SURVEY: U.S. Health Systems Must Fortify Board Oversight

Alvarez & Marsal and Alston & Bird release report urging overhaul of U.S. health systems governance amid fiscal threats.

Michael Webb | July 18, 2025

Consulting firm Alvarez & Marsal and law firm Alston & Bird have released a new report urging nonprofit health systems to fortify their board oversight as they face mounting financial pressures and potential federal funding cuts.

Why it matters: The joint report signals a critical inflection point for nonprofit health systems, arguing that legacy governance models are ill-equipped to handle the current environment of inflation, reduced revenue and political uncertainty in Washington.

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