychiatric issues have significantly higher average emergency department (ED)
lengths of stay and are more likely to stay in the ED for longer than 12 hours
than those with other medical conditions (Simko 2022)[1]. It is not uncommon for
EDs around the nation to have psychiatric patients waitingdaysfor specialist
care and transfer to appropriate institutions. The burden on psychiatric
patients and their families is paralleled by the challenges posed to the health
system, especially during this time of staffing and resource shortages. The
downstream result of delays in acute psychiatric care has a domino effect on
non-psychiatric patient care and throughput. Array’s sophisticated virtual
psychiatric care platform and clinical expertise can improve the speed of
evaluation, treatment initiation and patient throughput, which improves the
quality of care for all patients in the acute care space. Additionally, by using
virtual technology, Array and USACS will be able to facilitate quicker access to
care and further address social determinants of health. “By combining our
strengths in emergency medicine, hospital medicine and critical care with
Array’s expertise in behavioral care, we can meet the physical and mental health
needs of our patients and support our health system partners with a
comprehensive suite of acute care services,” said Chris Hummer, Chief Executive
Officer of USACS. “Our mission at Array is to help address the nation’s mental
health needs by using technology to bring licensed behavioral health clinicians
to patients everywhere. Together with USACS, we can help provide holistic care
to more patients in acute care setting,” said Geoffrey Boyce, Chief Executive
Officer of Array. “Health systems see the effects of undertreated mental illness
in our communities firsthand. Hospitals are continuing to experience massive
influxes of psychiatric patients to their emergency departments because of poor
access to outpatient mental health services. This affects not just the
psychiatric patients but all patients in the emergency department. If we can
manage psychiatric patients through early stabilization and treatment, we can
improve the quality of care and clinical operations so that all patients can be
seen faster and more comprehensively,” said Dr. Matt Patlovany, President and
Chief Clinical Officer of USACS. “At Array, we aim to deliver quality and timely
behavioral health, using evidence-based tools that meet patients where they are.
We’re excited to see how this strategic partnership can help health systems
across the nation meet the physical and mental health care needs of their
community,” said Dr. Jim Varrell, Executive Chief Medical Officer of Array. “We
at USACS have already demonstrated through our Integrated Acute Care model that
emergency medicine, hospital medicine and critical care working together can
produce better clinical outcomes for our patients and operational outcomes for
our health system partners,” added Dr. Amer Aldeen, Chief Medical Officer of
USACS. “Now, we are excited to partner with the national leader in virtual
psychiatric care to ensure that high-quality care includes both
physicalandmental health.” About USACS Founded by emergency medicine and
hospitalist physicians across the country, USACS is solely owned by its
physicians and hospital system partners. The group is a national leader in
integrated acute care, including emergency medicine, hospitalist and critical
care services. USACS provides high-quality care to approximately nine million
patients annually across more than 500 programs and is aligned with many of the
leading health systems in the country. Visit usacs.com for more. About Array
Behavioral Care Array Behavioral Care is the nation’s leading clinician-centric
virtual psychiatry and therapy practice with a mission to transform access to
quality, timely behavioral health care. Array offers telepsychiatry solutions
and services across the continuum of care, from hospital to home, through its
OnDemand, Scheduled and AtHome divisions. For more than 20 years, Array has
partnered with hundreds of hospitals and health systems, community health care
organizations and payers of all sizes to expand access to care and improve
outcomes for underserved individuals, facilities and communities. As an industry
pioneer and established thought leader, Array has helped shape the field, define
the standard of care and advocate for improved telepsychiatry-friendly
regulations. To learn more, visitwww.arraybc.com. [1] Simko L, Birgisson N E,
Pirrotta E A, et al. (June 02, 2022) Waiting for Care: Length of Stay for ED
Mental Health Patients by Disposition, Diagnosis, and Region (2009–2015). Cureus
14(6): e25604. DOI 10.7759/cureus.25604 ###

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Press Release

Jan 16, 2023




US ACUTE CARE SOLUTIONS NAMES LORI FAUVIE AS CHIEF HUMAN RESOURCES OFFICER

CANTON, Ohio, January 16, 2023 – US Acute Care Solutions (USACS), the largest
physician-owned and led acute care practice in the United States, announced
today it has named Lori Fauvie as Chief Human Resources Officer. Most recently,
Ms. Fauvie served as Vice President of Human Resources for the Parker Hannifin
Corporation, a Fortune-250 global leader in motion and control technologies, in
roles of increasing responsibility. An attorney by trade, Ms. Fauvie began her
career at Parker as an Assistant General Counsel, a position she held for five
years beginning in 2008. Prior to joining Parker, Ms. Fauvie practiced law at
Vorys, Sater, Seymour and Pease, LLP, in Cleveland. Fauvie earned her bachelor’s
degree from Ohio University and her Juris Doctorate at the Cleveland Marshall
College of Law. Chris Hummer, USACS Chief Executive Officer, said, “Lori is
going to make an exceptional addition to our executive leadership team. She has
a passion for front-line employees, the people who support the front-line, and a
deep understanding of the technologies and resources required to maintain an
engaged culture.” “I am thrilled to be joining the USACS team at such an
important time in the organization’s history,” said Ms. Fauvie. “It is apparent
already the physician-owners, and those who support them, have a deep passion
for their work, and I look forward to diving into the mission-driven culture of
USACS.” About USACS Founded by emergency medicine and inpatient physicians
across the country, USACS is solely owned by its physicians and hospital system
partners. The group is a national leader in integrated acute care, including
emergency medicine, hospitalist, and critical care services. USACS provides
high-quality care to approximately nine million patients annually across more
than 500 programs and is aligned with many of the leading health systems in the
country. Visit usacs.com for more. Media Contact Marty Richmond Corporate
Communications Department US Acute Care Solutions (330) 493-4443 x1406

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