Director of Operations UpchurchDirector of OperationsFort Myers Beach, FLThis role provides strategic and hands-on leadership to project management and field teams, drives operational consistency, and partners with executive leadership to support company growth and performance. Founded in 1970 and headquartered in Horn Lake, MS, Upchurch has grown through both organic expansion and strategic acquisitions, establishing a strong reputation for quality, reliability, and service excellence.
NewPhysician Medical Director - Competitive Salary Lee Health Physician GroupPhysician Medical Director - Competitive SalaryFort Myers, FLThe Lee Health System Physician Advisor Medical Director reports to the Chief Physician Executive for Hospital-Based Care and works closely with the Chief Medical Officer, Chief Nursing and Operational Executives of the Lee Health hospitals, Chief Financial Officer, Chief Technology Officer, medical staff leadership, and other leadership related to case/utilization management and revenue cycle including the Lee Health Physician Advisors. This includes working with health system and hospital leadership to ensure efficient management and delivery of resources, developing case management protocols to optimize length of hospital stay, effectively identify elements of medical necessity for patient placement in appropriate levels of care and patient status, support documentation integrity and compliance, and monitor the appropriate use of diagnostic and therapeutic modalities.
Assistant Finance Director Town of Fort Myers Beach FloridaAssistant Finance DirectorFort Myers Beach, FLFull timeMinimum of five (5) years of progressively responsible governmental accounting or public sector financial management experience, including at least three (3) years in a leadership role overseeing day-to-day accounting operations (general ledger, AP/AR, payroll, and financial reporting). The Assistant Finance Director is a key leadership role responsible for directing and overseeing the daily operations of the Town's accounting and financial functions, ensuring accuracy, efficiency, and strong internal controls across all areas of responsibility.
Executive Director VOA Lee County Health Care Facility, IncExecutive DirectorFort Myers, FLFull timeWe offer assisted living, memory support, 75 skilled nursing suites for long-term care, skilled nursing memory support, and skilled rehabilitation services, all designed to provide compassionate, person-centered care in a supportive environment. The surrounding area offers easy access to Gulf Coast beaches, nature preserves, and a variety of dining, shopping, and cultural experiences that make Fort Myers a vibrant and desirable place to live and visit.
Director of Radiation Oncology GenesisCareDirector of Radiation OncologyFort Myers, FloridaWith advanced technology and innovative treatment options, skilled physicians and support staff offer comprehensive and coordinated care in radiation oncology, urology, medical oncology, hematology, diagnostics, ENT and surgical oncology. An integrated oncology and multispecialty network in Florida providing care for more than 120,000 patients annually, GenesisCare U.S. offers community-based cancer care and other services at convenient locations.
Director Case Management HCA HealthcareDirector Case ManagementPort Charlotte, FLThe Director ensures staff compliance with organizational policies and external regulatory agencies and takes leadership responsibility to coordinate the integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization. This position is a subject matter expert in case management that requires solid leadership, trust building, team building, as well as change management skills to ensure success of the department and case management initiatives.
Youth Development Programs Director YMCA OF COLLIER COUNTY INCYouth Development Programs DirectorNaples, FL$45,000–$50,000 / yearThe YMCA of Collier County is seeking a passionate and experienced Youth Development Programs Director to lead and oversee our school-age, teen, and youth enrichment programs. This leadership role is responsible for ensuring high-quality programming, regulatory compliance, staff development, program growth, and positive outcomes for children and families throughout our community.
Recreation Director CCMCRecreation DirectorBabcock Ranch, FLIf driving is, or becomes, a requirement of the role, it is required, at all times, that you hold a valid state driver’s license for the class of vehicle you are driving, maintain a clean motor vehicle report, and hold current automobile insurance at statutory limits. The Recreation Director is responsible for developing, implementing, and overseeing a diverse range of recreational programs, events, and community activities to enhance the quality of life for residents.
