Nicola Pangher is a seasoned leader with a remarkable track record in clinical engineering and healthcare technology management (HTM). As the founder and former Managing Director of TBS Group, he was instrumental in transforming the company from a small team of three into the largest independent biomedical engineering service provider in Europe, operating in 19 countries with over 2,300 employees and generating about €250 millions in revenue. Nicola's leadership ensured the management of over 900,000 biomedical devices, valued at over €4 billion, across more than 1,000 healthcare facilities worldwide. He successfully spearheaded 18 strategic acquisitions, integrating companies across Europe and Asia to strengthen TBS's service offerings. His pioneering work extended beyond traditional equipment maintenance, encompassing healthcare infrastructure projects, such as the development of acute care hospitals and outpatient centers in Italy, in the United Kingdom, in China, in India, in Vietnam, in Kenya, and Nigeria. His ability to deliver effective cost savings for healthcare providers through innovative financial models for the supply of medical technoogies, such as risk-sharing agreements, equipment financing options and operational efficiency improvements, underscores his expertise in driving value within the healthcare sector. Nicola’s expertise also includes the deployment of large-scale telemedicine systems, as evidenced by his leadership in the management of a telecare service for 4 million patients in Northern Italy. His deep understanding of the clinical and operational needs of healthcare providers, has resulted in the successful closing of service arm partnerships with OEMs like Siemens, Samsung and Pentax. He successfully closed the sale of TBS Group to Private Equity player Permira in 2017. In 2023 he founded together with two other partners Cognisance Healthcare Consulting (chcmed.net). At Cognisance Healthcare Consulting, Nicola continues to build on this extensive experience by offering turnkey healthcare infrastructure and technology management solutions.