Penn Medicine Executive and Leadership Team

Michael Duncan, the President & Chief Executive Officer, Foundation at Penn Medicine, directs all philanthropic initiatives and capital development strategies. Overseeing the financial growth of the foundation, the President & Chief Executive Officer, Foundation ensures alignment with the broader mission of the University of Pennsylvania Health System. This leadership role involves cultivating donor relationships and securing long-term funding for medical research and clinical infrastructure. By optimizing resource allocation, Michael Duncan directly impacts the ability of the institution to innovate within the competitive healthcare landscape. Through strategic oversight of endowment funds, the President & Chief Executive Officer, Foundation secures the fiscal health necessary for sustained academic and clinical excellence. Duncan maintains rigorous standards for transparency and impact, ensuring that every dollar supports the core objectives of the Perelman School of Medicine and the associated health system.

Fabian Marechal, the Chief Operating Officer at Penn Medicine, manages the enterprise-wide clinical infrastructure and operational efficiency of the health system. Overseeing the integration of hospital services, the Chief Operating Officer ensures that patient care delivery remains seamless across all facilities. This leadership role involves optimizing supply chain logistics and facility management to support the high-volume demands of the University of Pennsylvania Health System. By implementing data-driven process improvements, Fabian Marechal directly impacts the quality and safety of clinical outcomes. Marechal collaborates with medical directors to align operational capacity with patient needs, ensuring that the system maintains its status as a leader in academic medicine. Through rigorous oversight of daily operations, the Chief Operating Officer drives the financial and clinical performance of the organization. Marechal secures the operational foundation necessary for the continued expansion of medical services.

Lori Pray, the Chief Operating Officer, Physical Medicine and Rehabilitation at Penn Medicine, directs the clinical operations and service expansion for the rehabilitation department. Overseeing the integration of specialized therapy services, the Chief Operating Officer, Physical Medicine and Rehabilitation ensures that patients receive comprehensive care throughout the recovery process. This role involves managing the allocation of clinical resources and optimizing patient throughput in rehabilitation facilities. By implementing evidence-based care protocols, Lori Pray directly impacts the functional outcomes of patients within the health system. Pray collaborates with medical staff to enhance the quality of rehabilitation services, ensuring that the department remains at the forefront of clinical innovation. Through the strategic management of departmental budgets and staffing, the Chief Operating Officer, Physical Medicine and Rehabilitation drives the financial performance of the unit. Pray secures the operational excellence required for high-quality patient rehabilitation.

Hollin Sheara, the Department of Ophthalmology, Chief Operating Officer at Penn Medicine, manages the clinical and research operations for the ophthalmology department. Overseeing the deployment of advanced diagnostic and surgical technologies, the Department of Ophthalmology, Chief Operating Officer ensures that the department maintains its reputation for clinical excellence. This role involves coordinating with research faculty to translate scientific discoveries into patient care solutions. By optimizing clinic workflows and patient access, Hollin Sheara directly impacts the efficiency of eye care services. Sheara collaborates with the broader health system to align departmental goals with institutional priorities. Through the strategic management of clinical trials and patient volume, the Department of Ophthalmology, Chief Operating Officer drives the growth and impact of the ophthalmology program. Sheara secures the operational infrastructure necessary for delivering world-class vision care to a diverse patient population.

Thomas Gakis, the Chief Operating Officer, Department of Medicine at Penn Medicine, directs the administrative and clinical operations for the internal medicine department. Overseeing the coordination of multi-specialty clinics, the Chief Operating Officer, Department of Medicine ensures that patient care remains integrated and efficient. This role involves managing the financial performance of the department and optimizing the use of clinical space. By implementing process improvements in patient scheduling and care delivery, Thomas Gakis directly impacts the operational success of the department. Gakis collaborates with medical leadership to support the research and educational missions of the Perelman School of Medicine. Through the strategic oversight of departmental resources, the Chief Operating Officer, Department of Medicine drives the growth of internal medicine services. Gakis secures the operational stability required for delivering high-quality care across a wide range of medical specialties.

