Dr. Caracostis is a physician; she has a master's degree in Public Health from Texas A&M and over 25 years of experience in health care and business management. In 2007, Dr. Caracostis stepped into the leadership role as the CEO of HOPE Clinic, a Federally Qualified Health Center that provides care to the large multicultural and multilingual community in southwest and northeast Houston. Dr. Caracostis has served as a board member of the Susan G. Komen Medical Board, the Association of Asian Pacific Community Health Organizations, and the MD Anderson Institutional Review Board. She is currently a board member of Harris Health System and the Texas Association of Community Health Centers. Under her leadership, she has grown HOPE Clinic to four sites in Houston and has established a strong workplace culture while enhancing capabilities and improving quality care.