Leadership Team

Rebecca Segal

President & Chief Executive Officer

A strategic healthcare leader specializing in transformational change, organizational culture and service line development with a focus on operations and quality care, Rebecca Segal joined Fauquier Health in late 2022 after more than a decade of hospital leadership experience around the country. A native Virginian, she grew up in Fredericksburg and has strong ties to the Northern Virginia area.

Since arriving, her primary focus has been on patient care, specifically quality and safety. As a leader, Rebecca understands that in order to take exceptional care of patients, the culture of a healthcare system must take exceptional care of its staff. Initiatives to improve the culture have resulted in a 30% increase in employee engagement scores. Quality improvements include no patient fall-related injuries in more than 14 months, no pressure injuries in over a year and a significant reduction in harms, including infections. These improvements were recently recognized by the Leapfrog Organization, which gave Fauquier Health an A grade for patient safety.

Rebecca holds a Bachelor of Science degree in Business Administration from the University of Mary Washington and a Master of Health Administration degree from Virginia Commonwealth University. In 2017, she was named one of Becker’s Hospital Review’s “Rising Stars: 60 Healthcare Leaders Under 40.” She is a Fellow of the American College of Healthcare Executives.

Rebecca lives in Fauquier County with her husband and two Boykin Spaniels.

Toni Maxwell

Chief Nursing Officer

With over 20 years of experience in the healthcare industry in a variety of fields, Toni is a committed and compassionate nurse leader.  She is dedicated to serving her community and hospital to help drive quality care to our patients.  She became an RN in 2011, an NP in 2016, and has been operating as CNO in FEMA contracts and interim positions for the last 4 years.   She held several non-nursing roles in the hospital prior to obtaining her RN, and has nursing experience in med/surg, tele, ICU, wound care, ED, and infusions.  Relocating from a home base of Chattanooga, TN, Toni is excited to stop traveling and take a permanent position at Fauquier Health.

Toni has a Bachelor of Science in Biology from the University of Tennessee at Chattanooga, an Associate of Applied Science in Nursing from Chattanooga State Community College, and a Master of Science in Nursing from Middle Tennessee State University. 

Janelle Padgett

Chief Financial Officer

An engaged financial leader with 25+ years of healthcare experience, Janelle started her healthcare career with HCA in Ocala, FL and worked her way up the ranks until she was promoted to Controller of East Ridge Hospital in Chattanooga, TN.  Several years later she accepted the CFO position of the Primary Care Network of Floyd Medical Center in Rome, GA and was later promoted to the Corporate Controller position of Floyd Healthcare Management Inc and its subsidiaries.  Eight years ago, Janelle moved to the DC area after joining George Washington University Hospital’s team as the Senior Controller.  Five years later she became AVP of Financial Reporting and Budget Operations at MedStar Georgetown University Hospital.

Janelle has a Bachelor of Science in Accounting from the University of Florida and a Masters of Business Administration from The University of Tennessee at Chattanooga. She is a Fellow of the Healthcare Financial Management Association (HFMA) and a Board Member of the VA/DC Chapter of HFMA where she also serves as Chair of the Certification Committee.  She resides in Warrenton, VA.