Chapters Health System Executive and Leadership Team

September, 2026

Leadership Overview

Chapters Health System has 5 executives leading key functions including financial strategy, hospice operations, care division finance, PACE program management, and human capital development.

Committed to compassionate end-of-life support, Chapters Health System delivers comprehensive hospice, palliative, homecare, and grief services to improve patient quality of life across Florida.

Leadership Roles at Chapters Health System

  • Chief Financial Officer - Sher-Dave-Shea O'Neil
  • Division Chief Financial Officer, Care - Joe Murray
  • Chief Operating Officer, Hospice - Jason D'Auria
  • Chief Operating Officer, PACE - Marwa El-Menshawi
  • Chief People Officer - Nikki Romence
  • Sher-Dave-Shea O'Neil - Chief Financial Officer

    Sher-Dave-Shea O'Neil, the Chief Financial Officer at Chapters Health System, directs all fiscal planning and capital allocation strategies. Managing the financial health of the organization, the Chief Financial Officer oversees revenue cycle management and long-term budgetary forecasting. This leadership role involves maintaining rigorous compliance standards while optimizing resource distribution across hospice and palliative care service lines. By implementing robust financial controls, Sher-Dave-Shea O'Neil ensures the sustainability of clinical programs throughout the regional market. The Chief Financial Officer collaborates with the executive board to align fiscal objectives with the broader mission of providing high-quality homecare. Through precise analysis of operational costs, the Chief Financial Officer drives efficiency improvements that support the expansion of grief services. Ultimately, O'Neil secures the necessary funding to maintain the high standards of care expected within the healthcare industry, ensuring that the organization remains a leader in patient-centered support.

    Joe Murray - Division Chief Financial Officer, Care

    Joe Murray, the Division Chief Financial Officer, Care at Chapters Health System, manages the financial performance of the specialized care divisions. Overseeing the budgetary requirements for palliative and homecare services, the Division Chief Financial Officer, Care ensures that each department operates within fiscal parameters. This leadership role involves analyzing cost-per-patient metrics to identify opportunities for operational improvement. By evaluating reimbursement models and service utilization, Joe Murray supports the strategic growth of the care division. The Division Chief Financial Officer, Care collaborates with clinical leads to ensure that resource allocation aligns with patient care requirements. Through rigorous financial reporting, Murray provides the insights necessary for the executive team to make informed decisions regarding service expansion. This role focuses on maintaining the financial viability of homecare initiatives while upholding the mission of the organization. Ultimately, the Division Chief Financial Officer, Care secures the fiscal foundation required to deliver consistent, high-quality care across all service lines.

    Jason D'Auria - Chief Operating Officer, Hospice

    Jason D'Auria, the Chief Operating Officer, Hospice at Chapters Health System, manages the daily delivery of end-of-life care services. Overseeing clinical workflows and patient intake processes, the Chief Operating Officer, Hospice ensures that hospice teams maintain consistent quality standards. This leadership role involves coordinating with regional medical directors to optimize care delivery models across the Florida service area. By streamlining administrative procedures, Jason D'Auria improves the responsiveness of hospice teams to patient needs. The Chief Operating Officer, Hospice monitors key performance indicators to track clinical outcomes and operational efficiency. Through the integration of advanced care protocols, D'Auria supports the expansion of hospice reach into underserved communities. This position requires constant collaboration with nursing leadership to maintain high levels of patient satisfaction. Ultimately, the Chief Operating Officer, Hospice drives the operational excellence necessary to provide compassionate, reliable support to patients and families during critical transitions.
    Jason D'Auria

    Marwa El-Menshawi - Chief Operating Officer, PACE

    Marwa El-Menshawi, the Chief Operating Officer, PACE at Chapters Health System, directs the operational framework for the Program of All-Inclusive Care for the Elderly. Overseeing the multidisciplinary teams that provide comprehensive medical and social services, the Chief Operating Officer, PACE ensures that participants receive integrated care plans. This leadership role involves managing the complex logistics of community-based health services to support aging populations. By optimizing the PACE model, Marwa El-Menshawi improves access to essential care for elderly patients across the region. The Chief Operating Officer, PACE coordinates with healthcare providers to ensure seamless transitions between home and clinical settings. Through the implementation of efficient care delivery systems, El-Menshawi enhances the overall participant experience. This position requires a deep understanding of regulatory requirements and clinical standards to maintain program integrity. Ultimately, the Chief Operating Officer, PACE drives the success of the PACE initiative by fostering a culture of proactive, patient-centered health management.

    Nikki Romence - Chief People Officer

    Nikki Romence, the Chief People Officer at Chapters Health System, directs the human capital strategy and organizational culture initiatives. Overseeing talent acquisition, employee retention, and professional development programs, the Chief People Officer ensures that the workforce remains aligned with the mission of providing compassionate care. This leadership role involves designing comprehensive benefits packages and wellness programs to support the staff. By fostering an inclusive and supportive work environment, Nikki Romence drives employee engagement across all clinical and administrative departments. The Chief People Officer collaborates with the executive team to address workforce challenges and promote leadership development. Through the implementation of modern HR technologies, Romence streamlines recruitment and performance management processes. This role focuses on building a resilient team capable of delivering high-quality hospice and homecare services. Ultimately, the Chief People Officer secures the talent and organizational stability necessary to maintain the reputation of the company as a premier healthcare provider.

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    Frequently Asked Questions Regarding Chapters Health System Top Executives and Leadership Team

    Who leads Chapters Health System?
    Chapters Health System is led by Sher-Dave-Shea O'Neil (Chief Financial Officer), along with executives such as Joe Murray (Division Chief Financial Officer, Care) and Jason D'Auria (Chief Operating Officer, Hospice).
    Who is part of Chapters Health System’s executive team?
    The executive team of Chapters Health System includes leaders such as Sher-Dave-Shea O'Neil (Chief Financial Officer), Joe Murray (Division Chief Financial Officer, Care), Jason D'Auria (Chief Operating Officer, Hospice) and other senior executives.
    How many executives does Chapters Health System have?
    Chapters Health System has 5 executives leading key business areas.
    What roles are included in Chapters Health System’s leadership team?
    The leadership team of Chapters Health System includes roles such as Chief Financial Officer, Division Chief Financial Officer, Care, Chief Operating Officer, Hospice, Chief Operating Officer, PACE, Chief People Officer.