Diagnostic Medical Sonography Program Director Keiser UniversityDiagnostic Medical Sonography Program DirectorFort Myers, FLFull timeAttend monthly University faculty meetings, facilitate bi-annual Advisory Board meetings, and collaborate with Clinical Coordinators to cultivate relationships with clinical sites, and evaluate and assure clinical education effectiveness. CERTIFICATES, LICENSES, REGISTRATIONS: • Possess the appropriate credentials and remains in good standing specific to one or more of the concentrations offered: Appropriate credentials as RDMS (Abdomen), RDMS (Ob/Gyn), and RVT (Vascular Technology).
Nursing Director of Cardiovascular Services HCA Healthcare IncNursing Director of Cardiovascular ServicesPort Charlotte, FLThe Director oversees all cardiovascular procedural and diagnostic services, including but not limited to: • Cardiac Catheterization Labs • Interventional & Diagnostic • Transcatheter Aortic Valve Replacement (TAVR) Program • Electrophysiology (EP) Lab - ablations, device implants, mapping • Structural Heart Procedures • Pacemaker • ICD implant services • Cardiology recovery and pre- and post-procedure care • Cardiovascular imaging and diagnostics as applicable. The Director of Cardiovascular Services provides strategic operational and clinical leadership for a comprehensive cardiovascular program that includes four procedural labs delivering TAVR, electrophysiology, EP, interventional cardiology, and diagnostic cardiology services.
Asst Director Nursing ED NN Pediatric ED NCH Healthcare System IncAsst Director Nursing ED NN Pediatric EDNaples, FLNCH is transforming into an Advanced Community Healthcare System(TM) and we're proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.
Preschool Center Director The Learning Experience #482Preschool Center DirectorFort Myers, FLHave two or more years of center leadership/management experience (highly preferred) or at least one year of center leadership/management experience (required). State-of-the-Art Classrooms: Lead in immersive classrooms equipped with the latest technology, materials, and resources, creating an environment where children can learn, play, and grow.
New2026-2027 Director, Athletics and Activities (High School) Lake County Schools2026-2027 Director, Athletics and Activities (High School)Fort Myers, FLEnsure compliance with all district, FHSAA, and national requirements regarding eligibility of athletic and activity participants, physicals, insurance forms or insurance waiver, parent consent, and student grade reports. ESSENTIAL JOB FUNCTIONS - Oversee and provide leadership of all school athletic and extracurricular programs.
NewDirector of Recreation Troon Golf LLCDirector of RecreationPunta Gorda, FLJob Knowledge, Skill, and Ability Preferences: Ability to read and speak English may be required in order to perform the duties of the job (e.g. the associates may be required to communicate with English speaking customers or co-workers, the manuals for the equipment the associates may use are in English). Essential Duties: Prepares and monitors annual budget, revenue goals and expenses for the Recreation areas as well as generating various (weekly, monthly, etc.) business volume forecasts and planning accordingly.
NewDirector of Golf Troon Golf LLCDirector of GolfPunta Gorda, FLThe Director of Golf serves as a key property leader and works closely with the General Manager, Golf Course Superintendent, Food and Beverage, Lifestyle/Events, Accounting, Human Resources, Troon support teams, association leadership, committees, members, residents, and guests. Develop and support programming that drives participation, including leagues, clinics, member events, outings, tournaments, instructional programs, player development, and community-focused golf initiatives.
Food & Beverage Director Troon Golf LLCFood & Beverage DirectorPunta Gorda, FLParticipates with the sous chef, lead line cook, food and beverage managers and catering managers in the creation of menus to entice a variety of outlets including restaurant and banquets while incorporating a menu pricing structure that will support the bottom-line goals. Job Knowledge, Skill, and Ability Preferences: Ability to read and speak English may be required in order to perform the duties of the job (e.g. the associates may be required to communicate with English speaking customers or co-workers, the manuals for the equipment the associates may use are in English).
