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Sham Firdausi

Deputy CFO

County of Santa Clara Health System

San Jose, CA

Mr. Firdausi joined the County of Santa Clara Health System in September 2025, a $4.5 billion public safety-net and academic teaching system that encompasses four hospitals and 16 clinics serving one of the most diverse and underinsured populations in California, where more than eight in 10 hospital stays involve patients who are uninsured, Medi-Cal or Medicare covered. He holds direct oversight of finance, revenue cycle and supply chain operations, with a scope spanning budget development, financial planning and analysis, capital investment decision-making and supply chain governance. With federal cuts through the H.R. 1 act placing more than $1 billion in anticipated revenue losses on the system over the next several years, Mr. Firdausi has been at the center of building the financial strategy, contingency frameworks and operational improvements needed to close that gap, with early results showing measurable progress. He implemented a finance business partner model that embeds financial leadership alongside operational teams while preserving a centralized finance structure. He is leading a comprehensive revenue cycle transformation focused on upskilling teams, deploying technology and building bench strength to capture every dollar the system is owed, and his supply chain approach has driven significant savings while holding suppliers accountable for quality and value. A U.S. Marine Corps and U.S. Army veteran, Mr. Firdausi previously served as CFO of Louisville, Ky.-based ScionHealth and in senior finance roles at Centene and UnitedHealth Group/Optum.

Becker's Recognition

Sham Firdausihas been named a Becker's honoree on the lists below.

2025 Winner

Executives

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The chief financial officers featured on this list are helming financial functions for health systems and hospitals throughout the U.S. These leaders are instrumental in strategic financial planning, expansions and joint ventures for their organizations. These CFOs take on responsibility for the financial sustainability of their hospitals and health systems, and are key to their organizations’ overall success.

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