TRANSNATIONAL
BUSINESS INNOVATION
SMART SOURCING
OPERATIONS CONSULTING
SMART SOURCING
OPERATIONS CONSULTING
Creative Director
Arjun Malakar has been the Creative Director of Transnational Business Solutions since 2009.
Arjun is an architect by training, and he has a wide experience in multiple creative disciplines such as Architecture, 3D Animation, Graphic Design, to name a few. Prior to joining Transnational Business Solutions, Arjun has worked as a designer in various media and publishing houses in New York City, which culminated with a stint at creative department of Forbes.
His areas of expertise include high-end 3D modeling, texturing, lighting and animation for ad films, broadcast graphics, construction industry, industrial design, etc.
Arjun brings his entire knowledge and expertise into Transnational’s consulting and delivery platform.
He is directly responsible for handling all publishing, web design and new media related projects for Transnational. He also handles, successfully, all construction/architecture related delivery projects for Transnational, which are mostly based in and around New York City. The scope of work includes handling of construction documents, BIM, preparation of presentation drawings and support material for client presentations, 3D Visualization of high-end quality and estimation services.
Arjun has attended the very well-known 3D animation and special effects program at Vancouver Film School in Vancouver, Canada.
He is presently based in New Delhi, India, and he is a Life Member of The Council of Architecture, India.
Director, Healthcare Division
Dr. Charles N Aswad is the principal consultant for Transnational Business Solutions’ Healthcare Practice Area since 2011.
Dr. Aswad is the Emeritus Executive Vice President and CEO of the Medical Society of the State of New York (MSSNY). He served as President of the MSSNY, Speaker of the American Academy of Family Physicians; Chairman of the American Medical Association’s Task Force on the Medical Workforce and was a member of the American Medical Association’s Council on Long Range Planning and Development. In addition, Dr. Aswad served as a member of the AMA’s Health Policy Agenda for the American People and was and AMA New York Delegate.
Dr. Aswad was appointed, by the New York State Commissioner of Health, to the Council of Graduate Medical Education (GME) where he was Chairman of the Subcommittee of Minority Participation in GME. He was appointed to serve on the Commission for a Healthy New York and the New York State Tobacco Control Partnership.
Dr. Aswad has been a consultant and advisor in both medical and dental fields, as well as to major corporations. He developed the Smoking Cessation Program for MSSNY, which included training programs for Physicians and patients. He was consultant to major pharmaceutical companies in the areas of: clinical trials, communication to professions in the areas of AIDS, Hepatitis C, Influenza, Diabetes, Cancer, Childhood and Adult Obesity, physician involvement in anti-terrorism efforts, and developed a program for treatment of Biological Warfare Agents, post 9/11. He collaborated with multiple health agencies in State and Federal government, as well as NGOs, including The American Heart Association, The American Cancer Society, The Lung Association, and others in developing communication programs.
Dr. Aswad served as Chairman of the Editorial Board of a major continuing medical education and communication company. He has personally worked with both the heads of FDA and the US Surgeon General’s Office and the predecessors.
Dr. Aswad served as Medical Director of the New York State professional Standards Review Organization. He has provided nominations to the US Pharmacopeia. He is a charter founder and Director of the Medical Liability Mutual Insurance Company, the largest physician owned company in the US. Dr. Aswad was Chairman of the New York State Continuing Medical Education affiliate of the American Council on CME, which certified most CME programs in NYS. As CEO of the MSSNY, Dr. Aswad supervised all its communication efforts, including its “News of NY” newspaper all fax and email communications and educational programs.
Dr. Aswad is a graduate of the State University of New York at Binghamton-Harpur College and New York Medical College. He is a Charter Fellow of both the American Academy of Family Physicians and the American College of Emergency Physicians.
Dr. Aswad is the recipient of numerous honors including Distinguished Alumnus Honors from both State University of New York and New York Medical College.
