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HCCA Management Co

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Global Management Team

Below is a sampling of HCCA’s executive talent listed by section of responsibility. The HCCA hospital management team represents a combination of talent with proven management experience around the world and in the United States as well.

Clinical Section


Nursing Executive - MSN
Since the early 1970s this nurse executive has worked throughout England, Asia, and the Middle East with duties ranging from department director to director of nursing. Her work has included assignments in hospitals from 60 beds to 700 beds ranging from England to the Kingdom of Saudi Arabia, Pakistan, India, Qatar, Yemen, and Bangladesh, among others.
In addition to line nursing management expertise, this executive has experience with start-up enterprises and with training and education to national and international standards. For various hospitals she has developed operational strategies and policies and procedures, implemented and established international safety goals, modified working practices, and identified patient care improvement opportunities.


Karla Calderon Naseem Kasam, RN, BS
Naseem Kasam is HCCA’s Director of Clinical Operations and Recruitment. She brings seventeen years of clinical health care and quality experience to the HCCA team. Kasam began her nursing career in Memphis, TN and continued in trauma step down at the University of KY, Lexington. Upon earning a degree in health administration, she began managing the physician peer review program at a local hospital. She then became manager of clinical quality for a radiology benefits managed care organization. Among Kasam’s duties at HCCA are nurse recruitment and sponsorship, education, quality, acculturation and project management.

Administrative Section

Ron MarstonRonald Marston - Ph.D.
Chairman and CEO
Ron Marston’s leadership of HCCA began in 1973 when he joined the then-named Hospital Corporation of America (HCA) and was responsible for establishing and managing the company’s international management and staffing contracts initially in the Kingdom of Saudi Arabia.
Marston later moved to London where he continued HCA’s Middle East operations and became chairman of HCA United Kingdom and president of HCA’s Europe and Middle Eastern Region.
In 1986, Marston became President of HCA International and was responsible for the operation of over twenty five hospitals and for new business development and management efforts in more than eighteen countries. In 1990 Marston led the privatization of HCCA and, along with his management team, purchased the firm from HCA beginning its history as a private company which continues today.


Robert Crowder Robert S. Crowder, MPH
Bob Crowder’s hospital administration career has spanned from multiple locations in the United States and continues to the Kingdom of Saudi Arabia where his duties have included the administration of single and of multi-hospital organizations.
Crowder’s experience in the Middle East includes administrative assignments for an ophthalmology specialty hospital, general tertiary hospitals, and for military hospitals. Among these hospitals were well established, leading facilities with established reputations as well as newly commissioned hospitals and medical centers that were in true start-up development.Crowder’s experience in the Middle East includes administrative assignments for an ophthalmology specialty hospital, general tertiary hospitals, and for military hospitals. Among these hospitals were well established, leading facilities with established reputations as well as newly commissioned hospitals and medical centers that were in true start-up development.
Crowder is known among physicians as a patient-advocate administrator where quality patient care, financial performance, and ethical management are equally weighted goals.


Bernard (Bud) Costello Bernard Costello - FACHE, MPA, BS
Bud" Costello has over twenty five years of hospital management experience, progressing from department manager to Assistant Administrator to Chief Executive Officer. His experience includes leadership positions in both investor owned "for profit" facilities as well as government operated "not for profit" institutions.
Costello's international assignments includes a position as Administrator of a new hospital in Saudi Arabia that grew from 30 beds to well over 300 beds, adding new medical services, including an Organ Transplant Program along the way. He was also a vital part of a small administrative team that converted a 1,600 bed government hospital in Singapore to a private facility with an American management structure. Other assignments included, CEO at the opening of 100 bed private hospital in Dubai that focused on JCAHO standards of healthcare delivery.
Costello's experiences of more than 10 years as a CEO of U.S. Hospitals and his 12 years in leadership positions in International Health care facilities, makes him a vital member of our international management team.


 Administrator - , FACHE, MHA, BA
This administrator has over thirty years of health care executive experience in both the United States and in the Middle East. He has served as the CEO of hospitals and of an HMO health plan.  His expertise includes hospital operations, managed care, global hospital network development, due diligence reviews, accreditation, and health industry consulting. He has also managed new hospital commissioning endeavors, information system implementation, long range strategic planning projects, and physician/hospital joint venture initiatives.


Ted MerhoffTed L. Merhoff - , MHA, BA
Ted Merhoff is HCCA’s vice president, development, which he approaches from a background of hospital operations in America. Merhoff has been a part of HCCA since 1999 and joined after serving ten years in various hospital management positions. His responsibilities included serving as Associate Administrator of a community hospital and ultimately Executive Manager of several departments of a teaching hospital. Merhoff possesses accreditation expertise as well as the ability to understand critical issues in the day-to-day operation of a health care facility and an ability to analyze health care markets for new development opportunities.

Finance Section


Chief Financial Officer - CPA, BS
This executive has experience as the chief financial officer of for profit hospitals and for surgical centers owned by private corporations as well as publically traded (United States) national health care companies. He has also provided chief accountant work within the corporate office of a national privately held for profit hospital operator. This executive has experience with mergers and acquisition, managed care/insurance company negotiation, facility and department start-up, staff recruitment, physician negotiation, and revenue cycle expertise.


 Controller - CPA, BA 
This executive has experience as a controller and  chief financial officer positions with hospitals in excess of 250 beds and operating budgets of USD$100 million in the United States, the United Arab Emirates, and in the Kingdom of Saudi Arabia.
His interests and passions include feasibility studies and hospital start-up operations. For new hospital projects, he has led teams that have established hospital finance departments which include departments of finance, purchasing, materials management, property control, and business office. His responsibilities included implementing all department policies, procedures, financial and information systems, staff recruitment, fixed asset and disposable materials acquisition.
He has also held line management responsibility for finance departments including general accounting, cost and budget, payroll, accounts, payable, inventory accounting, patient billing, cashier’s office, and property control. He has managed all aspects of financial reporting including the generation of financial statements and preparation for external audit and reporting to hospital boards and government sponsors.

Human Resources Section

Joe GilinskyJoe Gilinsky
Joe Gilinsky is HCCA’s vice president and managing director, Asia Pacific and Middle East regions. Gilinsky joined HCCA in 1975 and has served as director of international human resources, director of Middle East international human resources, and director, Far East international human resources until 1987. Gilinsky was responsible for opening HCCA’s offices in Lebanon, Egypt and in the Philippines. Over the years, Gilinsky has been directly involved with international health care recruitment, sourcing and deploying nurses to and/or from such diverse countries as Korea, Thailand, Egypt, Lebanon, Saudi Arabia, UAE, China, India, Singapore, Canada, the United Kingdom, and the Philippines.

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