About Leonardo Group Americas

Our journey into Lean Healthcare began in 2002 with a major project for the Cardiovascular Services Department at Memorial Hospital in Colorado Springs. That success was later featured in Cath Lab Digest and presented at the 2004 Institute for Healthcare Improvement conference. Since then we have assisted dozens of U.S. hospitals, either on Lean mentoring or on Lean Hospital training.

Leonardo Group Americas Principals Gerard Leone and Richard Rahn have published a series of six books on implementing Lean Principles in hospitals.

Our Instructors

  • Gerard Leone

    Gerard Leone

    Co-Founder and Principal of Lean Hospital Practice

    Gerard's experience in the Hospital world started with a project in a Cardiology department that was featured in Cath Lab Digest for its impressive results. Since then he has become a nationally renowned expert in the design of procedure-intensive departments specializing in Perioperative Services, Cardiac Catheterization Labs, Endoscopy Labs, Interventional Radiology Labs, and many more. Gerard is one of very few Lean experts to have ever designed an Invasive Center. In fact, he's been credited with the design of three Invasive Centers.

    Gerard has also supported Materials Process design projects coupled with ERP implementations for hospital systems. His vision of Materials Management for hospitals is one that eliminates shortages while drastically reducing inventory and reducing waste for Clinicians.

    Gerard is a sought-after speaker and lecturer, having presented at several conferences, including AORN, OR Manager, and Healthcare Architecture on case studies and full classes on topics related to Process Improvement. He is the co-author of Roadmap to the Lean Hospital, along with five other Lean Hospital books.

    Originally from Buenos Aires, Argentina, his bilingual skills in Spanish and English have been valuable in spreading Lean Hospital ideas around the world. He taught Statistics at the University of Buenos Aires and Production Management at Colorado State University.

    Contact Gerard at This email address is being protected from spambots. You need JavaScript enabled to view it.

  • Richard Rahn

    Richard Rahn

    Co-Founder and Principal of Lean Manufacturing Practice

    Richard Rahn is a Lean authority with more than 20 years of Lean experience. His professional career in Lean began at the John Costanza Institute (JCIT), where as Vice President of Technology, he introduced Flow Manufacturing to some of the best known companies in the world, including General Electric, Johnson & Johnson, John Deere and Emerson.

    Six years later, Richard joined Kiran Consulting Group as a Vice President, where he expanded his Lean skill set to include Simulation Modeling. He is the creator of the Lean operations track for the Aerospace Supplier Excellence Alliance (SEA), an international organization of aerospace suppliers.

    In 2007 Richard co-founded Leonardo Group Americas, headquartered in Boulder Colorado. As Principal of Lean Manufacturing Practice, he has trained over 5,000 engineers and Lean professionals. He is the co-author of the source book for Flow Manufacturing, The Complete Guide to Mixed Model Line Design, as well as Aerospace Flow.

    Richard was raised in Manila and Mexico City, and can teach in both Spanish and English. He graduated Cum Laude from Middlebury College in Vermont and received his MBA from the University of Colorado. He is APICS certified in Production and Inventory Management (CPIM), and has an additional 14 years of manufacturing and management experience with Ball Aerospace and Storage Technology Corporation in Boulder Colorado.

    Contact Richard at This email address is being protected from spambots. You need JavaScript enabled to view it.

  • David Coombs

    David Coombs

    Senior Leonardo Instructor

    Since 2007, David has been a Senior Consultant with Leonardo Group Americas, leading process improvement projects in manufacturing and hospitals. He is a certified instructor in Mixed Model Line Design and Lean Material Management. Prior to joining LGA, he was the owner and President of Coombs Manufacturing, designing and building innovative farming implements. During that time, he also served as Board Chair and Director of Dietzgen Corporation, where he directed a major restructuring of the company, and orchestrated several acquisitions.

    David led his first Lean implementation over twenty years ago, dramatically reducing WIP, cycle times and workplace injuries for a premium-quality boat manufacturer. Since then, he has developed and managed successful Lean projects in a host of industries, including hospitals, across the world. Several of his consulting engagements led directly to executive positions, giving him general management experience, in addition to his strategic analytical skills.

    A graduate of Harvard University, he also earned his MBA in Operations and Business Strategy from Boston University. He was part of the team that climbed the East side of Mount Everest in 1983, and can be frequently seen riding his bike in the mountains around Boulder County.

    Contact David at This email address is being protected from spambots. You need JavaScript enabled to view it.