Civic Intelligence

Baylor Scott & White Holdings

EIN 46-3130985 • 501(c)3 • Dallas, TX

Profile

Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities.

301 N Washington AvenueDallas, TX 75246

www.bswhealth.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

95th percentile

0.98x

Higher debt load relative to assets than 95% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

99th percentile

91.24x

Higher debt load relative to revenue than 99% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

2nd percentile

-47%

Higher net margin than 2% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

67th percentile

10%

Faster asset growth than 67% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

16th percentile

-3.6%

Faster revenue growth than 16% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$9,923,501,440

Up $929,697,905 (+10%) from 2023

Liabilities

Up

$9,767,162,577

Up $832,101,468 (+9.3%) from 2023

Net Assets

Up

$156,338,863

Up $97,596,437 (+166%) from 2023

Revenue

Down

$107,054,005

Down $3,952,400 (-3.6%) from 2023

Expenses

Up

$157,035,704

Up $599,353 (+0.4%) from 2023

Net Income

Down

-$49,981,699

Down $4,551,753 (-10%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10B$5.0B$0-$5.0BAssets 2013: $1Liabilities 2013: $02013Assets 2014: $15,000,000Liabilities 2014: $0Net Assets 2014: $15,000,0002014Assets 2015: $745,529,569Liabilities 2015: $730,529,209Net Assets 2015: $15,000,3602015Assets 2016: $1,876,062,231Liabilities 2016: $1,876,028,111Net Assets 2016: $34,1202016Assets 2017: $1,921,733,243Liabilities 2017: $1,918,845,217Net Assets 2017: $2,888,0262017Assets 2018: $2,423,356,895Liabilities 2018: $2,331,403,023Net Assets 2018: $91,953,8722018Assets 2019: $5,483,233,381Liabilities 2019: $5,450,997,679Net Assets 2019: $32,235,7022019Assets 2020: $6,019,634,772Liabilities 2020: $5,963,567,533Net Assets 2020: $56,067,2392020Assets 2021: $8,549,551,652Liabilities 2021: $8,503,655,785Net Assets 2021: $45,895,8672021Assets 2022: $7,882,176,162Liabilities 2022: $7,893,805,253Net Assets 2022: -$11,629,0912022Assets 2023: $8,993,803,535Liabilities 2023: $8,935,061,109Net Assets 2023: $58,742,4262023Assets 2024: $9,923,501,440Liabilities 2024: $9,767,162,577Net Assets 2024: $156,338,8632024

Highlighted filing

2024

Assets$9,923,501,440
Liabilities$9,767,162,577
Net Assets$156,338,863

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400M$200M$0-$200M-$400MRevenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $0Expenses 2015: $159,088,601Net Income 2015: -$159,088,6012015Revenue 2016: $4,903,331Expenses 2016: $205,736,356Net Income 2016: -$200,833,0252016Revenue 2017: $28,392,386Expenses 2017: $147,602,206Net Income 2017: -$119,209,8202017Revenue 2018: $64,488,843Expenses 2018: $163,610,536Net Income 2018: -$99,121,6932018Revenue 2019: $62,547,494Expenses 2019: $193,250,106Net Income 2019: -$130,702,6122019Revenue 2020: $72,287,415Expenses 2020: $130,328,893Net Income 2020: -$58,041,4782020Revenue 2021: $86,376,045Expenses 2021: $139,625,208Net Income 2021: -$53,249,1632021Revenue 2022: $142,960,219Expenses 2022: $148,899,595Net Income 2022: -$5,939,3762022Revenue 2023: $111,006,405Expenses 2023: $156,436,351Net Income 2023: -$45,429,9462023Revenue 2024: $107,054,005Expenses 2024: $157,035,704Net Income 2024: -$49,981,6992024

Highlighted filing

2024

Revenue$107,054,005
Expenses$157,035,704
Net Income-$49,981,699

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 12, 2025
Return Version
2023v6.0
Gross Receipts
$699,095,999
Mission and Program Overview

Mission

Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities.

