Our commitment to communities is fueled by a passionate group of individuals who work together as a true team. While each team member has his or her own personal achievements and accolades, the group credits each other with every major achievement in the company’s history. With a strong sense of loyalty and respect for each other, Merit's senior management team possesses extensive hospital industry development, financing, operating and leadership expertise. With over 120 years of combined healthcare management experience, the founders have proven their ability to increase a hospital's value by:

  • Increasing market share
  • Managing resource utilization
  • Strategic and financial planning
  • Capital structure improvement
  • Expertly identifying, recruiting and managing successful hospital executives
  • Strengthening and expanding medical staffs

Merit’s commitment to communities has positioned our team as a leading participant in the hospital management industry. Please read more about our management team.

Tyree G. Wilburn – Chairman and Chief Executive Officer
John A. Fromhold – Chief Operating Officer
Jonathan J. Spees – Chief Development Officer
John C. Thompson - Chief Financial Officer
Bryan Burklow - Vice President, Operations
Barry Mousa - Vice President, Operations
Hal E. Clark - Vice President, Operations - Finance
Todd A. Coke - Vice President, Finance and Accounting


Tyree G. Wilburn, Chairman and Chief Executive Officer

Ty Wilburn has over 30 years of hospital industry experience, including mergers and acquisitions, finance, operations, strategic planning, and venture capital. Mr. Wilburn is responsible for maintaining the company’s strategic focus and leads the management team in all initiatives.

Serving as CEO since January of 2003, Mr. Wilburn has been instrumental in the company’s several acquisitions. He has also taken great care in putting together a motivated and talented management team which has improved performance in all Merit owned health facilities year over year. Prior to joining Merit Health, Mr. Wilburn’s experience included senior executive positions at Community Health Systems and Humana. During his career, Mr. Wilburn has led and closed more than $3 billion in transactions.


John A. Fromhold, Chief Operating Officer

John Fromhold has a 25 plus year track record of achievement in hospital management. As Merit’s Chief Operating Officer, his primary responsibility is overseeing the operational and financial performance of Merit’s hospitals, as well as assisting in due diligence of all acquisitions. He has been successful with placement of operating teams at the Merit owned hospitals and has implemented numerous operational processes which have improved facility performance year over year.

Prior to joining Merit, Mr. Fromhold was employed with Community Health Systems where he, as Group Vice President and member of the senior management team, had direct responsibility for thirteen hospitals in five states. Mr. Fromhold's career also includes success as CEO of large urban and suburban hospitals in Louisville (Humana), Corpus Christi (HCA), and Dallas (HCA). Mr. Fromhold is a Fellow in the American College of Healthcare Executives (FACHE).


Jonathan J. Spees, Chief Development Officer

Jon Spees, Merit's founder, has over 25 years’ experience and a successful track record in healthcare finance, including mergers and acquisitions. He has managed over $500 million in healthcare acquisitions, divestitures and private placements. His primary role at Merit is to spearhead merger and acquisition initiatives, including identifying potential acquisition candidates and negotiating terms, as well as providing guidance and support on all finance and development projects for Merit and each of its facilities. Under Mr. Spees’ leadership, Merit has acquired several facilities and continues to grow at a steady pace.

Prior to founding Merit Health Systems, Mr. Spees was responsible for all corporate finance and development activities for Dynamic Health, Inc., a private hospital management company that grew to over $100 million in just over four years. Mr. Spees began his professional career as a CPA at a regional accounting firm and transitioned to Deloitte & Touche. His next venture was to join American Medical International where he held his first M&A position. In 1988 Mr. Spees joined Shamrock Investments, a boutique firm specializing in healthcare investments, where he was head of M&A. Mr. Spees is a Certified Public Accountant.


John C. Thompson, Chief Financial Officer

John Thompson has over 18 years’ experience in healthcare finance and development. Mr. Thompson is primarily responsible for financing efforts, debt structuring, and addressing Merit’s ongoing capital needs. He has led the financing for all of Merit’s capital activities for acquisitions and ongoing operations and development projects. His strategic input has contributed to the company’s significant operational improvement in its hospitals.

