About Us

About The HealthCare Foundation for Orange County

The Foundation makes grants each, in support of our mission, to programs and services at local nonprofit hospitals, clinics and community-based organizations. Funds for our annual grant making come from charitable remainder trusts gifts and bequests of generous individuals and families, who want their charitable giving to improve the health of Orange County residents. In addition, a significant proportion of our grant making draws on the proceeds of the sale of United Western Medical Centers to Tenet, and is intended to continue the charitable legacy of those hospitals in central Orange County, California.

Our Board of Directors

Michael Ruane

Board Chair

Michael Ruane is the Executive Vice President of National CORE. Mr. Ruane is responsible for overseeing the operations of National CORE, one of the nation’s largest nonprofit affordable housing developers. He leads the development of National CORE’s program and business strategies as well as oversees the communication of National CORE’s mission to internal and external stakeholders. Prior to this position, Mr. Ruane served as Interim Chief Operating Officer and Chief of Strategy and Public Affairs for CalOptima, the community health plan for Orange County.

​He has more than 20 years of experience working for the County of Orange in various positions, including as Assistant County Executive Officer for Strategic and Intergovernmental Affairs, and as Executive Director of the Children and Families Commission of Orange County. Mr. Ruane is the immediate past Chair of the Orange County/Inland Empire District Council of the Urban Land Institute. He holds a Master’s Degree in Architecture and Urban Planning from UCLA and is an Adjunct Lecturer in the Department of Policy, Planning and Design at UC Irvine. Mr. Ruane serves on the Grants Committee, served as Vice Chairman from 2016 – 2018 and currently serves as Chairman of the Board.

Christina Altmayer

Christina Altmayer is a senior executive with vast experience and success leading public agencies dedicated to early childhood. Her work has focused on policy and system changes to better serve the needs of children in both the healthcare and early education spaces. Since joining HMA in early 2021, Ms. Altmayer has led multiple strategic planning, stakeholder engagement, and program assessments focused on maternal and child health, behavioral health for children and youth, and prevention and early intervention services working with children’s hospitals, managed care plans, and public agencies. 

She joins HMA after leading high-impact efforts to implement and expand maternal and pediatric early intervention services as the senior vice president of the Center for Children and Family Impact for First 5 LA. In this capacity, she oversaw more than $90 million in programmatic investments focused on family support, community engagement, early care and education, and health systems with a focus on policy and systems change. She developed First 5 LA’s 2020-2028 strategic plan and pioneered innovative financing strategies to sustain priority maternal and child interventions, including partnerships with Medi-Cal managed care organizations. 

Previously, Ms. Altmayer served as executive director of First 5 Orange County, where she led the organization through a comprehensive strategic planning and implementation process and oversaw an annual program portfolio of $35 million. She led several high-impact efforts, including initiatives related to developmental screening and early intervention, kindergarten readiness, and oral health, as well as innovative financing strategies to sustain important services for children and families. She worked closely with CalOptima, Children’s Hospital of Orange County, and community organizations to implement innovative financing strategies to support early childhood investments. 

A seasoned consultant, she helmed her own management consulting organization, helping nonprofit, public, and private organizations with long-term financial planning, strategy development, program design and implementation, performance management, and evaluation. She launched her career in consulting at Ernst & Young, serving as a senior manager supporting public and private clients. During her consulting tenure, she authored multiple articles on performance-based management and was a frequent instructor and presenter on this topic. 

Ms. Altmayer earned a master’s degree in public administration and a bachelor’s degree in government and politics from St. John’s University in New York. 

Quynh Kieu, M.D.

Quynh Kieu, M.D. has been a pediatrician in private practice since 1979. She is a Fellow of the American Academy of Pediatrics and a past Chairman of the Academy as well as an Assistant Clinical Professor of Pediatrics at the University of California, Irvine. Dr. Kieu completed her residency in Pediatrics at UCI in 1976–78. She is active in the committee structure of the Orange County Medical Association, and serves on the CalOPTIMA Provider Advisory Board.

​She has served as Chair of the Vietnamese American Coalition for Citizen Rights and Director of the Children’s Advocacy Institute. Dr. Kieu is dedicated to “Project Vietnam”, a missions program serving children in need of specialized medical services or surgery in Vietnam.

Anthony M. Magno

Anthony M. Magno is the Vice President of Learning & Development for CPS Solutions, LLC. He oversees training operations for hospital pharmacies and corporate staff in locations across the United States. He’s also an executive coach for Lee Hecht Harrison (LHH) where he provides 1:1 career consultation for senior level candidates and facilitates numerous professional development workshops. In addition, Anthony brings a diverse managerial and leadership background with him. Prior to LHH, he was vice president of human resources for UnitedAg, an agricultural trade association. He also founded the corporate university for Western Growers, an Irvine-based organization. 

​​In his spare time, Anthony teaches at Santiago Canyon College. He presently designs and teaches courses on social media, mobile communications and business applications. He obtained his Bachelor of Arts degree from the University of California, San Diego and Master’s degree from Pepperdine University. Anthony was Chairman of the Board for HFOC from 2016-2018 and currently serves on the Grants Committee.

