About Us


Healthcare Restructuring Management International /dba HRM International is a privately-owned consulting firm specializing in assisting global healthcare systems and physician practices with turnaround management and performance improvement strategies.

The clientele for HRM is comprised of hospitals and other specialized healthcare businessesand entities, both domestic and international, that are engaged for rapid performance improvement, immediate patient experience and quality improvement and overall strategic management.

International clients included hospitals and healthcare entities in Saudi Arabia and the UAE. Domestic clients included hospitals, physician groups and other diversified health care business entities in the following States: Illinois, Michigan, Indiana, Kentucky, Tennessee and Florida. Some of the projects completed for clients included: turnaround management, restructuring, quality improvement and monitoring, physician development, cultural development, employee engagement strategies, physician and stakeholder relationships and strategy development.

The mission of HRM International is to provide successful restructuring, reorganizational and performance improvement initiatives to the global healthcare organizational sector and enabling these organizations or entities to achieve long term sustainability in their ability to serve the marketplace.


Dr. McFadden is a seasoned healthcare executive and principal consultant with over 35 years of healthcare management experience. For the past year, Dr. McFadden has also been serving as the CEO of Dr. Erfan and Bagedo General Hospital in Jeddah, Saudi Arabia where he has directed a $50M SAR turnaround of all hospital operations. Erfan and Bagedo Hospital is a 300 bed full service hospital and is one of the leading private hospitals in Saudi Arabia.

During the past year, Dr. McFadden has implemented several new initiatives at Erfan and Bagedo Hospital including: the opening of a new front gateway to the hospital, the implementation of a new automated patient experience initiative and patient focused culture which has improved outcomes for all services, and the streamlining of all operations resulting in dramatic improvements in revenue generation and expense reduction. Dr. McFadden has also served other hospitals in Saudi Arabia including Dr. Noor Mohammed Khan Hospital in Hafr Al Batin. He previously served several hospitals and health systems in the United States at the Senior Executive Level and spearheaded performance improvement and turnaround management initiatives at these hospitals. Some of these hospitals include: the Methodist Hospitals in Gary, Indiana, The Alameda Health System in Oakland, California and hospitals affiliated with large health systems such as, HCA Healthcare and Catholic Health Initiatives.

“Additionally, Dr. McFadden served as a Senior Consultant for Cambio / FTI Consulting, Inc., which is now one of the largest Fortune 500 Companies in the world specializing in Turnaround Management”. Throughout his career Dr. McFadden has managed and consulted on many successful turnarounds of hospital clients and has established a reputation as a top hospital turnaround specialist. His turnaround methods are focused on quality outcomes improvement as well as increasing financial and operational performance. He has received numerous recognitions from various hospitals and has lectured nationally at several conferences. He has been recognized in several publications including being recognized as a top CEO in “Indiana Business”.

Dr. McFadden holds a Doctorate in Healthcare Administration from the University of Alabama at Birmingham. He also holds a Master’s in Health Administration from the University of Alabama at Birmingham and an MBA in Marketing from the University of Memphis. Dr. McFadden has also served on the faculty of DePaul University and Ohio University. He is a Fellow in the American College of Healthcare Executives.

Dr. McFadden‘s company, HRM International is currently based out of Orlando, Florida. He now provides assistance to healthcare providers both in the USA and abroad that are in need of performance improvement and turnaround expertise. His continuing ambition is to serve internationally based hospitals and health care systems to provide them the opportunity to attain a status of performance excellence.

Dr. McFadden resides in the Orlando, Florida area with his wife and 3 children.