Leadership Team


Susan Fitzpatrick - Chief Executive Officer

Susan Fitzpatrick was appointed Chief Executive Officer of the Toronto Central Local Health Integration Network (LHIN) in 2015, following a career in the Ontario Public Service that spanned more than three decades.

In this role, Susan leads an organization with a mandate to plan and integrate local health services, engage with the central Toronto community, and allocate 4.7 billion dollars to over 170 local health service providers. Susan is also accountable for strengthening the local health care system through leading the implementation of the Toronto Central LHIN’s Strategic Plan for 2015 to 2018, which focuses on three goals: A Healthier Toronto, Positive Patient Experiences, and System Sustainability.

Prior to joining the LHIN, Susan was Associate Deputy Minister, Health System Delivery and Implementation, Ministry of Health and Long-Term Care.  As Associate Deputy Minister, Susan was responsible for bringing together health programs in LHINs, CCACs, Long-term Care and Physician Services, and creating alignment opportunities in order to deliver quality health services to patients.

Susan is a results-oriented leader, strategic planner and a skilled negotiator with a capacity to engage stakeholders and build consensus across the broader health sector and within government.

Sophia Ikura photo

Sophia Ikura - Senior Director, Strategy, Community Engagement and Population Health

Sophia Ikura joined the Toronto Central LHIN after a 13-year career in public administration with the Government of Ontario where she held a series of operational and leadership roles in the civil service. During this time, Sophia also acted as a policy advisor to three Ontario health ministers and a provincial Premier.

Through her different roles, Sophia has made significant contributions to the development and implementation of a number of health policy initiatives including the Ontario Nursing Strategy, the Quality Agenda and the Excellent Care for All Act, the Ontario Surgical and Emergency Department Wait Times Initiative, the Alternative Level of Care Strategy and the health system funding reform.

At the Toronto Central (TC) LHIN, Sophia leads the community engagement team to inform population health planning and is responsible for the design and execution of the LHIN’s strategic planning processes and communications. She is also accountable for programs that improve the quality of care and experience for Aboriginal people and Francophones within the TC LHIN.  An alumnus of Queen’s University in Kingston, Sophia holds a Master’s in Public Administration.


Tess Romain- Senior Director, Corporate Affairs, Communications & Sub-Region Development

Tess Romain brings over 10 years of government and public sector experience, including senior roles as an advisor to the Minister of Public Infrastructure Renewal and two Ministers of Health and Long Term Care.  During her time in government, Tess provided oversight on the development of health policy, guided legislation, and oversaw the development of coordination communication and engagement strategies as the Director of Policy to the Minister of Health and Long Term Care. 

Prior to this, Tess was the Director of Strategy Management & Governance at Joseph Brant Hospital.  In this role, Tess led the development of the hospital’s five-year Strategic Plan which included coordination of projects and initiatives to support implementation of the Plan.  

As well, Tess worked with the Board of Governors to implement best practices in governance and develop a strategic performance management framework.  

 Raj Krishnapillai photo

Raj Krishnapillai - Senior Director, Finance, Corporate and Shared Services

Raj Krishnapillai joined the TC LHIN team in 2006 and has held various progressive roles including Director of Finance.  In his current role, Raj oversees the management of transfer payments and Investment planning , financial reporting, human resources, procurement and administration services for the internal operations of the LHIN and its divisions, including LSSO and LHINC as well as Shared Financial Services.

Raj has over 15 years of experience in Finance and Administration in the Health Care, Not-For-Profit and Private sectors. Prior to joining the Toronto Central LHIN, Raj worked at West Park Healthcare Centre as a Financial Reporting Manager.

Raj holds a Certified General Accountant designation and Executive MBA from the University of Athabasca.

 Bill Manson photo

William B. Manson - Senior Director, Performance Management, Health Analytics & Innovation.

William (Bill) Manson is Senior Director, Performance, Contracts and Allocations for the Toronto Central Local Health Integration Network (LHIN). With an Executive MBA from Richard Ivey School of Business and a Bachelor of Science in Pharmacy, Bill has held several Executive level positions at the London Health Sciences Centre and Humber River Regional Hospital, and most recently as a Senior Healthcare and Life Sciences Consultant.

During a 30+ year career in both academic and community hospital settings, Bill has been an active participant on various local and regional task forces as well as steering committees which include the Toronto District Health Council. He was also Vice-Chair of the Board of Directors at Casey House.