Richard Paoletti, the Chief Operating Officer, Population Health at Penn Medicine, manages the strategic initiatives focused on improving health outcomes for large patient cohorts. Overseeing the implementation of value-based care models, the Chief Operating Officer, Population Health ensures that the health system effectively manages chronic disease and preventative care. This role involves analyzing health data to identify trends and opportunities for intervention across the regional patient population. By optimizing care coordination programs, Richard Paoletti directly impacts the quality and cost-effectiveness of healthcare delivery. Paoletti collaborates with community partners and internal stakeholders to expand the reach of population health initiatives. Through the strategic management of health analytics and clinical programs, the Chief Operating Officer, Population Health drives the transition toward proactive, patient-centered care. Paoletti secures the operational framework necessary for improving the overall health status of the communities served by the system.

Charles Barbara, the Chief Operating Officer Scheie Eye Institute, Department of Ophthalmology at Penn Medicine, directs the daily operations and strategic growth of the Scheie Eye Institute. Overseeing the clinical and surgical services provided at the institute, the Chief Operating Officer Scheie Eye Institute, Department of Ophthalmology ensures that patients receive specialized care in a state-of-the-art environment. This role involves managing the facility's operational budget and coordinating with medical staff to enhance service delivery. By optimizing the patient experience and clinical throughput, Charles Barbara directly impacts the reputation and performance of the institute. Barbara collaborates with the broader ophthalmology department to align clinical services with research and educational goals. Through the strategic management of resources and staff, the Chief Operating Officer Scheie Eye Institute, Department of Ophthalmology drives the success of the institute. Barbara secures the operational excellence required for delivering advanced eye care.

Marianne Incmukoski, the Chief of Staff at Penn Medicine, coordinates executive communications and facilitates cross-departmental collaboration across the health system. Managing the daily operations of the executive office, the Chief of Staff ensures that strategic priorities receive consistent attention from leadership. This role involves synthesizing complex data from the Perelman School of Medicine and the University of Pennsylvania Health System to support informed decision-making. By streamlining administrative workflows, Marianne Incmukoski enhances the efficiency of the entire leadership team. Incmukoski monitors the execution of institutional goals, ensuring that all departments remain aligned with the overarching mission of providing high-quality patient care. Through proactive management of internal projects, the Chief of Staff drives organizational agility. Incmukoski maintains a focus on operational excellence, ensuring that the executive office functions as a central hub for strategic planning and institutional communication.

Kenya Pitt, the Chief Human Resources Officer at Penn Medicine, architects the talent acquisition and workforce development strategies for the entire health system. Overseeing the recruitment of clinical and administrative staff, the Chief Human Resources Officer ensures that the organization attracts top-tier medical professionals. This role involves designing comprehensive training programs and fostering a culture of inclusion within the Perelman School of Medicine. By optimizing employee engagement and retention, Kenya Pitt directly impacts the stability and performance of the workforce. Pitt collaborates with department heads to align staffing levels with patient care requirements, ensuring that the system maintains high standards of service. Through the implementation of modern HR technologies, the Chief Human Resources Officer drives operational efficiency across all human capital functions. Pitt secures the long-term success of the organization by cultivating a highly skilled and motivated team of healthcare providers.

David Florio, the Chief Human Resources Officer at Penn Medicine, manages labor relations and organizational design for the University of Pennsylvania Health System. Overseeing the implementation of compensation and benefits structures, the Chief Human Resources Officer ensures that the organization remains competitive in the national healthcare market. This role involves navigating complex regulatory environments and fostering positive relationships with clinical staff. By optimizing performance management systems, David Florio directly impacts the professional growth and productivity of the workforce. Florio collaborates with the executive team to align human resource policies with the strategic goals of the health system. Through the development of robust succession planning, the Chief Human Resources Officer drives the long-term sustainability of the leadership pipeline. Florio maintains a focus on employee wellness and safety, ensuring that the organization supports the physical and mental health of all staff members.