Leadership Team

Jerry Vaccaro, President and Chief Executive Officer
Alex Cardona, President, APS Puerto Rico
Richard Chung, Chief Clinical Officer
Judy Ehrenreich, Chief Human Resources Officer 
John McDonough, Chief Financial Officer
Richard Surles, Chief Development Officer



Jerome V. Vaccaro, M.D.
President and Chief Executive Officer

Jerome Vaccaro, M.D., leads APS Healthcare as president and chief executive officer. He joined the company after serving as president and CEO of PacifiCare Behavioral Health (PBH) where he transformed the company from a California-based operation serving its parent company’s health plans to a national company with diverse membership and nearly double the revenue.

Previously at PBH, Dr. Vaccaro served as vice president and corporate medical director. He led the development of the initial National Committee for Quality Assurance (NCQA) accreditation process, and managed the launch of an industry-leading clinical outcomes management system, ALERT™. Dr. Vaccaro also served as senior vice president for specialty health businesses at PacifiCare Health Systems (PHS), where he led PacifiCare Dental and Vision and served on its board of directors. During his tenure at PHS, he introduced significant new product innovations and transformed technology operations to increase efficiency and effectiveness.

Earlier positions include serving as executive director and medical director for several mental health organizations, including the Los Angeles County Department of Mental Health and the Hawaii Mental Health Division. Named as one of “The Best Doctors in America” and included in Who’s Who in Healthcare, Dr. Vaccaro has served in executive and consulting roles for numerous professional organizations, and on boards including the National Alliance for the Mentally Ill (NAMI) Anti-Stigma Foundation and the NCQA Standards Committee. Dr. Vaccaro is a fellow of the American Psychiatric Association and the former chair of the American Managed Behavioral Healthcare Association.

Certified by the American Board of Psychiatry and Neurology, Dr. Vaccaro holds a bachelor’s degree in biology and sociology from the City University of New York, Brooklyn College, and a doctorate of medicine degree from the Albert Einstein College of Medicine in New York.

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Alexis Cardona
President, APS Puerto Rico

Alexis Cardona is president and CEO of APS Healthcare Puerto Rico (APS-PR).  A division of APS Healthcare, APS-PR is the leading provider of behavioral healthcare services in Puerto Rico, where it has serviced the public and private sectors since 1999.

APS-PR is the sole provider of integrated behavioral health services for the 1.3 million beneficiaries of the Puerto Rico Government Health Insurance plan, Mi Salud.

Prior to joining APS in 2001, Cardona was COO and executive VP for ACE Insurance (formerly CIGNA). Responsibilities included a financial management role in the Latin American region. Earlier in his career, he worked for The Gillette Company and Price Waterhouse.

Cardona is a member of the Puerto Rico College of CPAs and the American Institute of CPAs. He holds a bachelor’s degree in accounting from the University of Puerto Rico’s School of Business.

A renown business leader, Cardona has received many awards from prestigious organizations: Distinguished Services in the Healthcare Industry (Puerto Rico College of CPAs), Pinnacle of Success Award (Carlos Albizu University), and Exemplary Practices in the Private Sector (National Alliance for the Mentally Ill)..

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Richard Chung, M.D.
Chief Clinical Officer

Richard Chung, M.D. has oversight and strategic leadership of clinical program design and operation, health intelligence, quality improvement, and clinical training. A nationally recognized thought leader and advocate for healthcare innovation, Rick brings APS extensive experience in the treatment of serious mental illness. At APS, his focus is to provide leadership and guidance in the development of dynamic solutions for the promotion of the patient-centered medical home and quality improvement.

Before joining APS, Dr. Chung served as Chief Medical Officer for the Hawaii Medical Service Association’s Center for Innovation in Health Care (i.e. BCBS of Hawaii) where he was responsible for CMS demonstration projects involving patient-centered medical home, provider pay for performance, and integrated primary and behavioral health care.

Prolific as an innovator of clinical program design and development of the patient-centered medical home, Rick was an early proponent of health care systems now recognized as accountable care organizations (ACO).

