History of the Group Practice:

Cypress Medical Associates, PSC.

 

1972

Park Hill Family Health Center

 In early 1972 Furman Knox (director of the Louisville CAC) and Dr. Maurice Fliegelman (dermatologist associated with Jewish Hospital) developed idea of a neighborhood health center to serve the California-Park Hill Neighborhood and selected Betty Fleishaker to research the project. A VISTA volunteer who worked with Mrs. Fleishaker and Susan Charles submitted and received a grant under the Federal Community Health Program to start up a community facility named initially the Park Hill Family Health Center (later changed to HealthCare of Louisville.) Congress never officially authorized the Community Health Program which issued grants for start up health centers, but by the time it scuttled the program the 42 grants (including that to Park Hill FHC) were allowed to continue. 28 of the 42 health centers survived during the initial grant period.

Executive Director - Betty Fleishaker
Others involved at start and the early years: Dr. Maurice Fliegelman, Susan Charles, Ted Winfield, Bob Evans, Gary Chapman, Bob Chappell, Billie Burch, Charles Brightwell, Luanna Sanders, et al.

1973

HealthCare of Louisville

St. George's Catholic Church convent at 1809 Standard Ave. was remodeled as medical facility. Bob Evans supervised much of construction.
With the advent of the Federal HMO Act of 1973, the Board of Directors received approval as a pre-paid staff model HMO and changed the name to HealthCare of Louisville, Inc.

 In the early days the Board of Directors included Betty Fleishaker, Paul Schweitzer, Frank Doheny, Dee Dee Jones, Don Shelton, John Blalock, Ted Winfield, Richard Miller, Mattie Hart, Larry Kries, June Fussenegger, Dan Klein among others. There was also a Member Council.
 

 

1974

HealthCare of Louisville


(non-profit staff model HMO or pre-paid insurance-health delivery plan)
First office at 1809 Standard Avenue; doors opened June 1974
[In Sept. 1991 Standard office operations moved to 2650 W. Broadway]
In the early days HCL members requiring hospitalization were taken to Jewish Hospital. Many of the JH specialists provided care:
(Weiss, Leight, Zegart, Waterman, Fliegelman, Pence, Sweitzer, Harkess et al.)
and several served on the board of directors.

Executive Director - Betty Fleishaker
Assoc. Director - Ted Winfield
Financial Officer - Bob Chappell
Medical Director: Robert Alter

 

1975

HealthCare of Louisville

 

HealthCare of Louisville Exec. Director - Betty Fleishaker
Assoc. Director - Ted Winfield
Medical Director - Robert Alter; Lester Garfinkel in Oct 1975

1976

HealthCare of Louisville
On April 2, 1976, HealthCare became the 12th Federally qualified HMO under provisions of the Federal HMO Act of 1973.

Exec. Director - Betty Fleishaker
Assoc. Director - Ted Winfield
Medical Director - Lester Garfinkel

 

1977

HealthCare of Louisville
Exec. Director - Betty Fleishaker
Assoc. Director - Ted Winfield
Director of Operations - Phillip Moore
Medical Director - Lester Garfinkel
  

1978

HealthCare of Louisville


Bishop Lane Office opened Aug 1978
[Bishop Lane operations moved to Newburg Rd in 1992]

Executive Director - Betty Fleishaker
Associate Director - Ted Winfield
Medical Director - Lester Garfinkel
Health Services Manager - Ellen Wells, Ree Murakami, Margaret Hohman

1979

HealthCare of Louisville
In the spring of 1979 rising costs forced an administrative change during which Tom Byrd and later Garrard Kramer served as a management consultants for the Board of Directors.

Executive Director - Betty Fleishaker until April; Tom Byrd; Garrard Kramer in Aug
Medical Director - Lester Garfinkel until July; Tom James III
Health Services Manager - Ellen Wells

 

1980

HealthCare of Louisville

 

Exec. Director - Garrard Kramer
Assoc. Director - Paul Stamp
Finance Director - John Pearce
Medical Director - Tom James III
Health Services Manager - Sister Rebecca Miles

 

 

1981

HealthCare of Louisville


In March 1981 the Board of Directors of HealthCare of Louisville, Inc.. approved a management agreement with Healthplans Management Corporation of Nashville. Under the agreement, Healthplans assumed responsibility for the administrative aspects of the HMO, while HealthCare remained responsible for the delivery of health care benefits and services. There was also an option for Healthplans to purchase HealthCare in the future. Healthplans of Nashville also contracted to manage a group practice in Lexington and changed its name to Health Plans of Kentucky. Within a couple of years Healthplans made other acquisitions and changed its name to HealthAmerica. [In April 1984 HealthAmerica exercised its option and purchased HealthCare of Louisville outright.]
The new Healthplans management created a new logo of HealthCare in Dec '81.