Faith based supporting organization serving as the parent corporation to a network of acute care hospitals and related health care entities that provide patient care, medical education, medical research and community services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$4,689,752,667$5,197,715,638▲ $507,962,971
Investments Program Related$2,430,338,209$2,997,690,837▲ $567,352,628
Investments Other Securities$1,101,482,126$1,196,198,598▲ $94,716,472
Savings and Temporary Cash Investments$242,050,040$198,274,959▼ $43,775,081
Accounts Receivable$17,545,872$16,154,181▼ $1,391,691
Other Notes and Loans Receivable, Net$14,500,000$0▼ $14,500,000
Land, Buildings, and Equipment, Net$327,474$8,052,471▲ $7,724,997
Prepaid Expenses and Deferred Charges$131,720$337,348▲ $205,628
Total Assets$8,993,803,535$9,923,501,440▲ $929,697,905
Other Assets Total$497,675,427$309,077,408▼ $188,598,019
Liabilities
Other Liabilities$4,961,577,618$5,933,563,038▲ $971,985,420
Unsecured Notes Loans Payable$2,496,428,855$2,289,720,000▼ $206,708,855
Tax Exempt Bond Liabilities$1,446,998,672$1,421,384,907▼ $25,613,765
Accounts Payable and Accrued Expenses$30,055,964$122,494,632▲ $92,438,668
Total Liabilities$8,935,061,109$9,767,162,577▲ $832,101,468
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$58,742,426$156,338,863▲ $97,596,437
Total Net Assets Fund Balance$58,742,426$156,338,863▲ $97,596,437
Total Liabilities and Net Assets / Fund Balance$8,993,803,535$9,923,501,440▲ $929,697,905

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$8,052,471-$8,052,471
Investment Program Related Org$282,015,555--
Other Securities$95,465,613--
Closely Held Equity Interests$1,100,732,985--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Peter McCannaCEOFT$2,020,703$7,996,028$10,016,731
Steven NewtonEVP Chief Delivery System OperationsFT$986,141$3,240,378$4,226,519
Jennifer MitznerTeasurer/EVP Chief Financial OfficerFT$1,317,603$2,719,531$4,037,134
Alejandro Arroliga MDEVP Chief Clinical Innov OfficerFT$889,953$3,055,636$3,945,589
James HintonFormer Officer-$3,117,738$3,117,738$3,117,738
Julie CreamerPresidentFT$1,349,500$1,479,812$2,829,312
Lisa L HavensSecretary/EVP Chief Legal OfficerFT$796,773$1,849,100$2,645,873
Matthew ChambersEVP Chief Information OfficerFT$669,995$1,686,140$2,356,135
Lavone ArthurFormer Key Employee-$192,457$1,891,941$2,084,398
Michael SanbornChief Growth OfficerFT$644,922$1,336,938$1,981,860
Nikhil ReddyEVP Chief Product OfficerFT$632,220$1,230,742$1,862,962
Nakesha LopezEVP Chief HR Officer (thru 2/16/2024)FT$1,415,576$432,983$1,848,559
Nakesha LopezEVP Chief HR Officer (thru 2/16/2024-$694,275$1,154,284$1,848,559
Janice WalkerEVP CNO (thru 1/20/2024)FT$537,705$1,287,629$1,825,334
Patricia M CurrieFormer Key Employee-$272,306$1,481,261$1,753,567
Kristi SherrillEVP Chief Phil & CA OfficerFT$467,317$1,182,520$1,649,837
Nikki MollEVP Chief Mtg & Comms OfficerFT$529,225$1,001,501$1,530,726
Robin W Watson MDEVP Chief Clinical Ops OfficerFT$687,260$682,408$1,369,668
Walter Peters MDChief Medical OfficerFT$739,808$561,914$1,301,722
Jennifer BrownFormer Officer-$455,589$455,589$455,589

Board Members and Trustees

NameTitle
William L Rayburn MDTrustee/Chair
Jack MartinTrustee/Chair (thru 1/22/2024)
Lyndon L Olson JrTrustee/Vice Chair
Albert Black JrTrustee
Anita PerryTrustee
Charlene LakeTrustee
David WallsTrustee
Drayton McLane JrTrustee
F David Winter MDTrustee
Jim TurnerTrustee
Johnita JonesTrustee
Judge Ed KinkeadeTrustee
Paul Madeley MDTrustee
Rafael GarzaTrustee
Robert GarriottTrustee
Ron CarterTrustee
Ross McKnightTrustee
Timothy Bittenbinder MDTrustee
Karla RambergerEVP CNO (eff 1/15/2024)

