The Reimagined CEO: Leading Health Care into Its Next Era

Health care CEOs are leading in a time unlike any other in recent memory — where complexity is the norm and the expectations are extraordinary. The role, once steeped in operational oversight and incremental improvement, has evolved rapidly into a multifaceted, future-facing leadership challenge. From managing rapid consolidation to engaging political stakeholders, from cultural stewardship to digital transformation, the modern CEO’s mandate is not just to steer the ship — but to redesign the vessel while in motion.

According to WittKieffer’s 2025 report “Healthcare CEO Reimagined,” the traditional CEO archetype is being redefined fundamentally. Drawing on extensive interviews with top health system leaders, the report highlights a set of paradigm shifts and leadership tenets for CEOs to consider and offers a road map for navigating health care’s accelerating transformation.

1 | From Visionary to Agile Architect

Strategic agility now defines effective leadership, according to the report. While a long-term vision remains important, CEOs increasingly are required to flex their strategies in real time — responding to both evolving market conditions and internal dynamics. “We must be willing to act quickly, learn fast and be comfortable with occasional missteps,” said Tom Gessel, CEO of Oregon-based Asante health system, in the report. Leaders are expected to lead transformative initiatives while maintaining operational discipline and rallying stakeholders around a shared sense of purpose.

2 | Scaling Strategically, Not Just Structurally

Health care consolidation has created vast, complex systems that span geographies and service lines. Yet, as CEOs like Dennis Murphy of IU Health note, growth without focus can lead to inertia. “Goal setting is not just about driving the organization forward; it is about decluttering it from negative inertia,” Murphy said.

The real challenge lies in balancing scale with agility, according to the WittKieffer report. CEOs must align systemwide advantages — like technology investments and operational efficiencies — with local relevance. “Essentiality” — becoming an indispensable provider in a given community — emerges as a critical goal. Tailored strategies that account for regional needs, consumer preferences and competitive dynamics no longer are optional but are essential for long-term viability, the report concluded.

3 | Culture as a CEO’s Most Enduring Legacy

Perhaps no responsibility looms larger than cultural leadership, according to the report. “Culture starts with the CEO,” Christopher Howard, CEO of Sharp HealthCare, told WittKieffer. “My most significant impact is dedicating myself to our organization’s culture.”

Today’s CEOs must navigate cultural tensions — accountability vs. mission, excellence vs. agility, scale vs. identity. These aren’t opposites to resolve but dynamics to balance. As organizations grow, CEOs increasingly are held accountable not just for preserving culture, but also for strengthening and spreading it across their networks, the report states.

Michael Slubowski, CEO of Trinity Health in Michigan, envisions a culture where “120,000 team members improve the care experience without waiting to be asked or having to be told.” That kind of empowerment requires relentless communication, trust-building and authenticity from the top.

4 | Developing the Next Generation

Leadership development is no longer a human relations function; it’s a CEO imperative. “Building a strong, competent team is the CEO’s most essential skill,” said Brian Erling, M.D., president and CEO of Renown Health. The WittKieffer report underscored that high-performing leaders build succession pipelines, mentor emerging talent and foster environments that balance challenge with support.

The report also highlights the need for strategic succession planning and skill set expansion, both of which help leaders bridge the gap between legacy systems and emerging models. The best CEOs create what the report calls “gentle pushes and soft landings,” enabling continuous growth without burnout.

5 | Mastering External Engagement

In an increasingly politicized and interconnected world, external engagement has shifted from a “nice-to-have” to a strategic imperative. WittKieffer suggests that CEOs must build coalitions, not just manage operations. This includes sustained advocacy, community partnerships and brand leadership.

“Advocacy work now demands priority status as one of the ‘big boulders’ that must come first,” the report notes. CEOs must be visible in their communities, present with policymakers and trusted by stakeholders — internally and externally. Their reputations now are inseparable from that of the institutions they lead.

6 | Essential Tenets: What Sets Great CEOs Apart

WittKieffer distills the most impactful leadership traits into six essential tenets:

• Vision across multiple horizons — balancing near-term needs with long-term foresight.
• Catalytic decision-making — making bold decisions amid ambiguity.
• Adaptability and resilience — maintaining focus while embracing change.
• Self-mastery and a learning mindset — committing to personal growth and reflection.
• Emotional intelligence — leading with humility, empathy and listening.
• Galvanizing communication — inspiring action through clarity and consistency.

The CEO role never has been more complex or more vital to the future of health care. As leaders confront a world of accelerating change, those who thrive will be the ones who adapt most effectively, lead most authentically and empower their organizations at every level, according to the report.

In the words of Advocate Health CEO Eugene A. Woods quoted in the report, the goal is to “culturally unleash a fearless curiosity and unshakable optimism” as the antidote to uncertainty.