Senior Vice President, Ascension Healthcare, and Indiana Ministry Market Executive
Jonathan Nalli serves as Chief Executive Officer of St. Vincent - Indiana. He also serves as Senior Vice President, Ascension Healthcare, and Indiana Ministry Market Executive. St. Vincent is a 20-hospital system and one of the largest employers that serves central and southern Indiana. Founded by the Daughters of Charity in 1881, St. Vincent is comprised of quaternary facilities, tertiary and critical access hospitals, specialty centers and a multi-specialty physician group. St. Vincent is part of Ascension, the nation’s largest Catholic and non-profit health system, and a leader in medical excellence.
St. Vincent delivers high quality care in service areas such as cardiovascular, women’s health, pediatrics, neurosciences, cancer care, orthopedics, bariatrics and trauma. St. Vincent is also the second largest teaching system in the state, training more than 170 residents and fellows annually. In 2016, St. Vincent was named one of the nation’s 15 Top Health Systems by Truven Health Analytics™, a provider of data-driven analytics and solutions aimed at improving the cost and quality of healthcare.
Mr. Nalli came to St. Vincent in 2014, after a 15-year career with Community Health Systems (CHS), where he served as an executive of multiple markets within the national health system. Prior to joining St. Vincent, he served as CEO of a region in northwest Indiana, where he focused on the growth and development of a comprehensive physician network and oversaw the development of new sites, as well as significant capital construction and renovation projects.
Mr. Nalli was named to the Times of Northwest Indiana “20 Under 40” list in 2008. In 2014, he was honored as an “Up & Comer” by Modern Healthcare, the leader in healthcare business news, research and data. Honorees are recognized as the industry’s rising stars who have made significant contributions in the areas of healthcare administration, management or policy.
Mr. Nalli graduated from the University of Kentucky with a Bachelor of Health Sciences in Health Administration and earned his MBA from Drexel University in Philadelphia, Pennsylvania. He currently serves on the following boards:
He and his wife, Cathleen, reside in Zionsville with their four children, Jonathan, Delaney, Hadley and Charlie.
Dr. Richard Fogel is the Chief Clinical Officer of St. Vincent, providing vision and direction for clinical services and medical quality. He is the immediate past Chief Executive Officer of the St. Vincent Medical Group, a physician-led, multispecialty practice launched by St. Vincent in July 2010, and the Chairman of the Office of the Chief Medical Officer.
Dr. Fogel earned his bachelor’s and medical degrees from Brown University in Providence, Rhode Island. He completed his internal medicine residency and cardiology fellowship at Boston University Medical Center, Boston. He completed his two-year electrophysiology fellowship at Boston University Medical Center and St. Vincent Indianapolis.
In 1992, Dr. Fogel joined Northside Cardiology, one of the founding members of The Care Group, a private cardiology and primary care practice in Indianapolis, as a clinical electrophysiologist. He was elected to The Care Group Board of Managers in 1998. Dr. Fogel was instrumental in the development and opening of the St. Vincent Heart Center and was elected as its inaugural chairman of the board in 2002. In 2005, he was elected board vice chair and Chair of the Finance Committee. In 2008, Dr. Fogel was appointed managing partner and CEO of The Care Group. He held this position until The Care Group was acquired by St. Vincent.
Dr. Fogel continues with a busy clinical practice in cardiac electrophysiology. He is widely published in journals, including the Journal of the American Medical Association, Journal of the American College of Cardiology and Heart Rhythm – the journal of the Heart Rhythm Society.
He has been actively involved in the Heart Rhythm Society (HRS), the international organization representing physicians who specialize in the management of patients with heart rhythm disorders. From 2008-2011, he served as Chairman of the Health Policy Committee and was a member of the Board of Trustees from 2008 to May 2017. In 2013, he was Chair of the Annual Scientific Session for HRS, and was elected the Society’s President from 2014 to 2015.
Cindy Adams has served as the System Chief Nursing Officer for St. Vincent since 2015. In this role, she provides vision and direction for nursing throughout the statewide ministry, establishes system-wide nursing goals and strategies that align with local and national quality and performance targets. In addition, she works collaboratively with nurse leaders and other executives to develop structures and processes that track and trend outcomes measures.