Highest Paid Contractors

ContractorServicesLocationCompensation
GH Smart & Company LLCProfessional Fees24505 Network Place, Chicago, IL 60673-1245$270,410
The Boston Consulting GroupProfessional FeesPO Box 75200, Chicago, IL 60675-5200$195,000
Southern Methodist University - Cox SchoProfessional DevelopmentPO Box 750508, Dallas, TX 75275-0508$158,168
-Graphic Design2670 Meadowbrook Boulevard, Prosper, TX 75078$120,063
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$48,265,301
Investment Income
$58,788,704
Other Revenue
$0
Change in Net Assets
$-49,981,699
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$119,710,131
Salaries, Compensation, and Employee Benefits$37,325,573
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Interest$106,657,625--$106,657,625
Current Officers, Directors, Trustees, and Key Employees-$34,077,069-$34,077,069
Fees for Services Other$3,395,824$1,447,520-$4,843,344
Other Salaries and Wages-$1,129,407-$1,129,407
Comp Disqual Persons-$862,608-$862,608
Payroll Taxes-$666,553-$666,553
Other Employee Benefits-$509,571-$509,571
Other Expenses$332,666$547,309-$332,666
Information Technology$224,936--$224,936
All Other Expenses$152,579--$152,579
Occupancy$131,832--$131,832
Travel$127,036--$127,036
Pension Plan Contributions-$80,365-$80,365
Conferences and Meetings$44,570--$44,570
Office Expenses$27,227--$27,227
Insurance$20,317--$20,317
Advertising$10,570--$10,570
Total Functional Expenses$117,715,302$39,320,402$0$157,035,704
International Activity

International Summary

Offices
0
Employees
0
Spending
$554,235,892

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestmentsCaptive Insurance Meetings00$521,591,611
EuropeInvestmentsMedical Education00$32,627,489
Central America and the CaribbeanProgram Services-00$16,236
North AmericaProgram Services-00$556
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$5,874,413,650
Derivative Liability$38,223,441
Long Term Incentive Plan$12,800,399
Deferred Compensation$6,657,701
Arbitrage Liability$1,467,847

Bond Issues

BondIssuerIssuedIssue PricePurpose
ATarrant County Cultural Education Facilities Finance Corporation2022-11-30$511,991,824Construction/Renovation of Hospital Facilities
BTarrant County Cultural Education Facilities Finance Corporation2016-04-19$424,888,395Refunding of Series 2010 and Construction/Renovation of Hospital Facilities
CTarrant County Cultural Education Facilities Finance Corporation2019-12-17$418,210,000Refunding Issues of 3/2013, 12/2015 and 9/2017
BTarrant County Cultural Education Facilities Finance Corporation2022-08-04$312,775,000Refunding Issues of 2019CDE
ATarrant County Cultural Education Facilities Finance Corporation2015-05-15$176,960,000Refunding Issues of 8/2008, 2/2009, and 6/2010
DTarrant County Cultural Education Facilities Finance Corporation2021-10-28$40,490,000Refunding of Series 2019A taxable

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$546,495,641$312,775,000$1,575,000-
B$426,050,531$317,092,920$25,380,000$3,656,883
C$418,210,000$418,210,000$321,240,000-
B$312,775,000---
A$176,960,000$176,960,000$78,675,000$1,790,486
D$40,490,000$40,490,000$555,000-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, line 11B

Process used to review the Form 990: The Form 990 is prepared and reviewed by the BSWH tax department. During the return preparation process the tax department works with other functional areas including finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance to prepare a complete and accurate return. Upon completion, the Form 990 is reviewed by the organization's President, financial officer and/or other key officers. A complete final copy of the return is provided to the organization's governing body prior to filing with the IRS.