CEO of Health Plans of Kentucky - Phil Bredesen
Exec. Director - Garrard Kramer until April, Richard Cooper
Assoc. Director - John Pearce
Member Services - Paul Stamp
Medical Director - Tom James III until July; Richard Cooper
Health Services Manager - Sister Rebecca Miles

 

1982

HealthCare of Louisville

Hurstborne Office opened Nov 1982
[Hurstborne office moved to Middletown in July 1992]

Exec. Director - Richard Cooper
Associated Directors - John Pearce and Paul Stamp
Medical Director - Richard Cooper until July 1982; Tom James III

 

1983

HealthCare of Louisville
 

Exec. Director - Richard Cooper until Aug; John Pearce
Assistant Director - Paul Stamp
Medical Director - Tom James III
Assistant Medical Director - Robert Gormley
Assoc. Medical Director (Lexington) - Halley Faust in June

 

 

1984

 

 

HealthCare of Louisville > HealthAmerica

 HealthCare of Louisville offices became part of HealthAmerica in April 1984, and the group became a "for-profit" staff model HMO.

Greentree Office opened in October 1984.
HealthAmerica CEO - Phil Bredesen (Nashville)
HealthAmerica Board of Directors - Bredesen, Richard Eskind, Gerald Newman, et al.
Exec. Director (Louisville) - John Pearce
Director of Operations - Paul Stamp
Medical Director - Tom James III until April; Robert Gormley

 

1985

HealthAmerica

 

Southwest Office opened in May 1985

HealthAmerica CEO - Phil Bredesen
Exec. Director - John Pearce until Sep; Robert Gormley
Medical Director - Robert Gormley

 

1986

 

 

HealthAmerica > Maxicare

 

HealthAmerica sold offices to Maxicare in Oct 1986; by 1991 Bredesen had sold all of HealthAmerica to Maxicare for $400 million.
The group operated a mental health office in the Heyburn Building for abt 2 yrs.

HealthAmerica CEO - Phil Bredesen (Nashville)
Maxicare CEO -
Maxicare General Counsel - Alan Bloom (Los Angeles)
Executive Director - Robert Gormley
Medical Director - Robert Gormley until June; J. Edward Greene

Mental Health Group:

 

1987

 

Maxicare

Maxicare CEO - (Los Angeles)
Maxicare General Counsel - Alan Bloom


Exec. Director - Robert Gormley until Feb, Bob Young until Sept, Sharon Ware
Operations Manager - Sharon Ware in Sept
Medical Director - Robert Gormley [left in Jan]; Jeff Burton [1 mo]; John Crum
PON (Physician Offices Network) Director - Tim Saum

 

 

1988

 

 

Maxicare > Humana

Maxicare sold Louisville & Lexington offices to Humana July 1988
[Maxicare filed for bankruptcy protection in the fall of 1988.]

Maxicare General Counsel - Alan Bloom (Los Angeles)
Humana Chairman of Board & CEO - David Jones
Humana President & COO - Wendell Cherry
Exec. Director of Humana Health Plan in KY - Karen (Sholtis) Coughlin
Operations Director - Sharon Ware
Medical Director - John Crum until Dec 1988; Sharon Ware

 

1989

Humana

 

Humana Chairman of Board & CEO - David Jones
Humana President & COO - Wendell Cherry
HHP Exec. Director - Karen (Sholtis) Coughlin; Sharon Ware; Vicki Hatfield in Dec
Med Director - Sharon Ware; William Runyon in Mar 1989

 

1990

Humana

  

Humana Chair. of Board & CEO - David Jones
Humana President & COO - Wendell Cherry (Carl Pollard temporary assist)

HHP Exec. Director - Vicki Hatfield Gregg
Assoc. Exec. Director - Kathy Kregor in April 1990
Medical Director - William Runyon until Aug 1990; Kathy Kregor

