JPS Health Network Executive and Leadership Team

May, 2026

Leadership Overview

JPS Health Network has 10 executives leading key functions including strategy, finance, operations, human resources, information technology, 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, school-based health centers, and psychiatric services, impacting the health landscape of Fort Worth, Texas.

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, Chief of Staff and External Affairs - Shannon Fletcher
  • 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
  • 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. Duncan's leadership guides 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 and school-based health centers. This executive role involves setting the vision for patient services, financial sustainability, and community engagement, ensuring alignment with the organization's commitment to serving the Fort Worth, Texas area. Duncan's strategic initiatives focus on enhancing patient outcomes, optimizing resource allocation, and fostering innovation within the healthcare delivery model. The President & Chief Executive Officer ensures all departments operate cohesively to meet the evolving healthcare needs of the region. By championing patient-centered care, Duncan drives the network's reputation as a trusted healthcare provider. This critical position demands a comprehensive understanding of healthcare policy, market dynamics, and operational efficiency to maintain JPS Health Network's position as a leading healthcare institution.
    Karen Duncan

    Robert Earley - President & Chief Executive Officer

    Robert Earley, the President & Chief Executive Officer at JPS Health Network, spearheads the strategic direction and comprehensive management of the integrated healthcare system. Earley's executive oversight encompasses all facets of the network's operations, from its flagship hospital to its extensive network of community health centers and specialized psychiatric services. This leadership position is pivotal in shaping the organization's long-term goals, ensuring financial viability, and driving advancements in patient care delivery throughout Fort Worth, Texas. The President & Chief Executive Officer is responsible for fostering a culture of excellence, innovation, and compassionate service, directly impacting the health and well-being of the communities served. Earley's strategic imperatives focus on expanding access to care, improving operational efficiencies, and adapting to the dynamic healthcare landscape. This role requires a deep understanding of healthcare economics, regulatory compliance, and strategic planning to navigate the complexities of a large public health system. Robert Earley's tenure is marked by a dedication to enhancing the network's capacity to meet the diverse healthcare needs of its patient population.

    Shirley Clemmons - Chief Financial Officer

    Shirley Clemmons, the Chief Financial Officer at JPS Health Network, directs all financial operations and fiscal strategy for the comprehensive healthcare system. Clemmons' responsibilities include managing budgets, financial planning, revenue cycle management, and ensuring the fiscal health of John Peter Smith Hospital, JPS Surgical Center - Arlington, and the network's numerous community-based facilities. This executive role is critical for maintaining the financial sustainability of JPS Health Network, enabling its mission to provide accessible healthcare services across Fort Worth, Texas. The Chief Financial Officer oversees financial reporting, investment strategies, and cost containment measures, ensuring compliance with all relevant healthcare financial regulations. Clemmons' expertise is vital in optimizing resource allocation and identifying opportunities for financial growth and efficiency. By meticulously managing financial resources, Shirley Clemmons supports the network's ability to invest in advanced medical technologies and expand its service offerings. This position requires a profound understanding of healthcare finance, risk management, and strategic financial planning to navigate the complexities of public healthcare funding and operations.

    Kimberly Hodgkinson - Executive Vice President & Chief Financial Officer

    Kimberly Hodgkinson, the Executive Vice President & Chief Financial Officer at JPS Health Network, leads the financial strategy and management for the entire healthcare system. Hodgkinson's extensive responsibilities encompass financial planning, budgeting, revenue cycle optimization, and capital management across all JPS Health Network facilities, including John Peter Smith Hospital and its affiliated centers. This senior executive role is crucial for ensuring the financial stability and growth of the network, enabling its commitment to providing comprehensive healthcare services throughout Fort Worth, Texas. The Executive Vice President & Chief Financial Officer directs financial reporting, risk management, and investment activities, ensuring adherence to stringent healthcare financial regulations and best practices. Hodgkinson's strategic financial oversight supports the network's capacity to innovate and expand its service offerings to meet community needs. By driving financial discipline and efficiency, Kimberly Hodgkinson ensures that JPS Health Network can continue its mission of delivering high-quality, accessible care. This position requires a sophisticated understanding of healthcare finance, economic forecasting, and strategic resource allocation.

    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 management and efficiency of the entire healthcare system. Farrell's extensive responsibilities encompass directing operations at John Peter Smith Hospital, JPS Surgical Center - Arlington, and all community-based and school-based health centers, ensuring seamless service delivery and optimal patient flow. This executive role is critical for executing the network's strategic objectives and maintaining high standards of care across Fort Worth, Texas. The Senior Executive Vice President, Chief Operating Officer focuses on optimizing resource utilization, improving clinical workflows, and enhancing the patient experience. Farrell's leadership drives operational excellence, implementing best practices in healthcare management and ensuring compliance with regulatory requirements. By meticulously managing operational processes, Julia Farrell supports the network's capacity to provide accessible and high-quality healthcare services. This position requires a deep understanding of healthcare operations, process improvement, and strategic execution to navigate the complexities of a large public health network.

