The people behind Nexus.

Akram Boutros is Co-Founder & Chief Executive Officer at Nexus, where he sets the company’s strategy and leads its work to change how clinical care is delivered, from the bedside to the home. He brings more than 30 years of executive leadership to the role.

Before co-founding Nexus, Akram served as Chief Executive Officer of The MetroHealth System in Cleveland, where he was recognized for transformative leadership and innovation. Among his many honors, Modern Healthcare named him one of its 50 Most Influential Clinical Executives. He holds an MD from SUNY Downstate Health Sciences University and a bachelor’s degree in biology and chemistry from St. John’s University.

Alex Moreno is Co-Founder & Chief Corporate Development Officer at Nexus, where he leads corporate development and helps guide the company’s long-term growth strategy. As a co-founder, he has helped build Nexus from its earliest days.

Alex brings more than 30 years of experience launching, developing and managing healthcare staffing and pharmaceutical services companies, with a career focused on innovation and growth across the healthcare industry. His background spans both business and engineering. He holds an MBA from Harvard Business School and a bachelor’s degree in chemical engineering from the University of Florida.

Bret Shillingstad is Chief Medical Officer at Nexus, where he helps shape the company’s clinical strategy, product direction and approach to transforming care delivery. He plays a central role in unifying inpatient, remote and longitudinal care through one connected operating model designed to make healthcare more efficient, intelligent and human.

Bret is the founder of Telemetrix, now part of Nexus, and previously held senior leadership roles at Epic. His experience sits at the intersection of clinical operations, healthcare technology and enterprise-scale implementation. Throughout his career, he has focused on improving how technology supports clinicians, strengthens care coordination and delivers better outcomes for patients.

Burley Wright is Chief Operating Officer at Nexus, where he leads operational execution, commercialization, strategic partnerships and market expansion. He helps oversee the company’s unified care model, which connects inpatient care with ongoing support beyond the hospital.

Before Telemetrix joined Nexus, Burley served as its Chief Executive Officer, guiding the company’s growth and advancing its remote patient monitoring and chronic care management capabilities. His leadership experience, operational expertise and deep understanding of technology-enabled healthcare position him to drive scalable growth while making sure Nexus delivers meaningful value for patients, clinicians and health systems.

Faisal Khan is the Chief Legal & Compliance Officer and Corporate Secretary of Nexus, where he partners with the CEO and Board to advance governance, regulatory adherence, and risk management for the enterprise.

With more than two decades of leadership in healthcare, digital health, and regulated enterprises, Faisal brings deep experience in enterprise legal strategy, risk management, complex transactions, and transformation. He previously served as Senior Vice President, General Counsel and Corporate Secretary at ModivCare, guiding the organization through its 2025 Chapter 11 restructuring and emergence while protecting operational continuity and long-term enterprise value.

A recognized leader in healthcare governance and risk, Faisal is Senior Editor of Enterprise Risk Management for Health Care, 4th Edition. He holds a JD from University of Wisconsin Law School, a BA from Case Western Reserve University, and is admitted to practice in Ohio, New York, and Wisconsin.

Jasmine Boutros Perry is Chief Technology Officer at Nexus, where she leads the company’s technology strategy. She brings 10 years of combined experience in technology leadership and clinical operations.

Most recently, Jasmine served as a Technology Executive at KeyBank, leading a team of more than 100 technologists responsible for the delivery, support and strategy of the bank’s marketing and branch platforms, as well as its multi-year cloud modernization initiative. Before KeyBank, she led the Children’s Cancer Center and Outpatient Access at Cleveland Clinic Children’s Hospital. She holds a JD and an MBA from Case Western Reserve University and a bachelor’s degree in economics from New York University.

Shannon Boutros is Chief Product Officer at Nexus, where she focuses on making sophisticated technology feel intuitive and supportive for the people who use it. She is committed to the ethical, human-centered integration of AI into healthcare and other fields where the stakes are high.

Shannon brings a blend of high-touch client service and hands-on experience implementing software and AI systems. Her deep expertise in user support, paired with a commitment to responsible innovation, shapes how she approaches every product decision. She holds certifications in AI in Healthcare from Stanford and Generative AI from Google.

Tess Alanna Boutros is Chief Communications & Culture Officer at Nexus and has been a foundational member of the team since the company’s start. She leads communications, culture, brand, investor relations and executive engagement, shaping how Nexus shows up for employees, investors, customers, partners and the broader healthcare market.

Working closely with the CEO and executive team, Tess has played a central role in the company’s growth, from fundraising and corporate development to organizational integration and internal culture. She brings extensive experience supporting C-suite leaders and building brands in luxury and service-driven industries. A graduate of The Ritz-Carlton Leadership Center, she holds a bachelor’s degree in business administration from LIM College.

Kevin Pate is Chief Financial Officer at Nexus, where he oversees the company’s finances and financial strategy. He pairs deep financial expertise with hands-on operational leadership to support the company’s sustained growth and fiscal health.

Kevin brings more than 25 years of executive financial experience, including more than a decade in healthcare staffing. He holds a master’s degree in accounting from Florida Atlantic University and a bachelor’s degree in accounting from Delta State University.

Delos “Toby” Cosgrove is the former President and Chief Executive Officer of Cleveland Clinic and a member of the Nexus Board of Advisors. He led Cleveland Clinic from 2004 to 2017, guiding its growth as one of the most recognized health systems in the world.

