Jerome J. Hric, MD, FAAP

Founder and Chief Executive Officer

Dr. Jerome J. Hric (Jerry) is the Founder and Chief Executive Officer for Onsite Neonatal Partners, Inc. In creating Onsite, Dr. Hric’s vision was providing in-house neonatology services to community hospital NICUs 24 hours a day, 7 days a week—giving sick and premature babies in community hospitals the same quality of care seen in larger facilities.  Since 1996, Dr. Hric has expanded Onsite’s services to include Pediatric hospitalist programs at two hospitals.  He has also created proprietary leadership programs focused on physician professional development and extraordinary customer service.

Dr. Hric has held several academic appointments, including Chairman of the Department of Pediatrics and Director of Neonatal Services at Lourdes Medical Center of Burlington County, NJ; Director of Neonatal Services at Robert Wood Johnson University Hospital of Hamilton, NJ; and Director of Neonatal Services for CentraState Medical Center in Freehold, NJ.  He also served on the Medical Executive Board at Rancocas Hospital of Willingboro, NJ. 

Dr. Hric attended a six-year accelerated program at Gannon University (Erie, PA)—Hahnemann Medical College (Philadelphia, PA).  He completed his Pediatric Residency at the University of Florida.  In 1987, he finished his Neonatal-Perinatal Fellowship at the University of Michigan Medical Center in Ann Arbor.  He holds board certifications in both pediatrics and neonatology. 

Karen Breuer

President and Chief Financial Officer

Karen Breuer is President and Chief Financial Officer for Onsite Neonatal Partners, Inc.  Ms. Breuer has more than 20 years of health care financial management experience.  Prior to joining Onsite, she served for five years as the Executive Vice President and Chief Financial Officer for The Visiting Nurse Association of Greater Philadelphia, a large non-profit provider of home health services.  Her experience in the world of health care also includes 10 years as Corporate Controller with Premier Research Worldwide.  Premier Research was a clinical research organization with an international presence, providing support to the pharmaceutical industry’s drug development programs.  Ms. Breuer was instrumental in preparing Premier’s S-1 statement, resulting in its 1997 IPO and listing on NASDAQ.


Ms. Breuer joined Onsite Neonatal in 2005, and has since worked to uphold the integrity of billing and medical record documentation befitting Onsite’s core values and Principles of Success.  She served as Onsite’s Vice President for Administration and Finance for two years, before assuming the duties of Chief Financial Officer.  In 2009, Ms. Breuer was named the President of Onsite Neonatal Partners, while continuing her duties as the company’s CFO.

Ms. Breuer received her Bachelor of Science degree from Allegheny College in Meadville, PA.  Throughout the course of her career, she has managed a wide range of administrative functions, including human resources and payroll, purchasing, facilities, quality improvement and information technology.

Connie Andrejko, DO, IBCLC, FAAP

Vice President of Medical Affairs

Dr. Constance Andrejko (Connie) is Vice President of Medical Affairs for Onsite Neonatal Partners, Inc. As VPMA, she mentors hospital leaders within Onsite to foster outstanding customer service and quality healthcare for our families. She currently leads an evidence-based guideline committee that is standardizing care throughout the practice, as well as the Quality Improvement Review Committee, which evaluates medical management of cases to improve individual and system-based hospital practice.

Dr. Andrejko joined Onsite in 2008 as an Attending Neonatologist.  Dr. Andrejko was promoted to Director of Neonatology and Well Newborn Services at Mountainside Hospital in Montclair, NJ. She developed policies for the Special Care and Well Newborn Nursery, created order sets for the new computerized physician order entry system, participated in ongoing education for the Family Practice Residents and Nursing staff, and partnered with OB/Gyn to ensure smooth transitions of care for our families. Later she became Director at Wellspan Ephrata Community Hospital in Ephrata, PA. During this time, she was named Chair of Pediatrics. She runs both the Quality Improvement and Pediatric Operational Committee meetings and currently is the Power Team Leader for Neonatology during the healthcare system’s transition to EPIC. She performs outreach education to Midwives in the community and actively participates in OB/Gyn Quality Committees. She implemented a Donor Breast Milk program and incorporated a more family-centered care approach within the NICU.

Dr. Andrejko has also worked as an Associate Neonatologist at Geisinger Medical Center.  She was involved with Simulation Training for NICU staff, Pediatric Residency education, the hospital’s Ethics Committee, breastfeeding quality improvement initiatives, and the development of Geisinger’s first Donor Breast Milk program.

