SMA Healthcare Executive and Leadership Team

August, 2026

Leadership Overview

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

Committed to comprehensive behavioral health, SMA Healthcare delivers essential outpatient, justice, and crisis services to improve community wellness through accessible, high-quality care.

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 across Florida. Cosimi architects long-term growth initiatives while ensuring the organization maintains rigorous standards for outpatient and crisis intervention programs. By aligning clinical outcomes with fiscal sustainability, the Chief Executive Officer fosters a culture of excellence that permeates every department. Ivan Cosimi maintains constant communication with the Board to refine service models and expand the reach of justice-related programs. This leadership focus ensures that the organization remains a pillar of support for individuals navigating complex mental health challenges. Through proactive management of regional partnerships, the Chief Executive Officer secures the resources necessary to sustain high-impact community programs. Ultimately, Cosimi drives the mission forward by prioritizing patient-centered care and operational efficiency in every facet of the business.
    Ivan Cosimi

    Eric Horst - Chief Financial Officer

    Eric Horst, the Chief Financial Officer at SMA Healthcare, governs the fiscal health and budgetary planning for all behavioral health operations. Horst architects financial strategies that support the expansion of outpatient, justice, and crisis services. By managing capital allocation and revenue cycles, the Chief Financial Officer ensures the organization maintains the resources required for sustainable growth. Eric Horst collaborates with executive leadership to evaluate the financial viability of new programs and community initiatives. This leadership role involves rigorous oversight of fiscal compliance and reporting to maintain transparency with stakeholders. Through careful analysis of market trends and operational costs, the Chief Financial Officer secures the financial foundation necessary for long-term success. Horst drives efficiency by identifying cost-saving opportunities without compromising the quality of care provided to the community, thereby strengthening the overall economic position of the organization.

    Nicole Sharbono - Chief Operating Officer

    Nicole Sharbono, the Chief Operating Officer at SMA Healthcare, manages the daily execution of behavioral healthcare services and internal workflows. Sharbono optimizes the delivery of outpatient and crisis programs to ensure maximum efficiency and patient safety. Overseeing the integration of justice-related services, the Chief Operating Officer streamlines administrative processes to support clinical staff in high-pressure environments. Nicole Sharbono coordinates with department heads to implement scalable solutions that address the evolving needs of the community. This role involves constant monitoring of service metrics to identify areas for improvement and resource allocation. By refining operational protocols, the Chief Operating Officer enhances the overall quality of care provided to patients. Sharbono maintains a focus on organizational stability, ensuring that all internal systems support the broader mission of providing accessible behavioral health services throughout the region.

    Kimberly Helper - President & Owner

    Kimberly Helper, the President & Owner at SMA Healthcare, provides the foundational vision and governance for the organization's behavioral health mission. Helper architects the long-term values and ethical framework that guide all outpatient, justice, and crisis services. By maintaining a focus on community impact, the President & Owner ensures that the organization remains true to its core purpose of providing accessible care. Kimberly Helper engages with key stakeholders and community leaders to advocate for the importance of behavioral health resources. This leadership role involves high-level oversight of organizational health and strategic direction. Through the promotion of a mission-driven culture, the President & Owner inspires the entire team to achieve excellence in service delivery. Helper drives the organization's legacy by balancing sustainable business practices with a deep commitment to improving the lives of individuals throughout the region.

    Richard Curley - Chief Information Officer

    Richard Curley, the Chief Information Officer at SMA Healthcare, directs the digital infrastructure and data security protocols essential for modern behavioral healthcare. Curley architects robust systems that protect sensitive patient information while facilitating seamless communication between outpatient and crisis service teams. By implementing advanced health information technology, the Chief Information Officer improves the accuracy and accessibility of clinical records. Richard Curley oversees the integration of new software solutions to streamline administrative tasks and enhance the overall patient experience. This leadership role involves constant collaboration with clinical staff to ensure that technology supports, rather than hinders, the delivery of care. Through the management of secure networks and data analytics, the Chief Information Officer provides the insights necessary for informed decision-making. Curley drives innovation by modernizing the technological framework that supports the organization's mission of providing comprehensive behavioral health services.
    Richard Curley

    Kellie Mellichampe - Chief Human Resources Officer

    Kellie Mellichampe, the Chief Human Resources Officer at SMA Healthcare, manages the talent acquisition, retention, and professional development strategies for the entire workforce. Mellichampe architects programs that foster a supportive environment for clinical and administrative staff dedicated to behavioral health. By overseeing recruitment efforts, the Chief Human Resources Officer ensures the organization attracts top-tier professionals capable of delivering high-quality outpatient and crisis services. Kellie Mellichampe implements training initiatives that align with the evolving standards of the healthcare industry. This leadership role involves managing employee relations and ensuring compliance with labor regulations to maintain a productive workplace culture. Through the development of competitive compensation and benefits packages, the Chief Human Resources Officer secures the human capital necessary for operational success. Mellichampe drives organizational growth by prioritizing the well-being and professional advancement of the team members who provide essential care to the community.
    Kellie Mellichampe

    Yusef Canaan - Chief Medical Officer

    Yusef Canaan, the Chief Medical Officer at SMA Healthcare, oversees the clinical standards and medical practices across all behavioral health service lines. Canaan architects evidence-based treatment protocols for outpatient, justice, and crisis programs to ensure optimal patient outcomes. By leading the medical staff, the Chief Medical Officer maintains rigorous quality control and adherence to healthcare regulations. Yusef Canaan collaborates with other executives to integrate clinical insights into the broader strategic planning of the organization. This leadership role involves monitoring medical performance metrics and implementing improvements to enhance the efficacy of care. Through the supervision of clinical practitioners, the Chief Medical Officer fosters a culture of safety and excellence. Canaan drives the clinical mission by ensuring that every patient receives compassionate, high-quality treatment tailored to individual needs, thereby solidifying the reputation of the organization as a leader in behavioral healthcare.
    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.