Cindy Borassi has made a career out of being a passionate change agent with the ultimate objective of improving lives. Whether it be promoting patient-centered, value-based care in the US healthcare system, advocating for transparency, patient empowerment, and fair healthcare practices that ensure patients receive the cancer care they need without unnecessary obstacles, or managing programs that sustainably build capacity and empower communities in developing and emerging countries Cindy’s vision is a world in which there is equal access to health and economic opportunity for all – regardless of their race, ethnicity or gender, or location in our global village.
Cindy actively seeks opportunities to collaborate with industry professionals, and other stakeholders on a national and global level to develop transformative solutions for the challenges we face. Cindy’s ability to tackle complex situations and issues has allowed her to contribute to the strategic vision, mission and growth of numerous organizations throughout her career.
She actively participates in various committees and coalitions focused on driving change. Her current involvement includes the New York State Cancer Consortium, American Cancer Society Cancer Action Network, Global Health Impact Network, The Health Equity x A.I. Taskforce (HEAIT), Society for Physician Entrepreneurs (SOPE), Humanity Talent Network (“HTN”), Luminary and Ellevate Network.
In her spare time, she enjoys trying unique international cuisine, visiting botanical gardens, riding Ferris wheels, and spending as much time as possible with her kids, family, friends and furry friends.
Consulting Partner
David Felton, currently, serves as the founding President of the Board and CEO (part-time position) of a 120-bed nursing home and rehabilitation center. The center, in central New York, provides both inpatient and outpatient rehab services and also provides off-site daycare in three adult, medical model centers covering a three-county area. Felton has been a licensed Nursing Home Administrator since 1973.
Current Board memberships include serving on the Board and Executive Committee of Medical Liability Mutual Insurance Company, Central New York Area Health Education Center(Vice Chair), Health Foundation of Western and Central New York through March 2018, Health Work Force New York(Chair), The New York State Rural Health Council and Chair of a Workmen’s Compensation Trust.
Previously, Felton served as the President/CEO of Community Memorial Hospital, Hamilton, New York from 1981 until his retirement in the fall of 2012, Past Board memberships and affiliations include the Board of the Princeton Insurance Company, VHA, Iroquois Healthcare Association(past Chair), Hospital Association of New York Board of Trustees and other related State and local advisory Committees.
Education includes undergraduate degrees from Broome Community College and Rochester Institute of Technology.
Current residence is in Hamilton, New York and Naples, Florida.
Consulting Partner
Diane Kaldany is a mission-driven entrepreneur and strategic advisor with a distinguished career spanning real estate, banking, insurance, and the nonprofit sector. As the Founder and CEO of the Capitalism and Social Good Group (CSG-Group), Diane leads a consultancy that empowers startups and mid-sized companies to integrate sustainable, stakeholder-focused practices into their core operations.
Diane founded the CSG-Group in 2021 to harness the power of public-private partnerships and innovative business models for systemic change. Under her leadership, the firm has become a trusted advisor to high-impact startups, offering services in strategy, operations, and capital raising. Mid-sized enterprises benefit from her expertise in sustainable supply chain management, environmental efficiency and responsibility, and social wellbeing—helping them reduce operational risks and enhance brand value.
Her work is grounded in a deep understanding of grassroots challenges. As Development Director of Teach For Lebanon (2011–2018), Diane was instrumental in securing international funding and positioning the NGO as a transformative force in the education sector. Her contributions significantly enhanced the organization’s visibility and impact across Lebanon.
A Fordham University graduate with a B.A. in Philosophy, Diane combines ethical inquiry with business acumen to advance the UN Sustainable Development Goals (SDGs) through sustainability, economic justice, and stakeholder value. She has served on numerous nonprofit boards, bringing strategic insight and a collaborative spirit to every initiative.
Her leadership ensures that businesses—regardless of size—can adopt regenerative models that benefit people and the planet while in pursuit of profits.
Consulting Partner
Dr. Couch has over 30 years of accomplishments in healthcare delivery and management with an emphasis on evaluating, developing and implementing health IT systems to improve the demonstrable quality, safety and value of health care delivery. His work in value based purchasing, and what is now called accountable care, dates to the 1980s.