Locums

1991

Humana
Preston Office opened in June 1991; in May 2002 Preston group operations ceased.
Standard office operations moved to 2650 W. Broadway in Sept. 1991
Wendell Cherry died July 16, 1991

Humana Chairman of Board - David Jones
Humana President & CEO - Carl Pollard
HHP Executive Director - Vicki Hatfield Gregg
Assoc. Director - Kathy Kregor until September, Mike Funk
Med Dir - Robert Rosenberg [1 yr], Jim Nadler [5 yrs, Feb 1991 - Nov 1995]

 

1992

Humana

 Middletown Office opened July 1992, replaced the Hurstborne office
Newburg Office opened Sept 1992, replaced the Bishop Lane office
In the fall of 1992 Humana split its insurance/office management business (Humana Health Plans - David Jones) away from the hospital business (Galen - Carl Pollard > Columbia/HCA - Tom Scott > Norton).

Humana Board Chairman - David Jones
Humana President & CEO - Carl Pollard
Humana Medical Director - Ron Lankford
HHP Executive Director - Vicki Gregg
Associated Director - Mike Funk
Medical Director - Jim Nadler

 

1993

Humana Health Plan


Humana HP Board Chairman & CEO - David Jones
Humana HP President & COO - Wayne Smith
HHP Exec. Director - Vicki Gregg
Assoc. Director - Mike Funk, Dick Mancini; Ted LaBetz in July 1993
Medical Director - Jim Nadler

 

1994

Humana Health Plan

  

Humana HP Board Chairman & CEO - David Jones
Humana HP President & COO - Wayne Smith
HHP Executive Director - Vicki Gregg
Associate Exec. Director - Ted LaBetz until Mar; James Hartert in Mar 1994
Operations Director: Brian Taylor
Medical Director - Jim Nadler

 

1995

Humana Health Plan
Humana HP Board Chairman & CEO - David Jones
Humana HP President & COO - Wayne Smith
HHP Exec. Director (Kentucky Region): Vicki Gregg until Dec 1995
Assoc. Exec. Director: James Hartert
Medical Director - Jim Nadler until Nov 1995; Paranita Bratton
(43 staff physicians and about four PA/NPs in January.)

 

1996

Humana Health Plan
Humana expansion plan into Washington, D.C. and other points in east floundered, and stock price declined from about 28 to 16 in first quarter.

Humana Board Chr. & CEO - David Jones
Humana COO - Wayne Smith left company; Greg Wolf named COO in July 1996
Assoc. Exec Director - James Hartert, Matt Emons, Scott Latimer
Medical Director - Scott Latimer
Medical Director (Wholly Owned Centers) - Paranita Bratton

 

1997

 


 

 

Humana Health Plan
Floyd Co Indiana Office opened Jan 27, 1997; closed Dec 2000.
New Humana Logo rolled out in March 1997 followed by announcement in late May that it was considering a sale to United HealthCorp of Minneapolis. The merger failed.
Humana began implementation of hospitalists (Hospital Inpatient Management System - HIMS) in '97.

Humana Board Chr & CEO - David Jones (1st retirement as President, Dec 1997)
Humana President & Chief Operating Officer - Greg Wolf [became CEO Jan 1, 1998]
Humana HP execs (other) - Tim Moore, Jerry Reeves, Robert Horrar, Karen Coughlin (left in Oct '98), Craig Drablos.
Humana HP Medical Director (Ky region) - Scott Latimer
Medical Director - Paranita Bratton until July; Henry Luban in July 1997 (from Lexington)
(There were 47 staff physicians and one PA in January 1997)
Hospitalists: HIMS > HIMA group [Jul 1997]:

 

1998

 

 

Humana Health Plan > Cypress Medical Associates, PSC

Humana Health Plan stopped managing office practices Aug 1, 1998
Name changed to Cypress Medical Associates, PSC
(managed by APCP/Telesis > Vectis > PWLink through Dec 31, 2001)

Humana Chairman of Board - David Jones
Humana President & CEO - Greg Wolf [resigned Aug 1998]; David Jones again served as President and CEO until Feb 2000 when Mike McAllister took the reigns. Jack Lord also joined as VP in 2000 and began strong internet push.)
(Humana's attempted merger with United had failed in 1997, and there was a 46% drop in revenue in 2nd quarter of 1998. Stock price fell from a high of $31.69 in June to $11 in August; stock reached it's nadir of $4.75 in June 2000 but rebounded to $12 in Oct 2002 and about $22 at end of 2003.)

