About SunStone

Our People

Our projects are managed and performed by individuals who are nationally recognized in their areas of expertise. Our extensive knowledge and experience provides us with a complete understanding of the challenges and issues that you face daily. We support each engagement with the most qualified staff to meet the identified objectives.

We have credibility with the Central & Regional Offices of CMS, various U.S. Attorney’s offices, the Office of Inspector General for the Department of Health and Human Services, Medicare Area Contractors (MACs), Carriers, and Medicaid programs and their applicable enforcement agencies.

Gregory S. St. Clair, Sr.
Managing Principal

Greg St.Clair is the Founder and Managing Principal for SunStone Management Resources. He has over 24 years of leadership experience, assisting healthcare providers with reimbursement and regulatory solutions. Greg has gained national recognition for his resolution of compliance issues with healthcare attorneys, the U.S. Attorney’s Office, the Office of Inspector General, Fiscal Intermediary and Part B Carrier enforcement agencies, and various Medicaid programs.

Greg specializes in
  • Healthcare compliance
  • Part B billing, coding and reimbursement
  • Litigation support
  • Chargemaster standardizations/consolidations
  • Charge process efficiencies
  • Reimbursement Recoveries
Professional Achievements
  • Recognized nationally for compliance solutions.
  • Assisted hundreds of providers with HCPCS coding and billing strategies on how to proactively minimize government compliance exposure.
  • Assisted hundreds of providers with compliance analyses, quantification and settlement strategies regarding ongoing compliance initiatives, or in response to governmental initiatives.
  • Worked with the Pennsylvania Bureau of Program Integrity to establish a voluntary disclosure program for Pennsylvania providers. The program, including both underpayments and overpayments, is still in operation today.
  • Initiated and led the technical analysis for 36 of the initial 116 Hospital Laboratories involved in the first “operation bad bundle” case initiated by the U.S. Attorney’s office in the Eastern District of Pennsylvania
  • Recognized as one of the top “40 under 40” executives in central Pennsylvania.
Experience
  • National Director of Health Care Regulatory Services at one of the Big Five accounting and consulting firms. Responsible for establishing and leading the firm’s Part B compliance services and resources in this division.
  • Executive Vice President for a national healthcare consulting firm. Responsible for managing the practice and oversight for the Part B reimbursement and compliance practice.
  • Founder and Managing Principal of SunStone Management Resources, LLC™.
Education
  • B.S., Accounting & Finance, Juniata College, Huntingdon, PA.
After Work

After work, Greg enjoys coaching and training young athletes. He and his family are active with various Food Banks, and the American Cancer Society’s “Strides for Breast Cancer” initiative.

F. Nicholas Jacobs
International Director

Nick is a proven leader, with over 20 years in healthcare, education, and research management. He has created five successful corporations, both not for profit and for profit, so he has considerable knowledge of business development, marketing and entrepreneurial activities, plus expertise in political liaison networking.

Nick specializes in

The future. He is a highly recognized expert in the transition of new science into translational medicine. He has spent the past decade and a half preparing for the amelioration of the upcoming economic and medical challenges that healthcare is currently facing.

Professional Achievements
  • Co-founded of the Windber Research Institute in 2000.
  • Successfully turned around Windber Medical Center – nine years of positive income from operations.
  • Raised over $250M in grants and contracts in seven years
  • Developed comprehensive public health and community outreach programs for three health systems
  • Selected as a top 100 Business in Central PA 2005-06 and PA Outstanding Rural Healthcare Leader
  • Co-founder of Southwest Florida Global Research Institute
Experience
  • President and CEO; Windber Research Institute, Windber, Pennsylvania
  • President and CEO; Windber Medical Center, Windber, Pennsylvania
  • Chief Communications Officer Conemaugh Health System
  • Executive Director; Conemaugh Health Foundation, Johnstown, Pennsylvania
  • Vice President of Administrative Services; Mercy Medical Center, Johnstown, Pennsylvania
Education
  • Master in Public Management/Health Systems Management, Carnegie Mellon University
  • Master in Education, Indiana University of Pennsylvania
  • Bachelor of Science, Indiana University of Pennsylvania
  • Certificate in Health Care Management, Harvard School of Public Health, Harvard University
  • Certification, The Grantsmanship Center
  • Fellow, The American College of Health Care Executives
  • Certification, National Planned Giving Institute, The College of William and Mary
After Work

Nick served as the Chairman of American Red Cross, Keystone Chapter; Member of the Board of Directors, Hospital Council of Western Pennsylvania; Member of the Board of Directors, Pennsylvania Mountains Healthcare Alliance; Vice Chairman of the River City Brass and Arcadia Theater. Current Board Treasurer of the American Board of Integrative Holistic Medicine He enjoys the arts and writing, teaching and contributing his talents to making the world a better place.

John Denniston, M.A.
Senior Manager

John is responsible for managing SunStone’s Transfer DRG review services. He has advised and assisted dozens of hospitals and health systems around the country with reimbursement and compliance reviews along with ongoing process improvement.

John specializes in
  • Transfer DRG Reimbursement Reviews
  • Process improvement
  • Training and Development
Experience
  • Johnson Controls, Inc.
  • Rite Aid Corp.
Education
  • The Pennsylvania State University, M.A., Communications
After Work

John has been with SunStone for the past six years and resides in Harrisburg with his wife Julie and their three boys. In his spare time, John enjoys distance running and coaching football and basketball at the middle school and high school levels.