JPS Health Network Executive and Leadership Team

June, 2026

Leadership Overview

JPS Health Network has 10 executives leading key functions including strategy, finance, operations, information technology, human resources, and external affairs.

Driven by a commitment to community well-being, JPS Health Network provides comprehensive healthcare services across its hospital, surgical center, community health centers, and psychiatric facilities, impacting patient care throughout the region.

Leadership Roles at JPS Health Network

  • President & Chief Executive Officer - Karen Duncan
  • President & Chief Executive Officer - Robert Earley
  • Chief Financial Officer - Shirley Clemmons
  • Executive Vice President & Chief Financial Officer - Kimberly Hodgkinson
  • Senior Executive Vice President, Chief Operating Officer - Julia Farrell
  • President, Jps Medical Staff - Daniel Casey
  • Senior Vice President and Chief Information Officer - Melinda Costin
  • Interim Senior Vice President, Chief Human Resources Officer - Kelli Reale
  • Senior Vice President and Chief Information Officer - William Showalter
  • Senior Vice President, Chief of Staff and External Affairs - Shannon Fletcher
  • Karen Duncan - President & Chief Executive Officer

    Karen Duncan, the President & Chief Executive Officer at JPS Health Network, directs the overarching strategy and operational execution for the entire healthcare system. This leadership role involves guiding the network's mission to provide accessible, high-quality care across its diverse facilities, including John Peter Smith Hospital, JPS Surgical Center - Arlington, and numerous community-based health centers. Duncan's responsibilities encompass ensuring financial stability, fostering innovation in patient care delivery, and maintaining strong relationships with stakeholders. The President & Chief Executive Officer oversees all major departmental functions, aligning them with the organization's strategic objectives and market demands. By championing a patient-centric approach, Duncan drives initiatives that enhance service quality and expand access to care for the communities served by JPS Health Network. This executive leadership ensures the network's continued growth and its vital role in public health.
    Karen Duncan

    Robert Earley - President & Chief Executive Officer

    Robert Earley, the President & Chief Executive Officer at JPS Health Network, spearheads the strategic vision and comprehensive management of the healthcare network. This executive guides the organization's commitment to delivering essential health services, encompassing hospital care, surgical procedures, community health centers, and specialized psychiatric services. Earley's purview includes driving operational excellence, financial performance, and the expansion of healthcare access across the region. The President & Chief Executive Officer works to ensure all facets of JPS Health Network operate in alignment with its core mission. This leadership involves fostering a culture of continuous improvement and patient advocacy. By directing key initiatives, Robert Earley significantly influences the network's capacity to meet the evolving healthcare needs of the population it serves, solidifying its position as a critical community resource.

    Shirley Clemmons - Chief Financial Officer

    Shirley Clemmons, the Chief Financial Officer at JPS Health Network, manages the comprehensive financial operations and fiscal strategy for the entire healthcare system. This critical role involves overseeing budgeting, financial planning, revenue cycle management, and ensuring the financial health of John Peter Smith Hospital, JPS Surgical Center - Arlington, and all affiliated health centers. Clemmons' responsibilities extend to optimizing financial performance, securing funding, and maintaining compliance with healthcare financial regulations. The Chief Financial Officer works closely with other senior leaders to allocate resources effectively, supporting the network's mission of providing accessible and high-quality patient care. By driving sound financial practices, Shirley Clemmons ensures the long-term sustainability and operational capacity of JPS Health Network, enabling continued investment in patient services and infrastructure.

    Kimberly Hodgkinson - Executive Vice President & Chief Financial Officer

    Kimberly Hodgkinson, the Executive Vice President & Chief Financial Officer at JPS Health Network, directs the comprehensive financial strategy and management for the entire healthcare system. This executive leadership role involves overseeing all aspects of financial planning, budgeting, revenue cycle management, and fiscal operations for John Peter Smith Hospital, JPS Surgical Center - Arlington, and the network's community health centers. Hodgkinson's responsibilities include ensuring financial stability, optimizing resource allocation, and driving initiatives that enhance profitability and operational efficiency. The Executive Vice President & Chief Financial Officer works in close collaboration with the President & Chief Executive Officer and other senior leaders to align financial objectives with the organization's mission of providing accessible healthcare. By maintaining rigorous financial oversight, Kimberly Hodgkinson safeguards the network's ability to invest in patient care and infrastructure.

    Julia Farrell - Senior Executive Vice President, Chief Operating Officer

    Julia Farrell, the Senior Executive Vice President, Chief Operating Officer at JPS Health Network, oversees the day-to-day operational functions and strategic execution across the entire healthcare system. This executive role encompasses managing the performance of John Peter Smith Hospital, JPS Surgical Center - Arlington, community health centers, and psychiatric services, ensuring efficient and effective patient care delivery. Farrell's responsibilities include optimizing operational workflows, enhancing patient experience, and driving process improvements throughout the network. The Senior Executive Vice President, Chief Operating Officer works closely with other C-suite leaders to align operational strategies with the organization's mission and financial goals. By focusing on operational excellence, Julia Farrell ensures that JPS Health Network consistently meets the healthcare needs of the community it serves, maintaining high standards of service and accessibility.

