Chief Executive Officer

David McKnight

David McKnight

David McKnight first joined Spotsylvania Regional Medical Center as the Chief Financial Officer in November 2015 and transitioned to Chief Executive Officer in January 2018. David McKnight has been with HCA Virginia since 2010 in various strategic and leadership positions.

Prior to coming to Spotsylvania Regional he was the Division Controller for the HCA's Capital Division and worked closely with each of the 18 hospitals CFOs and Controllers, as well as supply chain and revenue cycle leadership, regarding hospital financials and operations. Prior to serving as the Controller of HCA's Capital Division, David was the AVP of Finance and Controller of LewisGale Medical Center in Salem, VA. Before his LewisGale position, he was the Finance Director for Carilion Clinic for the Department of Medicine Physicians.

David has a Bachelor of Science degree from Virginia Polytechnic Institute and State University in Marketing Management, and a Masters of Business Administration from Radford University. He and his wife, Sabrina have three sons, and love being a part of Fredericksburg. TEAM INSTRUCTIONS: Add this page to the navigation where appropriate.

Chief Operations Officer

J. Ryan DeWeese

J. Ryan DeWeese, Chief Operations Officer

Ryan DeWeese joins Spotsylvania Regional Medical Center as Chief Operations Officer. Ryan began his healthcare career as Administrative Resident at HCA, (Hospital Corporation of America), Reston Hospital Center in June 2011. He brings a vast array of operational expertise, strategic planning, and healthcare growth experience throughout his HCA career.

Ryan previously served as Associate Administrator for HCA Virginia’s CJW Medical Center in Richmond and most recently was the Chief Operations Officer and Ethics and Compliance officer for HCA’s Frankfort Regional Medical Center in Frankfort, Kentucky.

Ryan received his Bachelor of Arts Degree from The Pennsylvania State University and continued his education to earn a Master of Health Administration from Virginia Commonwealth University.

Ryan is a current member of the American College of Healthcare Executives. He most recently served as a board member for United Way of Frankfort County and previously served as a member of the Greater Richmond Chamber of Commerce. A native of Richmond, Virginia, Ryan is married to wife, Kara and has two daughters- Chloe and Kensington.

Chief Financial Officer

Jennifer Honaker

Jennifer Honaker, Chief Financial Officer

Jennifer Honaker joins Spotsylvania Regional Medical Center as the Chief Financial Officer. Jennifer has been with HCA Healthcare for 12 years, having started her career with the company as a staff accountant, and most recently serving as CFO of John Randolph Medical Center in Richmond, Va. She has displayed significant skill in leading medical centers to financial growth and success during a period of rapid industry and regulatory changes.

Jennifer has her Masters' Degree in Strategic Leadership from Mountain State University, and her bachelor's of science degree in health services administration from West Virginia University Institute of Technology.

Jennifer lives in the Spotsylvania area with her husband and two sons.

Chief Nursing Officer

Kimberly Jarrelle, MSN, RNC-OB

kimberly jarrelle, RNC-OB, MSN, Chief Nursing Officer

Kim Jarrelle joins the Spotsylvania Regional Medical Center as Associate Chief Nursing Officer. She brings over 10 years of nursing experience. She earned her nursing Diploma at Bon Secours School of Nursing in Richmond, Virginia and furthered her education by obtaining a Bachelor of Science Degree in Nursing and a Masters in Nursing Administration and Leadership from Virginia Commonwealth University.

Kim has held various nursing leadership roles as a Clinical Nurse Educator, Nurse Manager and Nursing Director prior to being named Associate Nursing Officer at Spotsylvania Regional Medical Center.

She has had two abstracts accepted for poster presentations at national conferences, Implementation of the LAMPET Study at a Community Hospital, Using the LAMPET Study to Promote Evidenced Based Practice, and Promoting Family Centered Care: Getting Preeclamptic Moms Together with their Babies. Kim is certified in In-Patient Obstetrics.

Kim serves on the March of Dimes Maternal Child Health State Committee and Tribute Chair for the March of Dimes Nurse of the Year.

Vice President of Human Resources

Rosemary Loring

Rosemary Loring, Vice President of Human Resources

Rosemary Loring joins Spotsylvania Regional Medical Center as vice president of human resources. A native Philadelphian, Rosemary’s career began in telecommunications, progressing to leadership positions in strategic planning and human resources at Verizon. She added to her experience in human resources by leading the sales and operations for 35 bank branches in the Philadelphia market. Also an entrepreneur, Rosemary most recently had huge success building a temporary staffing business.

Rosemary’s extensive career brought her back to Northern Virginia and the Hampton Roads area for five years, and she’s delighted to be back and join the Spotsylvania Regional Medical Team. Rosemary is a graduate of Immaculata University and earned a law degree from The George Washington University. She and her husband Dave are empty nester and are looking forward to becoming part of the Fredericksburg community.

Vice President of Quality

Trecinda "Cindy" McKnew, MSN, RN

Vice President of Quality Trecinda McKnew

Trecinda "Cindy" McKnew has joined Spotsylvania Regional Medical Center as Vice President of Quality Services as of the fall of 2018. Cindy brings more than 37 years of nursing leadership knowledge to improve both the patient experience and outcome.

Prior to her new role, Cindy's most recent position was as the Quality Manager at Chippenham Hospital in Richmond, Virginia. As the Quality Manager, Cindy worked to develop, create and lead hospital initiatives to enhance the work of our staff and physicians. Before taking on the role of Quality Manager, Cindy initiated the Sepsis Program and worked as its Coordinator for Chippenham and Johnston-Willis Hospitals.

Her work in this role included the development of teaching materials, presentation of educational content and facilitation of the implementation of "Code Sepsis." The Sepsis Program Cindy initiated was the subject of a Clinical Excellence, Valuable Practice submission for HCA Healthcare in 2016, receiving an honorable mention for the work.