Leadership Team

Adam began his career with REMSA Health in 2002 as an emergency medical technician (EMT), and since then, has held a variety of leadership roles, including clinical development manager, director of clinical communications and most recently executive director of integrated healthcare. During his time with REMSA Health, Adam has worked to expand and progress clinical protocols for our out-of-hospital healthcare providers, participated in developing alternative care pathways so patients can safely receive treatment at the right place, at the right time, for the right cost, and led the creation of the Washoe County COVID call center during the early part of the pandemic. In his role as COO, Adam oversees the primary operations of the organization related to ground ambulance services and deployment, the Regional Emergency Communications Center, clinical services and the Center for Integrated Health and Community Education.

Adam holds a bachelor’s degree from the University of Nevada, Reno and a master’s degree in business administration. He maintains his certification as a Nationally Registered Paramedic (NRP), is certified as a Nevada State EMS Instructor, and as an Advanced Emergency Medical Dispatcher (AEMD). He represents the American Ambulance Association (AAA) on the board of the directors of the National Registry of Emergency Medical Technicians (NREMT).

Alexia Bratiotis Jobson is the Director of Public Relations and serves the organization by expanding opportunities for engagement, promotion, communication and relationship-building. She has more than two decades of business and communications experience. Prior to joining REMSA Health, Alexia worked as a senior account director with KPS3 where she managed REMSA’s client account, as well as accounts related to industrial real estate and higher education. She held communications-related positions with Renown Health and the Nevada Museum of Art and previously worked as the general manager at The Summit shopping center. Alexia holds an Accreditation in Public Relations (APR). This certification asserts professional competence, high ethical standards and mastery of progressive public relations industry practices. Alexia is a Nationally Registered Emergency Medical Technician, a certified Emergency Medical/Fire Dispatcher and is a graduate of the University of Nevada, Reno’s Reynold’s School of Journalism.

Alexia serves as Chair of the Communications Committee of the American Ambulance Association and as a Public Relations Committee member of AIMHI.

Angelina sets fundraising priorities for the entire organization alongside senior leaders and the Board of Directors. With over a decade of healthcare experience and seven years in nonprofit philanthropy, Angelina leads efforts to enhance employee health and wellness, boost educational funding, and foster investment in equipment and technology.

Previously, she spearheaded philanthropic initiatives at the Nevada Humane Society and Carson Tahoe Health. Angelina holds dual bachelor’s degrees in Speech Communication and Journalism from the University of Nevada, Reno, and is certified in Major Gift fundraising by the Association of Healthcare Philanthropy. She has served on the board of the Association of Fundraising Professionals Sierra Chapter and is the current president-elect. A native Nevadan, she is also an active member of the Rotary Club of Sparks.

Arielle co-manages the day-to-day operations of the Communications Center, which manages approximately 250,000 calls a year. She has more than two decades of emergency medical services (EMS) and dispatch experience. Arielle began her work in EMS as a wheelchair transport employee and worked at REMSA Health as an advanced emergency medical technician, a medical dispatcher and a paramedic. Before returning to REMSA Health, Arielle worked as a dispatch supervisor at Oregon State University (OSU) where she was involved in a project to transfer the control of OSU’s dispatch center from the Oregon State Police to the OSU Police Department. Romo holds an associate degree in fire science from Truckee Meadows Community College. 

When Barry Duplantis joined REMSA Health in 2018, he brought more than 30 years of financial management leadership from industries including engineering design and manufacturing, electronic gaming manufacturing and consumable products. Barry’s focus is on integrating innovative strategies to enhance revenue, reduce costs and optimize gross margin. Since arriving at REMSA Health, he has improved cash on hand and investments, sold underused assets, paid down debt and renegotiated bank loan interest rates. These things have helped achieve financial stability all with the goal of passing those gains along to REMSA Health employees – which, Barry says, “We continue to do – through competitive wages, benefits and sharing programs!”

Prior to joining REMSA Health, Barry served in a number of roles at Ebara International Corporation including Chief Financial Officer, Chief Compliance Officer and Head of Corporate Division. From 1994 – 2015 he held compliance and strategic logistics leadership roles at International Game Technology.

