Todd Hisey: Building Businesses That Last Through Strategic Vision, Financial Discipline, and Purpose-Driven Leadership

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Todd Hisey is an accomplished executive, entrepreneur, and board director with more than 23 years of experience building, scaling, and transforming organizations. As the founder and former Chief Executive Officer of Titan Health Management Solutions, he has established a distinguished career defined by strategic leadership, operational excellence, financial stewardship, and a commitment to sustainable business growth. His expertise encompasses corporate governance, strategic planning, risk management, profit and loss (P&L) oversight, organizational transformation, and executive development. Having successfully transitioned from leading the company he founded to serving in a non-executive board capacity, Todd brings the perspective of an entrepreneur who understands both the challenges of building an enterprise and the responsibilities of guiding its long-term success.

Todd’s professional journey began in healthcare finance and operations, where he developed a comprehensive understanding of the complex relationships among healthcare providers, insurance organizations, and financial performance. His early career included positions with HealthCare Partners, Aetna U.S. Healthcare, and Health Net of Arizona, where he served in project management, finance, and operational leadership capacities. These experiences provided a foundation in organizational efficiency, financial accountability, and the operational complexities of healthcare delivery. They also shaped his belief that sustainable business success requires disciplined execution, transparent decision-making, and an ability to align organizational objectives with measurable outcomes.

In 2003, Todd transformed his entrepreneurial vision into reality by founding Titan Health Management Solutions, a company specializing in hospital revenue cycle management, complex claims, reimbursement enhancement, and financial recovery services. Beginning with two employees and a single local client, he developed the company’s business plan, established its operating infrastructure, and built relationships with healthcare organizations seeking to improve their financial performance. As founder and Chief Operating Officer, he oversaw business development, strategic planning, financial management, and service delivery. His leadership helped expand Titan from one service line to six, establishing the foundation for a national organization known for delivering measurable results and maintaining enduring client relationships.

Todd’s progression to Chief Executive Officer in 2017 marked an important chapter in his leadership career. Assuming comprehensive responsibility for corporate strategy, operations, financial performance, technology, and organizational development, he guided Titan through a period of significant transformation. Between 2022 and 2024, the company’s annual revenue increased from approximately $3.75 million to $11 million, supported by new business development and expansion within existing client relationships. Under his leadership, Titan grew to serve more than 40 hospitals across 10 states, supported by a workforce of approximately 150 professionals. In 2024 alone, the organization generated approximately $51 million in recoveries for its clients across more than 74,000 claims, demonstrating the operational scale and financial impact of the business he built.

Throughout his executive tenure, Todd demonstrated an ability to navigate complex business challenges while maintaining a long-term perspective. Following Titan’s 2012 sale to a strategic acquirer, he recognized that anticipated investments in technology, capital, and business development were not materializing as expected. Rather than allowing the company’s growth prospects to remain constrained, he negotiated a separation completed in 2017, restoring independent ownership and creating an opportunity to reposition the business. He subsequently secured family-office investment and managed relationships with shareholders, lenders, and financial stakeholders. These experiences strengthened his understanding of capital strategy, transaction negotiations, investor accountability, and the importance of maintaining financial flexibility during periods of uncertainty.

Todd’s leadership has also been distinguished by his commitment to operational improvement and financial discipline. Recognizing that revenue growth alone does not guarantee enterprise value, he consistently emphasized profitability, cash flow, performance measurement, and sustainable operating models. He successfully restructured underperforming service lines through revised pricing strategies and hybrid offshore delivery arrangements, increasing gross margins by approximately 20 percentage points to more than 40% without compromising service-level commitments. He also implemented performance management systems connecting operational quality, financial results, and client outcomes. His approach reflects a fundamental leadership philosophy: organizations create lasting value when strategic ambition is supported by disciplined execution, strong financial controls, and measurable accountability.

When confronted with significant business disruption, Todd demonstrated the resilience and decisiveness required of an experienced executive. During the COVID-19 pandemic, he led Titan’s transition to a national remote workforce, maintaining business continuity without layoffs or client losses. Later, when a longstanding client elected to bring a substantial service line in-house, representing nearly 40% of Titan’s revenue, Todd anticipated the financial implications and initiated a comprehensive response. He preserved the client relationship, secured replacement business at substantially higher gross margins, and led an organizational restructuring that reduced total operating expenses by 29% over six months. His ability to respond to difficult circumstances with thoughtful analysis, decisive action, and strategic adaptability illustrates the depth of his turnaround and risk management expertise.

Beyond financial and operational leadership, Todd has consistently recognized the importance of technology as an enabler of organizational growth. At Titan, he championed the development of proprietary technology platforms, analytics capabilities, and scalable business processes designed to improve productivity, strengthen reporting, and preserve competitive advantage. His oversight extended to technology vendor selection, investment evaluation, intellectual property protection, and implementation strategy. When a major development project became misaligned with business requirements, he made the difficult decision to terminate the engagement and successfully recover a $500,000 refund. This experience reinforced his belief that technology investments must be evaluated according to their strategic relevance, financial return, and contribution to long-term enterprise value.

A defining achievement of Todd’s career has been his commitment to building an organization capable of succeeding beyond its founder. Recognizing that sustainable growth depends on leadership depth and organizational independence, he recruited and developed an executive management team, established clearly defined responsibilities, and introduced accountability frameworks supported by key performance indicators. He placed particular emphasis on executive succession, identifying and developing Titan’s Chief Financial Officer for progressively greater leadership responsibilities, including promotion to President. In January 2026, Todd completed a planned leadership transition by handing the CEO position to his successor and assuming a non-executive board role. This transition represented the culmination of years of deliberate organizational development and reflected his conviction that effective leadership is ultimately measured by the strength and resilience of the enterprise it leaves behind.

