Operations, M&A, capital planning, and strategy, covered for the executives running hospitals and health systems in a margin-pressured market.
Trinity Health's 557-position IT cut was disclosed to Michigan labor regulators months after the outsourcing deal was announced, and it is becoming the template for 2026 back-office restructuring.
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Boards are re-underwriting 2027 construction as Fitch warns the nonprofit recovery has peaked and the lapse of enhanced ACA subsidies pushes billions in uncompensated care back onto providers.
Heading into the Q4 2026 renewal window, insurers are initiating more network exits than hospitals are, and systems are absorbing the hit with median operating margins already negative.
Deal volume hit a six-year high in early 2026 and held through the second quarter, but the momentum is driven by a widening performance gap rather than a shared growth thesis.
States won $10 billion in first-year awards, but most of the money is still moving toward subrecipient contracts while rural hospitals close labor and delivery units and cut staff in real time.
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