Director of Clinical Operations - Conroe, TX Sam Houston State UniversityDirector of Clinical Operations - Conroe, TXTXStrong financial analysis, problem‑solving, and communication skills in speech and writing including conversing with practitioners, medial and financial experts, writing reports, and creating clinically relevant policies, procedures and support materials. Manages all aspects of clinic operations, including patient scheduling, registration, call center management, front-office workflow, provider support staffing, and physical plant oversight.
Senior Director, Health Economics And Outcomes Research And Real-World Evidence (Heor/Rwe) Immatics N.V.Senior Director, Health Economics And Outcomes Research And Real-World Evidence (Heor/Rwe)Houston, TXRemote$260,000–$295,000 / yearDevelop evidence that characterizes the complete patient and healthcare-system impact of personalized cell therapy, including testing, referral, treatment-center infrastructure, manufacturing intervals, bridging therapy, hospitalization, adverse-event management, follow-up care, and long-term outcomes. Reporting to the Vice President, Medical Affairs, this role will be responsible for generating the clinical, economic, patient-centered, and real-world evidence needed to demonstrate the value of these therapies across their development and commercialization lifecycles.
Managing Director, Portfolio Management - Energy Project Finance Wells Fargo & CoManaging Director, Portfolio Management - Energy Project FinanceHouston, TX$215,000–$355,000 / yearA trusted partner to our clients, we provide corporate and transactional banking; commercial real estate lending and servicing; investment banking; equity; and fixed income solutions including sales, trading, and research capabilities to corporate, commercial real estate, government, and institutional clients across the globe. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions.
NewDirector - Corporate Banking PM -Power and Utilities Huntington Bancshares IncDirector - Corporate Banking PM -Power and UtilitiesHouston, TXIn conjunction with Relationship Management and other internal partners, the Director, Portfolio Management services and deepens an assigned portfolio of clients by proactively identifying and evaluating opportunities as well as identifying and mitigating associated business risks, in accordance with Huntington policies, procedures, and guiding principles. Summary: Huntington's Director, Portfolio Management -Power & Utilities will co-manage a growing $4.5 billion book of business in the bank's Power & Utilities vertical within Huntington's Corporate Specialty and Government Banking group.
NewDirector - Corporate Banking PM -Power And Utilities Huntington Bancshares IncDirector - Corporate Banking PM -Power And UtilitiesHouston, TXIn conjunction with Relationship Management and other internal partners, the Director, Portfolio Management services and deepens an assigned portfolio of clients by proactively identifying and evaluating opportunities as well as identifying and mitigating associated business risks, in accordance with Huntington policies, procedures, and guiding principles. Summary: Huntington's Director, Portfolio Management -Power & Utilities will co-manage a growing $4.5 billion book of business in the bank's Power & Utilities vertical within Huntington's Corporate Specialty and Government Banking group.
Congestion Trading Director_TRPC1N Engie SACongestion Trading Director_TRPC1NHOUSTON, TX$176,900–$271,170 / yearThe Power Congestion Director will lead ENGIE Energy Marketing North America's power congestion trading activities, with responsibility for strategy, market-making, risk management, and performance optimization across ISO/RTO congestion markets (with a primary focus on PJM and other relevant ISOs). Serve as the senior market-maker and subject-matter expert for power congestion markets, providing liquidity, insight, and market access to internal and external stakeholders.
Associate Director of Finance QcellsAssociate Director of FinanceHouston, TXFull timeHanwha Qcells USA Corp (Qcells USA), headquartered in Irvine, CA, specializes in providing utility-scale modules, solar photovoltaic (PV), and battery energy storage systems (BESS) project development, along with Engineering, Procurement, and Construction (EPC) services for solar and BESS projects nationwide. In addition, the position supports budgeting and forecasting activities, provides financial analysis to support business decision-making, and serves as a key point of contact for headquarters by coordinating financial communications and delivering requested reports and analyses.
