Penn Medicine Executive and Leadership Team

November, 2026

Leadership Overview

Penn Medicine has 10 executives leading key functions including financial strategy, clinical operations, human resources, and departmental administration.

Committed to advancing medical education and patient care, Penn Medicine integrates academic research with clinical excellence to transform healthcare delivery across the region and beyond.

Leadership Roles at Penn Medicine

  • Chief Financial Officer - Jason Salgado
  • Chief Financial Officer, Emergency Medicine & Anesthesia - Michael Puchon
  • Senior VP & Chief Financial Officer, Chester County Hospital - Joshua Snyder
  • Chief Operating Officer, Department of Surgery - Meredith Fox
  • Chief Operating Officer, Department of Medicine - Thomas Gakis
  • Associate Chief Operating Officer - Mark DeBowes Jr
  • Chief Operating Officer, Department of Ophthalmology - Meredith Brady
  • Chief Operating Officer - Department of Orthopaedic Surgery - Andrew Duncan
  • Chief of Staff To Ezekiel Emanuel, MD, PhD - Harlan Rosen
  • Chief Human Resources Officer - Theresa Howard
  • Jason Salgado - Chief Financial Officer

    Jason Salgado, the Chief Financial Officer at Penn Medicine, directs the overarching fiscal strategy for the entire health system. Salgado manages capital allocation, long-term financial planning, and budgetary oversight to ensure the sustainability of clinical and research initiatives. By analyzing complex revenue streams and operational costs, the Chief Financial Officer optimizes resource distribution across the Raymond and Ruth Perelman School of Medicine and the University of Pennsylvania Health System. Jason Salgado collaborates with executive leadership to align fiscal policies with the broader mission of medical innovation and patient care excellence. This role involves rigorous monitoring of economic performance indicators to maintain the financial health of the organization. Through disciplined fiscal management, the Chief Financial Officer supports the expansion of healthcare services and the advancement of medical technology, ensuring that the system remains a leader in the competitive landscape of academic medicine.
    Jason Salgado

    Michael Puchon - Chief Financial Officer, Emergency Medicine & Anesthesia

    Michael Puchon, the Chief Financial Officer, Emergency Medicine & Anesthesia at Penn Medicine, manages the specific financial operations for these critical clinical departments. Puchon oversees departmental budgets, grant funding, and revenue cycle management to ensure that emergency and anesthesia services maintain high operational efficiency. The Chief Financial Officer, Emergency Medicine & Anesthesia evaluates cost-effectiveness in clinical workflows, allowing for the seamless delivery of urgent care and surgical support. Michael Puchon coordinates with department heads to allocate resources for specialized medical equipment and staffing requirements. By focusing on the unique financial demands of high-acuity care, the Chief Financial Officer, Emergency Medicine & Anesthesia drives fiscal stability within these essential units. This leadership role ensures that clinical teams possess the necessary financial backing to provide life-saving interventions while adhering to the rigorous standards of the broader health system.

    Joshua Snyder - Senior VP & Chief Financial Officer, Chester County Hospital

    Joshua Snyder, the Senior VP & Chief Financial Officer, Chester County Hospital at Penn Medicine, manages the financial health and operational strategy for this specific regional facility. Snyder oversees revenue cycle management, capital investments, and budgetary planning to ensure the hospital meets its performance targets. The Senior VP & Chief Financial Officer, Chester County Hospital aligns local financial goals with the broader objectives of the University of Pennsylvania Health System. Joshua Snyder monitors operational costs and identifies opportunities for efficiency to support the delivery of high-quality care to the local community. By maintaining fiscal discipline, the Senior VP & Chief Financial Officer, Chester County Hospital enables the facility to invest in new medical technologies and expanded service lines. This role involves close coordination with system-wide leadership to ensure that regional operations contribute effectively to the overall success and growth of the health system.

    Meredith Fox - Chief Operating Officer, Department of Surgery

    Meredith Fox, the Chief Operating Officer, Department of Surgery at Penn Medicine, directs the daily clinical and administrative operations for surgical services. Fox oversees patient throughput, surgical suite utilization, and staff coordination to ensure optimal care delivery. The Chief Operating Officer, Department of Surgery implements process improvements to enhance surgical outcomes and operational efficiency across the health system. Meredith Fox collaborates with surgeons and nursing leadership to manage resource allocation and facility requirements. By optimizing the surgical environment, the Chief Operating Officer, Department of Surgery supports the advancement of complex procedures and patient safety initiatives. This leadership role focuses on scaling surgical capacity to meet regional demand while maintaining the high standards of the University of Pennsylvania Health System. Through strategic management of surgical workflows, Fox ensures that the department remains at the forefront of medical innovation and clinical excellence.

    Thomas Gakis - Chief Operating Officer, Department of Medicine

    Thomas Gakis, the Chief Operating Officer, Department of Medicine at Penn Medicine, manages the administrative and operational infrastructure for the internal medicine divisions. Gakis oversees clinical staffing, resource distribution, and process optimization to support the delivery of comprehensive patient care. The Chief Operating Officer, Department of Medicine coordinates with clinical faculty to ensure that research and educational programs receive the necessary operational support. Thomas Gakis implements strategies to improve patient access and clinical workflow efficiency across the department. By focusing on the operational needs of a large and diverse medical department, the Chief Operating Officer, Department of Medicine ensures that clinical teams can focus on patient outcomes and academic advancement. This leadership role involves managing complex administrative systems to maintain the high standards of the Raymond and Ruth Perelman School of Medicine and the broader health system.
    Thomas Gakis

    Mark DeBowes Jr - Associate Chief Operating Officer

    Mark DeBowes Jr, the Associate Chief Operating Officer at Penn Medicine, supports the execution of system-wide operational strategies and facility management. DeBowes Jr assists in the oversight of clinical operations, ensuring that hospital workflows remain efficient and patient-centered. The Associate Chief Operating Officer coordinates with various department leaders to implement process improvements and maintain high standards of care across the health system. Mark DeBowes Jr monitors operational metrics to identify areas for growth and optimization, contributing to the overall success of the University of Pennsylvania Health System. By facilitating communication and collaboration between clinical and administrative teams, the Associate Chief Operating Officer ensures that the organization meets its strategic objectives. This role involves managing complex logistical challenges to support the delivery of high-quality medical services throughout the region, ultimately enhancing the operational capacity of the entire health system.

