b'U.S. DEPARTMENT of VETERANS AFFAIRSVETERANS HEALTH ADMINISTRATION The Veterans Health Administration is Americas largest integrated health care system, providing care at 1,298 health care facilities, including 171 VA Medical Centers and 1,113 outpatient sites of care of varying complexity to over 9 million veterans enrolled in the VA health care program.The VHA is the component of the U.S. Department of Veterans Affairs led by the Under Secretary of Veterans Affairs for Health that implements the healthcare program of the VA through the administration and operation of numerous VA Medical Centers, Outpatient Clinics, Community Based Outpatient Clinics, and VA Community Living Centers (VA Nursing Home) Programs.Many evaluations have found that by most measures VHA care is equal to, and sometimes better than, care provided in the private sector, when judged by standard evidence-based guidelines.The Under Secretary for Health directs a health care system with an annual budget of approximately $68 billion, and employs more than 367,200 full time health care professionals and support staff.VHA is the nations largest provider of graduate medical education and a major contributor to medical and scientific research. More than 46,000 active volunteers, 120,000 health professions trainees, and nearly 16,000 affiliated medical faculty are also an integral part of the VHA community.LEADERSHIPDenis McDonoughDonald M. Remy Tanya J. Bradsher Shereff Elnahal, MDSecretary of Deputy Secretary of Chief of Staff of Under Secretary for HealthVeterans Affairs Veterans AffairsVeterans Affairs'