Organization Chart — ACME Health / Cumberland Valley Integration

The integration program organization as at March 11, 2024 — 84 people across two companies and five outside firms, in 17 delivery workstreams. Page 1 is the executive view — sponsor, program manager, governance bodies and the 17 workstream leads. Pages 2 to 4 draw each group of teams in full, because a single diagram at this scale can only show leaders and the teams underneath them are the part worth seeing. Contract vehicle per person is in the Resource Plan.

These charts show accountability, not employment, and on this program the two barely overlap. The Program Manager is a consultant: he leads the Integration Management Office and employs nobody in it. Workstream leads report to their own executives. Roughly half the boxes belong to people whose review, salary and continued employment are decided by someone who appears nowhere on these pages. His authority is written into an engagement contract rather than an organization chart — the normal condition for an integration program, and the reason the governance model matters more here than the reporting lines do.

Page 1 — Executive Leadership and Governance

Reporting line, named

D. Ashmore

EVP & Chief Financial Officer — Executive Sponsor

C. Tyrrell

Program Manager, Integration (engagement lead)

Governance bodies

Integration Steering Committee 6

D. Ashmore

EVP & Chief Financial Officer, ACME — Executi…

R. Villanueva

Chief Operating Officer, ACME

M. Kessinger

President & CEO, Cumberland Valley

T. Broadnax

SVP Corporate Development, ACME

L. Hollingsworth

General Counsel, ACME

S. Achebe

Chief Information Officer, ACME

Integration Management Office 4

N. Farnsworth

PMO Analyst

J. Petrosyan

Synergy & Financial Analyst

A. Winterbourne

Change & Communications Lead

G. Threadgill

TSA Manager — owns exit

Reports to the Sponsor. Employs nobody on the program.

Clean Team 4

P. Marchetti

Clean Team Lead

K. Oyelaran

Clean Team Analyst — pricing & network rates

B. Sandoval

Clean Team Analyst — membership & claims volu…

H. Tillinghast

Clean Team Counsel (outside)

⚠ Reports to both General Counsel. No line into the IMO.

Workstream leads — 17 workstreams, each an ACME lead paired with a Cumberland Valley counterpart

Workstream	ACME lead	Cumberland Valley counterpart	People
Claims & Core Administration	W. Ferriday VP Claims Operations, ACME — Workstream Lead	D. Halloran Business Analyst — enrollment & eligibility	11
Data & EMPI	Dr. A. Ravindran Director, Enterprise Data Management, ACME …	C. Bhattacharya Manager, Member Data, Cumberland Valley	11
Application Integration	K. Stallworth Director, Enterprise Integration, ACME — Wo…	J. Amonett Manager, Interfaces, Cumberland Valley	11
Cloud & Infrastructure	B. Trammell VP Infrastructure, ACME — Workstream Lead	G. Whitmire Director, IT Operations, Cumberland Valley	7
Provider Network	J. Kirkendall VP Network Management, ACME — Workstream Le…	A. Boudreaux Director, Provider Contracting, Cumberland …	2
Care Management	Dr. M. Ellsworth Chief Medical Officer, ACME — Workstream Le…	Dr. P. Nwachukwu VP Care Management, Cumberland Valley	2
Member Services	T. Ruffalo VP Member Experience, ACME — Workstream Lead	C. Hollifield Director, Member Services, Cumberland Valley	2
Finance & Accounting	S. Beauregard VP Financial Planning & Analysis, ACME — Wo…	N. Applewhite Controller, Cumberland Valley	2
HR & Talent	D. Marchbanks SVP Human Resources, ACME — Workstream Lead	K. Osterhout Director, HR Business Partner, Cumberland V…	2
Legal & Regulatory	F. Underhill Associate General Counsel, M&A, ACME — Work…	M. Sheffield General Counsel, Cumberland Valley	3
Compliance & Privacy	L. Braithwaite Chief Privacy Officer, ACME — Workstream Le…	J. Ferrandino Compliance Director, Cumberland Valley	2
Security	A. Quintanilla Chief Information Security Officer, ACME — …	P. Hasenfratz Manager, Information Security, Cumberland V…	2
Actuarial & Underwriting	E. Wetherby VP Actuarial Services, ACME — Workstream Le…	C. Adeyemi Chief Actuary, Cumberland Valley	2
Communications	B. Lundquist VP Corporate Communications, ACME — Workstr…	R. Tomlinson Director, Communications, Cumberland Valley	2
Vendor & Contract Management	H. Castellow VP Procurement, ACME — Workstream Lead	D. Achterberg Director, Vendor Management, Cumberland Val…	3
Facilities	W. Pickering Director, Corporate Real Estate, ACME — Wor…	S. Grimsley Facilities Manager, Cumberland Valley	2
EDI Transaction Assurance	—	—	3

Page 2 — Core Delivery

The four workstreams that carry most of the program budget and the whole of the critical path.

ACME HealthCumberland ValleyArringtonSpecialist vendorretention agreement

Page 3 — Business Operations

Member, provider and clinical functions — small teams, and every one of them paired across both companies.

Page 4 — Corporate and Control

Finance, legal, risk and the assurance vendors.

What These Charts Do Not Show

Not shown	Why it matters
Line management	Nobody here reports to the Program Manager. Workstream leads are accountable to the program and employed elsewhere.
Who decides someone's future	⚠ Target-side staff are managed by executives who may not be here in a year, and they know it. Sixteen roles carry retention agreements; every one is at Cumberland Valley.
Capacity	A box is not a full-time person. Several appear for a monthly meeting. The Resource Plan carries effort; these pages carry accountability.
The shape after closing	The roster went from 58 pre-close to 80 post-close and changed composition, not just size — the Clean Team left and the data stewards arrived.

The second row is the one an integration program manager learns to hold in mind. A counterpart at the acquired company is being asked to document how their systems work, transfer that knowledge to the acquirer, and hit dates — while the same program decides whether their function survives. Nothing in a reporting line manages that, and no amount of goodwill substitutes for naming it. It is why knowledge transfer is contracted as a deliverable with named receivers rather than assumed as a by-product of people being helpful.