    Meredith Brady - Chief Operating Officer, Department of Ophthalmology

    Meredith Brady, the Chief Operating Officer, Department of Ophthalmology at Penn Medicine, directs the operational activities for eye care services. Brady manages clinical scheduling, facility resources, and staff coordination to ensure the efficient delivery of specialized ophthalmic care. The Chief Operating Officer, Department of Ophthalmology implements strategies to enhance patient access and improve clinical workflows within the department. Meredith Brady collaborates with medical staff to manage equipment needs and support the integration of advanced diagnostic and surgical technologies. By focusing on the operational requirements of the department, the Chief Operating Officer, Department of Ophthalmology ensures that clinical teams can provide high-quality care to patients. This leadership role involves managing administrative processes to support the department's mission of clinical excellence and research advancement within the broader health system, ensuring that ophthalmology services remain a key component of the organization's success.

    Andrew Duncan - Chief Operating Officer - Department of Orthopaedic Surgery

    Andrew Duncan, the Chief Operating Officer - Department of Orthopaedic Surgery at Penn Medicine, manages the operational and administrative functions for orthopaedic services. Duncan oversees clinical throughput, resource allocation, and staff management to ensure the efficient delivery of musculoskeletal care. The Chief Operating Officer - Department of Orthopaedic Surgery implements process improvements to enhance patient outcomes and operational efficiency across the department. Andrew Duncan coordinates with surgeons and clinical staff to manage facility requirements and support the integration of new surgical techniques. By focusing on the operational needs of the department, the Chief Operating Officer - Department of Orthopaedic Surgery ensures that clinical teams can provide high-quality care to patients. This leadership role involves managing complex administrative systems to support the department's mission of clinical excellence and research advancement within the broader health system, ensuring that orthopaedic services remain a key component of the organization's success.

    Harlan Rosen - Chief of Staff To Ezekiel Emanuel, MD, PhD

    Harlan Rosen, the Chief of Staff To Ezekiel Emanuel, MD, PhD at Penn Medicine, coordinates strategic initiatives and administrative priorities for the office of the Vice Provost for Global Initiatives. Rosen manages complex projects, facilitates communication between leadership teams, and ensures the execution of high-level academic and clinical policies. The Chief of Staff To Ezekiel Emanuel, MD, PhD organizes internal workflows to support the integration of research and healthcare delivery across the system. Harlan Rosen monitors progress on key institutional goals, providing the necessary oversight to keep projects aligned with the mission of the Raymond and Ruth Perelman School of Medicine. By streamlining administrative processes and fostering collaboration among faculty and staff, the Chief of Staff To Ezekiel Emanuel, MD, PhD enhances the operational capacity of the leadership team. This role remains vital for maintaining the focus on global health impact and academic excellence.

    Theresa Howard - Chief Human Resources Officer

    Theresa Howard, the Chief Human Resources Officer at Penn Medicine, directs the talent management, recruitment, and employee relations strategy for the entire health system. Howard oversees the development of workforce policies that support the recruitment and retention of top-tier medical and administrative professionals. The Chief Human Resources Officer implements programs to foster a culture of excellence, diversity, and inclusion across the Raymond and Ruth Perelman School of Medicine and the University of Pennsylvania Health System. Theresa Howard collaborates with executive leadership to align human capital strategies with the organization's mission of clinical and academic success. By managing complex organizational development initiatives, the Chief Human Resources Officer ensures that the health system maintains a highly skilled and engaged workforce. This leadership role involves overseeing compensation, benefits, and professional development to support the long-term growth and stability of the organization, ensuring that the system remains a premier employer in the healthcare industry.

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    Frequently Asked Questions Regarding Penn Medicine Top Executives and Leadership Team

    Who leads Penn Medicine?
    Penn Medicine is led by Jason Salgado (Chief Financial Officer), along with executives such as Michael Puchon (Chief Financial Officer, Emergency Medicine & Anesthesia) and Joshua Snyder (Senior VP & Chief Financial Officer, Chester County Hospital).
    Who is part of Penn Medicine’s executive team?
    The executive team of Penn Medicine includes leaders such as Jason Salgado (Chief Financial Officer), Michael Puchon (Chief Financial Officer, Emergency Medicine & Anesthesia), Joshua Snyder (Senior VP & Chief Financial Officer, Chester County Hospital) and other senior executives.
    How many executives does Penn Medicine have?
    Penn Medicine has 10 executives leading key business areas.
    What roles are included in Penn Medicine’s leadership team?
    The leadership team of Penn Medicine includes roles such as Chief Financial Officer, Chief Financial Officer, Emergency Medicine & Anesthesia, Senior VP & Chief Financial Officer, Chester County Hospital, Chief Operating Officer, Department of Surgery, Chief Operating Officer, Department of Medicine.