APCP/Telesis staff - Rick Zoll, Joe Lynaugh, Greg Ciliberti, Tom Samuels, et al.
Operations Manager - Brian Taylor
Medical Director - HenryLuban; Rex Lagerstrom in April 1998

 

1999

 

 

 

Cypress Medical Associates, PSC

 


APCP/Telesis staff - Rick Zoll, Joe Lynaugh, Greg Ciliberti, Tom Samuels, et al.
Operations Manager(s) - Brian Taylor, Betty Abbott, Pam Zipperer-Davis, Paula Bartley
Medical Director - Rex Lagerstrom until May, Traci Edwards

 

2000

 

 

 

Cypress Medical Associates, PSC

 Cypress was managed by APCP & Telesis > Vectis, which changed name to Physicians Weblink in March; Encounter Link rolled out in April to Sw, Gt, Mtn - discontinued Feb 2001
Floyd IN Office closed Dec 2000
Telesis > Vectis > PWLink execs - Rick Zoll & Joe Lynaugh; Brad Burkett & Peter Kase
Operations Manager - Paula Bartley
President of the PSC - Traci Edwards

 

2001

 

 

Cypress Medical Associates, PSC

Cypress was managed by Physician Weblink/APCP until Dec 31, 2001

PWLink execs - Peter Kase; Breaux Castleman, et al.
Operations Manager - Paula Bartley until June, Spencer Boyer after June
President of the PSC - Traci Edwards

 

 

2002

Cypress Medical Associates, PSC

  

Cypress Med Assoc. closed its Urgent Care practice at Newburg in March.
Cypress Med Assoc. closed its operations in Preston Office May 2002; Humana continued to rent the Preston office space to Dr. Dresser (Peds) and Dr. Chary (private IM practice).
Operations Manager - Sterling Medical Consultants (Samuels, Pederson, Thompson, Wilkerson, et al)
President of the PSC - Traci Edwards

 

2003

Cypress Medical Associates, PSC

 

Operations Manager - Sterling Medical Consultants (Samuels, Pederson, Thompson, Wilkerson, et al)
President of the PSC - Traci Edwards

As it ended 2003 Cypress Medical Associates consisted of fifteen physicians, a physician assistant and about eighty support staff who provided medical services in five offices:

Newburg: Box, Miller, Newstadt, Remson, Tanamachi, Witherington
Middletown: Inbaraj, Metz-Dunn, Minter-Sauer, Watters
Broadway: Adams, Arnett, Remson, Vissing
Southwest: Edwards, Samples
Greentree: Adams, Joshi

(For the first year of its nearly 30 yr. history no new providers were hired and none left.)

2004

Cypress Medical Associates, PSC

 

Operations Manager - Sterling Medical Consultants (Samuels, Pederson, Thompson, et al)
President of the PSC - Traci Edwards

As it entered its 30th anniversary year in 2004 Cypress Medical Associates consisted of fifteen physicians, a physician assistant and about eighty support staff who provided medical services in five offices:

Newburg: Box, Miller, Newstadt, Remson, Tanamachi, Witherington
Middletown: Inbaraj, Metz-Dunn, Minter-Sauer, Watters
Broadway: Adams, Arnett, Remson, Vissing
Southwest: Edwards, Samples
Greentree: Adams, Joshi

In April Dr. Adams moved to Broadway full-time and transferred her Pediatic practice at Greentree to Broadway.

In May Dr. Bratton rejoined the Broadway group and closed her previous private practice at 31st and Broadway.

In June Dr. Miller left Newburg and moved to Columbus, OH.

By the end of July Drs. Joshi, Inbaraj, Metz-Dunn, Minter-Sauer and Watters left the practice resulting in the closure of the Greentree and Middletown offices.  Dr. Joshi opened his own solo practice in IN and Drs. Inbaraj, Metz-Dunn, Minter-Sauer and Watters left to join a CMA group.

Effective December 31, 2004, Drs. Box, Newstadt, Tanamachi and Witherington vacated the Newburg office and joined CMA while Drs. Edwards and Samples joined Caritas which took over operation of the Southwest office.

