All Professionals

Leslie Estes-Smith


    Leslie Estes-Smith is a director with over thirty years of industry and consulting experience.

    She has provided relevant, practical, and scalable revenue enhancements and expense management solutions to hospitals and ambulatory provider organizations. Her background as a Clinical Exercise Physiologist and industry executive leadership experience have equipped her with the ability to understand and relate to both the clinical and business aspects of care delivery systems, ensuring multidisciplinary collaboration while establishing realistic and attainable performance improvement targets and results.

    As a member of BRG’s Portfolio Optimization practice, Ms. Estes-Smith brings expertise in strategic planning, mergers and integration, service rationalization, network integrity, and service-line optimization with an emphasis on regional growth and expansion in highly competitive markets. She has led both small- and large-scale, single- and multifacility engagements in academic and community settings, yielding a variety of improved financial performance and growth outcomes, including:

    • Development of a centralized ambulatory network strategy that helped generate an $8 million improvement through access enhancement, referral development, and value-based transformation for a large, multicampus academic medical center.
    • Facilitation of a home health services joint venture for a rural community hospital, yielding a $1.5 million profit from the asset sale and $500,000 annual operational improvement.
    • Design and implementation of a real estate strategy that helped generate a cash infusion in excess of $3 million from consolidation of services, sale of surplus property, and a sale-leaseback transaction.
    • Development of a provider referral capture and network development strategy that helped reduce referral leakage by more than 30 percent and generating $2.8 million in bottom-line improvement.

    Before joining BRG, Ms. Estes-Smith served on the executive leadership team of a five-hospital regional health system recognized as a Malcolm Baldrige National Quality Award recipient and a Fortune magazine 100 Best Company for six consecutive years. She led and developed multiple departments and services, including cardiovascular services, for which she facilitated the acquisition of a regional twenty-eight-member cardiology practice generating $8 million in net income, while leading the market with the introduction of multiple medical firsts and maintaining high-quality care, as evidenced through national quality awards such as the American College of Cardiology’s Platinum Performance Achievement Award.

    Employment History

    Baptist Health Care
    Progressive leadership roles including executive

    Professional Affiliations

    American College of Healthcare Executives

    Community/Civic Involvement

    Olive Baptist Church
    Member, Choir Member

    American Heart Association

    Habitat for Humanity


    Troy University
    MS, Health Care Management

    University of West Florida
    BS, Exercise Science


    Presidential Award
    American Heart Association

    Bronze Service Award
    Florida Emergency Cardiac Care Committee