His most notable accomplishments have been in the use of Advanced Clinical Analytic, Care Management and Population Health Management Systems. For example, he led an unprecedented controlled clinical trial at a major medical center which demonstrated the 700% ROI of an advanced clinical decision support and care management system. Aetna purchased the company that had developed this system for $400 million three months after a leading academic journal published this study. The Director of the White House Office of the Management and the Budget (OMB) lauded this study in the July 21, 2009 online edition of the “Washington Post” as an example of how the healthcare reforms being pushed by the Obama Administration could save both lives and money
Dr. Couch has also worked extensively the past seven years in evaluating and positioning leading edge cloud-based electronic health information systems, clinical and population health analytics products for use by top healthcare providers and payers. He helped to introduce, to present, and to position a leading edge technology company to Humana, which now serves as the core analytics engine for optimizing the quality of care delivered to 12 million Humana members.
Dr. Couch has served as the Chief Medical Quality Officer of a leading academic health system and university hospital and two “Big 5” Health Insurance Companies. He has also served as the Director in Charge of Disease Management Consulting at a “Big 4” Professional Services firm and as Chief Medical Officer (CMO), VP of Strategy and Leader of Health IT for the American Division of the world’s largest reinsurance company. In all of those roles, he was intimately involved in researching, identifying and overseeing the implementation of best evidence based medical practices both in the U.S. and Abroad.
Working with KPMG, recently, he assisted NYC Performing Provider Systems to put together their proposals to the NY State Dept. of Health to obtain funding for the next five years to transform the delivery of care in NY. This is part of the $8 billion New York Delivery System Reform Incentive Payment (DSRIP) Program.
Dr. Couch was the first to publish on value based purchasing (VBP) in 1987. As its Chief Medical Officer, he led the VBP efforts of the American Division of the world’s largest reinsurance company in becoming a Charter Member of the Leapfrog Group. He also served as a charter member of the Health Policy Council of the National Business Group on Health, promoting VBP to its Fortune 500 company membership.
In 1992, Dr. Couch, the first physician in the country trained at Motorola University in Six Sigma Process Improvement methodologies. His team uncovered $55 million in waste due to preventable defects identified in Travelers’ (then) 487 step health claims payment process.
From 1992 through 1994, Dr. Couch was also the only physician Senior Examiner for the Malcolm Baldrige National Quality Award. During that time, he worked with the Director to help develop Healthcare Criteria for the Award. He did similar work for New York and Connecticut with their State Healthcare Quality Awards.
Dr. Couch has advised two National Directors of Health Information Technology (ONC), senior staff at the Institute of Medicine’s (IOM) Committee on Health IT and Patient Safety, lead officials at the Agency for Healthcare Research and Quality (AHRQ) and the Executive Director of Health Innovations for the Bipartisan Policy Center (BPC) on how to use Health IT to improve the quality, safety and efficiency of care, while minimizing the risks of medicolegal liability (the “Quadruple Aim”). In October, 2013, “Health Data Management” featured his work in this area. In 2013, he also got published an “Editors Correspondence” in “JAMA Internal Medicine” on how to accomplish this “Quadruple Aim”. His most recent book on “Achieving the Quadruple Aim in a Technology-Driven Transformed Health System: Better Care, Improved Health, Lower Costs and Decreased Medical Liabilty” was published in 2014.
He has taught health policy, healthcare quality, patient safety, medical risk management and computer assisted clinical decision making at Penn’s School of Medicine and Wharton Schools, Johns Hopkins,Cornell, NYU, Harvard, Yale and Oxford Universities (Wolfson and Green Templeton Colleges). He conducted funded methodological research at the Leonard Davis Institute for Health Economics and National Healthcare Management Center at Penn. Since 2010, Penn has awarded each year at Commencement the James B. Couch, M’81 Prize to the Senior Medical Student who has made the greatest academic, professional and scholarly research contributions in the joint fields of Medicine and Business.
