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Cybersecurity as a Financial Risk - Why CFOs Must Lead the Conversation
Hospitals are facing a surge in cybersecurity threats that are more sophisticated, more frequent, and more financially damaging than ever before. Ransomware attacks, data breaches, and system outages don’t just disrupt operations - they threaten patient safety, erode community trust, and create multimillion‑dollar financial liabilities. For too long, cybersecurity has been viewed as an IT issue. In today’s environment, it is unmistakably a financial risk , and CFOs must be at

Derrick Hollings
Feb 163 min read


Aligning Capital Planning with Mission Outcomes: A Framework for Hospital Leadership Teams
Hospitals and health systems are under increasing pressure to make capital decisions that are financially sound, strategically aligned, and mission-driven. Yet in many organizations, capital planning becomes a technical exercise - a spreadsheet of competing requests - rather than a leadership opportunity to reinforce purpose and long-term impact. When capital planning is disconnected from mission, organizations risk investing in projects that drain resources, dilute focus, or

Derrick Hollings
Feb 123 min read


AI in Healthcare Finance: Predictive Analytics for Smarter Hospital Decisions
Hospitals and health systems are operating in an environment defined by volatility - shifting reimbursement, rising labor costs, unpredictable volumes, and increasing pressure to make every dollar count. In this landscape, AI-driven predictive analytics is becoming one of the most powerful tools available to CFOs and boards. But the real value of AI isn’t in replacing human judgment. It’s in giving leadership teams clearer visibility , stronger forecasting , and more confide

Derrick Hollings
Feb 93 min read


Revenue Cycle Optimization: Practical Steps to Lift Margins Without Compromising Care
Hospitals and health systems are under immense financial pressure. Reimbursement compression, rising labor costs, and payer friction are squeezing margins at the exact moment when communities need more from their healthcare providers. In this environment, revenue cycle optimization (RCO) isn’t just a finance initiative - it’s a leadership imperative . When done well, RCO strengthens financial performance and protects the organization’s ability to deliver high‑quality care. T

Derrick Hollings
Feb 53 min read


Capital Planning Under Reimbursement Compression: Strategies for CFOs and Boards
Hospitals and health systems are navigating one of the most challenging financial environments in decades. Reimbursement rates are tightening, labor and supply costs continue to rise, and capital needs are becoming more urgent and more complex. In this environment, capital planning cannot rely on historical assumptions or incremental budgeting. CFOs and boards must adopt a more disciplined, mission‑aligned, and scenario‑driven approach to ensure that every dollar invested str

Derrick Hollings
Feb 23 min read


Outcomes: Financial Clarity for Hospital Leadership Teams: Turning Data into Confident Decisions
In today’s healthcare environment, hospital leadership teams face mounting pressures: reimbursement compression, rising labor costs, cybersecurity risks, and the demand for digital transformation. Amid these challenges, one truth remains constant - financial clarity is the foundation of confident, mission-driven decisions. Why Financial Clarity Matters Hospital boards and executive teams are tasked with balancing financial sustainability with community impact. Without clear,

Derrick Hollings
Jan 292 min read


Transforming Healthcare: Rethinking Performance Management for Lasting Impact
Healthcare systems must urgently rethink their performance management philosophy to achieve sustainable improvements in patient outcomes, operational efficiency, and financial resilience. Too many organizations still rely on fragmented metrics, siloed accountability, and reactive fixes rather than embedding performance management into their culture and strategy. Why Performance Management Matters Healthcare is uniquely complex: clinical excellence, patient satisfaction, wor

Derrick Hollings
Dec 13, 20252 min read


The Big Beautiful Bill Act: What Healthcare Leaders Must Know
The Big Beautiful Bill Act (OBBBA), signed into law on July 4, 2025, is reshaping the U.S. healthcare sector with sweeping cuts and new requirements that will reverberate across hospitals, insurers, and patients. Its impact is profound: millions are projected to lose coverage, reimbursement rates are shrinking, and administrative burdens are increasing for providers and enrollees alike. Key Provisions Affecting Healthcare Massive Federal Cuts: The Act includes over $1 trilli

Derrick Hollings
Dec 13, 20252 min read


How to Prepare for a Rating Agency Review with Fractional CFO Support
For healthcare organizations, a rating agency review is more than a financial checkpoint. It’s a defining moment that influences access to capital, borrowing costs, and long-term strategic flexibility. Whether you’re a $500M community hospital or a $3B integrated health system, preparation is critical. This is where fractional CFO support becomes a strategic advantage. Why Rating Agency Reviews Matter Capital Access: Strong ratings, lower borrowing costs, and expanded financ

Derrick Hollings
Dec 13, 20252 min read


The Margin Challenge in Value-Based Care
Fractional CFOs are uniquely positioned to help healthcare organizations thrive under value-based care by aligning financial discipline with patient outcomes, optimizing risk-sharing contracts, and driving sustainable margin growth. Value-based care (VBC) shifts reimbursement from volume to outcomes. Instead of being paid for every service delivered, providers are rewarded for quality, efficiency, and patient satisfaction . While this model improves care, it compresses margin

Derrick Hollings
Dec 13, 20252 min read


Best Practices for Capital Project Funding in Healthcare
Healthcare organizations should fund capital projects that align with mission, financial sustainability, and strategic growth. The best practices involve structured evaluation, data-driven prioritization, and balancing risk with opportunity. 1. Anchor Decisions in Mission and Strategy Capital allocation must begin with the organization’s mission and long-term strategic goals . Projects that directly enhance patient care, community health, or access to essential services shou

Derrick Hollings
Dec 13, 20252 min read
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