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The business structure of these seemingly academic organizations isn’t always transparent. It’s occasionally (maybe even usually) not just an academic institution. It can be multiple separate entities including the medical physician group(s), the hospital(s)/system and even a different organization running the entire operation as a separate entity. The name implies it’s academic (likely for marketing purposes and brand appeal under the guise of quality), but it can be multiple organizations with some claiming to be non-profit that are still for profit hiding under an umbrella organization portraying itself as academic.