Today, Todd serves as a Non-Executive Director and Vice President of the Board of Directors of Titan Health Management Solutions. In this capacity, he contributes to corporate governance, strategic oversight, capital allocation, executive accountability, compensation planning, and enterprise risk management. His board involvement includes evaluating restructuring initiatives, reviewing technology investment strategies, protecting intellectual property, and supporting the company’s next stage of development under independent executive leadership. His experience as both a founder-operator and a board director enables him to balance entrepreneurial ambition with the financial discipline, independent judgment, and governance responsibilities necessary to protect stakeholder interests.

Todd’s perspective on governance is informed by firsthand experience with the decisions that shape an organization’s future. He understands the complexities of capital raising, mergers and acquisitions, lender relationships, executive compensation, succession planning, and strategic partnerships. Having managed banking and SBA facilities, negotiated ownership transactions, and presented to investors, shareholders, financial institutions, and executive committees, he appreciates the importance of clear reporting and transparent stakeholder communication. His oversight experience also includes HIPAA compliance and enterprise risk controls, with Titan’s compliance program successfully completing independent security and regulatory audits without material findings. These capabilities position him to provide meaningful guidance to organizations seeking stronger governance, improved performance, and responsible growth.

Although Todd’s professional accomplishments are deeply rooted in healthcare services, revenue cycle management, and healthcare technology, his leadership capabilities extend well beyond a single industry. His experience in company building, strategic transformation, financial oversight, talent development, technology investment, and risk mitigation offers value to businesses across diverse sectors. He is particularly well suited to founder-led, privately held, and investor-backed organizations navigating growth, turnaround situations, leadership transitions, or the institutionalization of their operations. His international exposure, including business experience involving India and Pakistan, further contributes to his understanding of distributed operations, cross-border collaboration, and the opportunities associated with global delivery models.

Todd’s educational background complements his extensive executive experience. He earned a Master of Health Administration from the University of Southern California and holds a Bachelor of Science in Biology and a Bachelor of Arts in History from the University of California, Los Angeles. This combination of business-oriented healthcare education, scientific training, and broad academic study has contributed to his analytical approach to problem-solving and his appreciation for the broader context surrounding strategic decisions. Throughout his career, he has continued to develop his expertise through direct leadership experience, engagement with investors and business partners, and the practical demands of building and sustaining an enterprise.

Communication and relationship development have remained central to Todd’s leadership philosophy. As CEO, he regularly led company-wide meetings, presented to hospital executive committees, and communicated with employees, clients, shareholders, lenders, and investors. His ability to explain strategic priorities, establish expectations, and maintain alignment among stakeholders helped foster an organizational culture grounded in trust and accountability. The longevity of Titan’s client relationships, including engagements spanning more than two decades, reflects his commitment to integrity, dependable performance, and long-term partnerships. He believes that strong leadership requires not only sound decisions but also the ability to communicate those decisions clearly and inspire others to execute them effectively.

As Todd enters the next chapter of his professional journey, he is motivated by the opportunity to apply the knowledge gained from more than two decades of entrepreneurship and executive leadership to organizations seeking to reach their full potential. Having successfully built, scaled, transformed, and transitioned the company he founded, he now welcomes opportunities to contribute his expertise through board service and strategic advisory leadership. He brings a practical understanding of the challenges executives face, an appreciation for the responsibilities of governance, and a commitment to helping organizations create enduring value. His professional legacy reflects more than business growth; it represents a dedication to building capable teams, strengthening institutions, navigating uncertainty, and creating organizations positioned to thrive long after their founders step away from day-to-day leadership.

Character:
Todd exemplifies integrity, resilience, and accountability through his commitment to ethical leadership, transparent decision-making, and responsible stewardship of organizational resources. His willingness to confront difficult challenges, develop future leaders, and prioritize the long-term interests of the enterprise demonstrates a leadership philosophy grounded in trust, responsibility, and lasting value.

Knowledge:
Possesses extensive expertise in corporate governance, healthcare operations, strategic planning, financial management, organizational transformation, and enterprise risk oversight, developed through more than two decades of executive leadership. His firsthand experience in business formation, capital raising, mergers and acquisitions, technology implementation, turnaround management, and executive succession provides a comprehensive foundation for guiding organizations through complex business environments.

Strategic:
Todd approaches business challenges with a disciplined focus on long-term enterprise value, balancing growth opportunities with profitability, operational capacity, capital requirements, and risk exposure. His success in scaling Titan Health Management Solutions, navigating major disruptions, strengthening organizational infrastructure, and executing a planned leadership succession demonstrates his ability to translate strategic vision into sustainable results.

Communication:
An effective communicator who has engaged employees, executive teams, investors, shareholders, lenders, and healthcare leaders throughout his career, translating complex business challenges into clear priorities and actionable decisions. His collaborative leadership style, commitment to transparency, and ability to build lasting professional relationships enable him to foster alignment, strengthen stakeholder confidence, and support informed decision-making at both the executive and board levels.

https://www.titan-health.com/

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Kacey Card
Kacey Cardhttps://boardsi.com
Kacey Card is an accomplished editor at Leadafi, bringing a keen eye for detail and a passion for storytelling to the team. He holds a Bachelor of Arts in Communication and Media Studies from the University of Hawaii at Manoa, where he graduated with a 3.8 GPA. Kacey has honed his skills in content creation, editing, and digital media, ensuring that every piece of content meets the highest standards of quality and engagement. At Leadafi, he is dedicated to crafting compelling narratives that resonate with readers and drive the publication's mission forward. His commitment to excellence and innovative approach to editing make him an invaluable asset to the team.