Troy J. Simon

photo-troy-simonChief Executive Officer

Troy Simon joined California Cancer Associates for Research & Excellence (cCARE) as CEO in October 2013, overseeing the daily operations of all cCARE offices across San Diego and Fresno metro regions. He is a member of the Medical Group Management Association (MGMA), a member of the American College of Healthcare Executives (ACHE) and is a past president and board member of the Ohio Medical Group Management Association. Troy holds an M.B.A. from Golden Gate University in San Francisco and a B.S. from the United States Air Force Academy in Colorado Springs.

Irene Lustria


Chief Operations Officer

Irene Lustria’s healthcare management experience spans more than 20 years. She has worked as an executive leader for both public and private organizations, and spent the last 10 years working in oncology. Irene is passionate about providing the latest innovations in technology and efficiency to help improve the overall patient experience. She earned a Bachelor of Science in healthcare administration from California State University Long Beach and an M.B.A. in business administration from the University of Phoenix.


Steve Quayle

photo-leadership-steve-quayleChief Financial Officer

With more than 15 years of progressive experience as a business and finance professional, Steve Quayle provides financial oversight and leadership to cCARE. Steve brought an extensive background in healthcare revenue cycle and finance to the executive team when he joined cCARE in 2014. He earned a Bachelor of Science degree in finance and an M.B.A. from Indiana University, Kelley School of Business.


Scott Donoho

Chief Revenue Cycle & Technology Officer

Scott has worked in the medical field for more than 10 years. He has been with cCARE for almost nine years overseeing all aspects of the organization. He supervised Fresno operations for seven years and now leads the revenue cycle as well as information technology for the organization. He earned his Bachelor of Science in information technology from University of Phoenix.


Alicia Shell

Director ophoto-alicia-shellf Operations – Southern Division

Email: [email protected]

Phone: (760) 212-0567

Alicia Shell has close to 20 years experience in healthcare, primarily in oncology. Engaging with patients and their families and becoming a member of their support team during their treatment is particularly satisfying to Alicia. She is a long-time resident of San Diego. In addition to spending time with her two beautiful granddaughters, she is actively involved in community events.