Major HCA Healthcare Leadership Shake-Up: 25 Hospital CEO Moves Reshape Healthcare Management
- 3 days ago
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The landscape of healthcare management across the United States is seeing significant shifts, particularly within HCA Healthcare, the Nashville, Tenn.-based for-profit health system. Recent reports highlight an extensive HCA Healthcare Leadership overhaul, recording more than two dozen (25) Hospital CEO Moves this year at facilities operated by HCA. This widespread restructuring, detailed in a list compiled on January 9 and updated through December 3, demonstrates a concerted effort to refresh leadership nationwide.
Since December 3, HCA Healthcare has appointed 25 new chief executives across its hospitals, bringing diverse expertise into vital roles. These changes are geographically extensive, spanning hospitals in Florida, Tennessee, Virginia, Georgia, New Hampshire, Utah, Texas, Missouri, South Carolina, and Alaska.
Among the key appointments are Alexis Mussi, who was named CEO of MountainView Hospital in Las Vegas, having previously served as CEO of Southern Hills Hospital and Medical Center. Other notable changes include Patrick Rafferty stepping in as CEO of Centerpoint Medical Center in Independence, Mo., and Mark Roberts taking the helm at Alaska Regional Hospital in Anchorage. On the East Coast, Sean Patterson was appointed CEO of Portsmouth (N.H.) Regional Hospital, and Nanette Logan, DNP, became CEO of Dominion Hospital in Falls Church, Va.. Further illustrating the system-wide scope, appointments also included Colin O’Sullivan at HCA Healthcare Colleton Medical Center in South Carolina and Dale Neely at HCA Florida Capital Hospital in Tallahassee.
A critical takeaway from this large-scale turnover is the strong presence of Clinical Expertise among the new leaders. Several of the newly appointed CEOs hold nursing degrees (RNs, BSNs, DNPs), underscoring the system’s drive to integrate hands-on healthcare understanding with executive decision-making.
For instance, new appointments included Nicole Tucker, RN (CEO of LewisGale Hospital Alleghany in Low Moor, Va.), Jerry Gonzalez, BSN, RN (CEO of Ogden Regional Medical Center in Utah), and Elias Armendariz, MSN, RN (CEO of HCA Houston Healthcare Pearland in Texas). Additionally, Kelsie Green, BSN, RN, was appointed to a dual role as CEO and chief nursing officer of Cache Valley Hospital in Logan, Utah. This incorporation of clinical experience is expected to help leaders better understand healthcare challenges and improve patient care. The overall goal of these shifts is to bring fresh ideas and energy to enhance patient care and operational efficiency across the HCA system.
While the hospital CEO Moves command headlines, other significant HCA Healthcare Leadership changes are also in motion. HCA's executive restructuring included the naming of anesthesiologist Jack Atwater, MD, as chief medical officer of HCA Florida Capital Hospital in Tallahassee. Simultaneously, former HCA market CFO Jacob Wiesmann moved outside the system to become divisional CFO at Beth Israel Lahey Health.
Furthermore, the leadership of HCA’s Surgery Ventures division—which operates approximately 150 surgery centers in 16 states—remains robust. Key figures in this division include President Greg Beasley, a 30-year HCA veteran, Chief Operating Officer Shaun Cartwright (named July 2025), and Chief Financial Officer David McKnight. The division also highlights clinical leadership with CMO Peter Harkness, MD, a board-certified anesthesiologist with 21 years of private practice experience, and Chief Nurse Executive Sharon Ikeler, DNP, RN, NEA-BC, who has 28 years of nursing experience.
These executive appointments signal that HCA Healthcare is strategically deploying experienced and clinically knowledgeable Leadership to face new challenges, meet community needs more effectively, and innovate healthcare quality across its expansive system.
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Keywords: HCA Healthcare Leadership











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