Education: Doctor of Nurse Anesthesia Practice, Midwestern University, Phoenix, Arizona, 2020; Master of Science in Nursing, Thomas Jefferson University, Philadelphia, Pennsylvania, 2012.
Member of AANA: Since 2010.
AANA National Offices and Committees: Director, 2021-23; Government Relations Committee, 2014; State Organizational Development Committee, 2016-18; CRNA PAC Committee, 2011-12; Anesthesiologist Assistant Task Force, 2023-present; Finance Committee, 2023-25; Nurse Anesthesiologist Task Force, 2018.
State Association Offices: President, Arizona Association of Nurse Anesthesiology (AZANA), 2015-16; Federal Political Director, 2012-14.
State Association Committees: Government Relations Committee Chair, AZANA, 2014-20; Political Action Committee Chair, 2014-15; Trustee, AZANA, 2012-16.
Current Employment: Guide Anesthesia, Chief Growth Officer, 2014-present.
Has contributed to the AANA Foundation and CRNA-PAC within the past two years
Personal Statement I am seeking the position of treasurer because I believe the financial stewardship of our association is inseparable from the advocacy outcomes we deliver for every CRNA in practice.
As chief growth officer of Guide Anesthesia, a CRNA-owned platform operating across three states with approximately 300 providers, I live at the connection of clinical practice and financial strategy. Every day I negotiate payer contracts, project anesthesia model financial performance, and make decisions that fundamentally influence whether CRNAs function autonomously.
This experience has shaped my thinking: financial decisions are never just financial. Every dollar allocated, every contract structured, every budget line prioritized either advances or constrains our profession’s ability to advocate, educate, and grow to create value for patients and facilities.
At Guide, I have built financial models that quantify the value CRNAs bring to facilities, payers, and patients. I have navigated the complexities of competitive positioning against groups not aligned with the values of high-quality service, autonomy, and teamwork. These are not abstract exercises. They are the same dynamics that determine whether AANA’s advocacy investments translate into meaningful legislative and regulatory wins.
I bring a practitioner’s understanding of how association finances connect to the daily realities of our members. I know what it costs to recruit and retain CRNAs. I understand the margin pressures facing independent practices and departments. I see how payer consolidation threatens practice autonomy. This ground-level financial fluency, combined with my experience scaling a multi-state organization, positions me to ensure AANA’s resources are deployed with both fiscal discipline and strategic purpose.
Our association deserves leaders who understand how financial decisions shape the future of nurse anesthesiology. I am committed to that standard.
View Joseph’s candidate video.