CEO & Co-Founder
Manish Patel, leveraging his IT and hospitality industry background, has overseen the growth of Avance Care since its inception in 2008. With the vision to build a thriving ecosystem of independent practices, he orchestrated the establishment of the clinically integrated system of comprehensive primary care practices while maintaining profitable revenue growth. Manish was the architect of Avance Care’s unique operating model, information technology, and workflow systems that enable the company’s patient-centered care delivery system that naturally supports value-based healthcare. He prides himself on being the company’s culture coach where he works to promote patient, provider, and staff satisfaction, and efficient operation.
Pratik V. Desai, MD, FACC
Dr. Desai has been a practicing cardiologist since 2000. He co-founded Avance Care with CEO Manish Patel in 2008, with a vision to change healthcare by offering convenient, accessible and comprehensive primary care. He believed that overall healthcare cost could be reduced and outcomes improved, if primary care was convenient and comprehensive. Being a practicing physician, he is sensitive to the demands placed on providers and ensured that from day one, a core tenet of Avance Care was ensuring appropriate work-life balance as well as enabling high quality care supported by more patient time and enhanced support systems.
Joanne Fruth, MD
Chief Medical Officer
Dr. Fruth is a Fellow in the American Academy of Family Physicians with over 25 years of clinical experience. She brings her love of teaching to her role as Chief Medical Officer at Avance Care. Dr. Fruth encourages medical professionals to adhere to Dr. Atul Gawande’s research that “checklists saves lives” and to apply these principles to primary care. Physicians and advanced practice providers are inspired to systematically collect the grains of sand that comprise superior preventative and chronic care, then use their individuality as the cement that builds the foundation of an individual’s good health.
Ashwin A. Patkar, MD, MRCPsych, DFASAM, DFAPA
Chief of Avance Psychiatry
Dr. Ashwin A. Patkar is Chief of Avance Psychiatry and Adjunct Professor of Psychiatry at Rush University Medical Center, Chicago. He was formerly Professor of Psychiatry and Community and Family Medicine at Duke University Medical Center, NC.
Dr. Ashwin A. Patkar Patkar has over 25 years of clinical and scientific experience in psychopharmacology, addiction, dual diagnoses, and integration of medical care for psychiatric disorders. Dr Patkar is certified in psychiatry, addiction psychiatry, addiction medicine, and pain medicine. He has published over 250 scientific articles, 6 book chapters, and has given over 400 presentations and invited lectures at national and international meetings. He is a distinguished fellow of the American Society of Addiction Medicine (ASAM), distinguished fellow of the American Psychiatry Association (APA), president of North Carolina Chapter of ASAM, the past president of the Indo-American Psychiatric Association, and member of the American Academy of Addiction Psychiatry, American Academy of Pain Medicine, Indian Psychiatric Society, Royal College of Psychiatrists, and World Psychiatric Association.
Chief Financial Officer
Brett Farabaugh comes to Avance Care with over 30 years of experience in finance and accounting. His diverse experience spans multiple industries with an emphasis on entrepreneurial companies in the public and private arenas. Most recently, Mr. Farabaugh served as Interim Chief Financial Officer of TransEnterix, Inc., a public medical device company that is digitizing the interface between the surgeon and the patient to improve minimally invasive surgery. Mr. Farabaugh has served as CFO of Tryton Medical, Inc., a developer of coronary stents based in Durham, North Carolina from 2008 to 2019, and as CEO of Tryton Medical since August 2019. Prior to Tryton Medical, Mr. Farabaugh served as CFO of Strikeiron, Inc., a high-growth information technology company, from 2006-2008, as Vice President of Finance for Icoria, Inc. (formerly Paradigm Genetics, Inc.), a public biotechnology company, from 2004-2006. Mr. Farabaugh also held various roles at Nuada Pharmaceuticals and PricewaterhouseCoopers LLP. Mr. Farabaugh holds a B.S. in Commerce with a concentration in Accounting from the University of Virginia and is a licensed CPA.
Chief Operating Officer
Lisa Golden is the Head of Operations at Alo. When Alo and Avance Care partnered in 2021, Lisa assumed the role of Chief Operating Officer. She is a highly accomplished health care executive and entrepreneur, she leads, builds and transforms organizations through strategy, inclusion and innovation. Her clinical roots in nursing anchor her passion for excellence in patient care.
Prior to Alo, Lisa held multiple leadership positions within Geisinger Health System in Pennsylvania, where she advanced the organization’s mission, improved its performance and engaged and partnered with community physicians. She was a member of the Pennsylvania Trauma System Foundation Board of Directors, the PNC Advisory Board, the Children’s Advocacy Center Board of Directors and the Wilkes University Board of Trustees. She plans to continue her advocacy and community outreach work in North Carolina.
Lisa holds an MSHA in Health Administration from Kings College and a B.S. in Nursing from Wilkes University. She is a Certified Healthcare Insurance Executive, has completed the AHIP Executive Leadership program and holds a certification from the American Case Management Association. She received the Distinctive Women’s Award from the Times Leader Media Group in 2019 and was named one of Modern Healthcare’s Top 25 COOs in Healthcare in 2018.
Reynolds (Tad) Clodfelter, Psy.D.
Vice President of Psychiatry and Behavioral Health
Dr. Clodfelter is a licensed, clinical psychologist in the state of North Carolina and a behavioral health and addictions specialist. Dr. Clodfelter is a proven leader in behavioral health, addictions treatment and strategy, and has guided companies and many individual leaders to grow their clinical businesses and increase market share. He promotes whole-person health and believes that an integrated approach to healthcare and treatment is vital to sustainable clinical results. Accordingly, Dr. Clodfelter believes mental health, nutrition and spiritual wellness are critical components of overall health and wellness. As Vice President of Wellness Services, Dr. Clodfelter targets high-quality behavioral healthcare solutions and policies to grow behavioral, nutrition and psychiatry services for our patients.
Vice President of Information Technology
John Tuman has experience working in a variety of industries including, finance, technology, and utilities; however, in the past twenty years he has immersed himself in the healthcare industry. Mr. Tuman served at Chief Technology Officer at New Hanover Regional Medical Center, an 850-bed acute care hospital in Wilmington, NC. Mr. Tuman earned his Bachelor of Science degree in Electrical Engineering from the University of Notre Dame and his MBA and a certification in Health Sector Management from The Duke Fuqua School of Business. Tuman holds a CISSP (Certified Information Systems Security Professional) and is also a registered Professional Engineer (PE). Mr. Tuman has three adult children and a wife of 30 years. John enjoys electronics, running, and tinkering with his 1969 Austin Healey.