T. Andrew Smith


Andy Smith is President and Chief Executive Officer of Vigilant Health and has over 30 years of experience in health care, mergers and acquisitions, real estate, capital markets transactions, and corporate finance. Mr. Smith served as the Chief Executive Officer of Brookdale Senior Living, Inc. (NYSE) from 2013 until 2018, as President from 2016 until 2018, and as a member of the Board of Directors from 2014 until 2018. From 2006 to 2013, Mr. Smith served as Brookdale’s Executive Vice President, General Counsel, and Secretary. In addition to his role in managing the company’s legal affairs, Mr. Smith was responsible for the management and oversight of the company’s corporate development functions (including mergers and acquisitions, and expansion and development activity); corporate finance (including capital structure, debt and lease transactions, and lender/lessor relations); strategic planning; and risk management.

During Mr. Smith’s tenure, Brookdale was the largest operator of senior living communities in the United States, with revenues of approximately $4.75 billion. The company operated approximately 1,000 communities, with a unit capacity in excess of 100,000, with 77,000 employees across 46 states. The company also operated a large ancillary services business, comprised of home health, outpatient therapy, and hospice service lines. The home health business was the 5th largest in the United States, with revenues of approximately $450 million, and an average daily census of approximately 15,000.

Prior to joining Brookdale, Mr. Smith served as a member of Bass, Berry & Sims PLC’s corporate and securities group and as chair of the firm’s health care group. Mr. Smith previously served as a member of the board of directors of the Nashville Health Care Council, Argentum, and the National Investment Center for the Seniors Housing & Care Industry (NIC), and as a member of the executive board of the American Seniors Housing Association (ASHA).

Mr. Smith is currently a member of the Board of Directors of Northstar Healthcare Income, Inc, a public non-traded healthcare real estate investment trust. He is also  a member of the Board of Managers of Physician Housecalls LLC, an in-home provider of  primary care to seniors, and a member of the Council of Council Capital, a health care private equity firm. Mr. Smith received his Bachelor of Arts, cum laude, from Vanderbilt University, and his Juris Doctor from Southern Methodist University School of Law, where he was a member of Order of the Coif.

Marshall J. Bouldin, IV, M.D.

Vigilant Health Marshall Bouldin

Marshall Bouldin, IV, M.D. is the Chief Medical Officer, Vice Chairman, and Co-founder of Vigilant Health. Previously, Dr. Bouldin was Associate Professor of Medicine at the University of Mississippi Medical Center, where he was Director of the University of Mississippi Diabetes and Metabolism Center. He was also Chief Medical Officer of the Delta Health Alliance, a federally funded not-for-profit corporation responsible for improving health and wellness in the Mississippi Delta region. While at University of Mississippi Medical Center, Dr. Bouldin founded and directed the Delta Diabetes Project, sponsored by the Health Resources and Services Administration, the Centers for Disease Control and Prevention, the Delta Health Alliance, and the University of Mississippi Medical Center. Dr. Bouldin’s work at the Delta Health Alliance and the Delta Diabetes Project are the foundation of Vigilant Health.

Earlier in his medical career, Dr. Bouldin practiced internal medicine in Vicksburg, Mississippi. He completed his residency in internal medicine at the University of Virginia and medical school at The Johns Hopkins University School of Medicine. He earned his bachelor’s degree from the University of Mississippi. He was also awarded a bachelor’s degree from Oxford University, where he was a Rhodes Scholar.

Austin Triggs

Vigilant Health Austin Triggs

Austin Triggs is Executive Chairman and Co-founder of Vigilant Health. Previously, he served as Senior Vice President and Chief Development Officer of Renal Care Group, Inc., a leading national provider of dialysis services to individuals with chronic kidney disease. At Renal Care Group, he was responsible for acquisitions, mergers, and development, including developing joint ventures with university medical centers, physicians, and hospitals. Following Renal Care Group, he worked as a strategic advisor to B. Braun Melsungen AG (a German medical and pharmaceutical device company), academic medical centers, and private equity funds.

Earlier in his career, he served as a senior executive and board member at companies providing general and specialized home care services. Mr. Triggs received his undergraduate degree from Duke University and his juris doctorate from the University of Mississippi Law School. He practiced corporate and securities law for nine years in Nashville, Tennessee. His prior civic activities include serving as chair of the advisory board of the Duke University Institute on Care at the End of Life, principal advisor to the Center for Theology and Health at the Duke Medical Center, board member of the American Council on Germany, and board member of Aquinas College.