 

2005

Cypress Medical Associates, PSC

 

Billing and Financial Manager - Sterling Medical Consultants (Samuels, Pederson, Thompson, et al)
President of the PSC - Anthony Remson

After a tumultous 2004 Cypress Medical Associates entered 2005 with four physicians, a physician assistant and about fourteen support staff who provided medical services in two offices:

Newburg: Remson
Broadway: Adams, Arnett, Bratton, Remson, Vissing (PA-C)

 

2006

Cypress Medical Associates, PSC

 

Billing and Financial Manager - Sterling Medical Consultants (Samuels, Pederson, Thompson, et al)
President of the PSC - Anthony Remson

Cypress Medical Associates began 2006 with four physicians, a physician assistant and about fourteen support staff who provided medical services in the two offices listed below. Elisa Gentry, a nurse practitioner, joined Dr. Remson at the Newburg office. In July, 2005, the group learned that Humana sold the 2650 Broadway building to Seven Counties who planned to occupy the entire facility at the end of Cypress' lease Dec 31, 2006. By August 2006 the group had selected the 2500 Building as its next location and began the process of modifying the old Quiznos space. In early December 2006 the group learned that Seven Counties required Cypress to clear out the basement as well. The basement contained about 12,000 boxes of charts from many of the previous centers as well as Bluegrass in Lexington. Through heroic efforts all these boxes were moved, mostly to the second floor and basement of the new 2500 Building. At the beginning of 2006, Dr. Remson moved to offices on the first floor of Newburg. Humana sold the Newburg to the Watterson Group in 2006.

Newburg: Remson, Gentry
Broadway: Adams, Arnett, Bratton, Remson, Vissing (PA-C)

 

2007

Cypress Medical Associates, PSC

 

Billing and Financial Manager - Sterling Medical Consultants (Samuels, Pederson, Thompson, et al)
President of the PSC - Anthony Remson

Cypress Medical Associates began 2007 with four physicians, two mid level providers and about fourteen support staff who provided medical services in two offices. For the first three months of 2007, the Broadway Cypress group worked in temporary quarters in the Lyles Mall. On March 26, the group began seeing patients on the first floor of the 2500 Building. Dr. Bratton left the practice in early June to work at Park Duvalle.

Newburg: Remson, Gentry (NP)
Broadway: Adams, Arnett, Remson, Vissing (PA-C)

 

 

2008

Cypress Medical Associates, PSC

 

Billing and Financial Manager - Sterling Medical Consultants (Samuels, Pederson, Thompson, et al)
President of the PSC - Anthony Remson

Cypress Medical Associates began 2008 with four physicians, two mid level providers and about fourteen support staff who provide medical services in two offices.

Newburg: Remson, Gentry (NP)
Broadway: Adams, Arnett, Remson, Vissing (PA-C)

 

Notes:

Providers - listed according to aprox date service began [length of service - aprox date of departure; main office]. IM - Internal Medicine, FP - Family Practice, Ped - Peds, Surg - Surgery, OG - ObGyn, PA - Physician Assistant, NP - Nurse Practitioner, MDir - Medical Director, et. al.

* The Pediatric group: Burton, Wampler, Cowley and Maeser formed a separate practice called All Children Pediatrics which rented from Humana its former space at the Middletown office for several years before moving to its current location on Blankenbaker Rd.

** When Cypress Medical Associates ceased its operations at the Preston Office, Dresser's group continued to rent space from Human for its practice (separate from Cypress). Dr. Chary continued a private adult practice (separate from Cypress) at the Preston office as well.

I've prepared this summary from various memos and records saved over the years. I've not consulted administrative personnel records, and this does not constitute an official record of service or history. If you wish to make corrections or addition to this record contact me at jwarnett@aol.com. These notes are compiled with appreciation for all (providers, staff and administration) who've labored in this organization during these past thirty years and as a service to those who enjoy remembering days gone by whether fondly or otherwise. -- J.W.Arnett, M.D.

The following providers have died:

Mary Ann Baldwin, Noel Harris, L.J. Klein, Martin Pellman, Pat Pendleton, Rodney Peterson, Jim Douglas, Peter Jannace and others of whom I'm unaware who have by now also passed on.

Alphabetical list of names of providers 1974-2004

copyright Ó 2004, 2006 John Arnett

Revised: 11-20-2007