Board of Directors

  • Andres Lerner, MD

    Board Certified by the American Board of Surgery, Andres Lerner MD moved to Texas after completing the Hand Upper extremity and Microvascular Surgery Fellowship program, at the University of California San Francisco. From the beginning of his career, he has focused and specialized in minimally invasive procedures for the treatment of peripheral nerve pathologies like carpal tunnel syndrome and other similar conditions. In addition, he has been dedicated to performing advanced arthroscopic techniques for diagnosis and treatment of wrist and hand arthritis and traumatic conditions. Consistent with his commitment to a minimally invasive treatment approach,  He has become involved and incorporated into his practice, the use of latest advances in regenerative medicine and cell therapy procedures. These regenerative medicine therapies represent a perfect complement to his practice allowing him to provide alternative or additional treatment options that can prevent or delay the need for surgery and /or used in combination with surgery to augment outcomes in challenging clinical situations. He continues to provide this expertise in his private practice in Austin while expanding on his already extensive experience taking care of traumatic injuries of the upper extremities that include fractures, neurovascular injuries, and tendon and ligament injuries. Dr. Lerner is committed to providing his patients with honest and compassionate care. The greatest professional compliments he has received are the numerous referrals from his patients’ friends and family. In addition to his professional commitments, Dr. Lerner is a musician and songwriter with recording experience. His love of music has led to his ongoing involvement with the Health Alliance for Austin Musicians (HAAM) where he provides pro bono services to fellow local musicians.  He enjoys spending time with his wife and young children, exploring the Austin culture.

  • Lori Ramirez

    President and CEO, Elite Surgical Affiliates

    “Be flexible …. be tenacious… and have the courage to reinvent yourself when faced with extreme adversity”.  Lori Ramirez

    These are the words that Lori Ramirez lives by… and she’s making them real for herself and countless others through Elite Surgical Affiliates – the entity she founded in 2008, and now leads as its President and Chief Executive Officer.

    Lori launched her business in the worst recession since the Great Depression – and despite the countless obstacles encountered along her journey – Lori forged ahead to build a highly esteemed company that provides management and development for surgical facilities with a special emphasis on orthopedics, spine and pain.  With a few surgical facilities operational in Houston and many others in the development phase – Lori is off to a remarkable start.  She credits the economic slowdown as making her company even stronger than it would have been otherwise.  “We had to implement creative solutions at each and every turn – and now we’ll be even more successful once the economy gets back on track”, said Lori, noting Elite is a development company, and that she drew inspiration for the firm from her 12 years of prior experience in surgical development, operations and management.

    Before founding Elite Surgical Affiliates, Lori was a Senior Vice President at United Surgical Partners International (USPI).  In this role, Lori gained extensive experience in creating joint ventures – including one between Memorial Hermann in Houston and CHRISTUS Health System in South Texas.  As part of her work, she maintained a seat on all physician partnership Governing Boards and was a voting member of the Joint Venture Boards of both health systems.  She also was directly responsible for developing the second-largest network of surgical facilities for USPI in Houston and supervised more than 600 employees.  Lori oversaw more than 20 surgical facilities, including two surgical hospitals (one of which included an imaging center and three breast imaging centers).

    In addition to the development of those surgical facilities, she was responsible for all strategic planning, and the management of operations, physician partnerships and financing.  Lori generated $40 million annually in revenues for USPI while maintaining a 35-percent average profit margin.

  • Boyd Yarbrough

    COO, Elite Surgical Affiliates

    “Surround yourself with great people…. and empower them to make a meaningful and lasting difference.”  Boyd Yarbrough

    Those words of wisdom guide Boyd Yarbrough in his role as Chief Operating Officer of Elite Surgical Affiliates.  In this position, Boyd oversees all areas of the company – from facility develoment and operations to information technology, business-office operations and physician recruiting.  He’s also in charge of all financial aspects of the company – including business financing, loans and insurance.

    As one of the founding partners of Elite, Boyd left his previous company of 15 years for “the chance to have an ownership stake in an organization and literally build it from the group up”.  And he’s done exactly that.  Elite now has centers fully staffed and operational – and other facilities currently under development.  “It’s been nothing short of rewarding to watch this company grow, and it’s great to hear all the positive feedback and patients alike”, said Boyd, who serves on the boards of the Patient Choice Coalition, Greater Houston Healthcare Alliance, LaPorte Community Church and the LaPorte TIFI organization.

  • Vim Head

    Executive Board Member, PCCOT

    Vim X Head

    Is a fervent supporter of family values, and is challenged to protect the future of his family’s well being through his efforts with the Patient Choice Coalition of Texas.  Vim was instrumental in getting our organization off of the ground and maintaining its success since day one in 2004.  His professional experience in the ambulatory surgical industry began in 2003 through his roles with many different companies.  Currently Vim is President and Founding Partner of several medical and real estate companies, and spends a considerable amount of time in Austin on behalf of PCCOT.  Vim is passionate about his wife, kids, church, and pursuing freedom and liberty for his family.