    Daniel Casey - President, Jps Medical Staff

    Daniel Casey, the President, Jps Medical Staff at JPS Health Network, serves as the primary liaison between the network's administrative leadership and its physician community. Casey's role involves advocating for the needs and perspectives of medical professionals, ensuring their input is integrated into strategic planning and operational decisions across all facilities, including John Peter Smith Hospital and its affiliated health centers. This leadership position is vital for fostering collaboration and alignment between clinical practice and the network's overall mission in Fort Worth, Texas. The President, Jps Medical Staff facilitates communication on matters of patient care quality, clinical protocols, and professional development for physicians. Daniel Casey's influence extends to guiding initiatives that enhance the practice environment and support the delivery of high-quality, patient-centered care. By representing the medical staff, Casey ensures that clinical expertise informs the strategic direction and operational effectiveness of JPS Health Network. This role requires strong leadership, communication skills, and a deep understanding of clinical operations and healthcare policy.
    Daniel Casey

    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 relations and communications. Fletcher's role involves serving as a key advisor to executive leadership, coordinating high-priority projects, and cultivating relationships with external stakeholders, including government agencies, community partners, and the public. This executive position is instrumental in shaping the network's public image and ensuring its strategic objectives are effectively communicated and supported across Fort Worth, Texas. The Senior Vice President, Chief of Staff and External Affairs orchestrates legislative affairs, public policy engagement, and community outreach programs designed to enhance the network's impact and accessibility. Shannon Fletcher's responsibilities extend to managing internal communications and ensuring alignment between operational activities and strategic messaging. By bridging internal operations with external perception, Fletcher plays a vital role in advancing the mission of JPS Health Network and strengthening its community ties. This position demands exceptional diplomatic skills, strategic foresight, and a deep understanding of public health policy and stakeholder engagement.

    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 organization. Costin's leadership ensures that technology infrastructure supports the network's mission of delivering exceptional patient care at facilities like John Peter Smith Hospital and its extensive network of community health centers. This executive role is vital for enhancing operational efficiency, data security, and the integration of digital health solutions throughout Fort Worth, Texas. The Senior Vice President and Chief Information Officer oversees IT operations, electronic health records management, cybersecurity, and the adoption of innovative technologies to improve patient outcomes and streamline administrative processes. Melinda Costin's strategic vision focuses on leveraging technology to enhance patient engagement, support clinical decision-making, and ensure seamless data flow across the network. By driving technological advancement, Costin plays a key role in modernizing healthcare delivery and maintaining JPS Health Network's competitive edge. This position demands expertise in healthcare IT, data management, and strategic technology planning.
    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 management of all human capital initiatives for the organization. Reale's oversight includes talent acquisition, employee relations, compensation and benefits, and professional development across all JPS Health Network facilities, supporting the dedicated workforce that serves the Fort Worth, Texas community. This executive role is vital for fostering a positive and productive work environment, ensuring the network attracts and retains top healthcare professionals. The Interim Senior Vice President, Chief Human Resources Officer develops and implements HR policies and programs that align with the network's mission and values, supporting the critical functions of John Peter Smith Hospital and its affiliated centers. Kelli Reale's focus is on building a robust talent pipeline, enhancing employee engagement, and promoting a culture of diversity and inclusion. By championing human resources best practices, Reale ensures that JPS Health Network has the skilled and motivated staff necessary to deliver exceptional patient care. This position requires expertise in HR strategy, organizational development, and employment law within the healthcare sector.

    William Showalter - Senior Vice President and Chief Information Officer

    William Showalter, the Senior Vice President and Chief Information Officer at JPS Health Network, directs the strategic planning and execution of information technology infrastructure and services. Showalter's leadership ensures that technology systems effectively support the clinical and administrative operations of John Peter Smith Hospital, JPS Surgical Center - Arlington, and the network's extensive array of community health centers. This executive position is crucial for advancing the network's digital transformation, enhancing data security, and implementing innovative technological solutions across Fort Worth, Texas. The Senior Vice President and Chief Information Officer oversees IT operations, cybersecurity measures, electronic health record systems, and the integration of new technologies to improve patient care and operational efficiency. William Showalter's strategic initiatives focus on optimizing IT resources, ensuring system reliability, and leveraging data analytics to support informed decision-making. By driving technological advancements, Showalter plays a pivotal role in modernizing healthcare delivery and maintaining JPS Health Network's commitment to accessible, high-quality care. This role demands comprehensive knowledge of healthcare IT, system architecture, and strategic technology management.

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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.