Custom Health Holdings Inc. is now trading on the Toronto Stock Exchange under the symbol CHLT.
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Clinical Leadership

Custom Health's clinical and pharmacy leaders bring deep expertise across remote clinical care, population health, pharmacy operations, quality, analytics and patient engagement — supporting the delivery and continued evolution of medication management at home.

Clinical Leadership Team

Leading remote clinical care, quality, and patient outcomes across the platform.

Joylyn Moore
Joylyn Moore
Director, Clinical Operations

Joylyn leads clinical operations at Custom Health, overseeing the remote clinical teams, systems and workflows that enable continuous medication oversight at scale. She brings deep expertise in clinical operations, compliance and healthcare systems, translating complex clinical and regulatory requirements into reliable processes that help clinicians identify risk, prioritize patients and take timely action. Her leadership provides the operational foundation for Custom Health’s remote clinical programs and the measurable outcomes they are designed to deliver.

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Downer Dykes
Downer Dykes
Director, Quality, Analytics & Data Sciences

Downer leads population health, analytics and healthcare quality initiatives at Custom Health. A pharmacist with an MBA, he brings clinical, analytical and business perspectives to operationalizing healthcare strategies, translating data into actionable insights and advancing programs that improve patient outcomes while strengthening client success.

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Kristen Antunes
Kristen Antunes
Director, Clinical Outcomes

Kristen leads clinical outcomes at Custom Health, bringing deep expertise in patient engagement, medication adherence and real-world evidence. She leads studies and clinical engagement initiatives involving spencer®, including research with patients and caregivers, and works closely with clinical teams to translate those insights into better workflows, stronger patient support and a deeper understanding of medication management at home.

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Pharmacy Operations Leadership

U.S. Pharmacy Operations

Michael Irk
Michael Irk
Regional Vice President, Pharmacy Operations

Michael leads pharmacy operations across Custom Health’s U.S. network, with a particular focus on the Midwest. Prior to joining Custom Health, he served as President of InnovativeRx, overseeing a substantial multi-location pharmacy business across Indiana and Ohio. He now brings that operating experience to integration, performance and the continued scaling of Custom Health’s U.S. pharmacy operations.

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Paul W. Sullivan
Paul W. Sullivan
Regional Vice President, Pharmacy Operations

Paul leads pharmacy operations across Custom Health’s U.S. network, with a particular focus on the Southeast. A pharmacist with an MBA and a Fellow of the American College of Healthcare Executives, he brings a strong combination of clinical pharmacy, healthcare administration and operational leadership to building high-performing teams and scalable pharmacy operations.

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Pharmacy Operations Leadership

Michael Barbary
Michael Barbary
General Manager, Vancouver Pharmacies

Michael leads Custom Health’s Vancouver pharmacy operations, combining strong clinical expertise with a hands-on approach to patient care and pharmacy operations. He is known for building teams that move quickly and follow through on every detail — from supporting patients transitioning home from hospital to navigating coverage, support programs and complex medication needs. His leadership has helped build a specialized pharmacy model focused on connected in-home medication technology while maintaining individualized patient support.

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Devin Elias
Devin Elias
General Manager, Saskatoon Pharmacy

Devin leads Custom Health’s Saskatoon pharmacy operations, bringing deep experience across community pharmacy, long-term care and institutional healthcare. Over the course of his career, he has developed extensive relationships across Saskatchewan’s pharmacy and healthcare ecosystem, working closely with health-system, government and community partners. A hands-on operator, Devin combines practical pharmacy expertise with a drive to continually test and adopt new approaches — from medication packaging technologies to emerging uses of AI — to improve how pharmacy services are delivered.

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Rafal Hawa
Rafal Hawa
General Manager, Toronto Pharmacy

Rafal leads Custom Health’s Toronto pharmacy operations, bringing a strong combination of clinical pharmacy expertise, operational leadership and continuous improvement. A pharmacist with experience in medication therapy management, diabetes care and pharmacy operations, he is focused on building high-performing teams and delivering patient-centered pharmacy services. His background also brings a disciplined approach to quality and process improvement as the Toronto operation continues to grow.

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