Director Of Client Relations Ernest Packaging SolutionsDirector Of Client RelationsHouston, TXWe're looking for a talented and driven sales leader who can inspire a team of Client Relationship Managers (CRMs), drive growth through new business development and account expansion, and create unforgettable client experiences along the way. When you work with Ernest, you'll enjoy the advantages of learning proven methods of success, a proactive approach, and having fun while earning what you're worth with a lot of really awesome people.
Director of Nursing-Cardiac/Open Heart-Operating Room Houston Methodist HospitalDirector of Nursing-Cardiac/Open Heart-Operating RoomHouston, TXAbility to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences. RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) and Magnet-ANCC Recognized Leadership Certification within 1 year.
Executive Director (Law Firm) Burnett SpecialistsExecutive Director (Law Firm)Houston, TXThe Executive Director will align people, processes, technology, and culture with the firms long-term objectives while providing strategic oversight of the firms administrative and operational functions, including: Accounting and Financial administration, Human Resources, Information Technology, Information Security, Facilities and Real Estate, Office Management, Recruiting, Policy and Compliance, Business Continuity, Firmwide Strategic Initiatives. A nationally recognized litigation boutique is seeking an exceptional Executive Director to guide its business operations and strategic priorities as the firms current Executive Director prepares to retire.
NewDirector of Trade Finance Atlas OilDirector of Trade FinanceHouston, TexasIn addition to overseeing all trade finance activities, this role is responsible for overseeing the KYC (Know You Customer), Credit and Treasury departments for Supply and Marketing. This role ensures the efficient structuring, negotiation, and execution of financial instruments and credit facilities that enable global commodity trading, procurement, and sales.
Executive Director in Training (EDIT) Program – Senior Living Integrated Real Estate GroupExecutive Director in Training (EDIT) Program – Senior LivingHouston, TXWhat sets IREG apart is our integrated approach, bringing together development, construction, and operations to create high-performing communities across affordable housing, workforce housing, and market-rate living , including multifamily, active adult, independent living, assisted living, and memory care. It is an immersive, approximately 12-month leadership pathway for professionals with demonstrated leadership experience who want to develop the operational, financial, people-management, and strategic capabilities required to lead a senior living community.
Director, Collections - Strategy First Investors Financial Services GroupDirector, Collections - StrategyHouston, TXAlthough this position shall provide the authority to lead, oversee and direct the day-to-day work of assigned employees and to report work assessments to management, it shall not provide the authority to take the following actions: hire an employee, fire an employee, promote, or demote an employee, discipline an employee in a formal manner, reassign an employee, or alter benefits of an employee. Stellantis Financial Services (SFS) is the new captive finance company for one of the world's leading automakers and a mobility provider with iconic brands including Abarth, Alfa Romeo, Chrysler, Citroën, Dodge, DS Automobiles, Fiat, Jeep, Lancia, Maserati, Opel, Peugeot, Ram, Vauxhall, Free2move and Leasys.
NewDirector of Nursing GpacDirector of NursingHouston, TX90000–120000GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. One of Texas most highly respected senior living communities is seeking a dedicated and experienced Director of Nursing to join their leadership team.
Director-Integrated Logistics Solutions Tallgrass Energy LPDirector-Integrated Logistics SolutionsTXSitting; standing; walking or moving throughout facility; driving; talking; seeing (specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus); hearing; feeling; bending or stooping; squatting or crouching; reaching; kneeling; pushing; pulling; lifting up to 25 lbs. Preferred Education, Experience, Certifications, Competencies, Skills & Abilities: Above the minimum requirements, not required but advantageous in this position: Paralegal certification, law degree, appraiser certification or training, energy management degree, farm & ranch management or agronomy related degree, training, or experience, IRWA Sr.
Activity Director St James House of BaytownActivity DirectorBaytown, TXRestoring self-confidence, community reintegration, resocialization skills, improving physical condition, leisure education for residents, one on one programming for the room/bed bound, providing mental stimulation and sensory stimulation, and develops a plan for each resident that is designed for restoration of the quality of life experienced by the resident prior to admittance to the health care facility. Performs cognitive orientation that may be related to impairment of daily living functions, i.e., orient to person, place, or time; reality orientation; memory recall long and short term.
