Horizon Health Executive and Leadership Team

August, 2026

Leadership Overview

Horizon Health has 4 executives leading key functions including strategic oversight, administrative coordination, clinical operations, and medical governance.

Committed to delivering comprehensive medical solutions, Horizon Health prioritizes community wellness through high-quality inpatient care and specialized treatments, ensuring accessible healthcare services for families across the region.

Leadership Roles at Horizon Health

  • President & Chief Executive Officer - Jakob Carmichael
  • Chief of Staff - Rahat Sheikh
  • Chief of Staff and OBS Gyn - Koos Toit
  • Chief Medical Officer & Medical Director, Hospitalist - Darren Brucken
  • Jakob Carmichael - President & Chief Executive Officer

    Jakob Carmichael, the President & Chief Executive Officer at Horizon Health, directs the overarching strategic vision for the organization. Carmichael manages the long-term financial health and operational sustainability of the hospital system. By aligning clinical goals with community needs, the President & Chief Executive Officer ensures that inpatient and outpatient services remain cost-effective for the residents of Edgar County. This leadership role involves constant collaboration with the Board to expand specialized medical fields like cardiology and orthopedics. Jakob Carmichael drives the mission of providing high-quality care while maintaining the legacy of the institution. Through rigorous oversight of administrative functions, the President & Chief Executive Officer secures the resources necessary for facility upgrades and technological advancements. Ultimately, Carmichael fosters a culture of excellence that supports the diverse healthcare requirements of the entire patient population served by the organization.
    Jakob Carmichael

    Rahat Sheikh - Chief of Staff

    Rahat Sheikh, the Chief of Staff at Horizon Health, coordinates internal administrative workflows to optimize hospital efficiency. Sheikh manages the communication channels between executive leadership and department heads to ensure seamless operational execution. By streamlining the delivery of emergency medicine and support services, the Chief of Staff maintains high standards of patient care across the facility. This role requires constant monitoring of organizational performance metrics to identify areas for improvement in service delivery. Rahat Sheikh facilitates cross-departmental projects that enhance the overall patient experience. Through the implementation of standardized protocols, the Chief of Staff reduces operational friction and supports the broader mission of the hospital. By managing complex administrative tasks, Sheikh allows clinical teams to focus entirely on medical outcomes. Ultimately, the Chief of Staff ensures that the internal infrastructure of the organization remains robust and responsive to the evolving needs of the community.

    Koos Toit - Chief of Staff and OBS Gyn

    Koos Toit, the Chief of Staff and OBS Gyn at Horizon Health, oversees the specialized clinical operations within the obstetrics and gynecology departments. Toit directs the implementation of advanced maternal health protocols to ensure superior outcomes for patients. By integrating specialized treatment plans with the broader hospital service model, the Chief of Staff and OBS Gyn maintains high clinical standards. This leadership role involves mentoring medical staff and ensuring compliance with regional healthcare regulations. Koos Toit manages the resource allocation for the women's health unit to support comprehensive care delivery. Through the coordination of surgical and outpatient services, the Chief of Staff and OBS Gyn improves the accessibility of specialized treatments for the local population. By focusing on patient-centered care, Toit drives the success of the department. Ultimately, the Chief of Staff and OBS Gyn strengthens the reputation of the organization as a leader in specialized medical fields.

    Darren Brucken - Chief Medical Officer & Medical Director, Hospitalist

    Darren Brucken, the Chief Medical Officer & Medical Director, Hospitalist at Horizon Health, governs the clinical quality and medical standards across all hospitalist programs. Brucken directs the medical staff to ensure consistent, high-quality care for inpatient populations. By overseeing the integration of behavioral health and emergency medicine, the Chief Medical Officer & Medical Director, Hospitalist maintains a cohesive approach to patient treatment. This role involves establishing evidence-based protocols that improve clinical efficiency and patient safety. Darren Brucken collaborates with other executives to align medical practices with the strategic goals of the organization. Through the management of hospitalist teams, the Chief Medical Officer & Medical Director, Hospitalist ensures that the facility meets the complex healthcare demands of the community. By optimizing clinical workflows, Brucken supports the overall mission of providing cost-effective, high-quality services. Ultimately, the Chief Medical Officer & Medical Director, Hospitalist secures the medical integrity of the entire healthcare system.
    Darren Brucken

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    Frequently Asked Questions Regarding Horizon Health Top Executives and Leadership Team

    Who leads Horizon Health?
    Horizon Health is led by Jakob Carmichael (President & Chief Executive Officer), along with executives such as Rahat Sheikh (Chief of Staff) and Koos Toit (Chief of Staff and OBS Gyn).
    Who is part of Horizon Health’s executive team?
    The executive team of Horizon Health includes leaders such as Jakob Carmichael (President & Chief Executive Officer), Rahat Sheikh (Chief of Staff), Koos Toit (Chief of Staff and OBS Gyn) and other senior executives.
    How many executives does Horizon Health have?
    Horizon Health has 4 executives leading key business areas.
    What roles are included in Horizon Health’s leadership team?
    The leadership team of Horizon Health includes roles such as President & Chief Executive Officer, Chief of Staff, Chief of Staff and OBS Gyn, Chief Medical Officer & Medical Director, Hospitalist.