Administrative Assistant to President and Director of Technology Axis Satellite, LLCAdministrative Assistant to President and Director of TechnologyFort Myers, FLQualifications:3+ years of administrative support experience, preferably supporting executivesExperience with construction projects, AIA billing processes, and project documentationProficiency with QuickBooks (invoicing, bills, reconciliations) and basic accounting proceduresFamiliarity with permitting processes and regulatory complianceStrong computer skills; proficient in Microsoft Office (Word, Excel, PowerPoint, Teams)Excellent written and verbal communication, professional demeanor, and strong interpersonal skillsExceptional organizational abilities, time management, and attention to detailAbility to work independently, prioritize tasks, and handle confidential informationProblem-solving mindset with a proactive approachOptional but desirable: social media posting/marketing familiarity and comfort with basic graphic/layout tools. The ideal candidate will be a proactive, detail-oriented professional with strong organizational and communication skills, experience with construction-related processes, and proficiency in QuickBooks and AIA billing.
Deputy Director of Engagement ECHODeputy Director of EngagementNorth Fort Myers, FloridaWorking cross-functionally, this leader aligns on-site experiences with ECHO’s global strategy, translating impact into compelling, Christ-centered opportunities for participation, partnership, and investment. The Deputy Director of Engagement provides strategic leadership for all engagement functions at ECHO’s Florida campus, integrating guest experience, regional partnerships, and advancement initiatives into a unified, mission-driven strategy.
NewClinical Director United Surgical Partners International Inc (USPI)Clinical DirectorFort Myers, FLFull timeThe Outpatient Surgical Center Clinical Director will oversee staff credentialing, preventative safety measures, risk management duties, and use their clinical and leadership experience to enhance patient care and improve clinical outcomes. The Ambulatory Surgical Services Clinical Director is responsible for the day-to-day operations of the operating room and implements process initiatives to improve efficiency of services and patient experience.
Assistant Director of Food & Beverage MPM MaconAssistant Director of Food & BeverageFort Myers, FloridaThis role partners closely with the Director of Food & Beverage to oversee multiple outlets, including restaurants, bars, banquet and catering operations, convention center events, and amphitheater activations. The Assistant Director of Food & Beverage supports the strategic and day-to-day leadership of all food and beverage operations at Luminary Hotel & Co., an Autograph Collection Hotel.
Director of Memory Care Experience Senior LivingDirector of Memory CareNorth Port, FloridaResponsibly manage and supervise all Memory Care team members by scheduling and delegating assignments, providing direction, having on-going conversations regarding performance, including implementing the company’s disciplinary process if necessary, completing performance reviews in a timely manner (including input on pay adjustments), hiring, onboarding, training, retaining, providing the necessary support, direction, and feedback. Develop, create, plan, and organize the daily enriching program for the Memory Care neighborhood, including all required programs in the daily of events, and ensure that the planned programming, and unplanned programming, is being implemented twenty-four (24) hours a day, seven (7) days a week.
Executive Director Experience Senior LivingExecutive DirectorNorth Port, FloridaPossess solid performance management and leadership skills, including the ability to communicate performance expectations, coach and document performance strengths and challenges, provide direction and guidance, listen, have on-going conversations regarding performance, including implementing the company’s disciplinary process if necessary, completing performance reviews in a timely manner, as well as ensuring all department performance reviews are completed in a timely manner, and providing the necessary support and feedback to all team members. Actively partnering with the Director of Sales to conduct a quarterly SWOT, and have ongoing weekly, or at times daily discussions, on sales/marketing strategies and help support all sales efforts, including conducting tours, assisting with creative follow ups, outreach, home visits, and building positive relationships with referral partners.
Director of Nursing Brightstar Care of Ft. Myers/NaplesDirector of NursingNaples, FloridaThe ideal candidate will be responsible for coordinating and overseeing all aspect of care provided to our clients to promote the over all well- being and safety of our clients. The Director of Nursing oversees and manages a team of nurses/ caregivers in the home care setting.