A cardiac surgeon, Toby performed more than 22,000 operations during his career and served as president of the American Association for Thoracic Surgery. Earlier, he served as a surgeon in the U.S. Air Force during the Vietnam War, where he earned the Bronze Star. He is a member of the National Academy of Medicine and the author of The Cleveland Clinic Way. He holds a bachelor’s degree from Williams College and an MD from the University of Virginia School of Medicine.

Jared Barker leads enterprise growth and strategy at Perplexity AI, one of the fastest-scaling AI companies in the world, and is a member of the Nexus Board of Advisors. At Perplexity, he drives enterprise strategy and partnerships at the forefront of artificial intelligence.

Before Perplexity, Jared was a growth executive at Palantir Technologies, where he led large-scale digital transformation across U.S. healthcare. He partnered with dozens of major hospital systems to deploy operating systems that unified clinical, operational and financial data into real-time decision platforms. An advisor to high-growth startups and healthcare innovators, he has helped companies scale through critical inflection points, including an initial public offering. He brings frontline healthcare IT experience, board-level strategic insight and deep fluency in AI to Nexus.

Karim Botros is Managing Director at Abundant Health Ventures and a member of the Nexus Board of Advisors. He brings more than 15 years of venture capital and private equity experience.

Karim serves on the boards of JumpStart, MCPc, Curation Health and Medix Infusion and is a board observer for Cityblock and Aledade. Before Abundant Health Ventures, he held a leadership role at Echo Health Ventures. Earlier, he spent more than five years as Chief Strategy and Innovation Officer at The MetroHealth System in Cleveland. He holds an MBA, a master’s degree in manufacturing engineering and a bachelor’s degree in biomedical engineering, all from Northwestern University.

Melissa Kline is a board member of the Commission on Magnet Recognition and a member of the Nexus Board of Advisors. She also holds the Glick Chair at the Case Western Reserve University Frances Payne Bolton School of Nursing.

Melissa brings more than 20 years of experience in health systems. She previously served as Senior Vice President and System Chief Nurse Executive at The MetroHealth System in Cleveland, where she led nursing across the system. She holds a doctorate in nursing practice from Chamberlain University, a master’s degree in nurse leadership and management from Walden University and a bachelor’s degree in nursing from the University of Akron.

Michael Dowling is the former President and Chief Executive Officer of Northwell Health and a member of the Nexus Board of Advisors. As Northwell’s first president and CEO, he led the organization for more than 23 years, growing a network of Long Island hospitals into one of the 10 largest health systems in the country.

Before Northwell, Michael served in New York State government as Deputy Secretary to Governor Mario Cuomo and as Commissioner of the New York State Department of Social Services. He was previously a professor of social policy and assistant dean at Fordham University. Modern Healthcare named him to its 100 Most Influential People in Healthcare list for 18 consecutive years. He holds a bachelor’s degree from University College Cork and a master’s degree from Fordham University.

Miguel Zubizarreta is a director of Immunophotonics, a clinical-stage biotechnology company, and a member of the Nexus Board of Advisors. He served as the company’s Interim Chief Executive Officer from 2025 to 2026, leading it through clinical development of its lead product.

Miguel brings more than 40 years of experience in information technology. He spent more than two decades at Hyland Software as Chief Technology Officer and Executive Vice President, where he was the principal architect and developer of the OnBase enterprise content management platform. Under his leadership, Hyland grew into the second-largest independent enterprise content management vendor, serving more than 15,000 customers worldwide. He holds a bachelor’s degree in computer engineering from Case Western Reserve University.

Nasim Afsar is Managing Director at Healthcare Innovation Partners and a member of the Nexus Board of Advisors. Most recently, she served as Senior Vice President and Chief Health Officer at Oracle, where she led multiple business units and built alliances across the health ecosystem.

Nasim spent 15 years leading health systems, including as Chief Operating Officer of UCI Health, where she oversaw $1 billion in revenue, and as Associate Chief Medical Officer at UCLA Health, where she led large-scale population health and quality initiatives. She has worked with the White House, the National Quality Forum and the National Academy of Medicine, and served as President of the Society of Hospital Medicine. She holds a bachelor’s degree from Caltech, an MD from UC Davis and an MBA from UCLA Anderson.

Richard Lofgren is the former President and Chief Executive Officer of OU Health and a member of the Nexus Board of Advisors. As OU Health’s inaugural CEO from 2022 to 2026, he led the newly integrated academic health system through strong growth, increasing admissions by more than 22% and moving hospital-acquired infection rates from the bottom 10% nationally to the top 10%.

Richard brings more than 40 years of experience in academic medicine and health system leadership. Before OU Health, he served as President and Chief Executive Officer of UC Health in Cincinnati and held leadership roles at UK HealthCare, the Medical College of Wisconsin and the University of Pittsburgh. He holds an MD from the University of Michigan and a master’s degree in public health from the University of Minnesota.

Shane McRann Bigelow is Chief Executive Officer of Ownum, the parent company of CHAMP Titles, and a member of the Nexus Board of Advisors. Ownum’s companies, including CHAMP Titles and Vital Chain, digitize vital records such as vehicle titles and birth and death certificates, helping governments replace paper-based systems with secure digital platforms built on blockchain technology.

Before Ownum, Shane was Senior Vice President and Managing Director at Bernstein, where he led a portion of the firm’s U.S. business and served on its Responsible Investment Committee, which focused on ESG and the United Nations Principles for Responsible Investment. He graduated cum laude from the University of Notre Dame and holds a master’s degree in international political economy and development from Fordham University.