Hudson Headwaters Health Network Executive and Leadership Team

October, 2026

Leadership Overview

Hudson Headwaters Health Network has 8 executives leading key functions including operations, financial management, information technology, and clinical oversight.

Committed to expanding access to primary care across the Adirondack North Country, Hudson Headwaters Health Network delivers essential medical services to rural communities. This nonprofit system prioritizes patient-centered care and regional health equity through a vast network of community health centers.

Leadership Roles at Hudson Headwaters Health Network

  • Executive Vice President & Chief Financial Officer - Laura Pasco
  • Executive Vice President & Chief Financial Officer, Amp, Finance & Amp - Christopher Tournier
  • Executive Vice President & Chief Operating Officer - Brittany Silvestri
  • Executive Vice President & Chief Information Officer - Justin Miller
  • Chief Medical Officer - William Borgos
  • Physician and Chief Medical Officer - Daniel Larson
  • Chief Administrative Officer & Executive Vice President - George Purdue
  • Associate Chief Medical Officer - Suzanne Bergin
  • Laura Pasco - Executive Vice President & Chief Financial Officer

    Laura Pasco, the Executive Vice President & Chief Financial Officer at Hudson Headwaters Health Network, governs the fiscal health and long-term economic sustainability of the nonprofit system. Pasco architects financial strategies that support the expansion of primary care services across the Adirondack North Country. The Chief Financial Officer oversees budgeting, revenue cycle management, and capital investments necessary for maintaining 19 community health centers. Laura Pasco collaborates with the executive team to align financial resources with the strategic goal of serving rural populations in Warren, Clinton, Essex, Hamilton, Saratoga, and Washington counties. By implementing robust financial controls and reporting mechanisms, the Chief Financial Officer ensures the organization remains resilient in a complex healthcare landscape. This leadership position focuses on maximizing operational efficiency while securing the necessary funding to sustain high-quality medical services for the thousands of patients relying on the network.

    Christopher Tournier - Executive Vice President & Chief Financial Officer, Amp, Finance & Amp

    Christopher Tournier, the Executive Vice President & Chief Financial Officer, Amp, Finance & Amp at Hudson Headwaters Health Network, manages specialized financial portfolios and complex accounting structures. Tournier directs the integration of financial data systems to enhance transparency and reporting accuracy across the entire health network. The Chief Financial Officer, Amp, Finance & Amp monitors fiscal performance to support the ongoing viability of primary care initiatives in the Adirondack North Country. Christopher Tournier works closely with internal stakeholders to refine financial planning and analysis, ensuring that resources reach the community health centers effectively. By analyzing market trends and cost structures, the Chief Financial Officer, Amp, Finance & Amp identifies opportunities for operational improvement. This role remains vital for maintaining the financial integrity of the organization as it serves the diverse needs of patients throughout the Adirondack region and surrounding counties.
    Christopher Tournier

    Brittany Silvestri - Executive Vice President & Chief Operating Officer

    Brittany Silvestri, the Executive Vice President & Chief Operating Officer at Hudson Headwaters Health Network, manages the daily clinical and administrative workflows across 19 community health centers. Silvestri directs the operational infrastructure required to support primary care delivery throughout the 5,600 square mile service area. By optimizing resource allocation and staffing models, the Chief Operating Officer ensures consistent service quality for patients in the Adirondack North Country. Brittany Silvestri coordinates with regional leadership to streamline patient intake processes and improve facility efficiency. This role involves monitoring performance metrics to maintain high standards of care across Warren, Clinton, Essex, Hamilton, Saratoga, and Washington counties. Through rigorous oversight of clinical operations, the Chief Operating Officer drives organizational stability and supports the broader mission of providing accessible healthcare to diverse rural populations within the expansive network footprint.

    Justin Miller - Executive Vice President & Chief Information Officer

    Justin Miller, the Executive Vice President & Chief Information Officer at Hudson Headwaters Health Network, leads the digital transformation and technological infrastructure of the nonprofit system. Miller architects secure, scalable health information systems that connect 19 community health centers across the Adirondack North Country. The Chief Information Officer oversees the implementation of electronic health records and data analytics tools to improve patient outcomes and clinical decision-making. Justin Miller ensures that the network maintains robust cybersecurity protocols to protect sensitive patient information across the vast service area. By integrating advanced technology into daily operations, the Chief Information Officer facilitates seamless communication between providers and patients in Warren, Clinton, Essex, Hamilton, Saratoga, and Washington counties. This leadership role focuses on leveraging digital solutions to enhance the efficiency of primary care delivery and support the long-term technological growth of the entire health network.

