Meet the leaders who make up MountainView Hospital's Administrative team. This group works tirelessly to keep the hospital running smoothly so our colleagues can focus on what MountainView Hospital is known for: providing safe, high quality patient care.

Hiral Patel

Chief Executive Officer

Hiral Patel is MountainView Hospital's Chief Executive Officer (CEO). Hiral joined the MountainView team in September 2022.

Prior to MountainView, Hiral was CEO at Lakeview Regional Medical Center in Covington, Louisiana. She was with the Tulane Health System for 14 years. Hiral started her career as an intern and rose through the ranks. Her most notable accomplishments include over $100 million in expansion and capital projects, establishing the first Comprehensive Stroke Center in Orleans Parish, and in her current role she has established the first Level II Trauma Center in St. Tammany Parish. During her tenure as CEO, Lakeview Regional reached top rankings in HCA Healthcare for employee engagement, physician engagement, turnover, and clinical excellence.

Hiral is passionate about the healthcare field because it is an industry by people for people. She enjoys making a notable difference in the communities she serves through involvement with local organizations as well. She has served as board chair for the Youth Service Bureau and as a CASA volunteer working with children in the foster system.

She was honored with the “Large Employer Leadership Award” by the Times-Picayune in 2022 and 2020. Hiral was named to the “Top 40 Under 40” list by EDGE Magazine in 2020, recognized as a “Healthcare Hero” by New Orleans City Business in 2019 and named “One to Watch in Healthcare” by New Orleans City Business in 2017.

Hiral is originally from Savannah, GA where she completed her undergraduate degree in Health Administration at Armstrong State University. She earned her Master of Health Administration from Tulane University and also has her Certification in LEAN Healthcare from University of Michigan. In addition to her involvement in healthcare organizations, Hiral enjoys traveling, spending time with her two nieces and family, and listening to live music.

Mitch Geiger

Chief Operating Officer

Mitch Geiger

Mitch Geiger is Chief Operating Officer for MountainView Hospital. He joined MountainView in April 2023. Prior to joining MountainView, Mitch was the VP of Operations at Sunrise Hospital.

Geiger brings many years of progressive healthcare leadership in hospital operations and performance improvement. At Sunrise, Geiger has executive oversight for ancillary support departments, construction projects and responsibility over nearly 1 million square feet of physical space.

Geiger has been with HCA Healthcare throughout his career. He has served as a manager of Performance Improvement for the corporate HCA PI SWAT team. While with the corporate team, Geiger was able to travel to a variety of HCA facilities throughout the organization and lead hospital based multi-disciplinary teams focused on recommending process solutions.

Geiger earned his Master of Business Administration at Trevecca Nazarene University in Nashville and Bachelor of Science, Finance from the University of Nevada, Las Vegas. He is a member of the American College of Healthcare Executives (ACHE).

Carl H. James

Chief Financial Officer

Carl H. James

Carl H. James II, Chief Financial Officer (CFO), has over 20 years of experience in healthcare operations and finance. Carl joined HCA in April of 2019 and came to MountainView in 2021 from Regional Medical Center in San Jose.

Prior to joining HCA, Carl served as Vice President and Chief Financial Officer for O’Connor Hospital and St. Louise Regional Hospital, a part of Verity Health System. Prior to that, Carl served in several capacities with Community Health Systems, including Regional Director and Controller.

In each of his positions, Carl had the opportunity to work with teams to standardize systems, support growth initiatives and improve efficiencies in order to improve healthcare delivery for patients.

Carl earned a bachelor’s degree in accounting and finance from Southern New Hampshire University and holds a master’s degree in business administration from California State University – Monterey Bay.

Ruth Kain, PhD, MSN, RN, NE-BC

Chief Nursing Officer

Ruth Kain, PhD, MSN, RN, NE-BC, is Chief Nursing Officer (CNO) for MountainView Hospital.

Prior to joining MountainView, Ruth was at HCA Healthcare’s Tulane Health System, where she has served as the Chief Nursing Officer since 2019. Ruth is a seasoned executive serving in roles of increasing responsibility throughout her career.

At Tulane Health System, Ruth helped navigate the complex and challenging landscape of the pandemic while at the same time responding to natural disasters in the form of hurricanes that impacted the hospitals.

