Richard A. Royer has served as the CEO of Primaris since 2001. He has extensive administrative healthcare experience and is actively involved in several statewide healthcare initiatives. In 2006, he was appointed by the Missouri governor to the Missouri Healthcare Information Technology Task Force and chaired the resources workgroup. He also serves on the Board of Directors as Treasurer for the Excellence in Missouri Foundation. In his over 35 years of medical business experience, he has held positions as CEO at Cuyahoga Falls, Ohio, General Hospital; Executive Director of Columbia Regional Hospital in Missouri; and Founder and President of Avalon Enterprises, a medical financial consulting firm.