Managing Director - Oil and Gas Huntington Bancshares IncManaging Director - Oil and GasHouston, TXThe role involves delivering tailored financial solutions, overseeing origination and execution of complex transactions, and driving revenue growth through relationship management and strategic advisory. Lead client coverage teams to deliver integrated banking solutions including lending, capital markets, cash management, and derivatives.
Managing Director - Oil And Gas Huntington Bancshares IncManaging Director - Oil And GasHouston, TXThe role involves delivering tailored financial solutions, overseeing origination and execution of complex transactions, and driving revenue growth through relationship management and strategic advisory. Lead client coverage teams to deliver integrated banking solutions including lending, capital markets, cash management, and derivatives.
Director, Tax Hanwha EnergyDirector, TaxHouston, TexasThe Director of Tax serves as the organization’s chief tax leader, responsible for overseeing all aspects of tax compliance, tax accounting, strategic planning, and cross‑functional advisory support. With over a decade of experience delivering high-quality, utility-scale energy projects across North America, Hanwha Energy USA has evolved into a comprehensive energy solutions provider.
Assistant Director of Finance Airetel Staffing, IncAssistant Director of FinanceMontgomery, TXWorking closely with the Director of Finance, the Assistant Director of Finance provides leadership to the accounting team, drives process improvements, supports budgeting and forecasting efforts, and delivers timely financial analysis that enables informed business decisions. This position assists in directing all accounting and financial operations while ensuring accurate financial reporting, sound internal controls, regulatory compliance, and exceptional service to internal and external stakeholders.
Sr Director, Asset Management Jones Lang LaSalle IncSr Director, Asset ManagementHouston, TXThis role partners directly with agency representatives, internal credit and risk teams, borrowers, and executive leadership to manage portfolio risk, drive operational performance, and ensure compliance with investor and regulatory requirements. The Senior Director, Asset Management provides senior-level oversight and strategic leadership for a large and complex commercial real estate loan servicing portfolio.
Director, Emergency Management Recovery AC Disaster ConsultingDirector, Emergency Management RecoveryHouston, TX$136,000–$163,000 / yearThe Director is responsible for service line operational performance, technical quality, client outcomes, and team leadership across FEMA Public Assistance (PA), Individual Assistance (IA), Hazard Mitigation Grant Program (HMGP), 404/406 Mitigation, CDBG-DR, and other disaster recovery and post-disaster hazard mitigation program and project implementation. The Director supports service line business development by providing subject matter expertise, capture input, and builds/maintains client relationships to support corporate growth efforts as directed by the VP of Recovery in all aspects of the Recovery portfolio as prescribed by the CEO and ACDC’s Corporate Values Platform .
NewRegional Director - Community Care Services Eligibility (CCSE) Texas Health and Human Services CommissionRegional Director - Community Care Services Eligibility (CCSE)HOUSTON, TX$7,015.16–$11,864.50 / yearSkill in effective oral and written communication, expressing ideas clearly and concisely in written and verbal form; use of computers and software programs, including Microsoft Office Suite; solving problems and removing barriers to success; interpersonal relationships and in establishing and maintaining effective working relationships. The Texas Health and Human Services Commission (HHSC) seeks highly qualified candidates to fill the Regional Director (Director II) position within Community Care Services Eligibility (CCSE) Region 6 (Houston area) which comprises 13 counties.
Business Card Product Director Huntington Bancshares IncBusiness Card Product DirectorHouston, TX$155,000–$255,000 / yearProduct Development & Innovation: Oversee the development of new and innovative business credit card and expense management products, features, and benefits to meet evolving customer needs and drive profitability. Partnership Management: Develop and manage relationships with key external partners, including payment networks, fintech companies, third-party vendors, and credit bureaus.
Pharmacy Technician Program Director CHCPPharmacy Technician Program DirectorHouston, TXProvide academic leadership and select, train, develop, manage, and lead faculty and staff team members according to the guidelines provided by the DOE and Campus President. Responsibilities include: day-to-day operations, assisting students toward successful program completion, and staffing the classroom with instructors who support the mission of the college.