Ruth began her nursing career at the bedside in obstetrics. Additionally she has worked in newborn services, emergency services and as a travel nurse.

Ruth received her Doctor of Philosophy, Organizational Leadership, from Indiana Wesleyan University. Her Master of Science in Nursing is from the University of Indianapolis. She also holds a Bachelor of Science in Nursing and an Associate of Science in Nursing from Indiana University. She is the recipient of the 2020 New Orleans Health Care Hero award.


VP, Quality/Risk

Harsha Dave is vice president of quality/risk and is dedicated in providing quality, patient and family-centered care in hospital settings. She is committed to clinical excellence and a philosophy of “the Patient comes first.”

Before becoming Vice President of Quality/Risk management, Harsha spent four years as a director of infection prevention & control in which she helped restructure the Infection Prevention program that has resulted in a decrease in hospital acquired infections and increased patient satisfaction. Prior to this, Harsha spent 10 years as an infection preventionist interacting with front line staff and educating them on the importance of preventing infections.

Harsha grew up in Uganda, East Africa, and lived in London with her family prior to moving to United States to build her career. She has a wide variety of experience from working at a children’s hospital in Atlanta, to owning a hospitality business in Arizona.

Harsha enjoys spending time with her husband and daughter.

Chris Marlin

VP, Human Resources

Chris Marlin, vice president of human resources, has been with MountainView Hospital since August 2020. Chris has more than 23 years of experience in human resources management roles within HCA.

Chris focuses on the overall strategic human capital of the organization and has a proven track record of low turnover and high employee engagement in the facilities he has been in. Chris has a BA in Human Resources Administration, and an MBA from St. Leo University in Tampa, Florida.

Prior to Las Vegas, Chris resided in Denver, Colorado and Roanoke, Virginia, but most of his family calls Florida home. Chris is married to his wife, Seglinda, an ARNP, and in his spare time, enjoys Jeeping, traveling, and taking care of his greyhounds and a parrot.

Brandon Bays, MBA MHA

VP, Operations

Brandon Bays, MBA MHA, joined MountainView Hospital as Vice President of Operations in January 2022.

Brandon began his career in healthcare with Community Health Systems at Cedar Park Regional Medical Center in Cedar Park, TX. He started as a Patient Financial Counselor and received promotions to Supervisor, Manager and subsequently the role of Patient Access Director before moving into Administration. His first role in Operational Leadership was as an Assistant Administrator for Community Health Systems at Northwest Healthcare in Tucson, AZ. Before arriving at MountainView, Brandon was an Associate Administrator for Alta Hospitals System at Foothill Regional Medical Center in Orange County, CA.

Brandon has a Bachelor of Science in Healthcare Administration and a Master’s of Business Administration from California Coast University. Brandon also attended the Executive MHA program at Trinity University in San Antonio, TX graduating in 2018 with his Masters of Science in Healthcare Administration. When he isn’t at work, he spends his time with his family enjoying hiking, swimming and all things baseball.

Julia Safina

Associate Chief Financial Officer

Julia Safina, associate chief financial officer (ACFO), has more than 11 years of experience in healthcare finance. Julia joined MountainView in 2022 from KPMG, LLP, one of the “big four” national accounting organizations, in Orlando, Florida.

Prior to joining HCA, Julia served as an audit senior manager overseeing and performing audits for large multi-location healthcare systems. Julia has extensive experience in understanding various financial functions and unique projects.

Julia has her bachelor’s degree in accounting from the University of Central Florida, and an MBA with a concentration in project management from Keller School of Management.

Julia is married to her husband and has one furry child, their beloved Weimaraner. In her leisure time, Julia enjoys remodeling projects and outdoor activities.

Jennifer McDonnell, MBA

Director, Public Relations & Communications

Jennifer McDonnell has been with MountainView Hospital since November 2012. She is an experienced and award-winning communications executive with experience in developing major initiatives, media relations, crisis communications and community events.

Jennifer was named to Vegas Inc.’s 40 under 40 in 2018 and has received several awards for marketing and communications, including the Aster Award and PRSA Pinnacle Award. Prior to her career in healthcare communications, Jennifer was a journalist, reporting on business, real estate and legal matters.

Jennifer has a Bachelor of Science degree from the University of Illinois and her MBA from Roseman University of Health Sciences. She also has a certificate in Public Relations from the University of Nevada, Las Vegas.