Adams started her career as a critical care nurse and after 10 years, returned to school to pursue her master's degree and subsequently practiced as a nurse practitioner for over 15 years. Her clinical areas of expertise as an advanced practice nurse included emergency and cardiovascular care and clinical research.
Adams designed and implemented an interdisciplinary heart failure management program at Community Health Network in the mid 1990’s which earned national recognition from The Advisory Board, and was the first health care entity to be recognized with the Indiana State Quality Award in 1997. She joined The Care Group Cardiology at St. Vincent in 1999 as Director for CardiAction, their heart failure management program. She completed her PhD in Nursing with a minor in Health Economics in 2007 and focused her dissertation study in the area of exercise in heart failure.
She first served in executive level leadership as Chief Nursing Officer for The Indiana Heart Hospital, and later advanced as the System Chief Nursing Officer for Community Health Network from 2011-2015.
In 2016, Adams was recognized among 23 Women of Influence by the Indianapolis Business Journal. Women of Influence recognizes women who have achieved the highest levels of business, arts and public service in Central Indiana.
She received her bachelor’s degree in Nursing from Ball State University, her master’s degree in Nursing and her PhD in Nursing Science from Indiana University.
She has published work in the area of cardiovascular nursing, and served on the writing group for the American College of Cardiology/American Heart Association 2007 Guidelines for the Management of Patients With Unstable Angina/Non–ST-Elevation Myocardial Infarction, as well as the ACC/AHA Task Force on Practice Guidelines 2005-2007.
Adams lives in Shelbyville, Indiana, with her husband, Dr. David Adams, superintendent for Shelby Central Schools. She is the mother of two adult children and a proud grandmother of two.
She currently serves on the boards of directors the Indiana Center for Nursing, St. Vincent Anderson Regional Hospital and the St. Vincent Heart Center of Indiana as well as the Advisory Board for Western Governor’s University and various schools of nursing. She is a Fellow of the American Heart Association and served as Co-Chair for the Indianapolis Go Red for Women Campaign for 2017.
Cheryl Harmon is an experienced healthcare operations and financial strategist who is skilled in financial management with an emphasis on revenue enhancement and business growth. She previously served St. Vincent as System Vice President & Chief Financial Officer. Prior to joining St.Vincent in 2015, Harmon served as the Chief Financial Officer of Porter Health Care System, Valparaiso, Indiana, since 2006. During her time at Porter, Harmon helped significantly boost revenues through program growth, multiple acquisitions and partnerships, contract negotiations and improved revenue capture; reformed leadership culture to focus on growth, efficiency, and data-driven decision making; secured more than 100 physician owners; and oversaw the successful completion of numerous clinical and financial system conversions. Harmon has spent her entire career in serving healthcare systems across the country including Wisconsin, Nevada and Illinois. Prior to joining Porter, Cheryl was Senior Vice President of the Central Illinois Region of Provena Health System, Mokena, Ill.
Harmon earned her Bachelor of Science in Health Information Management from the University of Wisconsin and her Master of Business Administration from the University of Texas at Austin. She also earned designation as a Fellow of the Healthcare Financial Management Association. She is committed to community service, having served on the Valparaiso Parks Foundation and United Way of Porter County boards, and is a member of Kiwanis International. She is also active in the Indiana Hospital Association Council on Information Management and has been a member of the American Hospital Association, Operations/Audit Committee. Harmon has three grown children living in Wisconsin and Oklahoma.
Ascension Information Services / St. Vincent
Randy Cox has served as the Chief Information Officer for St. Vincent since 2014. He has a strong record of success by strategically focusing on being “easy to do business with” through patient- and provider-centered information technology (IT), clinically led IT governance and superior customer service delivery. He has more than 28 years of experience in healthcare IT and broad electronic health record (EHR) experience with several industry-leading hospitals and practices. Cox’s career has allowed him to help increase the quality and competitive advantage of a diverse set of prominent IT-focused healthcare institutions in the Indianapolis, Fort Wayne and Nashville, Tennessee, areas.