Dr. Chung received his M.D. from Boston University and his B.A. from Northeastern University. He holds a medical license in Hawaii and is board-certified by the American Board of Psychiatry and Neurology.

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Judy Ehrenreich
Chief Human Resources Officer

Judy Ehrenreich brings innovation and expertise in human resource management. Since joining APS in 2008 as chief human resources officer, she has lead the development of programs and practices to align APS' culture with its business strategy in order to improve individual and business performance. Reporting to Chairman and CEO Greg Scott, Ehrenreich has enterprisewide responsibility for recruitment, compensation, benefits, employee relations, training and development, employee communications, and the HR service center. 

Prior to joining APS, Ehrenreich was the chief HR executive for PacifiCare Health Systems, a Fortune 200 managed healthcare organization. As chief human resources officer, she led strategic initiatives that resulted in simplification of HR processes, improved recruitment and selection, better alignment between reward systems and business strategy, increased employee satisfaction and productivity, and reduced turnover. Ehrenreich also developed performance metrics, oversaw development of the employee intranet, and redesigned employee benefit programs.

Earlier, Ehrenreich was senior vice president at First Interstate Bank, where she led several centralized HR disciplines for the 40,000-employee California based subsidiary of Wells Fargo Bank.  She has also held H.R. leadership roles at Hydril Oil Company, Marriott/Host International, and Columbia Savings & Loan.

An author and contributing editor to numerous HR publications, Ehrenreich is a frequent speaker at industry and leadership conferences. She holds a bachelor’s degree from UCLA, a master’s degree in business administration from Pepperdine University, and numerous certifications in compensation, benefits and human resource management disciplines.

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John McDonough
Chief Financial Officer

John McDonough is chief financial officer for APS Healthcare. Expert in long-term financial planning and cost management strategies, McDonough’s leadership in accounting, budgeting and forecasting plays an integral role in the development and implementation of APS Healthcare’s strategic plans.

McDonough brings 25 years of experience in finance, operations and business development to APS Healthcare, including previous leadership positions at McKesson, Datascope Corporation, C.R. Bard, and Arthur Young and Company. As senior vice president and CFO at McKesson Medical Surgical Division, he negotiated the sale of McKesson’s Acute Care business to Owens and Minor, and transitioned more than 3,000 customers totaling over $1 billion in revenue from 23 distribution centers. Additionally, McDonough grew McKesson brand sales by more than 20 percent in each of his last two years at the company.

With C.R. Bard, McDonough was responsible for all accounting functions, financial planning and analysis, contracts, information technology and customer service. He spearheaded the reorganization of multiple divisions to more closely align sales with customers, and negotiated acquisitions, divestitures and product distribution agreements. His role in consolidating manufacturing plants to improve cost structure played a key role in the company’s financial performance. McDonough has a bachelor’s degree from Franklin and Marshall College, and CPA credential from the State of New Jersey.

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Richard Surles
Chief Development Officer

Richard Surles leads the market development, product development and account management for APS as chief development officer for APS. A nationally recognized leader in the public sector healthcare field, Dr. Surles brings more than 30 years of accomplished executive experience to APS.

Prior to joining APS, Dr. Surles was executive vice president at Comprehensive Neurosciences, Inc., where he led new business development and collaborative partnerships.  Previous positions include Executive Director for the Center for State Health Policy at Rutgers University and Executive Vice President for national operations at Merit Behavioral Care Corp., which was acquired by Magellan Health Services. Dr. Surles has also served as Commissioner of Mental Health for the state of Vermont, the Administrator of Mental Health and Mental Retardation for the city and county of Philadelphia, and Commissioner of Mental Health for the state of New York

Recognized by the American Psychiatric Association, National Alliance for the Mentally Ill, and the National Mental Health Association, Dr. Surles is an honorary fellow of the American Psychiatric Association and served as a member of The Carter Center Mental Health Task Force. Widely published on government policy, Surles received a doctorate of philosophy from the University of North Carolina at Chapel Hill, master’s degree in education from the University of Delaware, and  bachelor’s degree from Barton College.

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