Trinity Health System Executive and Leadership Team

June, 2026

Leadership Overview

Trinity Health System has 6 executives leading key functions including strategy, operations, clinical services, and enterprise physician leadership.

Driven by a faith-based healthcare tradition, Trinity Health System is dedicated to providing high-quality medical care while addressing social and economic factors that influence public health, ensuring accessible and compassionate care for all.

Leadership Roles at Trinity Health System

  • Chief Executive Officer - Thomas Tibbitts
  • Vice President, Operations & Chief Operating Officer - Paul Wheeler
  • Vice President, Operations & Chief Operating Officer - Paul Ache
  • Group President, Medical Enterprise - James Mirasola
  • President & Enterprise Physician - Rick Greco
  • Chief Medical Officer - Matthew Colflesh
  • Thomas Tibbitts - Chief Executive Officer

    Thomas Tibbitts, the Chief Executive Officer at Trinity Health System, directs the overall strategic vision and operational framework for the integrated healthcare network. This leadership role encompasses guiding the organization's mission-driven approach, ensuring alignment with Catholic healthcare traditions and community support initiatives. Tibbitts oversees the comprehensive delivery system, which includes hospitals, clinics, and community health services across the United States, focusing on improving health and well-being. The Chief Executive Officer's responsibilities involve fostering a culture of compassion and service, ensuring high-quality medical care is accessible to all individuals and communities served. This involves strategic planning for network expansion, financial stability, and the integration of advanced medical services. Thomas Tibbitts drives the organization's commitment to addressing social determinants of health and providing charitable care to underserved populations, solidifying Trinity Health System's position as a leading Catholic health ministry.

    Paul Wheeler - Vice President, Operations & Chief Operating Officer

    Paul Wheeler, the Vice President, Operations & Chief Operating Officer at Trinity Health System, executes the operational strategies that support the integrated healthcare delivery system. This executive role focuses on optimizing the efficiency and effectiveness of hospitals, clinics, and community health services nationwide. Wheeler oversees the day-to-day management of the system's extensive network, ensuring seamless coordination between clinical services, long-term care facilities, and home health agencies. The Chief Operating Officer's responsibilities include driving operational improvements, managing resource allocation, and enhancing patient care delivery processes across all facilities. Paul Wheeler works to ensure that the organization's operational framework aligns with its mission of providing compassionate, high-quality, and accessible healthcare. This involves implementing best practices in healthcare management and fostering collaboration among various departments to achieve organizational goals and maintain financial health.

    Paul Ache - Vice President, Operations & Chief Operating Officer

    Paul Ache, the Vice President, Operations & Chief Operating Officer at Trinity Health System, spearheads critical operational initiatives across the organization's diverse healthcare facilities. This executive function involves managing the complex logistics of an integrated system comprising hospitals, outpatient centers, and community health services. Ache's leadership ensures that operational processes are streamlined to support the delivery of high-quality, patient-centered care. The Chief Operating Officer's purview includes overseeing infrastructure development, technology integration, and the efficient deployment of resources to meet community health needs. Paul Ache drives efforts to enhance operational performance, focusing on areas such as patient flow, service line management, and regulatory compliance. This role is pivotal in maintaining the system's commitment to compassionate service and accessibility, ensuring that all operations reflect the organization's faith-based mission and contribute to public well-being.

    James Mirasola - Group President, Medical Enterprise

    James Mirasola, the Group President, Medical Enterprise at Trinity Health System, leads the strategic direction and operational oversight of the organization's extensive medical services. This executive position involves managing a broad portfolio of clinical operations, including hospitals, outpatient facilities, and specialized medical programs. Mirasola's leadership focuses on enhancing the integration and coordination of care delivery across the network to meet diverse community health needs. The Group President's responsibilities include driving growth in medical services, ensuring clinical quality, and optimizing the financial performance of the medical enterprise. James Mirasola champions initiatives that align with Trinity Health System's mission, emphasizing compassionate care and accessibility for all patients. This role is critical in navigating the complexities of the healthcare landscape, fostering innovation, and ensuring the sustained delivery of high-quality, faith-based healthcare services.

    Rick Greco - President & Enterprise Physician

    Rick Greco, the President & Enterprise Physician at Trinity Health System, provides critical clinical leadership and strategic direction for the organization's medical enterprise. This dual role ensures that physician perspectives are integrated into high-level decision-making, driving clinical excellence and patient-centered care across the integrated system. Greco oversees the alignment of medical services with the organization's mission, focusing on compassionate care and community well-being. The President & Enterprise Physician's responsibilities include fostering strong relationships with physicians, guiding clinical innovation, and ensuring the quality and accessibility of healthcare services. Rick Greco plays a vital part in shaping the strategic direction of Trinity Health System, advocating for best practices in healthcare delivery and upholding the system's commitment to serving all individuals, particularly those in underserved communities, in accordance with its Catholic healthcare tradition.

    Matthew Colflesh - Chief Medical Officer

    Matthew Colflesh, the Chief Medical Officer at Trinity Health System, directs the clinical strategy and medical operations across the integrated healthcare network. This executive role is central to ensuring the highest standards of patient care and clinical excellence throughout hospitals, clinics, and community health services. Colflesh oversees the medical staff, guides clinical policy development, and champions evidence-based practices to improve health outcomes. The Chief Medical Officer's responsibilities include fostering a culture of safety, quality, and compassion, directly supporting the organization's faith-based mission. Matthew Colflesh works closely with operational leaders to integrate medical services effectively, ensuring that patients receive comprehensive and accessible care. This leadership position is crucial for advancing medical innovation, managing clinical risks, and upholding Trinity Health System's commitment to serving vulnerable populations and enhancing community well-being.

    Explore Leadership Teams in Hospitals & Physicians Clinics

    Frequently Asked Questions Regarding Trinity Health System Top Executives and Leadership Team

    Who leads Trinity Health System?
    Trinity Health System is led by Thomas Tibbitts (Chief Executive Officer), along with executives such as Paul Wheeler (Vice President, Operations & Chief Operating Officer) and Paul Ache (Vice President, Operations & Chief Operating Officer).
    Who is part of Trinity Health System’s executive team?
    The executive team of Trinity Health System includes leaders such as Thomas Tibbitts (Chief Executive Officer), Paul Wheeler (Vice President, Operations & Chief Operating Officer), Paul Ache (Vice President, Operations & Chief Operating Officer) and other senior executives.
    How many executives does Trinity Health System have?
    Trinity Health System has 6 executives leading key business areas.
    What roles are included in Trinity Health System’s leadership team?
    The leadership team of Trinity Health System includes roles such as Chief Executive Officer, Vice President, Operations & Chief Operating Officer, Vice President, Operations & Chief Operating Officer, Group President, Medical Enterprise, President & Enterprise Physician.