Partner with Experts Who Know How to Achieve Prosperous Performance

With our team of proven health care operations executives, you can experience a new measure of excellence for your ASC. We deliver prosperity whether we are maximizing your ASC’s development, management or billing.
Since 1999, PINNACLE III has delivered a comprehensive range of services and solutions to over 40 clients achieving impressive results for a diverse range of single-specialty practices, physician-owned ASCs and multi-specialty joint ventures with hospital partners. We make certain you avert common pitfalls of managing the financial and operational needs of your facility. We excel at rallying everyone in your facility around a shared idea of success so you can avoid the stress and frustrations common to under-performing ASCs.

  • Strategic growth planning – including feasibility studies, market analysis and financial planning resulting in greater efficiencies throughout your center
  • 10%-20% reduction in capital expenses over standard Group Purchasing Organization (GPO) pricing
  • Lower pricing for supplies
  • Up to 20% savings on equipment maintenance agreements
  • Appreciable savings on liability, property and casualty insurance
  • Consistent achievement of collection goals
  • Write-offs due to denials of less than 1%

Veteran ASC Management Executives

With decades of experience managing all aspects of development, management and billing, our executive team shines by earning your team’s trust and ensuring unsurpassed performance at your ASC.

Candid Approach

We have found that business jargon complicates projects even further. We tell it like it is, providing direct, honest feedback that helps everyone succeed.

Hands-on Process

Our management team is 100% accountable for every aspect of your project, with our executives providing an active on-site presence and board-level involvement. We also deliver monthly reports that assess our work against your expectations.

Offering Flexible Equity Models

For most consultants, the word “partner” usually means having an equity stake. At PINNACLE III, we understand that one size never fits all, which is why we offer reimbursement models that meet your financial goals.

Fully Compliant With Every Regulation

Regulations change rapidly and often. Making sure your ASC adheres to every requirement is our job. We specialize in removing the guesswork from the red tape – from financial development, to State licensure and Medicare certification, to HIPAA and OIG compliance – and beyond.

Creating Cultures Where Everyone Can Thrive

Your entire staff – from your surgeons to your business office – performs best when they feel comfortable and empowered by a healthy culture. Our approach helps create a lasting positive influence on your culture, leading everyone to more optimistic experiences every day.

Improved Patient, Physician, and Employee Satisfaction

No strategy or methodology will succeed unless your people and patients are happy. High turnover rates can interfere with the lasting effectiveness of any project. That’s why we are extremely proud of the low 4% turnover rate among the ASCs with which we work.

Full Turnkey Solutions or Individual Services

From day-to-day management to outsourced and centralized billing solutions, we supply the right expertise and a complete suite of services. And we tailor our solutions to the particular needs of your project.


Robert J. Carrera

President & CEO

With over 25 years of health care experience, Rob has spent the last 20 years developing and managing ASCs, physical & occupational rehabilitation centers, diagnostic imaging facilities, and occupational medicine clinics in a multi-state region. Rob provides expertise in operational and financial controls and management to Pinnacle III’s clients, as well as business development for our managed centers and physician partners.


Rob’s innovative operational approach has created solid physician loyalty to the ancillary entities he oversees. Organizations who have adopted Rob’s recommended action plans experience increased volume and enhanced bottom line performance while maintaining a high level of customer satisfaction and quality of care.


Rob has been active legislatively at the state and national level regarding issues affecting ASCs. He was one of founding members of the Colorado Ambulatory Surgery Center Association (CASCA) and formerly served as its vice president. Rob received his Bachelors of Science in Physical Therapy from Wayne State University in Detroit, Michigan.

Richard L. DeHart

Principal Partner

Rick DeHart, co-founder of Pinnacle III, is a leading health care executive with more than 25 years of experience in the outpatient health care industry. His vision and collaborative management style brought together a nationally recognized team of experts in ancillary service development and management. Rick provides Pinnacle III’s clients with expertise in strategic planning, development and management of ASCs, diagnostic imaging, and physical rehabilitation services.


Since its inception in 1999, Pinnacle III has been recognized as a key player in the national health care consulting market. Prior to Pinnacle III’s creation, Rick oversaw the management of 14 surgery centers in 5 states for one of the nation’s largest publicly traded surgery center companies. He also provided operational services for several outpatient rehabilitation facilities. He is a graduate of California State University at Chico.

