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James L. Smith

CFO

Saint Mary’s Health Network

Reno, NV

Mr. Smith serves as CFO of Saint Mary’s Health Network, where his nearly four decades of healthcare finance experience have driven a revitalized culture of innovation, inclusion and engagement. Since joining the organization, he has steered the health network on a positive financial and operational trajectory, earning national recognition for quality, safety and patient care, including “A” grades from the Lown Institute Hospitals Index. Prior to his current role, Mr. Smith held senior financial leadership positions at St. Alexius Health in Bismarck, N.D. and at Renown Health in Reno.

Becker's Recognition

James L. Smithhas been named a Becker's honoree on the lists below.

2025 Winner

Executives

Hospital and Health System CFOs to Know

The chief financial officers featured on this list are helming financial functions for health systems and hospitals throughout the U.S. These leaders are instrumental in strategic financial planning, expansions and joint ventures for their organizations. These CFOs take on responsibility for the financial sustainability of their hospitals and health systems, and are key to their organizations’ overall success.

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