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Avoiding the (nearly) inevitable

By the time many boards realize they're not getting all the information about how well they're doing financially from their CEO or chief financial officer (CFO), it's too late. That spells termination for those administrators, thrusting boards into the unfamiliar position of finding a temporary administrator who will be honest with them. One constant among the small percentage of CEOs and CFOs who aren't sharing the right information with their board seems to be fear; fear that if you shoot straight with the board, they'll let you go, which is perceived as a bigger threat than slowly letting the hospital drift downhill financially.