    William Borgos - Chief Medical Officer

    William Borgos, the Chief Medical Officer at Hudson Headwaters Health Network, defines the clinical standards and quality of care protocols for the entire organization. Borgos directs the medical staff across 19 community health centers, ensuring that primary care services meet the needs of the Adirondack North Country population. The Chief Medical Officer oversees physician recruitment, clinical training, and the implementation of evidence-based medicine to improve patient health outcomes. William Borgos collaborates with other executives to integrate clinical services with operational goals, fostering a culture of excellence and patient safety. By monitoring clinical performance metrics, the Chief Medical Officer identifies areas for improvement and drives initiatives that enhance the quality of care provided to residents of Warren, Clinton, Essex, Hamilton, Saratoga, and Washington counties. This role remains central to maintaining the reputation of the network as a leader in rural primary care.
    William Borgos

    Daniel Larson - Physician and Chief Medical Officer

    Daniel Larson, the Physician and Chief Medical Officer at Hudson Headwaters Health Network, focuses on the direct application of clinical governance and patient care strategies. Larson oversees the development of specialized medical programs that address the unique health challenges of the Adirondack North Country. The Physician and Chief Medical Officer manages clinical workflows to ensure that primary care delivery remains efficient and patient-focused across all community health centers. Daniel Larson works with the medical team to standardize treatment protocols and improve the overall patient experience. By bridging the gap between clinical practice and administrative policy, the Physician and Chief Medical Officer ensures that the network provides comprehensive care to the diverse populations in Warren, Clinton, Essex, Hamilton, Saratoga, and Washington counties. This leadership role supports the mission by fostering a collaborative environment where medical professionals can deliver high-quality, accessible healthcare services.

    George Purdue - Chief Administrative Officer & Executive Vice President

    George Purdue, the Chief Administrative Officer & Executive Vice President at Hudson Headwaters Health Network, manages the organizational structure and administrative functions that support the network's mission. Purdue directs human resources, facilities management, and corporate compliance to ensure the smooth operation of 19 community health centers. The Chief Administrative Officer & Executive Vice President coordinates cross-departmental initiatives to align administrative processes with the strategic goals of the organization. George Purdue oversees the development of policies that govern the daily activities of the network, ensuring adherence to regulatory standards and internal best practices. By streamlining administrative operations, the Chief Administrative Officer & Executive Vice President enables clinical teams to focus on delivering primary care to the Adirondack North Country. This role remains essential for maintaining the organizational health and operational readiness of the network as it serves the diverse needs of the regional population.
    George Purdue

    Suzanne Bergin - Associate Chief Medical Officer

    Suzanne Bergin, the Associate Chief Medical Officer at Hudson Headwaters Health Network, supports the clinical leadership team by focusing on specific quality improvement initiatives and provider engagement. Bergin directs the implementation of clinical best practices within the community health centers to ensure consistent care delivery across the Adirondack North Country. The Associate Chief Medical Officer monitors patient safety protocols and assists in the development of training programs for medical staff. Suzanne Bergin collaborates with the Chief Medical Officer to address clinical challenges and optimize the delivery of primary care services. By fostering strong relationships with providers, the Associate Chief Medical Officer ensures that the network maintains high standards of medical excellence. This role involves analyzing clinical data to identify trends and opportunities for enhancing the quality of care provided to patients throughout Warren, Clinton, Essex, Hamilton, Saratoga, and Washington counties.

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    Frequently Asked Questions Regarding Hudson Headwaters Health Network Top Executives and Leadership Team

    Who leads Hudson Headwaters Health Network?
    Hudson Headwaters Health Network is led by Laura Pasco (Executive Vice President & Chief Financial Officer), along with executives such as Christopher Tournier (Executive Vice President & Chief Financial Officer, Amp, Finance & Amp) and Brittany Silvestri (Executive Vice President & Chief Operating Officer).
    Who is part of Hudson Headwaters Health Network’s executive team?
    The executive team of Hudson Headwaters Health Network includes leaders such as Laura Pasco (Executive Vice President & Chief Financial Officer), Christopher Tournier (Executive Vice President & Chief Financial Officer, Amp, Finance & Amp), Brittany Silvestri (Executive Vice President & Chief Operating Officer) and other senior executives.
    How many executives does Hudson Headwaters Health Network have?
    Hudson Headwaters Health Network has 8 executives leading key business areas.
    What roles are included in Hudson Headwaters Health Network’s leadership team?
    The leadership team of Hudson Headwaters Health Network includes roles such as Executive Vice President & Chief Financial Officer, Executive Vice President & Chief Financial Officer, Amp, Finance & Amp, Executive Vice President & Chief Operating Officer, Executive Vice President & Chief Information Officer, Chief Medical Officer.