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System Boards

November 2025

Beyond Fiduciary Oversight: A Greater Calling for Local Hospital Boards


Local hospital boards within systems often find themselves with limited authority despite arguably vital responsibilities. Especially for small and rural communities, 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 local boards' duty to safeguard the local community’s most vital institution.


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The Governance Institute
1245 Q Street
Lincoln, NE 68508
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