Barry graduated cum laude with a Bachelor of Science in Accounting from Nicholls State University and he graduated summa cum laude from Thomas Jefferson School of Law with a graduate degree in international tax law. He is a Certified Public Accountant.

Barry enjoys spending time with his wife Jana by taking weekend camping trips in their Airstream trailer. They have two grown children, and a golden retriever named Saint – a nod to Barry’s south Louisiana roots

Danny Mireles is our Executive Director of Human Resources & Technology; bringing more than 20 years of strategic human resources, business administration and technical experience. Prior to joining REMSA Health in 2014, Danny was in the Department of Defense sector as the human resources manager for Sierra Nevada Corporation’s corporate headquarters. He also spent time in the high-tech industry with IGT (International Game Technology) as their Engineering and Development division HR leader and at Northwest Airlines.

Danny holds the following international certifications: Senior Professional in Human Resources, Human Resource Information Professional, SHRM-Senior Certified Professional, and Project Management Professional. He is a member of the Northern Nevada Human Resources Association, Society for Human Resource Management, Project Management Institute, World at Work, Institute of Electrical and Electronics Engineers, International Association of Computer Science & Information Technology, Western Industrial Nevada (WIN), the Young Professionals Network (YPN), UNR Alumni Association, the Chamber Leadership Alumni Association and Nevada Freemasons. He received an undergraduate degree in computer science and information systems and an MBA from the University of Nevada, Reno. He also completed an emergency medical technician (EMT) class at REMSA Health in  2010.

Devan joined our organization in 2017 as a senior business analyst and was soon promoted to corporate controller. He has more than 12 years of finance and accounting experience across a variety of industries and has held positions ranging from staff accountant to financial planning and analysis manager to controller. During his time at REMSA Health, Devan has streamlined accounts payable and accounts receivable processes, as well as financial reporting and analysis.

In his role as CFO, Devan oversees the accounting, finance, payroll, and procurement departments. He has responsibility for budget development, forecasting, cash flow management, financial compliance and reporting, and tracking operational metrics. He holds a bachelor’s degree in accounting from the University of Nevada, Reno.

Jake brings more than 17 years of out-of-hospital experience to his position where he manages day-to-day operations of the organization’s critical care transport division, which includes four rotor-wing and one fixed-wing aircraft, as well as a critical care transport ambulance. In addition to overseeing Care Flight’s base supervisors and coordinators, Jake is focused on expanding business relationships with user agencies and hospital-based requestors.  Jake joined REMSA Health in 2007 as a ground operations paramedic. He has held positions in the education department and the clinical division. He also served as a field training officer, a community health paramedic, a flight paramedic and a Care Flight base supervisor. He holds a flight paramedic certification and a Certified Medical Transport Executive certification, a professional distinction that prepares individuals for management roles in the medical transportation services.

In this role, Walters oversees the provider and community member training and educational offerings from REMSA Health. She joined the organization in 2012 and has served in roles providing patient care, training EMS students and providing onboarding training and development for new employees. She has worked on programs related to Veterans’ Affairs, and the grants administered through REMSA Health’s outreach programs. Her team maintains a 100% first-pass rate for the paramedic National Registry exam, which is 30% higher than the “current” national average. She is a certified paramedic and holds an associate’s degree and a bachelor’s degree in EMS Administration from Columbia Southern University. Walters received the Nevada State Star of Life award in 2019, as well a REMSA Health EMS Week award in 2014 and in 2021. In 2023, Walters was recognized as a Nevada Women’s Fund 2023 Woman of Achievement and an American Ambulance Association’s 2023 EMSNext honoree.

Dr. Wilson has been practicing emergency medicine for more than 20 years and brings experience from some of the nation’s most well-known and highly regarded medical schools and hospitals. Dr. Wilson attended Harvard College where, in her senior year, she helped lead the lacrosse team to an NCAA championship title. She attended Johns Hopkins University School of Medicine where she graduated in the top five percent of her class with Alpha Omega Alpha Honors. Before moving out west, Dr. Wilson completed an internal medicine internship at Massachusetts General Hospital in Boston and an emergency medicine residency at Albert Einstein School of Medicine in the Bronx, NY. She first worked as an attending at Mount Sinai Hospital in New York City, then moved to the west coast where she worked for Sutter Health. In 2002 she joined St. Mary’s Regional Medical Center and nine years later became the medical director for Reno Emergency Physicians Association, the hospital’s contracted emergency physician group. In addition to her professional contributions, she serves on the Western Physicians Alliance board of directors.

