November 2025

Beyond Fiduciary Oversight: A Greater Calling for Local Hospital Boards

Local hospital boards that serve as subsidiaries of larger health systems often find themselves with limited authority despite arguably vital responsibilities. For many communities, especially small and rural ones, their local hospital is far more than a medical facility. It is the primary source of safety, healing, and warmth. This article discusses the importance of remembering that local boards have been entrusted with the profound duty of safeguarding the local community’s most vital institution.

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