Director, Treasury Urban Grid Solar Projects, LLCDirector, TreasuryHouston, TXLead the development of the monthly flow of funds process with respect to monthly distributions including the submission of borrowing certificates, draw packages, withdrawal/transfer certificates and distribution certificates for construction projects and operational projects. Urban Grid offers an exciting benefits package, including medical, dental, vision, health savings account, flexible spending account, company-paid life insurance and short-term disability, voluntary life, and long-term disability, paid paternal leave, and a retirement plan with matching contributions.
Senior Director, Payer Accounts ImmaticsSenior Director, Payer AccountsHouston, TexasRemote$260,000–$300,000 / yearPartner with internal teams (Market Access Strategy, Contracts and Pricing, HEOR, Medical Affairs, Clinical, Regulatory) to develop and tailor payer-facing materials, including early scientific exchange, evidence dossiers, PIE and Value Proposition presentations, and budget impact model. Analyze current treatment guidelines, competitive landscape, and relevant coverage policies to anticipate payer needs and potential barriers, while setting expectations on acceptable future coverage for anzu-cel (TCR-T cell therapy) and other future Immatics’ products.
Senior Director, Health Economics and Outcomes Research and Real-World Evidence (HEOR/RWE) ImmaticsSenior Director, Health Economics and Outcomes Research and Real-World Evidence (HEOR/RWE)Houston, TexasRemoteDevelop evidence that characterizes the complete patient and healthcare-system impact of personalized cell therapy, including testing, referral, treatment-center infrastructure, manufacturing intervals, bridging therapy, hospitalization, adverse-event management, follow-up care, and long-term outcomes. Reporting to the Vice President, Medical Affairs, this role will be responsible for generating the clinical, economic, patient-centered, and real-world evidence needed to demonstrate the value of these therapies across their development and commercialization lifecycles.
Director, Tax Kodiak Gas ServicesDirector, TaxThe Woodlands, TXThe Tax Director reports to the Vice President of Tax and partners closely with various cross functional teams and external advisors while leading the income tax team. Identify and execute tax planning strategies and opportunities, including potential credits and incentives, to optimize effective tax rate and cash taxes while aligning with the company's strategic objectives.
Director Risk Suncor Energy ServicesDirector RiskHouston, Texas15–20 years of overall experience in energy trading, risk control, product control, or middle-office roles, including at least 10 years of hands-on crude and refined products risk control experience and demonstrated people leadership. Proven ability to lead cross-functional initiatives, manage change, and deliver process/control improvements across Front Office, Middle Office, Back Office, Finance, Compliance, and Audit stakeholders.
Sales Director Super Micro Computer IncSales DirectorHouston, TX$131,000–$205,000 / yearJob Summary: Supermicro Computer, Inc. is looking for a Sales Director responsible for maintaining the quality, efficiency, and integrity of Supermicros sales process through various means of marketing activities and working with cross functional teams, including Engineering, Finance, Logistics, and Programs. About Supermicro: Supermicro is a Top Tier provider of advanced server, storage, and networking solutions for Data Center, Cloud Computing, Enterprise IT, Hadoop/ Big Data, Hyperscale, HPC and IoT/Embedded customers worldwide.
Sr Director, Asset Management JLLSr Director, Asset ManagementHouston, TXThis role partners directly with agency representatives, internal credit and risk teams, borrowers, and executive leadership to manage portfolio risk, drive operational performance, and ensure compliance with investor and regulatory requirements. The Senior Director, Asset Management provides senior-level oversight and strategic leadership for a large and complex commercial real estate loan servicing portfolio.
Director of Client Relations Ernest Paper Products, Inc.Director of Client RelationsHouston, TXWe're looking for a talented and driven sales leader who can inspire a team of Client Relationship Managers (CRMs), drive growth through new business development and account expansion, and create unforgettable client experiences along the way. When you work with Ernest, you'll enjoy the advantages of learning proven methods of success, a proactive approach, and having fun while earning what you're worth with a lot of really awesome people.