Form 990, Part VI, Section B, line 12C

Process used to monitor and enforce compliance with the organization's conflict of interest policy: Persons with an actual or perceived ability to influence the organization have the duty to disclose annually and otherwise promptly as potential conflicts are identified, any familial, professional or financial relationships with entities or individuals that do, or seek to do business with the organization or that compete with the organization. These individuals include the organization's officers, governing body, management, physicians with administrative services agreements, employed physicians, persons who participate in the design, coordination, conduct, or reporting of research on behalf of BSWH, and other key personnel who interact with outside organizations or businesses on behalf of the organization. The BSW Holdings Board of Trustees Audit and Compliance Committee, the BSW Holdings Board of Trustees Governance Committee (with respect to Baylor Scott & White Holdings Trustees), and/or the Baylor Scott & White Health Corporate Compliance Committee as the case may be will review all material disclosures submitted by these individuals to determine whether a conflicts of interest exists and to determine an appropriate resolution, if necessary. Any individual with a perceived or potential conflict is prohibited from voting or participating in the decision making process regarding such transaction with that individual.

Form 990, Part VI, Section B, line 15

Process for determining compensation: The organization recognizes that those chosen to lead the organization are vital to its ongoing success and growth. Thus, it must attract, retain and engage the highest quality officers and key employees to lead the organization and help the organization maintain its national reputation for achieving high targets for medical quality, patient safety, and patient satisfaction. A significant portion of the organization's officers and key employees' total compensation is based on significant performance achievements. This strategy places a greater emphasis on the importance of the organization achieving targeted improvements in the areas of people, quality, patient satisfaction and financial stewardship, annually. Total executive compensation is part of an integrated talent management strategy developed by the Baylor Scott & White Holdings Board of Trustees and its Compensation Committee to attract, motivate, and retain the best leadership resources for the organization. Executive compensation is determined pursuant to guidelines outlined in the intermediate sanction rules under IRC Section 4958 including taking steps to meet the rebuttable presumption standard of reasonableness under Treasury Regulation 53.4958-6, as summarized below. When making compensation decisions, the organization compares itself to similarly-sized, and structured businesses including other integrated health care service systems and other similarly-sized organizations, both locally and nationally. Each year the Baylor Scott & White Holdings Board of Trustees and the Compensation Committee works directly with an independent compensation consultant(s) to identify reasonable and competitive market rates as well as provide an annual review of the total compensation of the organization's top management officials and other officers and key employees to ensure total compensation is within a fair market range. The annual review included reviewing certain officers and key employees listed on the Form 990 during the current tax year. The Compensation Committee is made up of members of the Baylor Scott & White Holdings Board of Trustees, who are independent, community volunteers. Guided by the information provided by the independent compensation consultant(s), the Compensation Committee approves the annual process and methodology for setting fair market salary ranges, earned incentives, and/or benefit offerings for the organization's President, other officers and/or key employees to be comparable to similar organizations for similar services and/or positions. Furthermore, the Compensation Committee is charged with the responsibility of reviewing annually the major elements of the executive compensation program to assure designs remain consistent with the business needs, market practices, and compensation philosophy. As part of the decision-making process, the Compensation Committee will often meet in executive session to discuss and review recommendations made by the independent compensation consultant(s). No officer or key employee whose compensation is being reviewed is present during these discussions. All decisions are properly documented in the minutes of the meetings.

Form 990, Part VI, Section C, line 19

Process for making governing documents, conflict of interest policy, & financial statements available to the public: The organization's certificate of formation and amendments thereto are made available to the public by the filing of those documents with the Texas Secretary of State. Also, the organization is included within the combined financial statements of BSW Holdings that are made available to the public by the posting of those documents through DAC Bond. The organization's other governing documents and conflicts of interest policy are not made available to the public and are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104.

Form 990, Part VII, Hours Devoted to Related Organizations:

During the year, employees may transfer to or from a related organization. In those cases, the hours per week reflected at both the reporting organization and related organizations reflect the average hours they devoted to each respective organization before and after the transfer.

Filing and Contact Details

Filer

Filer Name
Baylor Scott & White Holdings
EIN
46-3130985
Phone
2148204135
Address
301 N Washington Avenue, Dallas, TX 75246

Signing Officer

Name
Jennifer Mitzner
Title
Treasurer/EVP CFO
Phone
2148204135
Signed
2025-05-12

Organization Details

Principal Officer
Peter McCanna
Formed
2013
Legal Domicile
TX
Voting Board Members
17
Independent Board Members
13
Employees
20
Volunteers
14
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Self Insurance Liability Reserve -99,758. Distribution to/from Tax Exempt Affiliates -347,984,445. Transfers Between Companies Under Common Control 465,000,000.