Dr. Gonda has been practicing medicine since 2007 and joined REMSA as a medical director in 2015. He attended the University of Nevada School of Medicine where he graduated with Alpha Omega Alpha Honors. He completed an emergency medicine residency at the University of New Mexico and completed a fellowship in critical care medicine from Stanford University. Dr. Gonda currently works as an associate physician with Renown’s Critical Care and Pulmonary Department. He was twice named the Outstanding Adjunct Faculty of the Year by the University of Nevada School of Medicine, is a member of the Air Medical Physician Association, the American Thoracic Society, the Society of Critical Care Medicine and the American College of Emergency Physicians. He is the first author on several publications and actively makes presentations on the topics of sepsis and organ donation. In his role with REMSA, Dr. Gonda focuses his medical leadership on ensuring the delivery of clinically excellent, quality healthcare through the Care Flight team.

Joe brings more than 20 years of experience in air medical operations, clinical leadership, and strategic development, and he now leads the region’s only nonprofit air ambulance provider. Joe oversees all aspects of Care Flight’s operations, including clinical performance, safety, customer service, and team development. Prior to joining Care Flight, he held leadership roles at REACH, Air Methods Corporation, PHI Air Medical Services, and Riggs Ambulance Service. Joe holds a bachelor’s degree in public safety and emergency management from Grand Canyon University and an associate’s degree in fire science from Modesto Junior College. He is a Nationally Registered Paramedic and certified Flight Paramedic, with extensive credentials in trauma and pediatric care. He has also served on emergency medical advisory boards in Sacramento and Contra Costa County.

Josh joined REMSA Health in 2005 and has held positions including vehicle services technician, advanced emergency services technician (EMT) and logistics supervisor. Josh manages product supplies and vendor relationships and sources high-quality, cost-effective products for all aspects of the organization. He also oversees the organization’s logistics division which stocks and prepares ground ambulances for daily service and facilitates the delivery of supplies and materials to REMSA Health’s locations. Josh leads the fleet management division, which handles the maintenance and procurement of more than 75 ground ambulances and support vehicles, and the facilities maintenance program for the organization’s locations. He holds an associate degree in applied science and a bachelor’s degree in science from Columbia Southern University. He is also a certified professional purchasing manager (CPPM) and holds multiple licenses and industry certifications.

Junius joined REMSA Health in 2025 and brings more than two decades of leadership experience in aviation and aerospace business development and EMS. In this role, Junius oversees strategic operations, customer service, growth and partnership opportunities – essential components in supporting high-quality critical care transport throughout northern Nevada and northeastern California.

Previously, Junius was the Vice President of Growth at Best Practice Medicine. He also held leadership roles in sales and marketing for United Rotorcraft, MedTrans, and Air Methods.

Junius holds a Master of Science in Strategic Brand Communication and a dual Bachelor of Science in Marketing and Sales and Management Information Systems. He is a Nationally Registered Paramedic (NRP), a Certified Medical Transport Executive (CMTE), and a member of the International College of Advanced Practice Paramedics (ICAPP).

Katelyn brings more than 13 years of EMS industry experience to this role where she oversees the 9-1-1 system operations by leading EMS supervisors and ground ambulance employees in the delivery of high-quality healthcare.  

Katelyn joined REMSA Health in 2022 as a paramedic and was promoted to EMS Supervisor within the year. Most recently she served as a clinical development coordinator designing comprehensive training programs for EMS professionals and developing policies and protocols to drive quality improvement and uphold industry best practices. Prior to REMSA Health, Katelyn served as a paramedic battalion chief, paramedic captain, and intern preceptor with other first responder agencies in rural and urban communities throughout California. In 2018 she received an Outstanding Service Award for her efforts in responding to both Carr and Camp Fires in northern California and in 2020 she was honored with a Lifesaver Award for providing life-saving resuscitation for a cardiac arrest patient after a horseback riding accident. She earned her paramedic certification from the College of the Siskiyous. Katelyn is active in the organization’s Peer Support program.  