    Daniel Casey - President, Jps Medical Staff

    Daniel Casey, the President, Jps Medical Staff at JPS Health Network, provides leadership and representation for the physicians and medical professionals within the healthcare system. This role involves advocating for the needs of the medical staff, ensuring high standards of clinical practice, and facilitating collaboration between physicians and hospital administration. Casey's responsibilities include contributing to strategic planning related to clinical services, quality improvement initiatives, and patient care delivery across John Peter Smith Hospital and other network facilities. The President, Jps Medical Staff serves as a key liaison, bridging the perspectives of clinicians with the operational and strategic direction of JPS Health Network. By championing the medical staff's interests, Daniel Casey contributes to the overall effectiveness and quality of care provided by the network.
    Daniel Casey

    Melinda Costin - Senior Vice President and Chief Information Officer

    Melinda Costin, the Senior Vice President and Chief Information Officer at JPS Health Network, directs the strategic development and implementation of all information technology initiatives across the healthcare system. This leadership position involves overseeing the network's digital infrastructure, electronic health records, cybersecurity measures, and data management systems, ensuring seamless technological operations for John Peter Smith Hospital and its affiliated centers. Costin's responsibilities include driving innovation in health informatics, enhancing data security, and optimizing IT resources to support patient care delivery and operational efficiency. The Senior Vice President and Chief Information Officer collaborates with executive leadership to align technology strategies with the network's overall mission and growth objectives. By ensuring robust and secure IT systems, Melinda Costin plays a pivotal role in advancing the technological capabilities of JPS Health Network.
    Melinda Costin

    Kelli Reale - Interim Senior Vice President, Chief Human Resources Officer

    Kelli Reale, the Interim Senior Vice President, Chief Human Resources Officer at JPS Health Network, leads the strategic direction and operational management of all human resources functions for the healthcare system. This role involves overseeing talent acquisition, employee relations, compensation and benefits, performance management, and workforce development initiatives across John Peter Smith Hospital and its affiliated health centers. Reale's responsibilities include fostering a positive and productive work environment, ensuring compliance with labor laws, and developing strategies to attract and retain top talent in the healthcare sector. The Interim Senior Vice President, Chief Human Resources Officer collaborates with executive leadership to align HR strategies with the network's overall mission and operational objectives. By focusing on human capital development, Kelli Reale supports the network's ability to deliver exceptional patient care through its dedicated workforce.

    William Showalter - Senior Vice President and Chief Information Officer

    William Showalter, the Senior Vice President and Chief Information Officer at JPS Health Network, leads the strategic planning and execution of information technology infrastructure and services across the healthcare system. This executive role encompasses the management of electronic health records, data security, network operations, and the implementation of innovative technological solutions for John Peter Smith Hospital and its affiliated facilities. Showalter's responsibilities include ensuring the reliability, security, and scalability of IT systems to support patient care, clinical operations, and administrative functions. The Senior Vice President and Chief Information Officer collaborates with executive leadership to align technology investments with the network's strategic goals and mission. By driving technological advancement, William Showalter enhances the efficiency and effectiveness of JPS Health Network's operations and patient services.

    Shannon Fletcher - Senior Vice President, Chief of Staff and External Affairs

    Shannon Fletcher, the Senior Vice President, Chief of Staff and External Affairs at JPS Health Network, manages critical strategic initiatives and oversees the network's external communications and stakeholder relations. This executive role involves supporting the President & Chief Executive Officer in executing key organizational priorities and fostering strong relationships with community partners, government agencies, and the public. Fletcher's responsibilities include directing public relations, government affairs, and community outreach programs that align with the network's mission of providing accessible healthcare. The Senior Vice President, Chief of Staff and External Affairs plays a vital role in shaping the network's public image and advocating for its services. By managing external affairs, Shannon Fletcher ensures JPS Health Network effectively communicates its value and impact to the broader community.

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    Frequently Asked Questions Regarding JPS Health Network Top Executives and Leadership Team

    Who leads JPS Health Network?
    JPS Health Network is led by Karen Duncan (President & Chief Executive Officer), along with executives such as Robert Earley (President & Chief Executive Officer) and Shirley Clemmons (Chief Financial Officer).
    Who is part of JPS Health Network’s executive team?
    The executive team of JPS Health Network includes leaders such as Karen Duncan (President & Chief Executive Officer), Robert Earley (President & Chief Executive Officer), Shirley Clemmons (Chief Financial Officer) and other senior executives.
    How many executives does JPS Health Network have?
    JPS Health Network has 10 executives leading key business areas.
    What roles are included in JPS Health Network’s leadership team?
    The leadership team of JPS Health Network includes roles such as President & Chief Executive Officer, President & Chief Executive Officer, Chief Financial Officer, Executive Vice President & Chief Financial Officer, Senior Executive Vice President, Chief Operating Officer.