Regional Hospital – Executive Advisory, Strategic Growth and Operational Oversight

Engagement Overview

CABE Consulting partnered with a regional hospital to provide comprehensive executive advisory support, operational oversight, and strategic leadership in close collaboration with the hospital’s Board, CEO, and senior management team. The hospital was navigating post-pandemic financial strain requiring strong oversight, disciplined financial support, and proactive strategic planning. 

Objectives

• Strengthen executive leadership oversight

• Support strategic growth initiatives and service line development

• Improve operational and financial discipline

• Enhance physician alignment and medical staff oversight

• Ensure regulatory readiness and risk management

CABE’s Role

CABE served as the General Manager, in a partnership with physicians, responsible for all aspects of the operations and strategic development of a surgical hospital.

• Executive Leadership and Oversight

  • Hiring, evaluation, and termination decisions for the CEO and other members of the management team.

• Strategic & Growth Initiatives

  • Participation with executive leadership in hospital strategic and growth initiatives

  • Support for new service line development

  • Physician recruitment, contracting, and practice acquisition

  • Managed care strategy and related contracting

• Operational & Contractual Oversight

  • Ongoing review and negotiation of operational and strategic contracts, including managed care agreements, revenue cycle management, supply chain and GPO arrangements, key service provider contracts, including pharmacy, anesthesia, radiology, EVS and dietary

• Medical Staff Oversight

  • Active participation in medical staff oversight alongside executive and physician leadership

  • Key participant in medical executive committee and related committees

• Compliance & Regulatory Readiness

  • Advisory support related to quality assurance, compliance, and risk management programs

  • Regulatory readiness guidance for accreditation and oversight bodies

• Financial Oversight

  • Oversight of hospital financial operations in collaboration with the CEO, CFO and Board

  • Review and guidance related to monthly financial reporting, budgeting, cash flow projections, accounts payable and cash management, and action plans to meet budget and cash flow targets.

Outcome

Despite continued post-pandemic financial pressures impacting the hospital, the organization made meaningful progress in strengthening leadership alignment and financial discipline. CABE’s engagement helped establish clearer oversight structures, improve strategic and operational decision-making, and position the hospital with stronger foundational processes to navigate ongoing financial challenges.

Why It Matters

Strong oversight and disciplined leadership are essential for hospitals facing sustained financial headwinds.