Board of Directors

Mark AlexanderMark Alexander

Mark Alexander is the Director of CoxHealth EMS, and has served in this capacity since December 1987, and was the Director of Webster County Ambulance from spring of 1985 thru December 1987.  He was a field paramedic from 1978 thru 1985.  He attended Southwest Missouri State University majoring in Psychology with a minor in Business Administration and Chemistry.  He was appointed to the Sate Advisory Committee (SAC) for EMS in 1996 and still serves on the SAC as the Legislative Committee Chairperson.  He is a past president and current board member of the Missouri Ambulance Association, a past president of the West Missouri Critical Incident Response Team, and currently serves as the Vice Chairperson of the Missouri Emergency Service Agency Corporation (MoEMSAC).  He is also a Just Culture instructor and has taught more than 500 students.

Ellen Harmon

Ellen Harmon, JD, MBA, RN joined Global Medical Response Inc. (“GMR”) on November 1, 2012. GMR is the largest independent provider of air and ground medical transport services in the nation, operating through its subsidiaries which collaborate with leading hospital systems, governmental entities,businesses, medical centers and EMS agencies to offer access to emergency medical care and disaster response. As Associate General Counsel for GMR, Ellen provides legal and strategic business advice to executives and top management on relevant corporate, medical-legal, compliance, employment, regulatory, risk mitigation issues, manages all forms of corporate litigation including professional liability, general liability, employment and labor relations, workers’ compensation, cyber security, governmental investigations and citations, and environmental issues. In handling litigation matters, Ellen frequently participates in ADR and manages settlement negotiations.  Ellen has focused her legal career in health law. Her professional background includes serving as General Counsel for an emergency medical company and a chain of senior living communities, and Missouri Assistant Attorney General. Prior to becoming an attorney, Ellen was a nursing administrator for two major hospitals in the St. Louis area responsible for managing operations, strategic planning, budgets, and personnel throughout the organizations. She is the past-president of the St. Louis Association of Healthcare Risk Managers, an affiliate chapter of the American Society of Healthcare Risk Management. Ellen received her Diploma of Nursing from Goldfarb School of Nursing at Barnes-Jewish College in St. Louis, Missouri; Bachelor of Science from Southern Illinois University in Edwardsville, Illinois; Master of Business Adminstration from Webster University in St. Louis, Missouri; and Juris Doctor from St. Louis University Law School in St. Louis, Missouri. In her personal life, Ellen is an outdoors enthusiast and enjoys sailing, biking and hiking with her family and friends. She is an amateur artist and dabbles in watercolor painting and mosaics.

Michael Levinger

Michael Levinger is a technology and healthcare executive and entrepreneur specializing in transformative eHealth services and solutions. Mike is the Chief Operating Officer for Primaris Healthcare, a healthcare services company that works with the full range of healthcare providers to improve healthcare quality, safety, outcomes and costs. Mike’s responsibilities include client services delivery and business development along with strategic responsibilities as a member of the firm’s senior leadership. Previously, Mike was the Founder, President & CEO of a consulting firm improving care coordination and engagement and the President & CEO of an electronic health record integration company. Mike has been an executive in multiple software and services companies dedicated to successful use of enterprise information systems. Mike teaches a graduate course on Electronic Health Records at Boston University, is an advisor to the University of Missouri School of Medicine Department of Health Management and Informatics, a member of the Massachusetts/Rhode Island HFMA managed services committee and on the Board of Directors of Jewish Family and Children’s Services of Eastern Massachusetts. Mike holds an AB in Computer Science from Brown University and an MS in Business Policy from Columbia University.

Patrick Mills

Patrick Mills is the Executive Vice President of the Missouri State Medical Association. Before becoming EVP, he was the MSMA’s Director of Health Care Finance for 26 years. Mr Mills obtained his Bachelor of Science in Accounting at Kansas State University and an MBA at the University of Missouri. Mr. Mills has a CPA certificate and is licensed by the State of Missouri as an insurance producer.


rr bwRichard A. Royer

Richard A. Royer currently serves as chief executive officer of Primaris. Mr. Royer graduated from the University of Akron, Ohio, with a BS in Accounting, from Cleveland State University with an MBA, and from the Advanced Management Program of the University of Pennsylvania’s Wharton School of Business. He has 27 years of medical business experience and has been Chief Executive Officer at Cuyahoga Falls, Ohio, General Hospital; Executive Director of Columbia Regional Hospital; and founder and president of Avalon Development, a medical financial consulting firm.

Terry Seaton, PharmD, FCCP, BCPS 

Terry L. Seaton, PharmD, FCCP, BCPS is Professor of Pharmacy Practice at St. Louis College of Pharmacy where he teaches evidence-based medicine, clinical informatics, and advocacy. He is also Clinical Pharmacist with Mercy in the Department of Quality, Safety, and Value where he provides medication-related population health services. His research focus is in dissemination and implementation science. Dr. Seaton was a United States Public Health Service Primary Care Policy Fellow and has been a Board-Certified Pharmacotherapy Specialist since its inception in 1991. He is Past President and Fellow of the American College of Clinical Pharmacy.

Stephen R. Smith, MD

Stephen R. Smith, MD, is a 1982 graduate of the University of Missouri School of Medicine and recipient of the 1982 Russell D. Sheldon Award for Excellence in Anesthesiology. He completed his residency at the University of Missouri Hospital and Clinics, Department of Anesthesiology. Dr. Smith is Board Certified by the American Board of Anesthesiology. Clinical interests include difficult airway management, trauma anesthesiology, and office based anesthesiology. He serves as Chairman of two work-groups within the Trauma and Burn Quality Improvement Committee, Department of Emergency Medicine Quality Improvement Committee, Vice Chairman of the Department of Anesthesiology Quality Improvement Committee, Patient Safety Committee, and has served on the Emergency Preparedness Committee. He was commissioner of the Missouri Patient Safety Committee and Chairman of the Data Collection and Reporting Subcommittee from 2003-2004. He has served as a Delegate to the American Society of Anesthesiologists, President, President Elect, and Board of Directors and Chairman for the Missouri Society of Anesthesiologists. He is a member of the American Society of Anesthesiologists, Missouri State Medical Association, St. Louis Society of Anesthesiologists, St. Louis Metropolitan Medical Association and University of Missouri School of Medicine Alumni Association, of which he has been President since April 2011. Currently, Dr. Smith is practicing within a private practice in Anesthesiology at Western Anesthesiology Associates, Inc., in Ballwin, Missouri. Dr. Smith is married with five children, has a SCUBA certification, Amateur Radio Technician License, is a member of the Community Emergency Response Team, and he is Volunteer Assistant Medical Officer with the Monarch Fire Protection District.

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