Katrina brings more than 19 years of EMS experience and aeronautical knowledge to her position with Care Flight. In her role, she identifies potential hazards, develops effective risk mitigation strategies and specializes in using communication and teamwork to create a safe and collaborative critical care air transport environment. Katrina oversees the creation and delivery of tailored safety training programs for flight crews, medical personnel, support staff and regional requesting partners. Katrina joined the organization as a ground operations paramedic. She expanded her scope of practice and was selected as one of the organization’s first Community Health Paramedics. In 2016 she joined Care Flight as a Flight Paramedic; she has worked as a preceptor for the ground and air divisions.

Katrina holds an associate’s and bachelor’s degree in Aeronautics and a master’s degree in Human Factors, all from Embry-Riddle Aeronautical University and has completed their Safety Management Systems course and their Human Factors Analysis and Classification course. She is a member of the Association of Air Medical Services (AAMS) Patient Safety and Quality Committee, is certified in Leadership Incident Fortification Training by AAMS and as a Medical Transport Safety Professional by the Safety Management Training Academy.

Kendra co-manages the day-to-day operations of the Communications Center, overseeing 42 employees including medical/fire dispatchers, transfer coordinators, registered nurses and air communications specialists who manage approximately 250,000 calls a year. She brings more than 20 years of experience in managing 9-1-1 communications to her leadership position. Davis first joined the organization in 1996 where she worked as an advanced emergency medical technician, Paramedic, EMD, Communications Specialist III, and CTO. She and her family then relocated to California where she held a variety of healthcare provider roles including Communications Supervisor, Communications Administrative Supervisor, EMD-QA/QI specialist, and interim Communications Manager. She currently holds multiple emergency medical services (EMS) certifications such as Emergency Medical Dispatch (EMD), Emergency Medical Dispatch Quality Assurance (EMD-Q), Emergency Fire Dispatch (EFD) and is in the process of obtaining her Emergency Medical Instructor (EMD-I) and Business Leadership certificate. Kendra has also been involved in peer support, peer counseling and is a church chaplain.

Kenneth Kitts joined REMSA Health in 1993 as an Emergency Medical Dispatcher and has worked in several departments and many roles since then including paramedic, reimbursement specialist, communications supervisor/EMD-Q, communications manager, and EMS Senior Systems Analyst. In his current role as Director of EMS System Program Management, Kenneth is the primary analyst for all EMS system-related response and deployment data. In addition, he oversees and reviews all official requests for data, ensuring accuracy, consistency and transparency. Kenneth’s data mining, queries, and analysis guides operational decisions across the organization creating efficiencies, optimizing resources and ensuring appropriate and excellent patient care. Kenneth earned a Communications Center Manager certificate from Fitch and Associates, as well as a certificate from the University of Nevada Reno, Extended Studies in Professional Development in Supervisory Management.  In 2019, Kenneth was selected as a Nevada Star of Life award recipient.

Laura oversees innovative programs designed to enhance healthcare delivery within the emergency medical services (EMS) system. She is focused on integrating EMS with broader healthcare networks to improve patient outcomes, boost operational efficiencies, and ensure the delivery of high-quality care to underserved, frequent users with non-medical needs.  

Since Laura joined REMSA Health in 2019, she has served as a community health paramedic and an EMS supervisor, as well as on internal committees focused on recruitment, retention and employee culture. Prior to joining the organization, she worked as an EMT and paramedic field training officer, skills instructor and search and rescue volunteer and technician. Laura holds multiple EMS certifications and a bachelor’s degree in International Studies with an emphasis in Global Health from the University of Utah. She is also a graduate of the Reno + Sparks Chamber of Commerce Leadership program and completed the UCLA Community Health Advocate Management Program. She was recognized by the American Ambulance Association as a 2023 Star of Life honoree–she was one of 120 EMS professionals from across the U.S. who received the award.