Dr. Couch’s education includes a BA from the Social and Behavioral Sciences Honors Program at the Ohio State University; a JD (Doctor of Jurisprudence) from the Indiana University Maurer School of Law; and an MD from the University of Pennsylvania Perelman School of Medicine.
Medical Billing & Coding Manager
Janet Horton has worked in HIM since 1972. She began in a clerical position and transitioned to coding in 1989.
She has been both an inpatient and outpatient coder in a Medical Facility for 10 years. In addition, she has 20+ years experience managing and opening physician’s offices, setting up billing, coding and hiring staff.
She returned to the hospital setting in 2000 as Coding Manager and then Director of HIM in 2005 for Major Trauma Facility with over 400 beds, leading, transcription, release of information, clerical and coding areas. She has initiated the instillation of Electronic record and a Clinical Documentation Program and worked closely with the Revenue Cycle Team.
In 2009 she moved to remote work in the field as an I9-I10 Coder and Auditor, along with training for Physicians and Coders in ICD 10.
She holds her CCS and is an ICD10CM/PCS Trainer and Ambassador through AHIMA.
She continues to work toward her RHIT.
Consulting Partner
John Zelem brings a rare and deeply integrative perspective to healthcare systems and organizational design—combining over 25 years of clinical experience as a board-certified general surgeon with more than 15 years in healthcare executive leadership, consulting, and education. As President of Streamline Solutions Consulting, Inc. and creator of the Utilization Management 360® methodology, he has helped transform fragmented operations into cohesive systems by breaking down silos, redesigning workflows, and aligning performance across the clinical revenue cycle.
Drawing on his extensive experience in compliance, utilization review, physician advising, documentation integrity, and regulatory affairs, he consults nationally across healthcare systems and business environments. He is a recognized subject matter expert and author, having written extensively on physician advisor roles, mid-revenue cycle efficiency, organizational silos, and performance improvement. His writing is complemented by his role as an educator—developing video-driven training courses on platforms like Udemy and founding Utilization Management University, which translate complex concepts into actionable, real-world solutions for professionals at every level.
What sets him apart is his holistic systems-based approach. He believes that no team, department, or initiative exists in isolation, and he leverages this philosophy in both consulting and teaching. His proprietary PrevCORE framework—centered on the principle that prevention is not just an option but a strategy—equips organizations to proactively address operational pain points instead of perpetually correcting them after failure has occurred.
A lifelong learner and systems thinker, he continuously expands his expertise through emerging fields such as quantum vs. linear thinking, non-linear systems modeling, vertical silo specialization, and the creation of diagnostic survey tools to expose root causes in organizational inefficiency. His recent projects include the development of AI-enabled consulting tools, survey-driven assessments, and concept-driven white papers that redefine traditional healthcare and business functions through the lens of holism and integration.
Whether designing a Clinical Workflow Audit-as-a-Service, writing about depersonalization in the modern supply chain, or building a diagnostic Silo Scanner for enterprise clients, he maintains a grounded, strategic focus: connecting the parts to serve the whole—always aiming to make tomorrow better than today.
Consulting Partner
Peter Costello is a visionary executive with success driving business growth and expansion across global markets by establishing strategies and brand vision, building top-performing teams, and creating sound business processes. Combining extensive background in distributions, sales, marketing, and communications with advanced business acumen to lead organizations to new levels of success by expanding business globally across North America, Latin America, Asia, and Europe
Business Strategy • Operational Management • Strategic Partnerships & Alliances • Global Expansion • Global P&L Management • People Development & Leadership • Market Analysis & Growth • Stakeholder Relations • Company Vision & Growth Planning • Client Retention • Mergers & Acquisitions • Change Management • Fiscal Oversight • Partnership Development • Innovation • Regulatory Compliance
Operational Consultant, Pet Metrics, Inc. (2023–Present)
Senior advisor to founder to create company vision and mission and set brand strategy. Developed business plan and investor documents to facilitate fund raising. Negotiated and executed third-party development and supply agreement while overseeing the development of the core product technology. Provide an oversight of finance, HR and operations.
