The HCRS Executive and Leadership Team

June, 2026

Leadership Overview

The HCRS has 5 executives leading key functions including strategy, finance, medical operations, and program direction.

Dedicated to empowering individuals and communities, The HCRS provides compassionate health care services addressing mental health, substance use, and developmental disabilities, impacting over 4000 individuals annually across southeastern Vermont.

Leadership Roles at The HCRS

  • Chief Executive Officer - George Karabakakis
  • Chief Financial Officer - Sarah Truckle
  • President - Joseph Harrington
  • President - Les Herman
  • Chief Medical Officer - Paul Boutin
  • George Karabakakis - Chief Executive Officer

    George Karabakakis, the Chief Executive Officer at The HCRS, directs the overarching strategy and operational framework for the organization. Karabakakis guides the company's mission to empower individuals and communities through compassionate health care services, focusing on mental health, substance use, and developmental disabilities. This leadership role involves ensuring the effective delivery of a wide range of services, including crisis response, children's and adult programs, and developmental assistance, all tailored to the unique needs of clients across southeastern Vermont. Karabakakis oversees the strategic partnerships and community involvement initiatives that are crucial for expanding accessibility and support. The Chief Executive Officer's vision drives the organization's commitment to inclusivity and comprehensive care for children, youth, families, and adults facing various challenges. By setting the strategic direction, George Karabakakis ensures The HCRS maintains its position as a vital resource for over 4000 individuals annually, fostering growth and enhancing the quality of life for those served.

    Sarah Truckle - Chief Financial Officer

    Sarah Truckle, the Chief Financial Officer at The HCRS, manages all financial operations and fiscal strategy for the organization. Truckle oversees budgeting, financial planning, and resource allocation to support the delivery of health care services that address mental health, substance use, and developmental disabilities. This critical role ensures the financial stability required to provide comprehensive programs for children, youth, families, and adults across southeastern Vermont. The Chief Financial Officer is responsible for maintaining compliance with all financial regulations and optimizing financial performance to maximize the impact of services offered. Truckle's expertise is vital in securing funding and managing expenditures for crisis response, children's and adult programs, and developmental assistance. By ensuring sound financial management, Sarah Truckle directly contributes to The HCRS's capacity to serve over 4000 individuals annually and uphold its commitment to inclusivity and support.

    Joseph Harrington - President

    Joseph Harrington, the President at The HCRS, drives strategic initiatives and operational excellence across the organization. Harrington focuses on enhancing the delivery of health care services that address mental health, substance use, and developmental disabilities, supporting the company's core mission. This leadership position involves overseeing key programs and ensuring alignment with community needs throughout southeastern Vermont. The President is instrumental in fostering relationships with stakeholders and advancing the organization's goals for serving children, youth, families, and adults. Joseph Harrington's leadership ensures the continued provision of crisis response, children's and adult programs, and developmental assistance, maintaining a strong focus on inclusivity and support. By guiding operational strategies, Harrington contributes significantly to The HCRS's ability to impact over 4000 individuals annually and uphold its commitment to compassionate care.

    Les Herman - President

    Les Herman, the President at The HCRS, spearheads strategic development and program expansion initiatives. Herman is dedicated to advancing the organization's commitment to providing health care services that address mental health, substance use, and developmental disabilities, thereby empowering individuals and communities. This role involves overseeing the strategic direction of services for children, youth, families, and adults across southeastern Vermont, ensuring comprehensive support. The President focuses on fostering innovation within crisis response, children's and adult programs, and developmental assistance, reinforcing The HCRS's inclusive approach. Les Herman's leadership ensures the organization effectively serves over 4000 individuals annually, driving forward the mission of compassionate and accessible care. Herman's strategic vision guides the organization's growth and impact.

    Paul Boutin - Chief Medical Officer

    Paul Boutin, the Chief Medical Officer at The HCRS, leads the clinical strategy and medical operations, ensuring the highest standards of care. Boutin oversees the integration of medical services with mental health, substance use, and developmental disability programs, aligning with the company's mission to empower individuals and communities. This position is essential for guiding the development and implementation of crisis response, children's and adult programs, and developmental assistance. The Chief Medical Officer ensures that all clinical practices are evidence-based and responsive to the unique needs of clients, including children, youth, families, and adults across southeastern Vermont. Paul Boutin's medical leadership is fundamental to maintaining the quality and effectiveness of services provided to over 4000 individuals annually, reinforcing The HCRS's commitment to inclusivity and comprehensive support. Boutin drives clinical excellence across all service areas.

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    Frequently Asked Questions Regarding The HCRS Top Executives and Leadership Team

    Who leads The HCRS?
    The HCRS is led by George Karabakakis (Chief Executive Officer), along with executives such as Sarah Truckle (Chief Financial Officer) and Joseph Harrington (President).
    Who is part of The HCRS’s executive team?
    The executive team of The HCRS includes leaders such as George Karabakakis (Chief Executive Officer), Sarah Truckle (Chief Financial Officer), Joseph Harrington (President) and other senior executives.
    How many executives does The HCRS have?
    The HCRS has 5 executives leading key business areas.
    What roles are included in The HCRS’s leadership team?
    The leadership team of The HCRS includes roles such as Chief Executive Officer, Chief Financial Officer, President, President, Chief Medical Officer.