Director Risk SuncorDirector RiskHouston, Texas15–20 years of overall experience in energy trading, risk control, product control, or middle-office roles, including at least 10 years of hands-on crude and refined products risk control experience and demonstrated people leadership. Proven ability to lead cross-functional initiatives, manage change, and deliver process/control improvements across Front Office, Middle Office, Back Office, Finance, Compliance, and Audit stakeholders.
Director Risk Suncor Energy IncDirector RiskHouston, TXMinimum Requirements: 15-20 years of overall experience in energy trading, risk control, product control, or middle-office roles, including at least 10 years of hands-on crude and refined products risk control experience and demonstrated people leadership. Proven ability to lead cross-functional initiatives, manage change, and deliver process/control improvements across Front Office, Middle Office, Back Office, Finance, Compliance, and Audit stakeholders.
Director, Construction Clearway Energy, Inc.Director, ConstructionHouston, TX$190,000–$214,000 / yearAlong with our public affiliate Clearway Energy, Inc., our portfolio comprises approximately 11.6 GW of gross generating capacity in 26 states, including 9.1 GW of wind, solar, and battery energy storage assets, and over 2.5 GW of conventional dispatchable power generation providing critical grid reliability services. Along with our public affiliate Clearway Energy, Inc., our portfolio comprises approximately 11.8 GW of gross generating capacity in 26 states, including 9.1 GW of wind, solar, and battery energy storage assets, and over 2.8 GW of flexible dispatchable power generation providing critical grid reliability services.
Director of Resident Services BGSF IncDirector of Resident ServicesHouston, TXThe Director works closely with property management teams, ownership, and external service providers to ensure that residents across all communities have consistent access to high-quality supportive services. This person will build and manage programming, develop community partnerships, coordinate resident referrals and crisis support, and establish the systems and reporting infrastructure necessary to deliver measurable resident outcomes.
Director, Corporate & Securities KBR IncDirector, Corporate & SecuritiesHouston, TXWhile KBR strives to maintain a global, flexible, diverse, and sustainable work environment for our people, we currently offer flexible working arrangements, including hybrid, remote working, and virtual delivery to help reinforce and strengthen our strong commitment to becoming a more socially sustainable company, allowing us to provide greater work-life balance and flexibility. You will work closely with the Vice President, Corporate & Strategic Transactions, Corporate Secretary team and internal stakeholders across the company to provide legal advice and support on a broad range of securities, corporate, and governance matters.
Tax Director - Private Companies PwCTax Director - Private CompaniesHouston, TX$150,000–$438,000 / yearA career within PwC Private will provide the opportunity to help private companies with a range of business advisory needs such as audit, tax compliance, and planning to help improve their operational efficiency and to free up time that can be spent focusing on business strategy. As a Director you are expected to set the strategic direction and lead business development efforts, making impactful decisions and overseeing multiple projects while maintaining executive-level client relations.
Director of Nursing - Emergency Dept Houston Methodist HospitalDirector of Nursing - Emergency DeptHouston, TXThe growing campus offers access to the most innovative medical and surgical care available, including cardiology and cardiovascular surgery; neurology and neurosurgery; comprehensive cancer care; orthopedics and sports medicine; gastroenterology; bariatrics; childbirth center with level III NICU; emergency care; and advanced imaging. Ability to identify and understand issues, problems and opportunities, comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences.
Director of Workforce Management Target HospitalityDirector of Workforce ManagementThe Woodlands, TXFull timeExperience: A minimum of 8–10+ years of progressive HR experience, with at least 5 years in a senior leadership role, preferably in a publicly traded company overseeing multiple HR functions (TA, ER, Ops). The Director of Workforce Management is a strategic leadership role responsible for the end-to-end management of the employee lifecycle, ensuring that HR practices align with organizational goals.
Pathology Regional Director - Birmingham, Dallas, New Orleans, Houston NeoGenomics IncPathology Regional Director - Birmingham, Dallas, New Orleans, HoustonHouston, TXEvaluate market trends and gather competitive information, identify trends affecting current and future growth of regional sales and profitability, and disseminate information to regional sales representatives, corporate marketing, and sales operations. Position Summary: The Regional Director, Pathology Sales is responsible for driving revenue growth and market expansion across a defined geography by developing and executing a focused hospital and pathology commercial strategy.
