SMA Healthcare Executive and Leadership Team

September, 2026

Leadership Overview

SMA Healthcare has 7 executives leading key functions including strategy, technology, finance, operations, human resources, medical oversight, and ownership.

Committed to comprehensive behavioral health, SMA Healthcare delivers vital outpatient, justice, and crisis services to improve community wellness across Florida through a robust, mission-driven care model.

Leadership Roles at SMA Healthcare

  • Chief Executive Officer - Ivan Cosimi
  • Chief Financial Officer - Eric Horst
  • Chief Operating Officer - Nicole Sharbono
  • President & Owner - Kimberly Helper
  • Chief Information Officer - Richard Curley
  • Chief Human Resources Officer - Kellie Mellichampe
  • Chief Medical Officer - Yusef Canaan
  • Ivan Cosimi - Chief Executive Officer

    Ivan Cosimi, the Chief Executive Officer at SMA Healthcare, directs the overarching strategic vision for behavioral health service delivery. Cosimi manages the alignment of outpatient, justice, and crisis programs with the broader organizational mission to ensure high-quality patient outcomes. By coordinating with the Board and executive leadership, the Chief Executive Officer drives sustainable growth and operational excellence across all Florida service regions. This leadership role involves navigating complex healthcare regulations while maintaining a focus on community-based prevention initiatives. Ivan Cosimi fosters a culture of accountability and clinical integrity, ensuring that every department meets rigorous standards of care. Through proactive engagement with stakeholders, the Chief Executive Officer secures the resources necessary to expand access to critical mental health and substance abuse services. Ultimately, Cosimi maintains the long-term viability of the organization while championing innovative approaches to modern behavioral healthcare challenges.
    Ivan Cosimi

    Eric Horst - Chief Financial Officer

    Eric Horst, the Chief Financial Officer at SMA Healthcare, manages the fiscal health and resource allocation for all behavioral healthcare programs. Horst oversees budgeting, financial reporting, and revenue cycle management to ensure the sustainability of outpatient and crisis services. By analyzing market trends and operational costs, the Chief Financial Officer optimizes financial performance across the Florida service footprint. This leadership role involves coordinating with department heads to align spending with strategic growth objectives and regulatory requirements. Eric Horst drives fiscal transparency and accountability, providing the necessary data to support informed decision-making by the executive team. Through rigorous financial planning, the Chief Financial Officer secures the capital required for facility improvements and service expansion. Horst maintains strong relationships with funding partners and regulatory bodies, ensuring that the organization remains financially resilient while fulfilling the mission of providing essential community health services.

    Nicole Sharbono - Chief Operating Officer

    Nicole Sharbono, the Chief Operating Officer at SMA Healthcare, executes the daily operational strategies for outpatient and justice-related behavioral health services. Sharbono oversees the logistical coordination of clinical programs to ensure seamless patient care delivery across all facilities. By streamlining internal processes and standardizing service protocols, the Chief Operating Officer maximizes efficiency and improves patient throughput. This role involves working closely with clinical directors to resolve operational bottlenecks and maintain high standards of service quality. Nicole Sharbono drives the implementation of performance metrics that track the effectiveness of crisis intervention and prevention initiatives. Through active management of facility resources, the Chief Operating Officer ensures that the organization meets the evolving needs of the Florida community. Sharbono maintains a focus on operational agility, allowing the team to respond rapidly to changing healthcare demands while upholding the core mission of the organization.

    Kimberly Helper - President & Owner

    Kimberly Helper, the President & Owner at SMA Healthcare, defines the long-term vision and foundational values of the behavioral healthcare organization. Helper oversees the governance and high-level strategic direction, ensuring that the mission remains centered on community impact and service excellence. By providing leadership and guidance to the executive team, the President & Owner drives the pursuit of sustainable growth and innovation in the healthcare sector. This role involves maintaining the integrity of the organization while navigating the complexities of the regional market. Kimberly Helper fosters a commitment to quality, ensuring that all outpatient, justice, and crisis services align with the original purpose of the entity. Through strategic oversight, the President & Owner secures the future of the organization, enabling the continued provision of vital mental health support. Helper champions the organizational culture, ensuring that every initiative reflects the core dedication to improving lives throughout the Florida community.

    Richard Curley - Chief Information Officer

    Richard Curley, the Chief Information Officer at SMA Healthcare, architects the digital infrastructure supporting all behavioral health operations. Curley oversees the integration of electronic health records and secure data management systems to enhance clinical efficiency. By implementing advanced cybersecurity protocols, the Chief Information Officer protects sensitive patient information across the entire Florida network. This role involves collaborating with medical staff to optimize technology platforms for better diagnostic and treatment tracking. Richard Curley drives the digital transformation of administrative workflows, reducing operational friction and improving data accessibility for frontline providers. Through the deployment of scalable software solutions, the Chief Information Officer ensures that the organization remains at the forefront of health information technology. Curley manages the technical roadmap, aligning digital investments with the core mission of providing accessible, high-quality care to diverse patient populations throughout the region.
    Richard Curley

    Kellie Mellichampe - Chief Human Resources Officer

    Kellie Mellichampe, the Chief Human Resources Officer at SMA Healthcare, directs the talent acquisition, retention, and professional development strategies for the entire workforce. Mellichampe oversees the cultivation of a high-performance culture that supports the delivery of specialized behavioral health services. By designing comprehensive training programs, the Chief Human Resources Officer ensures that clinical and administrative staff possess the skills necessary to provide exceptional patient care. This role involves managing employee relations, benefits administration, and organizational development initiatives that align with the company mission. Kellie Mellichampe drives diversity and inclusion efforts, fostering an environment where staff feel empowered to contribute to community wellness. Through strategic workforce planning, the Chief Human Resources Officer addresses staffing needs across the Florida service area, ensuring that the organization maintains a robust team of dedicated professionals. Mellichampe champions employee engagement, which directly impacts the quality and consistency of the care provided to patients.
    Kellie Mellichampe

    Yusef Canaan - Chief Medical Officer

    Yusef Canaan, the Chief Medical Officer at SMA Healthcare, leads the clinical standards and medical oversight for all behavioral health and crisis services. Canaan oversees the medical staff, ensuring that treatment protocols adhere to the highest evidence-based practices in the industry. By collaborating with clinical teams, the Chief Medical Officer drives improvements in patient outcomes and safety across the Florida network. This role involves monitoring clinical performance metrics and implementing quality assurance programs that define the standard of care. Yusef Canaan provides the medical expertise necessary to integrate complex psychiatric and substance abuse treatments into the broader organizational framework. Through continuous evaluation of clinical efficacy, the Chief Medical Officer ensures that the organization remains a leader in behavioral health. Canaan maintains a focus on patient-centered care, guiding the medical team to address the unique needs of every individual served by the organization.
    Yusef Canaan

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    Frequently Asked Questions Regarding SMA Healthcare Top Executives and Leadership Team

    Who leads SMA Healthcare?
    SMA Healthcare is led by Ivan Cosimi (Chief Executive Officer), along with executives such as Eric Horst (Chief Financial Officer) and Nicole Sharbono (Chief Operating Officer).
    Who is part of SMA Healthcare’s executive team?
    The executive team of SMA Healthcare includes leaders such as Ivan Cosimi (Chief Executive Officer), Eric Horst (Chief Financial Officer), Nicole Sharbono (Chief Operating Officer) and other senior executives.
    How many executives does SMA Healthcare have?
    SMA Healthcare has 7 executives leading key business areas.
    What roles are included in SMA Healthcare’s leadership team?
    The leadership team of SMA Healthcare includes roles such as Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, President & Owner, Chief Information Officer.