Executive Director, RN UnitedHealth Group IncExecutive Director, RNPort Charlotte, FL$81,776–$122,664 / yearThis includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
NewSenior Living Inspire Connections Program Director Merril GardensSenior Living Inspire Connections Program DirectorPort Charlotte, FLEnsures that residents' activity needs are being met with attention to individuality & dignity while maintaining an optimal level of functional ability in a professional and safe manner. We're seeking compassionate Connections Program Director to provide respectful, personalized care that promotes dignity and independence through meaningful, hands-on engagement.
NewAssociate Director-In Home Sales At&tAssociate Director-In Home SalesFort Myers, FL$77,400–$116,200 / yearKey Roles and Responsibilities: Supervises sales and support staff, including responsibility for hiring, training, developing, disciplining and contributing to decision making regarding discharge of subordinate employees. Our Associate Director In Home Sales earn between $77,400 - $116,200 + $55,200 in commissions yearly if all sales goals are met.
NewExecutive Director (Licensed Nursing Home Administrator) VOA Lee County Health Care Facility, IncExecutive Director (Licensed Nursing Home Administrator)Fort Myers, FLPart timeWe offer assisted living, memory support, 75 skilled nursing suites for long-term care, skilled nursing memory support, and skilled rehabilitation services, all designed to provide compassionate, person-centered care in a supportive environment. The surrounding area offers easy access to Gulf Coast beaches, nature preserves, and a variety of dining, shopping, and cultural experiences that make Fort Myers a vibrant and desirable place to live and visit.
NewDirector of Dealer Network Development #0405MB Keller Executive SearchDirector of Dealer Network Development #0405MBFort Myers, FLOur client is seeking a Director of Dealer Network Development to strengthen and expand its dealer and channel partner network within the building equipment, construction equipment, and industrial equipment sectors. This person should understand how to build productive partnerships, improve market reach, and support business growth through a strong external network.
NewFuneral Director Service Corporation InternationalFuneral DirectorFort Myers, FLVisually inspects Services Arrangements (visitation, funeral, or graveside) against contractual arrangements and the next of kin expectations; initiates corrective action as appropriate; may provide instruction or guidance to services team members. Produces MeM products that may include scanning photos, ordering of memorabilia or stationary, creating electronic presentations, writing obituaries, and creating on-line memorials.
Spa Director Hand & StoneSpa DirectorFt. Myers, FloridaBy artfully and creatively providing superior massage and facial services at truly affordable prices, Hand & Stone Massage and Facial Spa will consistently deliver a massage or facial experience of the very highest quality. The individual in this position is responsible and accountable for certain aspects of daily operations with a focus on achieving sales targets (with an eye for effective marketing strategies) and delivering an exceptional level of customer service.
Physical Therapist Center Therapy Director Concentra Inc.Physical Therapist Center Therapy DirectorFort Myers, FLMasters use of clinical systems to ensure efficient and excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow-through on all patient care orders. Actively participates in CLT meetings with COD and CMD to improve quality, patient safety, outlier management, and ensures the ongoing development and growth of the center's business.
Executive Director (Licensed Nursing Home Administrator) Volunteers of America National ServicesExecutive Director (Licensed Nursing Home Administrator)Fort Myers, FloridaWe offer assisted living, memory support, 75 skilled nursing suites for long-term care, skilled nursing memory support, and skilled rehabilitation services, all designed to provide compassionate, person-centered care in a supportive environment. The surrounding area offers easy access to Gulf Coast beaches, nature preserves, and a variety of dining, shopping, and cultural experiences that make Fort Myers a vibrant and desirable place to live and visit.