Assistant Chief Medical Director – WholeLife Clinic SPRING BRANCH COMMUNITY HEALTH CENTERAssistant Chief Medical Director – WholeLife ClinicHouston, TXAssistant Medical Director updates medical alert information for the medical staff under his or her supervision, including CDC guidelines and infectious disease outbreaks in Spring Branch Community Health Center's service area, as well as information released by pharmaceutical companies regarding adverse effects, recalls, etc. This position is also responsible for maintaining relationships with referring physicians to ensure timely follow-up regarding patient consults and to maintain a culture of collaboration among specialists, primary care physicians, nurses, and other staff to meet the needs of patients.
Skilled Nursing Director of Nursing VS Tech SolutionsSkilled Nursing Director of NursingHouston, TexasCollaborates with the Director of Operations and Director of Finance to ensure that revenue, expenses, contribution margin and FTEs meet or exceed budget; prepares and submits budget and related reports; forecasts and accurately projects expenses; takes corrective action to address negative variances; identifies and proposes capital budget items appropriately. Promotes physician engagement; including collaborating with medical staff to ensure programs and care meet the needs of patients; in planning new or revised policies, procedures and services; provides rapid response and follow-up to medical staff issues/concerns; seeks new ways to encourage new physicians to partner with the skilled nursing unit.
Director, Tax Hanwha Energy USADirector, TaxHouston, Texas$200,000–$240,000 / yearThe Director of Tax serves as the organization’s chief tax leader, responsible for overseeing all aspects of tax compliance, tax accounting, strategic planning, and cross‑functional advisory support. With over a decade of experience delivering high-quality, utility-scale energy projects across North America, Hanwha Energy USA has evolved into a comprehensive energy solutions provider.
Director, Tax Kodiak Gas Services IncDirector, TaxThe Woodlands, TXThe Tax Director reports to the Vice President of Tax and partners closely with various cross functional teams and external advisors while leading the income tax team. Identify and execute tax planning strategies and opportunities, including potential credits and incentives, to optimize effective tax rate and cash taxes while aligning with the company's strategic objectives.
Director of Economic Development City of ConroeDirector of Economic DevelopmentConroe, TXFull timeAbility to clearly and effectively communicate both orally and in writing, including the ability to give effective presentations to City Council, employee groups, citizen groups, developers, builders, businesses and industries, etc. PHYSICAL DEMANDSThe work is sedentary and requires the ability to exert up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.
Senior Construction Project Director -Education/K-12 Davron LLCSenior Construction Project Director -Education/K-12Houston, TXSENIOR PROJECT DIRECTOR | PROJECT DIRECTOR | SENIOR CONSTRUCTION PROJECT DIRECTOR | PROJECT / PROGRAM MANAGEMENT | CONSTRUCTION MANAGEMENT | EDUCATION CONSTRUCTION LIFECYCLE | PRE-CONSTRUCTION | DESIGN PHASES | CONSTRUCTABILITY REVIEWS | MICROSOFT OFFICE | MS PROJECT | PRIMAVERA . In this Senior Project Director - Education/K-12 opportunity in Houston, TX, you’ll help grow a strong local presence while leading complex delivery efforts for clients who value excellence, accountability, and results.
OB Hospitalist - Director Opportunity - Houston Optigy GroupOB Hospitalist - Director Opportunity - HoustonHouston, TEXASHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.
OB Hospitalist - Director Opportunity - The Woodlands Optigy GroupOB Hospitalist - Director Opportunity - The WoodlandsThe Woodlands, TEXASHighly relational, able to build strong rapport and positive working relationships with all stakeholders (Hospital leadership, hospitalist teams, nurses, staff physicians, and OBHG corporate staff). Will collaborate with the MMD, MDO or VPCO to ensure the clinical team is delivering a quality program that achieves both OBHG's and the hospital's clinical and operational objectives.