Charmaine Spence Rochester joined the University of Cincinnati Health System as the chief financial officer in October 2024, bringing over 32 years of fiscal expertise including more than 20 years in financial healthcare leadership.

Prior to her transition to UC Health, she served as the CFO of Cleveland Clinic's Florida region, overseeing the financial operations of five hospitals and multiple outpatient sites, as well as partnering with regional executive leadership to integrate, grow and drive sustainable performance. She actively engages in strategic planning and leads financial forecasting for key initiatives across the five-county service area. In addition, she develops and implements strategies for effective enterprise and regional partnership across core shared services, including revenue cycle and supply chain.

Before joining the Cleveland Clinic in 2022, Dr. Rochester held key executive roles in the University of Pennsylvania Health System (Penn Medicine), serving as SVP/CFO for Penn Medicine Chester County Hospital & Health System in 2017 and later transitioning to Penn Medicine Lancaster General Health as SVP/CFO in 2020.

Prior to her time at Penn Medicine, she served as the regional finance executive VP/CFO for the Bon Secours Hampton Roads Health System in Hampton Roads, Virginia. In this role, she led financial operations and provided strategic financial counsel for the multi-hospital Southeast Virginia region. She also served as the CFO for the enterprise-wide Home Health services.

Dr. Rochester is board-certified in healthcare management and a Fellow of the American College of Healthcare Executives (FACHE®) and the Healthcare Financial Management Association (FHFMA). She holds a Doctor of Health Administration (DHA) from Central Michigan University, an MBA from Florida Atlantic University, an undergraduate degree in accounting from Howard University and is a Certified Public Accountant (CPA).