Accra Executive and Leadership Team

September, 2026

Leadership Overview

Accra has 6 executives leading key functions including strategy, operations, human resources, marketing, and organizational leadership.

Dedicated to empowering individuals with disabilities and older adults, Accra delivers essential home health care and waivered services across Minnesota to foster independence and quality of life.

Leadership Roles at Accra

  • Chief Executive Officer - Sylvester Manford
  • Chief Executive Officer, Marketing - Numo James
  • President - Shelley Moorhead
  • President - Monique Akassi
  • Chief of Staff - Chad Gruzin
  • Chief Human Resources Officer - Amy Hilsgen
  • Sylvester Manford - Chief Executive Officer

    Sylvester Manford, the Chief Executive Officer at Accra, directs the overarching strategic vision for all non-profit operations across Minnesota. Overseeing the delivery of Personal Care Assistance and Consumer-Directed Community Supports, the Chief Executive Officer ensures that every service aligns with the mission of supporting individual independence. Sylvester Manford manages high-level relationships with state stakeholders and regulatory bodies to maintain compliance across all 87 counties. By optimizing resource allocation, the Chief Executive Officer drives organizational efficiency and expands the reach of home health care programs. This leadership role involves constant evaluation of service quality and community impact. Through rigorous oversight of the 245D Waivered Service framework, the Chief Executive Officer secures the long-term sustainability of the organization. Manford maintains a focus on scaling care models to meet the evolving needs of older adults and individuals with disabilities throughout the region.

    Numo James - Chief Executive Officer, Marketing

    Numo James, the Chief Executive Officer, Marketing at Accra, directs the brand positioning and outreach strategies to increase awareness of essential waivered services. Overseeing the communication of the organization's value proposition, the Chief Executive Officer, Marketing ensures that families and individuals across Minnesota understand the available support options. Numo James manages digital and community-based campaigns to expand the reach of Personal Care Assistance and customized living services. By analyzing market trends and demographic needs, the Chief Executive Officer, Marketing identifies opportunities for growth in underserved counties. This role involves close collaboration with the executive team to ensure that marketing efforts reflect the core mission of independence and quality care. James drives the development of educational materials that simplify complex service programs for the public. Through strategic brand management, the Chief Executive Officer, Marketing strengthens the reputation of the organization as a leader in disability and senior care.

    Shelley Moorhead - President

    Shelley Moorhead, the President at Accra, oversees the execution of clinical service standards and the quality assurance framework for home health care. Managing the operational integrity of 245D Waivered Services, the President ensures that all care delivery meets rigorous state requirements and internal benchmarks. Shelley Moorhead directs the implementation of clinical protocols that support the independence of individuals with disabilities. By supervising regional service managers, the President maintains consistency in care quality across the entire state of Minnesota. This leadership role involves evaluating clinical outcomes and adjusting service models to improve patient satisfaction. Moorhead drives the integration of new health technologies to enhance the personalized attention provided by skilled nurses and aides. Through constant monitoring of service delivery metrics, the President secures the operational excellence required to support older adults and individuals with disabilities in their homes and assisted living facilities.

    Monique Akassi - President

    Monique Akassi, the President at Accra, leads the expansion of customized living services and assisted living facility partnerships. Overseeing the development of new residential care models, the President ensures that the organization provides high-quality environments for older adults and individuals with disabilities. Monique Akassi manages the financial and operational performance of these facilities to ensure long-term viability and service excellence. By fostering relationships with facility operators and community partners, the President drives the growth of the organization's footprint across Minnesota. This leadership role involves strategic planning for facility upgrades and the implementation of specialized care programs. Akassi maintains a focus on regulatory compliance and safety standards within all residential settings. Through the optimization of facility-based service delivery, the President secures the organization's position as a premier provider of customized living solutions. The President ensures that every residential initiative aligns with the broader mission of fostering independence.

    Chad Gruzin - Chief of Staff

    Chad Gruzin, the Chief of Staff at Accra, coordinates internal communications and operational workflows between executive departments. Managing the daily administrative cadence, the Chief of Staff ensures that strategic initiatives receive proper execution across the entire Minnesota service network. Chad Gruzin facilitates cross-functional collaboration to streamline the delivery of home health care and customized living services. By monitoring key performance indicators, the Chief of Staff identifies bottlenecks in service provision and implements corrective measures to improve operational agility. This role requires constant interaction with the leadership team to align departmental goals with the broader organizational mission. Gruzin maintains a focus on organizational health and process optimization, ensuring that the infrastructure supports the needs of individuals with disabilities. Through meticulous planning and project management, the Chief of Staff drives the successful implementation of new care programs and administrative policies.

    Amy Hilsgen - Chief Human Resources Officer

    Amy Hilsgen, the Chief Human Resources Officer at Accra, architects the talent acquisition and workforce development strategies necessary to support home health care operations. Overseeing the recruitment of skilled nurses and home health aides, the Chief Human Resources Officer ensures that the organization maintains a high standard of care across all 87 counties in Minnesota. Amy Hilsgen manages employee relations, benefits administration, and professional training programs to foster a culture of excellence and compassion. By implementing robust retention strategies, the Chief Human Resources Officer mitigates turnover in a demanding industry. This leadership role involves aligning human capital with the strategic goals of the non-profit to ensure consistent service delivery. Hilsgen drives initiatives that promote staff engagement and operational compliance. Through the development of comprehensive personnel policies, the Chief Human Resources Officer secures the workforce stability required to provide quality care to older adults and individuals with disabilities.

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    Frequently Asked Questions Regarding Accra Top Executives and Leadership Team

    Who leads Accra?
    Accra is led by Sylvester Manford (Chief Executive Officer), along with executives such as Numo James (Chief Executive Officer, Marketing) and Shelley Moorhead (President).
    Who is part of Accra’s executive team?
    The executive team of Accra includes leaders such as Sylvester Manford (Chief Executive Officer), Numo James (Chief Executive Officer, Marketing), Shelley Moorhead (President) and other senior executives.
    How many executives does Accra have?
    Accra has 6 executives leading key business areas.
    What roles are included in Accra’s leadership team?
    The leadership team of Accra includes roles such as Chief Executive Officer, Chief Executive Officer, Marketing, President, President, Chief of Staff.