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Thomas Nelson began their work experience in 2005 at Wachovia Securities, where they worked as an Analyst in Energy & Power Investment Banking until 2008. From 2008 to 2009, Thomas worked as an Acquisitions Senior Analyst at EBSCO Industries, Inc. Thomas then joined Surgical Care Affiliates in 2009, starting as a Senior Analyst, Development until 2010. From 2010 to 2011, they served as a Director, Development, and then as a Senior Director, Development from 2011 to 2017. Lastly, Thomas Nelson worked as the Chief Financial Officer at Proxsys Rx from May 2017 onwards.

Thomas Nelson attended Hampden-Sydney College from 2001 to 2005, earning a Bachelor's Degree in Economics & History.