Trinity Health System Executive and Leadership Team

August, 2026

Leadership Overview

Trinity Health System has 5 executives leading key functions including strategy, operations, clinical oversight, and medical enterprise management.

Guided by a commitment to compassionate care, Trinity Health System advances a mission of faith-based service while improving health outcomes across diverse communities through an integrated network of hospitals and clinics.

Leadership Roles at Trinity Health System

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

    Thomas Tibbitts, the Chief Executive Officer at Trinity Health System, directs the overarching strategic vision for this expansive not-for-profit healthcare organization. By aligning clinical excellence with community-focused outreach, the Chief Executive Officer ensures that the system maintains its status as a premier Catholic healthcare ministry. Thomas Tibbitts manages high-level relationships with the Board and external stakeholders to secure long-term financial sustainability and operational integrity. This leadership role involves navigating complex regulatory environments while expanding the reach of medical services across the United States. Through the implementation of innovative care models, the Chief Executive Officer drives growth and efficiency across the entire network of hospitals and outpatient centers. By prioritizing accessible, compassionate care for underserved populations, the Chief Executive Officer strengthens the organization's market position. Ultimately, the Chief Executive Officer fosters a culture of service that defines the daily operations of the entire system.

    Paul Ache - Vice President, Operations & Chief Operating Officer

    Paul Ache, the Vice President, Operations & Chief Operating Officer at Trinity Health System, architects the internal infrastructure required to support large-scale hospital operations. Focusing specifically on the optimization of clinical workflows and facility management, the Chief Operating Officer ensures that every hospital within the network maintains peak efficiency. Paul Ache oversees the integration of administrative processes to streamline patient intake and resource allocation across regional facilities. By standardizing operational protocols, the Chief Operating Officer reduces overhead costs while simultaneously improving the quality of care delivered to patients. This role requires constant collaboration with clinical leadership to align facility capabilities with evolving medical demands. Through the rigorous management of supply chains and physical assets, the Chief Operating Officer supports the broader mission of providing high-quality, accessible healthcare. Ultimately, the Chief Operating Officer secures the operational foundation necessary for the system to thrive in a competitive national market.

    Paul Wheeler - Vice President, Operations & Chief Operating Officer

    Paul Wheeler, the Vice President, Operations & Chief Operating Officer at Trinity Health System, directs the expansion and management of long-term care facilities and home health agencies. While the other Chief Operating Officer focuses on acute hospital settings, the Chief Operating Officer here prioritizes the development of post-acute care services and community-based health initiatives. Paul Wheeler executes strategies that bridge the gap between traditional clinical services and home-based support, ensuring continuity of care for vulnerable populations. By overseeing the deployment of resources across diverse geographic regions, the Chief Operating Officer enhances the system's ability to address social determinants of health. This leadership role involves managing complex partnerships with community organizations to extend the reach of charitable care. Through the optimization of outpatient service delivery, the Chief Operating Officer drives significant improvements in patient outcomes. Ultimately, the Chief Operating Officer strengthens the system's comprehensive healthcare delivery model through targeted operational excellence.

    James Mirasola - Group President, Medical Enterprise

    James Mirasola, the Group President, Medical Enterprise at Trinity Health System, directs the strategic growth and integration of specialized medical services within the broader healthcare network. By overseeing the development of advanced service lines, the Group President, Medical Enterprise ensures that the system provides comprehensive care options that meet the complex needs of patients. James Mirasola manages the alignment of medical enterprise goals with the organization's mission of faith-based service and community support. This role involves identifying opportunities for expansion into new medical markets and enhancing the capabilities of existing specialty centers. Through the coordination of multidisciplinary teams, the Group President, Medical Enterprise drives innovation in treatment delivery and patient engagement. By leveraging data-driven insights, the Group President, Medical Enterprise optimizes the performance of the medical enterprise to support long-term organizational sustainability. Ultimately, the Group President, Medical Enterprise secures the system's position as a leader in high-quality, integrated medical care.

    Matthew Colflesh - Chief Medical Officer

    Matthew Colflesh, the Chief Medical Officer at Trinity Health System, architects the clinical standards and medical policies that govern patient care across the entire organization. By leading the medical staff and overseeing quality assurance programs, the Chief Medical Officer ensures that every facility adheres to the highest benchmarks of safety and efficacy. Matthew Colflesh collaborates with executive leadership to integrate evidence-based practices into the daily operations of hospitals and clinics. This role involves monitoring clinical performance metrics to identify areas for improvement and innovation in medical service delivery. Through the implementation of advanced diagnostic and treatment protocols, the Chief Medical Officer drives better health outcomes for diverse patient populations. By fostering a culture of continuous learning and professional development among medical personnel, the Chief Medical Officer maintains the system's reputation for excellence. Ultimately, the Chief Medical Officer guarantees that the organization remains at the forefront of modern, compassionate medical practice.

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    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 Ache (Vice President, Operations & Chief Operating Officer) and Paul Wheeler (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 Ache (Vice President, Operations & Chief Operating Officer), Paul Wheeler (Vice President, Operations & Chief Operating Officer) and other senior executives.
    How many executives does Trinity Health System have?
    Trinity Health System has 5 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, Chief Medical Officer.