internal
Patrick Geraghty
President & Chief Executive Officer
Executive
8 yr
6 reports
GuideWell Mutual Holding
Mutual holding with operating power concentrated at Florida Blue
Financials · Fortune #136 · Holding structure · 18K employees · Jacksonville, Florida
6
CEO span
↓ tighter than peers (avg 10)
6
Avg span
wide
2
Max depth
2 levels
6.1 yr
Avg tenure
67%
Internal hires
↑ above industry avg
Interactive org chart
GuideWell Mutual Holding organizational chart
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GuideWell’s structure is notable for combining the group CEO role with direct leadership of Florida Blue, its core operating company. This page maps the enterprise leadership team, explains the centralized mutual-holding structure, and compares it with peer health insurers.
What to model
Use the chart to test org decisions, not just view reporting lines
Start with the public baseline, then use the scenario views and source-backed changes to ask what happens when leadership, span, or team ownership shifts.
Latest signal Sarah Cave joined as EVP, Health Solutions
Appointed to lead enterprise health solutions growth, effective July 2022.
Source · See change logScenario views in the chart
- Separate Florida Blue CEO role Appoint a standalone Florida Blue CEO to reduce role concentration at the group CEO level.
- Add Chief AI & Data Officer Create an enterprise AI and data role to accelerate analytics-driven care and operations.
Atlas work this supports
- Connect Workday or UKG Get these analytics for YOUR org — tenure, span of control, headcount, automatically from your HRIS.
- Connect Salesforce Map your target accounts like this. Import contacts, visualize decision chains, plan multi-threading.
- Plan a Reorg Use this as a starting point. Model scenarios, compare structures, present options to your board.
The people
Who's running this
7 executives identified as Named Executive Officers in the most recent SEC proxy. Bar length scales with tenure.
Thomas Graf
Executive Vice President & Chief Financial Officer
Finance
5 yr
0 reports
Kevin Thibault
Executive Vice President, Operations
Operations
4 yr
0 reports
Sarah Cave
Executive Vice President, Health Solutions
Health Solutions
3 yr
0 reports
internal
Erin Rolfes
Senior Vice President & Chief Human Resources Officer
Human Resources
6 yr
0 reports
internal
Paul Szypula
Executive Vice President & General Counsel
Legal
7 yr
0 reports
internal
Patrick Geraghty
President & CEO, Florida Blue
Insurance Operations
14 yr
0 reports
The businesses
How GuideWell Mutual Holding divides the work
3 divisions report into the group CEO. Tile size scales with estimated headcount.
Insurance Operations
12K employees
President & CEO, Florida Blue (Patrick Geraghty)
Manages core health insurance products, underwriting, and member services across Florida.
Health Solutions
3K employees
EVP, Health Solutions (Sarah Cave)
Develops and operates care delivery, analytics, and health management services.
Corporate Functions
2K employees
EVP & CFO (Thomas Graf)
Provides finance, legal, HR, and enterprise operational support.
The thesis
Why this org is unusual
GuideWell’s most distinctive structural feature is that its enterprise CEO also directly leads its largest operating subsidiary, Florida Blue.
This concentrates strategic and operational authority at the top, with fewer semi-autonomous business-unit CEOs than peers. The structure reflects its mutual-holding model, prioritizing policyholder value and regulatory alignment over diversified P&L autonomy.
Most enterprise functions—finance, legal, HR, and operations—are centralized, while growth initiatives are pursued through health solutions units rather than independent divisions. The absence of multiple subsidiary CEOs reporting independently to the parent keeps CEO span moderate but increases role dual-hatting at the top.
- CEO also serves as Florida Blue CEO
- Highly centralized enterprise functions
The comparison
How GuideWell Mutual Holding stacks up
Compared with other large U.S. health insurers, GuideWell is structurally more centralized. UnitedHealth Group and CVS Health both operate multiple large business units with distinct CEOs reporting to the group CEO. Elevance Health and Centene maintain clearer separation between insurance and services leadership. …
C-suite size
Reporting depth
GuideWell Mutual Holding
2 levels
5 levels
6 levels
5 levels
5 levels
Avg C-suite tenure
Has COO / Has CAIO
GuideWell Mutual Holding — no COO — no CAIO
Current signals
What changed recently
The most consequential recent change was the build-out of a dedicated Health Solutions leader to scale non-insurance growth.
- Date not confirmed newSarah Cave EVP, Health Solutions
Appointed to lead enterprise health solutions growth, effective July 2022.
Source - Date not confirmed new
Frequently Asked Questions
Who is the CEO of GuideWell Mutual Holding?
Patrick Geraghty has served as President and CEO of GuideWell since 2017.
What type of organizational structure does GuideWell Mutual Holding use?
GuideWell uses a centralized mutual holding structure with enterprise-controlled functions.
How many direct reports does GuideWell Mutual Holding's CEO have?
The CEO has six direct enterprise-level reports.
How has GuideWell Mutual Holding's leadership changed recently?
Recent changes include the appointment of a dedicated EVP for Health Solutions to drive growth beyond core insurance.
Who reports directly to GuideWell Mutual Holding's CEO?
Direct reports include the CFO, operations, HR, legal, health solutions leadership, and the Florida Blue presidency.
Sources
- Company Newsroom, Jul 2022
- Company Newsroom, Jan 2020
Reference
Cite this page
If you reference this page in research, analysis, or news writing, use one of the formats below. Citation includes the SEC filing source where applicable.
APA 7th
Creately. (2026). GuideWell Mutual Holding organizational structure. Creately. Retrieved , from https://creately.com/org-chart/fortune-500/guidewell-mutual-holding/MLA 9th
"GuideWell Mutual Holding Organizational Structure." Creately, April 1, 2026, https://creately.com/org-chart/fortune-500/guidewell-mutual-holding/. Accessed .Chicago 17
Creately. "GuideWell Mutual Holding Organizational Structure." Last modified April 1, 2026. https://creately.com/org-chart/fortune-500/guidewell-mutual-holding/.Permanent URL: https://creately.com/org-chart/fortune-500/guidewell-mutual-holding/ · last updated 2026-04-01