HCA Healthcare stands for the best practices of medicine, using our reach, scale and stability to transform healthcare and help communities thrive.

One to the nation's leading providers of healthcare services, HCA Healthcare is made up of locally managed facilities that include 185 hospitals and 119 freestanding surgery centers located in 21 U.S. states and in the United Kingdom.

The Capital Division is proud to serve HCA Healthcare’s mission by continuing to provide high quality and compassionate patient-centered healthcare to our communities across Virginia, New Hampshire, Kentucky, and Indiana.


Meet our executive team


Tim McManus is a native of the Washington, D.C. Metro Region and now serves as president of HCA's Capital Division which includes oversight of 19 hospitals across the states of Virginia, New Hampshire, Kentucky and Indiana with revenues of $3.6 billion and employs over 17,000 people.

Through his career, Tim spent over twenty-five years working in numerous leadership positions in hospitals across the country, including CEO of Chippenham and Johnston Willis Hospitals in Richmond and, prior to that, CEO of HCA Northern Virginia and Reston Hospital Center. He has had a strong track record for strategically growing healthcare organizations' patient volumes, developing robust service-line expansions, improving customer satisfaction, driving quality improvement and engaging in the communities he serves

Tim is a Fellow in the American College of Healthcare Executives. In 2009, he was recognized in his community as a top business leader under 40. In 2012 and 2013 he was recognized by Becker's Hospital Review as one of the top 300 healthcare leaders to know.

He earned his Master's of Health Services in Finance and Management degree from the Johns Hopkins University Bloomberg School of Public Health and his Bachelor's of Science at Tulane University. Through his career, Tim has served on many nonprofit Boards in the communities he resided. Currently, he is an Executive Board member of the Virginia Hospital & Healthcare Association and a member of the Virginia Business Council and Management Round Table.

Susan Shreeve is the chief financial officer for HCA Healthcare's Capital Division. Prior to coming to the Capital Division in 2017, Susan was the CFO of Medical City Dallas. She joined HCA Healthcare in 1997 and has held the position of chief financial officer at Bayshore Medical Center in Pasadena, TX and at Research Medical Center, Belton Regional Medical Center and Research Psychiatric Center in Kansas City. Prior to joining HCA, Susan worked with Ernst and Young and the Adventist Health System in Southern California.

Susan is a CPA and received her Bachelor of Science in accounting and Masters of Accountancy, Information Systems Audit, from Brigham Young University in Provo, UT.

Jake O'Shea, MD, FACEP, currently serves at the chief medical officer for HCA Healthcare's Capital Division which is comprised of 19 hospitals and associated operational components across Virginia, Indiana, New Hampshire, and Kentucky. His prior leadership roles include Chief Medical Officer at both Johnston-Willis Hospital and Chippenham Hospital, which together comprise the 736-bed CJW Medical Center in Richmond, Virginia. Prior to those roles, Dr. O'Shea was Capital Division's chief medical information officer, with division oversight of medical informatics activities, and practiced emergency medicine in the Hampton Roads region of Virginia. He serves on the Board of Trustees of the Richmond Academy of Medicine, is a member of the Medical Society of Virginia, and a past president of the Virginia College of Emergency Physicians (VACEP).

Dr. O'Shea is board-certified in emergency medicine and clinical informatics. He earned his undergraduate degree from Dartmouth College, his medical degree from the University of Virginia School of Medicine, and completed his residency in emergency medicine at the University of Pittsburgh.

Erin Keister, RN, MSN, CPHQ, CPPS, NE-BC, is the division chief nurse executive for HCA Healthcare’s Capital Division. Prior to being promoted to DCNE, Erin worked in the division for over ten years in various capacities, including CNO at Chippenham Hospital and at John Randolph Medical Center. She began her career as a bedside nurse in 1997 and held many direct care nursing positions early in her career. She also has an extensive background in quality, in both hospital and division settings.

Erin earned her BSN from Radford University and her MSN from Jefferson College of Health Sciences. She currently serves as a commissioner of nursing policy and practice for the Virginia Nurses Association. She is also active as an advisory board member for ECPI, John Tyler nursing program and South University.

Erin lives in Midlothian with her two children.

HCA Healthcare mission and values

Above all else, we are committed to the care and improvement of human life.

In pursuit of our mission, we believe the following value statements are essential and timeless:

  • We recognize and affirm the unique and intrinsic worth of each individual.
  • We treat all those we serve with compassion and kindness.
  • We trust our colleagues as valuable members of our healthcare team and pledge to treat one another with loyalty, respect, and dignity.
  • We act with absolute honesty, integrity, and fairness in the way we conduct our business and the way we live our lives.