NewAssistant Executive Director Experience Senior LivingAssistant Executive DirectorCape Coral, FloridaProvide effective and thoughtful leadership by building strong relationships with key stakeholders at all levels of the organization, including residents, families, community leadership, community team members, referral partners and volunteers. They are creators, architects, nurses, researchers, programmers, marketers, facilitators, developers, investors, and caregivers, all focused on making a positive impact on the lives of residents, their families and team members.
School Director Celebree SchoolSchool DirectorEstero, FloridaEnsure exceptional customer service experiences, e.g., thorough, friendly tours (visits); welcoming environment; accessible for parent meetings, phone calls, etc. Manage the operations of the childcare facility, including scheduling, financial management, and documentation, and ensuring smooth operations and record-keeping .
Spa Director Hand and Stone Franchise CorpSpa DirectorFL$55,000–$63,900 / yearBy artfully and creatively providing superior massage and facial services at truly affordable prices, Hand & Stone Massage and Facial Spa will consistently deliver a massage or facial experience of the very highest quality. The individual in this position is responsible and accountable for certain aspects of daily operations with a focus on achieving sales targets (with an eye for effective marketing strategies) and delivering an exceptional level of customer service.
Lee County YL College Associate Director Young LifeLee County YL College Associate DirectorFort Myers, FloridaBecause of Young Life’s exclusive Christian purposes of evangelism and discipleship as set forth in its Articles of Incorporation and in these Bylaws, and to reflect what has always been and will continue to be the position of Young Life, specifically the Christian belief that each and every employee and volunteer of the corporation should minister as a servant of God with the primary responsibility of proclaiming the gospel of Jesus Christ and, as such, is an integral part of the Christian mission and ministry of the corporation, Young Life shall only employ individuals or enlist volunteer leaders who: (a) profess a belief in Jesus Christ as their personal Savior and Lord; and (b) subscribe to the statements and policies required of all Young Life staff, including the Young Life Statement of Faith. In alignment with the Everyone on Assignment Policy, the assignment could be a three to four-week assignment in the summer or during the year, an International Assignment, a Young Life College Jump Start, serving on the Conference Planning Team or writing curriculum for Young Life College use.
Director Emergency Services HCA HealthcareDirector Emergency ServicesEnglewood, FLAdditional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. HCA Healthcare is one of the nation’s leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom.
NewDirector of Outlets Pyramid Hotel GroupDirector of OutletsFLThis position oversees the daily operations, financial performance, service excellence, and leadership of multiple restaurants, bars, lounges, pool venues, grab-and-go concepts, and future outlet operations across the resort. The 330-acre retreat and wildlife nature preserve on the Florida Gulf Coast offers elevated coastal experiences and world-class amenities designed to appeal to a multitude of guests.
Pathology Operations Director Florida Cancer Specialists and Research InstitutePathology Operations DirectorFort Myers, FLCORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES: Essential competencies and KSAs targeted to successfully performing in role: Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations.
Director, Donor Relations & Stewardship Florida Gulf Coast UniversityDirector, Donor Relations & StewardshipFLThe Director of Donor Relations and Stewardship leads the strategic development and implementation of a comprehensive donor relations program that fosters meaningful engagement, ensures accountability, and strengthens long-term philanthropic support for the university. Oversees donor engagement strategy and portfolio activity across all assigned prospects in coordination with the major gift and planned giving team, with the ability to directly engage donors and prospects in cultivation as needed.
Director of Day and Community Services Sunrise CommunityDirector of Day and Community ServicesCape Coral, FloridaAssists Day Program Supervisors with creating active schedules that include meaningful age-appropriate activities, community engagement, self-advocacy, health and wellness, social skills, activities of daily living, volunteerism and vocational training. Ensure day service supervisors implement and document trainings, support and behavior programs as required by Individual Support Plans and regulatory agencies.
