Senior Leadership Team
James (Jim) Terwilliger, MPH, President, St. Elizabeth’s Medical Center
As President of St. Elizabeth’s Medical Center, Jim is responsible for the delivery of exceptional, compassionate care to thousands of patients annually, as well as leading the senior leadership team of the hospital. Throughout his career, Jim has been a successful executive at several major academic medical centers, and his depth of leadership expertise includes hospital operations, physician organizations, patient and employee experience, and strategic partnership development. Recently, as Executive Vice President and Chief Operating Officer of Dana Farber Cancer Institute, Jim had executive responsibilities across their entire clinical operations, directed business development and oversaw the strategic affiliations with key partners. Prior to joining Dana Farber, he served as Vice President of Clinical Services at Montefiore Health System in New York where he led their ambulatory network consisting of over 2,000 physicians spanning 40 specialties. Jim’s previous experience includes senior executive positions at the Indiana University Health system, University of Pittsburgh Medical Center, and UCLA Health.
A Boston University graduate, Jim received his MPH at UCLA and lives in Natick.
Tina M. Santos, MBA, MSN, RN, Chief Nursing Officer and Vice President, Patient Care
Tina Santos is responsible for all nursing functions across the hospital. Tina joins St. Elizabeth's Medical Center from Heywood Hospital in Gardner, Massachusetts where she served as Vice President of Patient Care Services and Chief Operating Officer. At Heywood Hospital, she provided leadership for the Division of Nursing, guiding her staff to develop and manage their departments to provide excellent patient care and the highest level of quality. Skilled in operational efficiency, Tina proactively streamlined operations and reduced waste across the organization.
Prior to joining Heywood in 2011, Tina served as Director of Adult and In-patient Services at Lowell General Hospital, which earned a Magnet® status during her tenure. Known as a high energy and results-oriented health care professional, her 20-year career in nursing includes roles as Director of Maternal Child Health at Lowell General Hospital and Practice Manager of Ambulatory Pediatrics at Boston Medical Center. Tina received her Bachelor of Science degree in Nursing from the University of Lowell, and holds a Master of Science in Nursing and a Master of Business Administration. In addition, she is a member of the Organization of Nurse Leaders, American College of Healthcare Executives and sits on the Clinical Issue Advisory Council (CIAC) of the Massachusetts Hospital Association. Tina serves on the Board of Directors for the Gardner Visiting Nursing Association, Inc.
Paul Smith, Chief Operating Officer
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Paul Smith joins St. Elizabeth's Medical Center from Holy Family Hospital where he was a Vice President for Operations and Haverhill Campus Administrator. Paul started his career in Information Technology at Cambridge Health Alliance (CHA) and BIDMC. He went on to hold progressive leadership positions, including overseeing OR operations at CHA prior to joining Steward in November of 2014 as the Senior Director of Surgical Services for Steward Medical Group. Paul was based at St. Elizabeth’s until December 2016 before transitioning to Holy Family.
Paul received his undergraduate degree in Computer Science from Saint Anselm College in New Hampshire and his graduate degree in Healthcare Management from the University of Massachusetts-Lowell.
Victoria Lobban, MBA, Chief Financial Officer
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Victoria Lobban, MBA, serves as St. Elizabeth's Chief Financial Officer (CFO), overseeing all aspects of Financial Planning, Budget and Decision Support, Patient Financial Services, Health Information Management, Materials Management, Case Management/Social Work Services, Research Administration, Respiratory, Pulmonary Function, Pain Management, EEG, Sleep Lab and the Nutrition Clinic. Victoria has served in several financial leadership roles in Steward Health Care, including CFO at Saint Anne’s Hospital, Good Samaritan Medical Center and New England Sinai Hospital. She first joined the Steward family of hospitals in 1998 as a staff accountant at Saint Anne’s, becoming the hospital’s Director of Financial Operations in 2007.
Victoria earned her Bachelor of Science degree in accounting and Master of Business Administration from the University of Massachusetts-Dartmouth. She resides in Rehoboth with her husband and three children.
Richard B. Freeman Jr., M.D., MHL, Chief Medical Officer
Throughout his career, Dr. Freeman has demonstrated deep expertise in both the clinical and management settings. Dr. Freeman is a veteran transplant surgeon and a leading innovator in health care delivery, with demonstrated success in strategic design, leadership development, talent acquisition, clinical practice management and clinical and academic programmatic development in complex healthcare systems.
Dr. Freeman previously held multiple positions at Dell Medical School at the University of Texas at Austin, where he most recently served as Senior Executive for Special Initiatives. He began his tenure at Dell Medical School as the inaugural Vice Dean for Clinical Affairs, and also served as interim Chair of Pediatrics for just over two years. Prior to his roles at Dell Medical School, Dr. Freeman served as Chair of the Department of Surgery at Dartmouth Medical School.
Dr. Freeman received his medical degree from Jefferson Medical College and completed his internship and residency in surgery, as well as his fellowship in transplantation, through the Harvard Surgical Service at BIDMC (formerly known as New England Deaconess Hospital). Dr. Freeman received his master’s degree in Healthcare Leadership (MHL) from Brown University in 2020. Among his numerous academic achievements, he has participated as Principal Investigator in 30 clinical trials, and has been author on more than 300 peer-reviewed articles, book chapters and abstracts.
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