Banner Health接手后，持续加大投入：扩建床位（Boswell医院从355张增至501张，Del E. Webb医院达375张），引入机器人手术、远程医疗等先进技术；2020年代后，受疫情影响，又快速推出远程咨询、疫苗中心等数字化服务。
适马方面表示，跨界农业是一项旨在维持当地生态景观的实质性举措。公司意图通过维护和开垦水稻田，创造稳定且传统的就业机会，从而完成从「单向受惠于土地资源」向「直接回馈地区生态」的企业角色转变。
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