When I started in the finance department of St. Joseph's Hospital in 1993, our four-county region boasted a population of just 2.5 million; four years later, when St. Joseph's was among the not-for-profit hospitals that formed BayCare Health System, it was 2.6 million. Now, as I retire as chief executive officer of BayCare, 3.8 million people call Hillsborough, Pinellas, Polk, and Pasco counties home.