Johnston Health Executive and Leadership Team

Marissa Ayala, the Chief Executive Officer at Johnston Health, directs the overall strategic vision and operational framework for the healthcare system. Overseeing all major departments, Ayala ensures the delivery of high-quality patient care across services like cancer care, orthopedics, surgery, rehabilitation, pregnancy & childbirth, and wound care. This leadership role involves aligning the organization's mission with the needs of Johnston County residents and maintaining robust ties with the UNC Health Care System. Ayala drives initiatives focused on expanding access to advanced medical treatments and enhancing patient outcomes throughout North Carolina. By fostering a culture of excellence and innovation, Marissa Ayala guides Johnston Health's growth and commitment to community health.

Edward Klein, the Chief Financial Officer at Johnston Health, manages all financial operations and fiscal strategy for the organization. Klein oversees budgeting, financial planning, revenue cycle management, and investment strategies to ensure the long-term financial stability of the healthcare system. This role is critical in supporting the provision of specialized services such as cancer care, orthopedics, surgery, and rehabilitation. Klein works closely with other executive leaders to allocate resources effectively, driving operational efficiency and supporting the expansion of patient services across Johnston County. By maintaining stringent financial controls and exploring new funding avenues, Edward Klein ensures Johnston Health can continue its mission of providing essential healthcare to the community and its affiliation with UNC Health Care System.

Ruth Marler, the Chief Operating Officer at Johnston Health, oversees the day-to-day operational execution and efficiency of all clinical and administrative functions. Marler directs the management of hospital facilities, patient flow, and resource allocation to support a wide range of medical services, including orthopedics, surgery, pregnancy & childbirth, and wound care. This leadership position is vital for ensuring seamless patient experiences and optimizing the delivery of care throughout Johnston County. Marler collaborates with department heads to implement best practices, enhance service line performance, and maintain compliance with healthcare regulations. By focusing on operational excellence, Ruth Marler supports the strategic goals of Johnston Health and its integration within the UNC Health Care System, driving improvements in patient access and care quality.

Jesse Pittard, the Medical Director & Chief of Staff at Johnston Health, leads the medical staff and guides clinical policy development to ensure the highest standards of patient care. Pittard oversees the medical team responsible for delivering specialized treatments in areas such as cancer care, surgery, and rehabilitation, ensuring clinical excellence across all service lines. This critical role involves bridging the gap between administrative leadership and physician practice, fostering collaboration to enhance patient outcomes and safety. Pittard champions evidence-based medicine and drives initiatives to improve clinical protocols and patient satisfaction throughout Johnston County. By providing expert medical guidance, Jesse Pittard ensures Johnston Health remains at the forefront of healthcare delivery and upholds its commitment to the community as part of the UNC Health Care System.