Markus Hirt serves as REMSA Health’s Chief Nursing Officer. In this role, Markus guides and manages the nursing practice for the organization’s 37 registered nurses, including critical care nurses and nurse navigators. Oversight of these clinicians includes quality, protocol and scope of practice reviews, ongoing education and training, and ensuring consistency in all of the nursing practice standards. Markus has 25 years of experience as a registered nurse and has held positions as an intensive care staff nurse, a flight nurse, a medical supervisor and as a clinical manager. He obtained his nursing degree from Krankenpflegeschule Bobingen in Germany. Markus holds a Nevada and California nursing license and is a Certified Medical Transport Executive.

Matthew Hauth has been a part of REMSA Health for more than a decade.  In this role, Hauth will work closely with the leaders of REMSA Health’s EMS Operations, Regional Emergency Communications, Center for Integrated Health and Community Education, and Clinical Standards to ensure that the organization continues to surpass the requirements of its exclusive franchise agreement. Hauth will focus on progressing and enhancing the organization through process improvement for the benefit of patients, team members, and healthcare partners. He has worked as an AEMT, a Communications Specialist, Communications Training Officer, Communications Supervisor and most recently as the Communications Scheduling and Compliance Supervisor. Early in his career, Hauth worked as a seasonal firefighter in California and recently he served as a mortgage loan officer. He holds multiple emergency medical services (EMS), emergency medical dispatch (EMD) and business management certifications.

Miguel Vega brings more than 15 years of leadership experience as operations manager. He holds a bachelor’s degree in business administration from the University of Denver and is a veteran of the U.S. Marine Corps. Before joining REMSA Health, Vega held positions as a regional manager, operations manager, and area manager with various warehouse, transportation, and fulfillment companies. He holds a Lean Certification in Project Leadership from Cornell University. In his current role as a support services manager, he will provide day-to-day oversight of the logistics, fleet, facilities, and purchasing departments.

Paul Burton, EMT-P is the EMS Director and oversees all ground ambulance operations related to the medical transport in Washoe County. Paul brings nearly three decades of first responder and prehospital healthcare experience to his role. Having worked as a firefighter and Paramedic for various agencies in California, Paul joined REMSA Health in 2001 as a paramedic. He has worked as a flight paramedic with Care Flight, as a ground ambulance Field Training Officer and has held leadership positions since 2003 and was appointed EMS Director in 2014. Paul has responsibility for REMSA Health’s ground ambulance staffing, maintenance and logistics, as well as its Community Paramedic program, disaster preparedness, safety and special teams such as TEMS, Search and Rescue and special events staffing. As EMS Director, Paul has worked with colleagues across the organization to implement initiatives such as 24-hour posts, an Intermediate Life Support ground ambulance system and a redesign of new employee orientation and training.

Paul sits on the board of directors for the Truckee Meadows Community College Paramedic Program.

Peggy brings more than 20 years of experience in business services and healthcare revenue cycles.  In her role as Business Services Manager, she leads a department of 24 employees which includes reception, release of information, and membership, as well as specialized employees including billers/coders, collectors, payment posters and a system analyst.

Sam is an experienced EMS leader with more than 25 years of service in emergency medical services across Northern California. In his current role, Sam oversees Care Flight Ground in Plumas County, California through a partnership with Plumas District Hospital. This service provides paramedic-level mobile healthcare to more than 50 percent of Plumas County.

Since joining the organization in 2014, Sam has held progressive leadership roles including EMS Supervisor and Paramedic Field Training Officer. From 1998 to 2014, Sam worked with American Medical Response in Redding, CA, where he also served as a Critical Care Flight Paramedic with REACH and an Adjunct Paramedic Instructor at College of the Siskiyous. A graduate of the Northern California Training Institute, Sam has been recognized with numerous awards, including the 2025 Exemplary Performance Award from NorCal EMS, multiple Commendation Awards from Care Flight, and the prestigious Star of Life honors from both the American Ambulance Association and the California Ambulance Association. In addition to their operational leadership, Sam serves on the Plumas District Hospital Board of Directors and chairs the Plumas County Emergency Medical Care Committee.

