James J. DeRosa, CPA

Seasoned healthcare finance executive with more than a two decades of leadership experience guiding financial strategy, performance, and transformation within mission-driven, nonprofit health systems. I bring a deep understanding of how to balance fiscal discipline with purpose — ensuring financial health supports long-term sustainability, community service, and clinical excellence. Throughout my career, I’ve led enterprise-wide initiatives that strengthened transparency, optimized resources, and improved cost structure, all while maintaining focus on organizational mission and patient care. Recognized for building trusted partnerships with CEOs, boards, clinicians, and community leaders, I help align financial operations with strategic goals. My background spans financial planning and analysis, treasury and capital management, operational finance, and governance reporting. Known as a stabilizing and strategic presence during times of change, I take pride in mentoring teams, elevating financial integrity, and driving results that advance both the mission and the margin.