David P. Sims, CPA
Director of Finance and Revenue Cycle Management at Master Center for Addiction Medicine. KPMG-trained auditor. Treasury manager at two of the Southeast's largest health systems. CPA since 2006. James Madison University.
Career Timeline
2005 - 2007
Auditor
KPMG
Trained at one of the Big Four accounting firms. Built a foundation in financial statement analysis, audit methodology, and professional rigor that shapes everything he does today.
2006
CPA License
Certified Public Accountant
Earned CPA certification in November 2006, establishing credentials that would anchor a career spanning corporate finance, treasury, and healthcare.
2020 - 2022
Corporate Treasury Manager / Shared Services Workstream Manager
VCU Health
Managed corporate treasury operations, then led the finance workstream for shared services. Drove Workday and Deltek implementations across the health system.
2022 - 2024
Treasury Manager
UNC Health Care System
Oversaw treasury operations at one of the largest academic health systems in the Southeast. Cash management, banking relationships, and financial reporting at scale.
2024 - Present
Director of Finance and Revenue Cycle Management
Master Center for Addiction Medicine
Leading finance and revenue cycle for a specialty healthcare organization. Full P&L ownership, billing operations, and financial strategy.
What David Brings
CPA & Financial Statement Analysis
Big Four-trained auditor with nearly two decades of CPA experience. Can read a balance sheet the way most people read a menu.
Treasury Management
Cash management, banking relationships, investment oversight, and liquidity planning at two major health systems (VCU Health and UNC Health).
Revenue Cycle Management
End-to-end revenue cycle oversight including patient billing, claims processing, denials management, and collections optimization.
Workday & Deltek Implementation
Hands-on experience implementing and managing enterprise financial systems. The kind of person who actually understands the data behind the dashboards.
SQL Server Reporting Services
Builds custom financial reports and analytics. Bridges the gap between raw data and actionable financial intelligence.
How I Know David
Big Four network, real-world helpfulness
David and I connected through the Big Four Accounting consulting network. When you've been in that world, you recognize the training — the rigor, the attention to detail, the ability to work through complexity without cutting corners. David has all of that.
When I needed help setting up QuickBooks for my business, David was the one who offered to help. Not because I was paying him. Because that's the kind of person he is. He's a CPA who actually wants to help people get their finances right, not just bill hours. That says a lot about someone.
Why He Matters
Healthcare finance is one of the hardest domains in corporate America. The billing is Byzantine. The regulations change constantly. The margin for error is razor-thin. And most people who can navigate it either came up through healthcare or came up through finance — rarely both.
David came up through both. He started at KPMG, where you learn to audit anything. Then he moved into healthcare treasury at VCU Health and UNC Health, where you learn what's actually at stake — cash flow that keeps hospitals running, payroll that keeps nurses showing up, revenue cycles that determine whether a health system survives or drowns.
Now he's directing finance and revenue cycle at a specialty addiction medicine center. That's a field where the financial complexity meets genuine human need. You need someone who can handle both. David can.
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