Prior to Merit, Mr. Thompson was Executive Vice President with Ventas, Inc., a $3 billion NYSE real estate investment trust with a portfolio of over 300 health care facilities. At Ventas he developed and led all acquisition and financing efforts with additional responsibilities including investor relations, all debt financing, treasury and finance and accounting functions. Mr. Thompson previously served as Director of Planning & Development for Vencor Inc. (currently operating as Kindred Healthcare, Inc.), responsible for all transaction activities including all M&A and real estate acquisitions. Mr. Thompson also served as Development Manager for Humana where he held various finance roles, began his M&A experience and assisted with corporate strategic planning.


Bryan Burklow, Vice President, Operations - Business Development

Bryan Burklow has over 25 years of experience in senior healthcare leadership.  As Merit’s Vice President, Operations, he collaborates with each hospital’s executive team to generate new patient volumes from physician recruitment as well as new program development activities.  Mr. Burklow also plays a key role in ensuring hospital operations are being efficiently managed while maintaining high quality standards as well as assisting in the transition for new hospital acquisitions.

Prior to joining the Merit team, Mr. Burklow was the Chief Operating Officer for LifeCare Management Services, based in Plano, TX.  He also served as President and CEO for Deaconess Associations, Inc., a $280M non-profit healthcare company and also the parent company of Deaconess Hospital in Cincinnati, OH.  Mr. Burklow has extensive hospital management experience including integral roles with over 38 hospitals in 23 markets for several public companies including Summit Health Ltd, OrNda and Vencor, Inc. (currently operating as Kindred Healthcare, Inc.)


Barry L. Mousa, Vice President, Operations

Barry Mousa has more than 30 years of hospital industry experience in proprietary and not-for-profit community hospitals and multi-hospital systems.  He has been with Merit Health Systems since 2005 as CEO at the former Medical Center at Lancaster, COO at Lincoln Park Hospital, and is now the System’s Vice President of Operations.  His primary role with Merit is to develop ways to improve operating margins and productivity, improve Case Management outcomes and physician resource utilization as well as maintain quality programs and decision support systems.  Additionally, he conducts manager and department head process improvement training programs.

Prior to joining Merit, Mr. Mousa was a hospital CEO for Community Health Systems in Georgia where he received the 2002 Solucient 100 Top Hospitals award along with other quality distinctions.  His career also includes successful tenures as COO and CFO of community hospitals in Abilene, TX, Covington, LA, and Richmond, VA and regional CFO for a hospital system based in Roanoke, VA.  He is Fellow in the American College of Healthcare Executives, a past Advanced Member of the Healthcare Financial Management Association, and a Certified Public Accountant.


Hal E. Clark, Vice President, Operations - Finance

Hal Clark has a successful track record in healthcare reimbursement and financial operations for hospitals, nursing facilities and physician practices. His primary role with Merit is to oversee strategic and financial objectives at each of the company’s facilities and as a liaison to each hospital’s financial executives. Mr. Clark’s implementation of various operational programs has resulted in substantial improvements in margins and earnings of each Merit facility.

Prior to joining Merit, Mr. Clark co-founded and served as principal for three affiliated Louisville-based companies which assisted long-term care and hospital providers in the areas of third-party reimbursement, financial reporting, operational management, and clinical oversight. Mr. Clark's career also includes financial management positions including serving as individual hospital CFO with Vencor, Inc. (currently operating as Kindred Healthcare, Inc.), Columbia/HCA, and Humana.


Todd A. Coke, Vice President, Finance and Accounting

Todd Coke has over 14 years of experience in accounting and financial reporting in the healthcare industry. Mr. Coke’s primary responsibilities at Merit include financial reporting, debt compliance, hospital and equipment financing, decision support, budgeting and financial projections. While at Merit, he has spearheaded the implementation of a company-wide decision support system, which will enable Merit facilities to better analyze service line profitability, resource utilization and analyze managed care contracts.

Prior to joining Merit in 2004, Mr. Coke served as Director of Treasury Operations for Louisville-based Atria Senior Living Group, a for-profit multi-state assisted living company with annual revenues in excess of $500 million. Before joining Atria, he served as Senior Financial Analyst for Vencor, Inc. and worked for national accounting firm Ernst & Young, LLP, with an emphasis in healthcare and SEC reporting clients. Mr. Coke is a Certified Public Accountant and a member of both the American Institute of Certified Public Accountants and the Kentucky Society of Certified Public Accountants.

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