Debra Mathias

Debra Mathias is an experienced healthcare executive with demonstrated leadership skills in academic healthcare management, strategic planning, business development, and performance improvement. She served as the COO for two children’s hospitals and as the COO of a pediatric institute in Los Angeles. She has worked as a consultant for two large healthcare consulting firms and has led multiple consulting engagements that have resulted in the development of ambulatory care systems that serve low income populations. Ms. Mathias has worked with health systems, public health programs, and community benefit organizations (CBOs) to implement care delivery strategies across various public and private systems. Currently. Ms. Mathias serves as a consultant to First 5 Orange County and is leading the grant funded expansion of a Primary Care and Behavioral Health (PCBH) integration project, HealthySteps, into 10 additional clinics in Orange County.

Ms. Mathias serves on UCI’s School of Nursing Advisory Board. She received her BSN from the University of Arizona and her Masters in Health Administration from the University of Colorado.

J. Fernando Niebla

J. Fernando Niebla is the founder and Managing Partner of International Technology Partners, LLC (ITP) a business and technology consulting firm serving both the U.S. and Latin American markets. Prior to ITP, Mr. Niebla founded Infotec Development Incorporated (IDI) in 1979, an IT services organization serving primarily the defense industry, and was its CEO through 1996. He obtained a Bachelor of Science in Electrical Engineering from the University of Arizona and a Master of Science from the University of Southern California. He and his wife, Olga, are recipients of the “Giving is Living” Award (2002) from the Volunteer Center of Orange County, for their many charitable efforts in the community since 1962.  

​Mr. Niebla has served on corporate boards of large organizations including Union Bank of California, Pacific Life Insurance Company, Integrated Healthcare Holdings Inc. and Granite Construction, Inc., as well as in various entrepreneurial start-up companies. He is a founding member of the Hispanic Education Endowment Fund (HEEF) of Orange County and continues to serve on its Advisory Board. He previously served as Secretary of the Foundation Board from 2004-2006 and serves on the Finance and Investment and Audit Committees. Mr. Niebla currently serves as Chief Financial Officer.

Mark A. Refowitz

Mark A. Refowitz has a professional history with more than 30 years of top management experience in public sector healthcare and social services, including experience in state and county government as well as private managed care. He recently retired from the County of Orange Health Care Agency where he served as Director from February 2012 until April 2017. The Health Care Agency has approximately 2700 full-time employees and an annual budget in excess of $620 million. He was appointed to the CalOptima Board of Directors in February 2012, and elected Chairman in May of that year. He served on the CalOptima Board from February 2012 until April 2017. Under his leadership, the National Committee for Quality Assurance rated CalOptima as its top Medicaid health plan in California for three years in a row during his tenure. He is a Board Governance Fellow from the National Association of Corporate Directors. 

​Mr. Refowitz’s experiences include the positions of Senior Vice President of Development with For Health, Inc. in Costa Mesa, California, Chief Clinical Officer with the Community Care Behavioral Health Organization in Pittsburgh, Pennsylvania; and Assistant Commissioner for Managed Care with the Massachusetts Department of Mental Health in Boston, Massachusetts. Mr. Refowitz currently serves on the Grants Committee and currently serves as Vice Chairman of the Board of Directors.

Lilia M. Tanakeyowma, Ed.D

Lilia M. Tanakeyowma, Ed.D retired as Dean of Student Affairs for Santa Ana College at the end of 2017, now the Principal Consultant with Tanakeyowma & Associates. Her prior service has included the positions of Executive Assistant, Fourth Supervisorial District, County of Orange; Program Director, California State University, Fullerton, Education Talent Search; Executive Director, Orange County Coalition for Immigrant Rights and Responsibilities.

​She has been an active volunteer, including serving as Red Cross Chairman of the Pacific Region (Alaska, Hawaii, Washington, Oregon, California and the Pacific Islands), Chairman, Hispanic Development Council of the United Way of Orange County, and Chairman, Board of Directors, Orange County Human Relations Council. Dr. Tanakeyowma is a founding member of The HealthCare Foundation for Orange County. She is the former Chairman of the Board for the Foundation from 2012-2016. Dr. Tanakeyowma currently serves on the Grants Committee and the Finance Committee.

Brian Van Marter, Esq.

Brian Van Marter, Esq. has been practicing law in Southern California for over 30 years, and focuses his practice on Advanced Estate Planning, Probate and Trust Administration at the Law Firm of Charles, Kane, Burns & Van Marter, LLP where he is a partner. Previously, Mr. Van Marter founded Weber • Van Marter LLP where he was the managing partner in an estate planning and probate practice. Prior to starting his firm, Mr. Van Marter was a partner at Cooksey, Toolen, Gage, Duffy & Woog (formerly known as Cooksey, Howard, Martin & Toolen). Additionally, Mr. Van Marter has been an Adjunct Professor at Trinity Law School where he has lectured on Wills, Trusts and Estates. 

Mr. Van Marter obtained his law degree (cum laude) from Whittier College School of Law in 1993 where he was the Executive Editor of the Whittier Law Review and the recipient of the Dean’s Merit Scholarship. He has attained his Masters Degree in Law (LL.M.Taxation) from Chapman University School of Law. Mr. Van Marter obtained his undergraduate degree from California State University at Fullerton (B.A., American Studies) in 1990. He is admitted to practice in all State Courts of California and the United States District Court (Central District). Mr. Van Marter has served on the Grants Committee, is a current member of the Finance Committee; and currently serves as the Secretary to the Board.

For more information, please contact the HFOC team.

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