Tomi Ryba, President and Chief Executive Officer

Tomi Ryba is an accomplished leader in the healthcare industry with more than 20 years of executive leadership experience in California, Oregon, Minnesota and Washington. She recently served as the President and Chief Executive Officer for HCA Healthcare’s sister hospital, Regional Medical Center of San Jose. Prior to that Tomi was the Chief Executive for Providence’s Southern Oregon region, CEO of El Camino Hospital in San Jose, Senior Vice President of Allina Hospitals and Clinics in Minnesota and Chief Operating Officer of UCSF Medical Center.

Throughout her career, Tomi served on various healthcare and community boards and was recognized for her leadership by several bay area publications and local political leaders. She has a notable reputation for developing strategic relationships with local organizations and programs to improve the employee, physician and patient experience.

Tomi received her Masters of Healthcare Administration from Chapman University in Orange, California and her Bachelor of Arts in Business Administration from University of California, Riverside.


Gary Purushotham, Chief Operating Officer

Gary Purushotham serves as chief operating officer (COO) of Good Samaritan Hospital. As COO, Gary has administrative oversight of hospital operations at Good Sam and Mission Oaks. He is directly responsible for the improvement of the hospital’s facilities and oversees all construction and renovation projects. In addition, he assists with strategic planning and program development.

Purushotham has served in various roles at HCA Healthcare facilities during the past 12 years. He most recently served in a dual role as chief operating officer and ethics and compliance officer for Del Sol Medical Center, a 347-bed, two-campus medical center that also includes Las Palmas Medical Center in El Paso. Under Purushotham’s leadership, Del Sol Medical Center was recognized as a Joint Commission Top Performer on key quality measures for five years in a row, as a Bariatric Center for Excellence and is accredited by the Joint Commission as a Primary Stroke Center. He holds a master of health administration from Trinity University in San Antonio, Texas, and a master of science and industrial engineering from the University of Texas in El Paso, Texas.


Klaus Thaler, M.D., Chief Medical Officer

Dr. Thaler has been named chief medical officer for Good Samaritan Hospital. He joined HCA in January 2018 and comes from LewisGale Regional Health System, HCA’s Southwest Virginia Market.

Previously, Dr. Thaler served as Chief Medical and Quality Officer for Houston Methodist Healthcare, as Chairman of Surgery for the Western Connecticut Health Network, and as Director of Gastrointestinal Surgery and Professor of Surgery at the University of Missouri.

Dr. Thaler earned his Doctor of Medicine degree from the University of Vienna Medical School, in Vienna, Austria. He completed fellowship training in minimally invasive gastrointestinal surgery, is board certified by the American Board of Surgery, and completed his Master of Business Administration with the University of Massachusetts. Dr. Thaler and his wife, Sibylle, live in Roanoke, Virginia.


Jay Graham, Chief Financial Officer

Jay Graham is the chief financial officer of Good Samaritan Hospital. Jay has devoted most of his career in service to HCA in positions of progressive responsibility. He came to Good Samaritan from St. Lucie Medical Center (HCA), in Port St. Lucie, Fla., where he served as CFO since 2015, with direct oversight of case management, accounting, and bed management. He also had shared responsibility for patient access, materials management, HIM and information technology. Prior to his role at St. Lucie Medical Center, Jay was the CFO at JFK Medical Center North Campus (HCA), an acute care and behavioral health hospital, in West Palm Beach, Fla. In 1997, Jay began his career at HCA's corporate office as a staff auditor where he performed financial, operational, and regulatory audits of hospitals, outpatient surgery centers, physician practices and corporate departments. In 2006, he was named to a corporate audit director role with responsibility for overseeing HCA's enterprise-wide audit plan over payroll and outpatient services. Jay holds a bachelor's degree from Murray State University, in Murray, Ky., and is an active certified public accountant. He is a native of Fulton, Ky.