Dr. Andrejko is board-certified in Pediatrics and Neonatal-Perinatal Medicine.  With her interest in breastfeeding medicine, she is also currently credentialed as an International Board Certified Lactation Consultant. A cum laude graduate of Villanova University, Dr. Andrejko earned her Doctor of Osteopathic Medicine Degree from the Philadelphia College of Osteopathic Medicine.  During that time, Dr. Andrejko received the Mason W. Pressly Award, the highest honors awarded to a DO student.  She completed her Pediatric Residency and her Pediatric Chief Residency year at Geisinger Medical Center in Danville, PA and her Neonatal-Perinatal Fellowship at Thomas Jefferson University Hospital in Philadelphia, PA, which also included training at Christiana Hospital and AI DuPont Hospital in Delaware.

Jesse J. Carrajat

Vice President of Strategic Growth & Marketing

Vice President of Recruitment

​Jesse J Carrajat is the Vice President of Strategic Growth & Marketing for Onsite Neonatal Partners, Inc., overseeing all business development, contract management, marketing, and branding operations.  He also serves as the administrative leader of recruiting, overseeing the sourcing strategies, networking, process integrity, and continuous coaching of the recruitment team.


​Jesse joined Onsite in 2015 as the Director of Partner Relationships & Onboarding Services where he was responsible for the safe and effective startup of new hospital programs, as well as customer service and partner retention strategies for the practice.   Shortly thereafter, Jesse then took on the additional role of Director of Recruitment Services.   After helping to lead Onsite through a season of growth and change, Jesse took on the role of Director of Strategic Growth in early 2018.  While in these roles, Jesse was instrumental in bringing innovative strategies to the practice, including the implementation of CRM software, nationwide outreach campaigns, practice-wide project management tools, and search engine optimization strategy, to name a few.  In addition, Jesse created and oversees the operations of the practice’s marketing department.  In response to Onsite’s rapid growth, Jesse was recognized for his corporate leadership abilities by being promoted to Vice President of Strategic Growth &  Marketing, and Vice President of Recruitment.


Jesse graduated with his Bachelors of Arts from Rutgers University in New Brunswick, NJ.  He is now completing an MBA program in Healthcare Administration at the University of Delaware.  Prior to college, he served honorably in the United States Marine Corps Reserves as a field artillery cannoneer.  He resides in Mullica Hill, NJ with his wife Meghan, his daughter Elsie, and his border collie, Yogi .

Kimberly Costello, DO, CPE, FAAP

Executive Director of Strategic Relationships

NICU Director, St. Luke's University Health Network

Dr. Kimberly Costello (Kim) is Executive Director of Strategic Relationships for Onsite Neonatal Partners, Inc., overseeing recruiting and staffing, provider orientation, provider evaluations, provider wellness and patient satisfaction. She serves as the clinical leader of recruiting, ensuring Onsite hires and retains high quality physicians and advanced practice providers who are aligned with the organization’s mission, vision and values.

​Dr. Costello joined Onsite in 2014 as an Attending Neonatologist at St. Luke’s University Health Network’s Level II and III NICUs.  Dr. Costello was promoted to Director of Neonatology over both units shortly thereafter in 2015.  She recently presented at VON for the Goldilocks Project: Improving admission temperatures in VLBW babies, and is the lead of the micropremie collaborative for the network’s babies <1500 grams.  She also heads up the Baby Friendly Initiative with her service line administrator at St. Luke’s.  Dr. Costello is an Assistant Professor at Temple Medical School at St. Luke’s, and was also named the March of Dimes Physician of the Year in 2015.  Dr. Costello is heavily involved with AAP through the Pennsylvania Premie Network and was successful in securing funding to start the Pennsylvania Perinatal Collaborative.  In response to Onsite’s rapid growth, Dr. Costello was recognized for her corporate leadership abilities by being promoted to Executive Director of Strategic Relationships.

Prior to joining Onsite, Dr. Costello worked at Pinnacle Health and Heart of Lancaster Regional Medical Center, where she served as the Medical Director of the NICU from 2012-2014. While at Heart of Lancaster, she was the Vice Chair of Pediatrics, a member of the Credentialing Committee, on the Board of Trustees, and a member of the Physician Leadership Council.

Dr. Costello is board-certified in Pediatrics and Neonatal-Perinatal Medicine.  She graduated with a Bachelors of Science from University of California, Irvine and completed medical school at the Philadelphia College of Osteopathic Medicine.  She completed both her Pediatric Residency and Neonatal-Perinatal Medicine Fellowship at the Milton S. Hershey Medical Center at The Pennsylvania State University College of Medicine in Hershey, PA.

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