  • Mark Elliott

    Mark Elliott started in Healthcare as the Director of Business Development at Park Plaza Hospital after completing his Masters in Healthcare Administration in 1998 from Houston Baptist University. During his tenure at Park Plaza Hospital, Mark recruited many physicians and developed many services at the hospital. Most notably he developed the hospital’s bariatric program and successfully relocated a 40 physician internal medicine group to the campus. Mark remained as the Director of Business Development until he created his first medical company, Medical Office Solutions of Texas (MOST) in 2002. One of MOST’s first clients was a rheumatology practice. Mark, with MOST’s billing and management expertise, grew the practice’s net revenue by more than 5 times in a 3-year period. It was through the successful development of this rheumatology practice where Mark developed his reputation as a rheumatology practice management expert. He provided consulting services for several pharmaceutical companies. In this capacity, Mark traveled across the United States and assisted rheumatology practices in successfully implementing the infusible drugs in their practices. Mark identified that many practices were desperately needing management assistance to operate a successful infusion suite. In June of 2010, Mark started Summit On-Site Solutions (SOS) with his business partner, Clint Fowler. In just 18 month’s time, SOS, grew from providing infusion services to two clients to more than eight.

  • Clint Fowler

    Executive Vice President. Altus Infusion

    Clint is currently the Executive Vice President for Altus infusion. Heis a seasoned healthcare executive with 20+ years of management and sales experience. Clint received his BBA in Finance from the University of Texas at Austin. In 2010 he started Summit On-site Solutions along with his Business Partner Mark Elliott. Shortly thereafter, SOS started managing infusion suites for Rheumatologists. In a span of 18 months, the SOS client base expanded to over 10 practices.In 2012, SOS partnered with Altus Healthcare and formed Altus Infusion.At present, Altus Infusion is rapidly expanding and provides infusion management services to Rheumatology and Neurology practices in the Southeast United States.

  • John Moragne, MD

    Executive Board Member, PCCOT

    Dr. Moragne has been a practicing Anesthesiologist for over 15 years.  He received his Bachelor of Science degree in Microbiology from Oklahoma State University in 1981 and his medical degree from University of Oklahoma Health Sciences Center in Oklahoma City in 1986.  He completed a General Surgery Internship at Vanderbilt University followed by a research fellowship in Neurological Surgery at the University of Oklahoma.  After an additional year of training in Neurological Surgery he entered the Anesthesia Residency at the University of Oklahoma where he completed the residency in 1992.

    Moragne has been the founding and managing partner in three Anesthesia groups.  The first group, MWH Associates in Anesthesiology, P.A. was established in 1992 at Tomball Regional Hospital in Tomball, Texas.  He subsequently founded and managed River Oaks Anesthesia Consultants, P.A. in Houston, Texas which primarily provided Anesthesia services for a busy multispecialty ambulatory surgery center.

    Under his guidance he, along with two other partners, merged two geographically diverse Anesthesia practices to form Texas Anesthesia Consultants, P.A.  Subsequent to this union he was the managing partner and responsible for the marketing and operations of the new group.  Under Moragne’s leadership the group acquired contracts for Anesthesia services at Memorial Hermann Ft. Bend Hospital, an acute care hospital located in Missouri City, Texas, Nassau Bay Surgery Center and Surgical Arts Center of Clear Lake, a surgical specialty hospital located in Webster, Texas.  Currnetly he is an owner and managing partner of Palladium Anesthesia, P.A. which currently provides Anesthesia services for Palladium for Surgery – Houston.

    During this time he has remained very active in the operations and governance of the facilities in which he has been a part of.  While at Tomball Regional Medical Center, Moragne served as Chief, Department of Surgery as well as Chief, Department of anesthesiology.  Subsequently while at River Oaks Surgical Center in Houston he was the Medical Director and served as both member and Chairman of the Governing Board.  Under his direction River Oaks Surgical Center began operations in July 1998 and grew to a 500+ cases per month multispecialty ambulatory surgical center.  He established the Anesthesia Department, created the policies and procedures, ensured compliance, monitored financial performance and was ultimately involved in the day to day running of the facility both on an administrative as well as a clinical level.

    Currently he serves as the Medical Director of the Palladium for Surgery – Houston and the Palladium for Surgery – Dallas.  He also is a member of the Governing Board of the Palladium for Surgery – Houston.  In addition to being involved in the governance, compliance and day to day operations of the facilities he maintains an active surgical Anesthesia practice.