Scott Norman brings more than a decade of clinical and EMS experience to his role. He has held a variety of positions since he joined the organization, including Vehicle Supply Technician, AEMT, Paramedic and Senior Field Training Officer. In his current position, Scott leads the Clinical Standards and Practices, Quality Assurance/Improvement program for the following REMSA Health divisions: Ground Operations, Rural (Nevada), Care Flight, Regional Emergency Communications, Community Health and Nurse Health Line. Scott engages this interdisciplinary team of administrators, operations leaders and clinical staff to work in partnership with the medical directors to ensure the quality of healthcare delivered by our providers, is of the highest clinical standards. Scott holds a bachelor’s degree in kinesiology from California State University, Sacramento and an associate’s degree in arts from American River College. He has several specialty certifications including Neonatal Resuscitation Program, Prehospital Trauma Life Support and Pediatric Advanced Life Support. Scott serves as the secretary and treasurer for the region’s Prehospital Medical Advisory Committee.

Sean brings more than three decades of experience in emergency management, fire service operations and cross-agency collaboration. He maintains and advances the organization’s initiatives, plans, programs, policies and response protocols related to emergency management. He coordinates manmade and natural disaster planning, internal training, response drills, tabletop exercises and after-action reviews in conjunction with area hospitals, first response partner agencies, as well as public health staff and committees.

Previously, Sean served as chief and emergency manager of the Carson City Fire Department. Prior to that, he spent 28 years in Modesto, Calif. with the fire department and regional fire authority where he worked as a firefighter, captain, battalion chief, division chief, and fire chief. Sean holds a bachelor’s degree in occupational studies from California State University, Long Beach and an associate’s degree in fire science from Modesto Junior College. He is an emergency medical technician and is certified in the Incident Command System and the National Incident Management System. He is an executive board member of the Nevada Fire Chiefs Association and is a past president of the Northern Nevada Fire Chiefs Association.

Shae he leads the team responsible for maintaining the organization’s secure and compliant technology infrastructure. His work ensures that REMSA Health’s mobile, out-of-hospital care teams stay connected through reliable, innovative systems.

Shae joined REMSA Health in 2024 as a System Administrator II and brings over a decade of IT experience. Previously, he served as a Data Center System Engineer at Server Technology, consulting with global tech leaders like NVIDIA, Apple, and Salesforce on infrastructure optimization.

He holds a bachelor’s degree in business administration from California State University – Northridge and is the founder of Tech NV, a local initiative offering coding courses to youth in the Reno area.

Shannon brings more than two decades of public safety dispatching experience and vision to the Regional Emergency Communications Center. She provides leadership for all components of the internationally Accredited Center of Excellence dispatch division including medical and fire dispatching, air asset dispatch and coordination, interfacility transports, and the Nurse Health Line. Shannon holds a bachelor’s degree in Criminal Justice and a Juris Doctorate from Abraham Lincoln Law School. She is a certified EMD, EFD, and NENA Emergency Manager (CMCP). She has been on many dispatch related boards and facilitated panels to develop ANSI accredited national standards for core competencies and minimum training standards for public safety communications quality assurance evaluators. 

Shannon sits on the Washoe County HxGN OnCall Executive Board for the implementation of the regional CAD system.

Todd Kerfoot brings more than two decades of EMS leadership experience to the organization. He joined REMSA Health in 1999. In 2005, Todd became an EMS Supervisor. His role then expanded to Special Operations and Safety Manager and in 2017 he was promoted to EMS Manager. Now, as director of EMS operations, he is responsible for the efficient delivery of high-quality, out-of-hospital healthcare by all ground operations and special operations employees. He manages and supports the development of the EMS division including EMS managers and EMS supervisors. This role focuses on optimizing the organization’s advanced life support operations within the 9-1-1 system, which includes paramedics and advanced EMTs. Additionally, he leads the organization’s special operations division, including the TEMS program, search and rescue and wildland fire teams. Todd holds a bachelor’s degree in Business Management from the University of Phoenix. He currently serves as a board member for the Trauma Intervention Program of Northern Nevada, a nonprofit that uses citizen volunteers to provide emergency emotional and practical support to the survivors of trauma to ease immediate suffering and facilitate long-term recovery. He previously served as a board member for the International Public Safety Association whose mission is to break down cultural barriers and foster the relationships between EMS, fire, law enforcement, telecommunicators, allied emergency responders and the communities they serve.