This has been a period of financial instability in the health and human service field. Provider organizations have seen swings in revenue and margins, with changes in payer contracts, competition, and workforce recasting financial metrics on an almost continuous basis. Headlines like these from the past week are not uncommon—;Trinity Health nearly wipes last year's operating losses, grows revenue by over 11%;and As Medicaid Shrinks, Clinics for the Poor Are Trying to Survive;.

The question for executive teams is how to build an organization that can survive the low points in its financial performance . . .

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