Before joining St. Vincent, Cox served as System Vice President and Chief Information Officer at Saint Thomas Health in Nashville. While there, he authored and delivered the “One Patient One Chart” strategic roadmap and led Saint Thomas Health’s three acute care hospitals from Level 3 EHR maturity to Level 6. Since Cox’s arrival, St. Vincent has experienced similar strategic achievements, as well as an increase in the EHR maturity index at St. Vincent ministries across the state of Indiana.
Some notable accomplishments and professional honors include:
Cox has an MBA in Healthcare Management and has been accredited as a Certified Professional in Health Information Management Systems (CPHIMS) since 2002.
He and his family are members of Our Lady of Mount Carmel Catholic Church.
Terrence (Terry) G. Metzger is Chief Financial Officer (CFO) of St. Vincent. Terry has nearly 20 years of financial expertise with a concentration on strategic management, revenue enhancement and business growth. He joined the St. Vincent ministry in 2016, as Regional Vice President of Finance.
Previously, Terry has held CFO positions at a number of healthcare firms, including Advantage Health Solutions, Care Wisconsin and Southwest Family Care Alliance. Additionally, he has held executive roles for Sampoerna Strategic Group, E-Kong/Distacom Group, Zone Telecom, Madacom S.A. and Spice Telecom.
Terry earned his Bachelor of Science in Business Administration and Master of Business Administration from Regis University in Denver, Colorado. He is committed to the community and currently serves as a member of the board of directors for Advantus in Indianapolis and Naab Road Surgery Center.
Ann M. Varner is Chief Mission Integration Officer (CMIO), St. Vincent. Ann brings more than 25 years of healthcare experience to the role as a leader and director of mission integration, clinical ethics, pastoral care, community benefit, behavioral health and integrated healthcare delivery. She joined the St. Vincent executive team in August, 2017 from Ascension Senior Living, where she served as Vice President, Mission Integration. Previously, she served in various roles at Mercy Hospital in St. Louis, including Vice President, Mission Services; Director, Patient Relations and Patient Satisfaction; and Medical Social Worker.
Ann earned her Bachelor of Social Work from Creighton University and a Master of Social Work from Saint Louis University. She also earned a Master of Arts in Health Care Mission from Aquinas Institute of Theology in St. Louis.
As CMIO, Ann focuses on all aspects of Mission Integration including strategy, governance, ecclesial relations, formation, workplace spirituality, ethics, spirituality, ethics, spiritual care, community health and benefit, and various collaborative relationships.
Georgiana Reynal serves as Chief Advocacy Officer for St. Vincent. In this role, Georgiana oversees legislative and advocacy efforts and works collaboratively with other executives to improve health status in the communities St. Vincent serves.
Prior to joining St. Vincent, Georgiana spent 15 years with United States Senator Richard G. Lugar as a Senior Advisor. In that role, she counseled the senator on domestic policy issues; primarily in health and education.
Georgiana has a Bachelor of Arts in Political Science and Government from the University of Kansas. She shares her passion for education, health access and food security by serving on a number of boards and committees:
Christine Fredric serves as Chief Strategy Officer for St.Vincent. She has nearly 20 years of healthcare strategy and business development experience having worked in a number of leadership roles with for-profit healthcare organizations. Christine is responsible for advancing the St. Vincent strategy, leading the pursuit of growth opportunities and developing the market’s clinically integrated system of care.
Christine joined St.Vincent in January, 2018 from Tenet Healthcare, where she held roles including National Business Development Director; Chief Strategy Officer of the Texas Region; Senior Vice President Business Development at Saint Francis Hospital in Memphis; Chief Business Development Officer for the Central Texas Region, and Chief Business Development Officer of Hospital Operations and Integration. Prior to joining Tenet in 2012, Christine worked for HCA as Vice President Business Development, Medical Center of Plano and Vice President Business Development, Plaza Medical Center of Fort Worth.
Christine has served on a number of boards of directors including the Texas Osteopathic Postdoctoral Training Institutions (Texas OPTI); Botanical Research Institute of Texas; Fort Worth MedTech Incubator and the American Heart Association. She was also named a “40 Under 40” award recipient for Healthcare Contribution by the Fort Worth Business Press.