Business Office Director (Senior Independent Living) Discovery Village at the Forum - ILBusiness Office Director (Senior Independent Living)Fort Myers, FL$45,000–$50,000 / yearAs one of the premier senior living communities in Fort Myers, FL, we proudly offer Active Independent Living, Assisted Living and SHINE® Memory Care within a vibrant campus designed for connection, comfort, and carefree living. Discovery Management Group leads one of the nation’s most purpose-driven and people-centered senior living organizations, managing and enhancing senior living communities across the United States.
NewDirector of Engineering Pyramid Hotel GroupDirector of EngineeringFLSituated on 330 acres along the Gulf Coast, South Seas is a dynamic resort environment featuring hotels, villas, restaurants, pools, golf operations, retail outlets, recreation venues, marina operations, and extensive back-of-house infrastructure. SCHEDULE: Managers are expected to maintain flexible availability, including evenings, weekends, and holidays, to accommodate business needs, which will include working over 40 hours per week and responding to emergencies or unplanned operational needs after hours.
Director of Construction Major Projects Acts Retirement-Life CommunitiesDirector of Construction Major ProjectsBonita Springs, Florida$117,760–$153,718 / yearFull timeActs Retirement-Life Communities is one of the largest not-for-profit owners, operators, and developers of resort-style continuing care senior living communities, including independent living, assisted living, and skilled nursing. Acts provides residents with a lifestyle that includes on-campus conveniences, services, and amenities such as casual and fine dining venues, beauty salons, fitness centers, security, healthcare, activity programs, and much more.
NewDirector of Activities (Senior Living) Discovery Village at the Forum - ILDirector of Activities (Senior Living)Fort Myers, FL$2,022–$2,027Discovery Management Group leads one of the nation’s most purpose-driven and people-centered senior living organizations, managing and enhancing senior living communities across the United States. Senior Living experience or experience working with older adults in hospitality, hotels, resorts, recreation, YMCA, parks and recreation, or similar activity-focused environments .
Director Accounting NCH Healthcare System IncDirector AccountingNaples, FLNCH is transforming into an Advanced Community Healthcare System(TM) and we're proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan. The Director of Accounting also coordinates the year-end audit, tax returns, allowances, and preparation of the monthly internal and external financial statements for the NCH Healthcare System and all related facilities.
Director of Sales, Commercial Risk - Insurance Advisory Solutions The Baldwin Group Insurance Holdings, LLCDirector of Sales, Commercial Risk - Insurance Advisory SolutionsFort Myers, FLAny unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume. PRIMARY RESPONSIBILITIES: Develop and implement sales strategies to meet revenue and growth targets, identifying opportunities for new sales channels and leading the expansion into new markets.
Director of Finance Pyramid Hotel GroupDirector of FinancePunta Gorda, FLThis role ensures the integrity of financial reporting, maximizes profitability, maintains strong internal controls, oversees payroll and supports the resort's leaders with insightful financial analysis and guidance. Whether you are just starting out in the hospitality industry or are a seasoned professional, Pyramid Global Hospitality offers a supportive and collaborative work environment that encourages growth and fosters success, in over 230 properties worldwide.
Land Acquisition Director Taylor MorrisonLand Acquisition DirectorBonita Springs, FloridaWill have responsibilities such as: Interviewing, selecting, and training employees; Setting rates of pay and hours of work; Appraising productivity; handling employee grievances or complaints, or disciplining employees; Determining work techniques; Planning the work; Apportioning work among employees; Determining the types of equipment to be used in performing work, or materials needed; Planning budgets for work; Monitoring work for legal or regulatory compliance; Providing for safety and security of the workplace. Bachelor’s degree in Business, Accounting, Real Estate, Law, Planning or Engineering; and at least eight years demonstrated experience and/or training in the home construction industry; or equivalent combination of education and experience.
Home Health RN Executive Director Aveanna Healthcare Holdings IncHome Health RN Executive DirectorNaples, FL$95,000–$105,000 / yearAs an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Thorough review of financial statements, activity reports, and other performance data to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement.