Flagler Health + Executive and Leadership Team

November, 2026

Leadership Overview

Flagler Health + has 4 executives leading key functions including financial strategy, organizational operations, fiscal oversight, and community engagement.

Committed to holistic wellness, Flagler Health + advances the physical, social, and economic health of the community through integrated care models and strategic regional health initiatives.

Leadership Roles at Flagler Health +

  • Chief Financial Officer - Roger Carter
  • Executive Vice President & Chief Financial Officer - Chuck Cleaver
  • Chief of Staff - Keith Justice
  • Chief Marketing Officer & Coordinator - Kelly Reyna
  • Roger Carter - Chief Financial Officer

    Roger Carter, the Chief Financial Officer at Flagler Health +, manages the fiscal health and long-term economic sustainability of the organization. Carter directs capital allocation strategies, ensuring resources support the expansion of clinical services across the Florida region. By overseeing revenue cycle management and budgetary planning, the Chief Financial Officer maintains the financial integrity required for high-quality patient care. This leadership role involves constant collaboration with the board to optimize operational costs while investing in advanced medical technology. Roger Carter monitors market trends to mitigate financial risks, securing the stability of the healthcare facility. Through rigorous analysis of financial performance metrics, the Chief Financial Officer drives efficiency across all departments. Ultimately, Carter ensures the organization remains a robust pillar of community health, balancing fiscal responsibility with the mission to provide accessible, comprehensive medical services to the Saint Augustine population and surrounding areas.

    Chuck Cleaver - Executive Vice President & Chief Financial Officer

    Chuck Cleaver, the Executive Vice President & Chief Financial Officer at Flagler Health +, architects the overarching financial framework and growth strategy for the enterprise. Cleaver leads long-range financial planning, focusing on the economic health of the community by securing investments in new medical infrastructure. As the Executive Vice President & Chief Financial Officer, Cleaver evaluates large-scale acquisitions and partnerships that expand the reach of the healthcare facility. This leadership position involves deep engagement with external stakeholders to ensure the financial viability of long-term health programs. Chuck Cleaver monitors the economic landscape to identify opportunities for revenue diversification, strengthening the organization against market volatility. By aligning financial resources with clinical objectives, the Executive Vice President & Chief Financial Officer supports the delivery of superior patient outcomes. Cleaver maintains a rigorous focus on fiscal discipline, ensuring that every dollar invested directly contributes to the physical and social well-being of the population served.

    Keith Justice - Chief of Staff

    Keith Justice, the Chief of Staff at Flagler Health +, coordinates executive operations and facilitates strategic alignment across the entire healthcare system. Justice manages the flow of information between the leadership team and clinical departments, ensuring that organizational goals translate into actionable patient care outcomes. By streamlining internal processes, the Chief of Staff enhances the efficiency of hospital administration and supports the execution of complex health initiatives. Keith Justice oversees the implementation of institutional policies, fostering a culture of excellence and accountability. This role requires constant interaction with department heads to resolve operational bottlenecks and improve service delivery. Through the management of high-level projects, the Chief of Staff drives the mission of improving community wellness. Justice maintains a focus on operational agility, allowing the organization to adapt quickly to changing healthcare demands while upholding the highest standards of medical service and patient safety throughout the regional network.

    Kelly Reyna - Chief Marketing Officer & Coordinator

    Kelly Reyna, the Chief Marketing Officer & Coordinator at Flagler Health +, directs the communication strategy and community outreach programs that define the public presence of the organization. Reyna manages brand positioning, ensuring that the message of holistic health reaches diverse demographics across the region. As the Chief Marketing Officer & Coordinator, Reyna coordinates public health campaigns that address the social and economic factors influencing patient wellness. This role involves building strong relationships with community leaders and local organizations to foster collaborative health initiatives. Kelly Reyna analyzes market data to tailor outreach efforts, increasing awareness of available medical services and wellness resources. By integrating marketing activities with clinical goals, the Chief Marketing Officer & Coordinator drives patient engagement and strengthens the reputation of the facility. Reyna ensures that all communications reflect the commitment to community-centered care, ultimately expanding the impact of the organization on the overall health of the Saint Augustine area.

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    Frequently Asked Questions Regarding Flagler Health + Top Executives and Leadership Team

    Who leads Flagler Health +?
    Flagler Health + is led by Roger Carter (Chief Financial Officer), along with executives such as Chuck Cleaver (Executive Vice President & Chief Financial Officer) and Keith Justice (Chief of Staff).
    Who is part of Flagler Health +’s executive team?
    The executive team of Flagler Health + includes leaders such as Roger Carter (Chief Financial Officer), Chuck Cleaver (Executive Vice President & Chief Financial Officer), Keith Justice (Chief of Staff) and other senior executives.
    How many executives does Flagler Health + have?
    Flagler Health + has 4 executives leading key business areas.
    What roles are included in Flagler Health +’s leadership team?
    The leadership team of Flagler Health + includes roles such as Chief Financial Officer, Executive Vice President & Chief Financial Officer, Chief of Staff, Chief Marketing Officer & Coordinator.