About Us

Symbionce Healthcare is a marketing, management and business development company for providers in the hospital and healthcare system industry. Our strategic partner companies are currently providing services to hospitals, physicians and building owners nationwide. Our organization has a seasoned sales persons who have formerly been C level executives in healthcare and in healthcare and other sales for decades.

Services include:

  • Marketing Planning Development and Management
  • Business Sales
  • Sales Team Development
  • Customer Service

We are based in Cleveland, Tennessee, just a hop, skip and a jump from the 1996 Olympic white water rafting location on the Ocoee River.

Healthcare and Real Estate

Symbionce consists of two unique divisions: healthcare and real estate.  The healthcare division is a fast growing technology and revenue cycle service company that delivers a number of diverse solutions in the healthcare revenue cycle space to fulfill needs for providers, employers, payors.  Additionally, Symbionce has a fully staffed consulting department comprised of seasoned coders, operations management, financial experts, patient financial service directors, etc. that have had significant experience on the provider and insurance company side.

Developers and Owners

Symbionce primarily focuses on assisting both developers and owners to transfer their distressed properties to buyers in its extensive database and those found via other techniques. 

Hugh Macaulay – President & CEO

Mr. Macaulay is Symbionce’s Senior Vice President of Business Development and has more than 28 years of corporate experience, of which 15 years were spent in healthcare which includes his work as management with Provident Life and Accident Insurance Company, a principal operating subsidiary of the Unum Group; and Transamerica. After healthcare he became a vice-president with Recomm International, where he developed the company from 2 employees to over 485 employees’ nationwide, and grew sales from $200,000/ year to over $250 million in sales/year; and then president of Macaulay Marketing, a company which creates the many relationships that includes starting ups, financing, business development and strategic partners, sales and marketing, and exit strategies. 

Throughout his career, Mr. Macaulay has been instrumental in identifying key personnel, strategic partnerships and channels, along with financing opportunities.  Some of Mr. Macaulay’s past and present projects include: Admark, The Ball Co., Celerity Technology Partners, TMS North America, Beka Development, and United Optical Technologies.  Mr. Macaulay was previously an officer for a revenue cycle management company where he was responsible for fund raising activities and sales.

Mr. Macaulay earned his undergraduate degree from University of Georgia in Risk Management.

Carolyn Brown, CHFP – President, Revenue Cycle Management Division

The Healthcare Financial Management Association (“HFMA”) certified Ms. Brown, President, Revenue Cycle Management Division, as one of the first Managed Care Specialists in the country.  Carolyn previously served as the Senior Vice President of Healthcare Operations for a national accounts receivable management firm in charge of the healthcare operations in eight offices.  She has worked with several major metropolitan medical centers and rural hospitals and most recently was the Corporate Vice President for Business Services for Renaissance America, Inc., a physical rehabilitation hospital chain, where she was over all business offices in the chain.  Ms. Brown has helped implement and reengineer MSOs and CBOs of several large hospital chains.  Ms. Brown has more than 20 years of business office, reimbursement and third party accounting experience; has performed numerous hospital (including hospital-based SNFs and rehabilitation units) and physician business office operation reviews and turnarounds; and, has expertise in the establishment of physician practices, rehabilitation hospitals and units, and rural health clinics.  She is well versed in compliance regulations as established by the Office of the Inspector General and has conducted numerous seminars regarding compliance as related to the business office. 

Ms. Brown previously served on the National HFMA Certification Task Force, where she conducted national phone conferences with National HFMA regarding certification planning; on the Board of the Tennessee HFMA; and as President of the Tennessee Chapter of the American Association of Healthcare Account Managers (“AAHAM”).  The Tennessee Chapter of HFMA and the National PFS Forum honored Ms. Brown in 2003 by being chosen to receive the distinguished PFS Award of Excellence.

Ms. Brown has served as a speaker on a variety of healthcare topics, including management service organizations, implementing central business offices and business office operations, insurance billing, access management issues, receivables management, rural health clinics, rehabilitation hospitals and units, billing and reimbursement for geriatric psych units, and physician practice management.  Ms. Brown previously conducted coaching seminars for the HFMA core certification for both the Tennessee and Georgia chapters every quarter as well as other Chapters such as Missouri, Kansas, Iowa, Florida, South Carolina, Alabama, and Mississippi, and has assisted numerous individuals in HFMA obtain certification in core and specialized areas of healthcare financial management.   In June 2004, taught the National Coaching Exam for the core course at the Annual National Institute for HFMA in Nashville, Tennessee.

Alan D. Goldberg, CPA, FHFMA - Chief Financial Officer

Mr. Goldberg currently serves as the Chief Financial Officer for Symbionce. He previously worked with Ernst & Young, KPMG Peat Marwick, Hospital Corporation of America, and was Executive Vice President and Corporate Chief Financial Officer of Renaissance America, Inc., a physical rehabilitation hospital chain.  Most recently, he was the chief financial officer for a technology revenue cycle management firm and over real estate acquisition and sales for distressed real estate where he was been involved assisting large building owners with accelerating tax benefits and assisting in the disposition of property via straight investor sales and competitive bidding via the auction process. Prior to that he worked for approximately fourteen years as an executive with the 12th largest accounts receivable management firm in the country and a key partner in a leveraged buyout of one its most profitable divisions for several years.  He has considerable experience in operating healthcare facilities such as acute care and rehabilitation hospitals, physician practices, CORFs, MSOs, and rural health clinics; in undertaking nursing home feasibility studies; in reengineering the operations of healthcare facilities, including MSOs; and with startup corporations, new rural health clinics and new physician practices.  Mr. Goldberg has served as an officer and on the Board of the Georgia HFMA and recently served as an officer and as Board Secretary. He has been a contributing editor for Southern Hospitals magazine and currently serves on the National Editorial Review Board for the National HFMA monthly magazine, as a chairman of a Board committee for Georgia HFMA and as Vice-President of the AAHAM Tennessee chapter.  

He has served as a chairman of a Board committee for Georgia HFMA for the last fifteen years.  He has recently been awarded the National Medal of Honor Award by HFMA, was first runner-up for the Most Valuable Member of the Georgia Chapter in 2001, received the Most Valuable Member of the Georgia Chapter of HFMA in 2003, received the President’s Award from the Georgia Chapter in 2003, received the Ann P. Longshore Award of Distinction in 2004, received the Outstanding Volunteer Award for the Georgia Chapter in 2005, and continues to serve as a speaker for numerous seminars on a variety of healthcare topics.  Mr. Goldberg received his undergraduate degree from NC State University and a Masters in Business Administration and Masters in Accounting from the University of South Carolina with a concentration in Computer Science.

Previously, Alan Goldberg taught coaching seminars for the HFMA core and specialty certifications for both the Tennessee and Georgia chapters every quarter as well as other Chapters such as Florida, Missouri, Kansas, Iowa, Florida, South Carolina, Alabama, and Mississippi.  In June 2004, Alan taught the National Coaching Exam for the core course at the Annual National Institute for HFMA in Nashville, Tennessee.