Supplemental Information, Section 6038 Statement:

Disclosure Statement Related to Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, Filed on Behalf of the Taxpayer: In accordance with IRC Section 6038 and the constructive ownership rules of IRC Sections 958(a) and (b), the taxpayer is required to file Forms 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations, with respect to certain controlled foreign corporations (CFCs) including Baylor Scott & White Assurance SPC. These filing requirements are or will be satisfied through the filing of Form 5471 for this CFC by the U.S. taxpayer identified below who has the same filing requirement. Taxpayer Name: Baylor University Medical Center Taxpayer Address: 301 N. Washington Avenue, Dallas, TX 75246 Taxpayer Identification Number of U.S. tax return with which the Forms 5471 were or will be filed: 75-1837454 IRS Service Center where U.S. tax return was or will be filed: E-filed

Financial Statement Notes

Part X, Line 2:

The filing organization does not have separate individual audited financial statements; however, the organization is included in BSW Holdings' combined audited financial statements (System). The System follows the provisions of ASC 740 "Income Taxes." As of June 30, 2024 and 2023, the System had no material gross unrecognized tax benefits.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0See Schedule OBaylor Scott & White Holdings (BSW Holdings) serves as the ultimate parent corporation and provides the overall governance, strategic planning and related services for the Baylor Scott & White Health system (BSWH). BSWH is a nonprofit, faith-based nationally acclaimed network of acute care hospitals and related health care entities providing quality patient care, medical education, medical research and other community services to the residents of North and Central Texas. As the largest not-for-profit health care system in Texas and one of the largest in the United States, BSWH was born from the 2013 combination of Baylor Health Care System and Scott & White Healthcare. Today, BSWH has over 1,300 patient access points including 52 hospitals, 632 specialty care clinics, 260 outpatient clinics, 164 primary care clinics, 29 pharmacies, 30 ambulatory surgery centers, 62 urgent care clinics, and more than 7,200 active physicians. The system also includes a state certified health maintenance organization, the Scott and White Health Plan and the Baylor Scott & White Quality Alliance accountable care organization both covering over 1,200,000 lives.BSW Holdings' governing body is comprised of independent volunteer community representatives who provide leadership and governance to BSWH. The members of the governing body contribute their wisdom, insights and expertise to ensure that BSWH is fulfilling its mission and charitable purpose while providing efficient administrative support services and direction to affiliates of BSWH. Founded as a Christian ministry of healing, Baylor Scott & White Health promotes the well-being of all individuals, families and communities. BSWH is committed to offering access to quality health care including free or discounted health care to the indigent and underserved population through its affiliated health care providers. As part of its charitable mission, BSWH's nonprofit hospitals provided community benefits (as reported to the Texas Department of State Health Services and in accordance with the State of Texas statutory methodology) of $1.3 Billion which includes the unreimbursed cost of charity care, Medicaid, Medicare and other community benefits. BSWH's nonprofit hospitals provided community benefits (as reported on Form 990, Schedule H) of $493 Million during the tax year, which included the unreimbursed cost of charity care, Medicaid and other community benefits, but excludes Medicare.
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IRS990/Form990PartVIISectionAGrp/PersonNm1F David Winter MD
IRS990/Form990PartVIISectionAGrp/PersonNm2Paul Madeley MD
IRS990/Form990PartVIISectionAGrp/PersonNm3Albert Black Jr
IRS990/Form990PartVIISectionAGrp/PersonNm4Ron Carter
IRS990/Form990PartVIISectionAGrp/PersonNm5Robert Garriott
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IRS990/Form990PartVIISectionAGrp/PersonNm15Jim Turner
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IRS990/Form990PartVIISectionAGrp/TitleTxt18CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt19Teasurer/EVP Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt20President
IRS990/Form990PartVIISectionAGrp/TitleTxt21Secretary/EVP Chief Legal Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt22EVP Chief Delivery System Operations
IRS990/Form990PartVIISectionAGrp/TitleTxt23EVP Chief Clinical Innov Officer

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