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About ML Healthcare

the ML HEALTHCARE difference

What we believe…

Through steadfast commitment to our core values, we become the provider of choice in each community we serve. We believe in growing and developing our local leaders to be passionate healthcare experts and excellent business assets in their respective communities.

Meet our team


Troy Langsdale, CPA

Chief Executive Officer and Chief Financial Officer

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Troy is the Chief Executive Officer and Chief Financial Officer for ML Healthcare (ML). He is responsible for the company’s vision and mission, development of the post-acute network, and ensuring ML provides the highest level of quality services to ML leaders and the local healthcare communities.

Troy graduated with a degree in accounting from the Carlson School of Management at the University of Minnesota and is a Certified Public Accountant (CPA), and has served the healthcare industry for over 20 years. Troy began his career in public accounting with a nationally recognized firm where he dedicated 100% of his time to the healthcare industry and served as the Southern United States Healthcare and Healthcare Transactions leader. Troy has also served the healthcare industry as the Chief Financial Officer of a $200 million regional multi-dimensional post-acute care provider of healthcare services throughout Texas.

Troy was a founding member of the Future Leaders Council at the National Investment Center, and currently serves on the Board of Directors of the Texas Health Care Association.

Laura Miller, LNFA

President and Chief Operating Officer

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Laura is the President and Chief Operating Officer of ML Healthcare (ML) where she serves the communities and post-acute networks we operate with strategic oversight and excellent quality of care. Laura is instrumental in ensuring ML provides exceptional quality and leadership to the ML team, our local communities, and the patients we serve.

Laura Miller has served the post-acute industry for over 28 years. She began her career as an Administrator in a skilled nursing facility, and later spent over 16 years with a large Texas based post-acute provider as an Administrator and ultimately as the Senior Vice President of Operations. Laura also operated as the Chief Operating Officer of a post-acute care company in Texas with responsibility to oversee the 25 skilled nursing facilities they operated, including 5 Veterans homes and other ancillary services.

Laura is known for her hands-on leadership style, strong organization skills, proven ability to develop team members through training and education, teamwork promotion, and a long-held personal belief in creating an environment conducive to retaining great leaders.

Lee A. Rivaz, LNFA

Vice President of Operations

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Lee is the Vice President of Operations for ML Healthcare (ML) where he oversees the long-term care operations and provides exceptional leadership to the local leaders of ML.

Lee brings over 25 years of experience in serving the long-term care industry where he has served many roles and leadership positions in the operations of skilled nursing facilities and regional operating support. Lee has opened several skilled nursing facilities over his years of experience and has developed a strong reputation for leadership and family / community support in the long-term care industry. Lee has also had responsibility in the oversight of multiple long-term care communities and has been very successful in growing their local leaders and positively impacting their financial success through his strong leadership and impactful interactions.

Josephine Girandi, RN, BSN, CDONA

Vice President of Clinical Services

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Josephine is the Vice President of Clinical Services for ML Healthcare where she provides superior hands on leadership for our clinical professionals.

Josephine graduated with a Bachelor of Science in Nursing degree – Cum Laude from the Philippines. Josephine has been providing clinical services to the post-acute industry for over 30 years and has served multiple capacities during this time including management and director positions. During her time, Josephine has been instrumental in elevating and excelling in the clinical outcomes for the healthcare operations she serves. Josephine has also served in a regional clinical management role where she oversaw the clinical services of 12 skilled nursing and rehabilitation centers.

Josephine’s goals and aspirations are to provide quality nursing care and to lead a team of the best clinical professionals. Josephine believes in education and hands on style in leadership to reach the goal to success. She believes in mentoring and training effective leaders in the industry.

Cindy Peters

Vice President of Development and Strategic Alliances

Cindy oversees development and partnership strategies with Hospitals, Physicians, MCO’s and state healthcare organizations for ML Healthcare.
Cindy has dedicated more than nineteen (19) years to the post-acute industry and was recently the Vice President of Development and Managed Care for Transition Home Healthcare, the home health branch of ML Healthcare. Cindy has worked extensively in the post-acute industry operating as the market and strategic development leader of home health, skilled nursing, long-term acute care and rehabilitation services, and specializes in bringing market solutions and collaborative partnerships to the post-acute providers.

Cindy believes that by working with each other towards value driven quality of care goals, we will create a greater impact in the population we serve in our communities.

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