- NY's largest health system ($22.6B after Nuvance merger May 2025), 28 hospitals, 104K employees
- New CEO: Dr. John D'Angelo (replaced Michael Dowling Oct 2025) — "aggressive growth mentality"
- Champion: Simon Gisby (CSO, ex-Deloitte 15 years, hit mandatory retirement at 62)
- Simon splits time Manhattan / Mid-Hudson Valley; works with Rachel Miller's strategy team
- Simon co-authored Deloitte's "platform-enabled ecosystems" thesis — frame Vi as that platform layer
- Simon spoke at CES 2026 — consumer tech/healthcare intersection thinker
- Call completed Feb 18, 2026 (Spencer + Tom + Simon)