Lisa A. Austin, RN, CASC

Vice President of Facility Development

Lisa has been an RN for over 35 years with the majority of those years spent in the ambulatory care arena. Lisa’s extensive operational development, management, and consulting experience provides clients with expertise in facility administration, budget development, regulatory compliance, staff recruitment, equipment procurement, policy and procedure development/implementation, and organizational interfacing. Her national ASC and HOPD development expertise affords unparalleled success to clients who are opening new facilities or turning around under-performing facilities. Lisa has developed and provided ongoing management services to numerous surgery centers nationwide working in concert with investors, corporations, hospitals, architects, builders, equipment manufacturers and distributors throughout all phases of surgery center development and management.


Lisa has achieved her CASC designation the credential that connotes expertise in ASC administration. She has served on the executive board of the Colorado Ambulatory Surgery Center Association (CASCA) and has chaired multiple CASCA committees (Emergency Preparedness, Public Policy Symposium, and Government Relations). She also serves on various committees for the Ambulatory Surgery Center Association. She has been with Pinnacle III since 2004.

Kelli McMahan RN, CASC

Vice President of Operations

Kelli, an RN for 30 years, began her career as a surgical technician. Upon completion of her nursing degree, she assumed roles with increasing responsibility, eventually becoming the Assistant Head Nurse in a 450 bed, 16 OR surgical suite hospital. When presented with the opportunity, Kelli assisted with the operational development and management of a large physician-owned ambulatory surgery center in Fort Wayne, Indiana. At the completion of her 12 year stint in this arena, the ASC she managed performed 7,000 procedures in its four operating rooms, one procedure room, and five overnight suites and implemented total joint and spine programs.


Kelli assisted the Lutheran Hospital of Fort Wayne in implementing a new self-contained orthopaedic hospital for inpatient orthopaedic procedures. Her knowledge in all aspects of ASC operational development and management, and her expertise in equipment procurement, budgeting, supply costing, managed care contracting, and physician relations has resulted in successful completion of numerous AAAHC and Medicare surveys across the country, since joining Pinnacle III in 2006, Kelli has developed and managed numerous surgical centers. She currently functions as Vice President of Operations assisting Pinnacle III’s directors of operations with management oversight of Pinnacle III facilities.


Kelli served on the board of the Indiana Federation of Ambulatory Surgery Centers for three years. She also served a three year term on MedAssets Surgery Center Advisory Board and worked closely with the Wisconsin Ambulatory Surgery Center Association. Kelli possesses the CASC (Certified Administrator Surgery Center) credential.

Carol Ciluffo

Vice President of Revenue Cycle Management

Carol joined Pinnacle III in September 2008 to lead the operations of Specialty Billing Solutions. She oversees a staff of 20 employees in three departments and serves as an integral member of Pinnacle III’s executive management team.


Carol possesses 30 years of service in the health care arena. Recognized for her extraordinary initiative and sharp intellect, she quickly rose from front line positions in chiropractic and home health offices to a regional business office operations coordinator role in a nationally recognized rehabilitation corporation. Subsequently, she served as COO for a well-known spine and rehabilitation practice in the Denver metro area and as an area administrator for the health services division of a large occupational health corporation. Just prior to accepting her position at Pinnacle III, Carol spent eight years as practice manager in two distinct multi-physician, multi-location interventional pain management practices.


Carol earned her Bachelor’s degree in Marketing from Colorado State University in Fort Collins and has held numerous executive board positions in various non-profit organizations across the country.

Daniel J. Connolly

Vice President of Payor Contracting

As Vice President of Payor Relations & Contracting, Dan performs all aspects of managed care contracting including contract negotiations, renegotiations, and analysis; market analysis; contract implementation and reimbursement compliance monitoring for ASCs in multiple markets.


Dan has worked in the health care industry for over 25 years both on the ancillary provider and payor sides providing him with a unique perspective that is unmatched by many industry colleagues. Dan has been with Pinnacle III since 2008. Previous to his tenure with Pinnacle III, Dan fulfilled roles as a workers compensation claim adjuster, claims supervisor, cost containment specialist, network development specialist, and founder/director of a large provider-based, fully-integrated occupational health network.


Dan is certified in risk management by the Insurance Institute of America, has a Bachelor of Science degree in Business from the University of Colorado, and a Master’s degree in Healthcare Systems from the University of Denver. Dan has served as chair of the Colorado Ambulatory Surgery Center Association’s (CASCA) Legislative and Government Affairs Committee. He was awarded CASCA’s Clutch Player Award in 2010 and 2016 for his assistance negotiating with legislators, special interest groups, and regulatory agencies on behalf of the surgery center industry.


Dan, recognized by national publications as one to know in the ASC industry, is routinely interviewed by, and quoted in, numerous trade articles. His vast experience and knowledge in negotiating ASC reimbursement, and securing optimal reimbursement for spine and total joint replacement procedures, has led to frequent requests to speak at both state and national trade association events.

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