COO, wanu water (2021–2024)
Supported startup organization in establishing internal processes, short/long-range strategies, and attainable goals. Served in an executive leadership capacity, providing complete oversight of sales, marketing, manufacturing, finance, and HR operations.
COO, F-Factor (2017–2021)
Led business operations, working closely with founder on setting and executing strategy for branding, product innovation, manufacturing, regulatory compliance, marketing, HR, finance, and sales. Directed business growth and development operations, including facilitating
negotiations with vendors and partners, introducing business processes, managing reporting
and compliance functions, and implementing new sales and distribution platforms. Built, developed, and managed a team of 20, growing throughout tenure to meet expanding business goals. Oversaw PR, marketing, and crisis communications for the brand.
President, Arctic Ease (2013 -2017)
Led all aspects of the company, including sales, marketing, manufacturing, supply chain, HR, and finance. Developed and executed growth strategy, implemented business processes, and built partnerships to maintain market competitiveness while also driving financial results.
Previous Roles:
Leadership positions at Bausch & Lomb, Pfizer, Wyeth, Johnson & Johnson — driving strategic growth, global market expansion and sales & marketing
INDUSTRY EXPERTISE
EDUCATION
Consulting partner and team lead in Mental Health
Dr. Toney is president and CEO of Toney HealthCare Consulting, a clinically oriented consulting firm providing services in strategy, compliance, management, and clinical operations for healthcare organizations nationwide.
Dr. Toney began his private practice in general adult psychiatry in 1988 and specialized in the diagnosis and treatment of anxiety disorders and psychosomatic medicine.
Dr. Toney subsequently developed a joint venture with the Hospital Corporation of America and the USF Psychiatry Center launching a multidisciplinary outpatient behavioral health practice in the Tampa Bay Area. He then served as the national medical director of CompCare’s managed behavioral health organization from 1992 to 1995.
Dr. Toney then founded Health Integrated and pioneered Dynamic Somato-Social Theory™ (DSST) which is the clinical underpinning of the company’s care management philosophy. DSST is an interventional care management model integrating physical and behavioral medicine for high risk populations. This proactive and comprehensive approach incorporates unique techniques to drive behavior change and has been shown to drive savings, close care gaps and improve quality.
Dr. Toney has appeared in such publications as the Journal of Managed Care Pharmacy, Managed Healthcare Executive, and Population Health News. He is a frequent speaker at industry conferences including the Medicaid Managed Care Congress and Medicaid Health Plans of America Conference and has presented on national webinars for Health Plan Alliance, the Association for Community Affiliated Plans, and others.
Dr. Toney is certified by the American Board of Psychiatry and Neurology and is licensed to practice medicine in 35 states.
Co-founder, Managing Director
Sumantra Sen brings a rare dual-lens perspective to global business—first as a corporate leader with Fortune 100 giants, where he specialized in startup incubation, collaborative value chain design, and cross-border expansion; and later as a mission-driven entrepreneur shaping innovative ecosystems at the intersection of technology, equity, and global sustainability.
As Founder and Managing Director of Transnational Business Solutions (TBS), he has spearheaded national-level industry development programs and transformative AI/ML implementation protocols—not from a technologist’s lens, but through a systems-leadership approach that unites stakeholders across public, private, and academic sectors.
His work spans diverse industries—healthcare, financial services, climate action, digital innovation, and pet wellness—and is deeply rooted in sustainable growth, human-centered governance, and inclusive opportunity creation across geographies from New York to New Delhi, Abuja to Remscheid ( Germany)
Corporate Leadership (Early Career)
Held senior roles at Mobil Oil, Lazard, Cummins Power, BTR, and INDAL (Alcan), leading high-stakes strategic growth initiatives, global M&A, and market-driven restructuring. Specialized in building intrapreneurial ventures and driving organizational agility within large multinationals.
Entrepreneurial Leadership (Current Phase)
Founded and expanded TBS into a global advisory platform with specialized services in AI/ML-enabled strategy execution, healthcare innovation, and digital transformation. Architected partnerships for national workforce development and regional resilience in the face of health, economic, and climate disruption
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