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New FTI Consulting Survey Reveals Mounting Challenges Continue for U.S. Hospitals

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FTI Consulting's latest Hospital Operations Outlook Survey reveals significant challenges facing U.S. hospitals. The survey of 200+ senior hospital executives highlights several critical issues: - Workforce Challenges: 34% cite recruitment and staffing costs as major stressors, with 48% feeling unprepared for current patient volumes - Cybersecurity Concerns: 50% identify this as their top digital concern - Value-Based Care Transition: 42% of patient populations now participate in these models, with 91% reporting improved outcomes - Financial Pressures: Hospitals face mounting costs, regulatory changes, and potential Medicaid cuts The survey emphasizes the need for hospitals to adapt through digital innovation, workforce investment, and proactive cybersecurity measures while maintaining clear stakeholder communication.
L'ultimo Hospital Operations Outlook Survey di FTI Consulting evidenzia le sfide significative che affrontano gli ospedali statunitensi. Il sondaggio, condotto su oltre 200 dirigenti ospedalieri senior, mette in luce diverse questioni critiche:
  • Problemi di personale: il 34% indica il reclutamento e i costi del personale come principali fattori di stress, con il 48% che si sente impreparato a gestire i volumi attuali di pazienti
  • Preoccupazioni per la sicurezza informatica: il 50% la considera la principale preoccupazione digitale
  • Transizione verso l'assistenza basata sul valore: il 42% delle popolazioni di pazienti partecipa ora a questi modelli, con il 91% che segnala miglioramenti nei risultati
  • Pressioni finanziarie: gli ospedali affrontano costi crescenti, cambiamenti normativi e possibili tagli a Medicaid
Il sondaggio sottolinea la necessità per gli ospedali di adattarsi attraverso l'innovazione digitale, investimenti nel personale e misure proattive di sicurezza informatica, mantenendo al contempo una comunicazione chiara con gli stakeholder.
La última Encuesta de Perspectivas sobre Operaciones Hospitalarias de FTI Consulting revela desafíos significativos que enfrentan los hospitales en EE. UU. La encuesta, realizada a más de 200 altos ejecutivos hospitalarios, destaca varios temas críticos:
  • Desafíos de personal: el 34% menciona el reclutamiento y los costos de personal como principales fuentes de estrés, y el 48% se siente poco preparado para los volúmenes actuales de pacientes
  • Preocupaciones de ciberseguridad: el 50% identifica esto como su principal preocupación digital
  • Transición a la atención basada en el valor: el 42% de las poblaciones de pacientes ahora participan en estos modelos, con un 91% que reporta mejores resultados
  • Presiones financieras: los hospitales enfrentan costos crecientes, cambios regulatorios y posibles recortes en Medicaid
La encuesta enfatiza la necesidad de que los hospitales se adapten mediante la innovación digital, la inversión en personal y medidas proactivas de ciberseguridad, manteniendo una comunicación clara con las partes interesadas.
FTI 컨설팅의 최신 병원 운영 전망 조사에 따르면 미국 병원들이 직면한 중요한 과제들이 드러났습니다. 200명 이상의 고위 병원 경영진을 대상으로 한 이번 설문조사는 다음과 같은 핵심 문제들을 강조합니다:
  • 인력 문제: 34%가 채용 및 인건비를 주요 스트레스 요인으로 꼽았으며, 48%는 현재 환자 수용량에 대비가 부족하다고 느낍니다
  • 사이버 보안 우려: 50%가 이를 가장 큰 디지털 우려 사항으로 인식합니다
  • 가치 기반 의료 전환: 환자 집단의 42%가 이 모델에 참여하고 있으며, 91%는 결과가 향상되었다고 보고합니다
  • 재정 압박: 병원들은 증가하는 비용, 규제 변화, 그리고 잠재적인 메디케이드 삭감에 직면해 있습니다
이번 조사는 병원들이 디지털 혁신, 인력 투자, 적극적인 사이버 보안 대책을 통해 적응하는 한편, 이해관계자와의 명확한 소통을 유지해야 함을 강조합니다.
La dernière enquête Hospital Operations Outlook de FTI Consulting révèle des défis majeurs auxquels sont confrontés les hôpitaux américains. L'enquête auprès de plus de 200 cadres supérieurs hospitaliers met en avant plusieurs enjeux critiques :
  • Défis liés au personnel : 34 % citent le recrutement et les coûts de personnel comme principales sources de stress, avec 48 % se sentant mal préparés face aux volumes actuels de patients
  • Préoccupations en matière de cybersécurité : 50 % considèrent cela comme leur principale inquiétude numérique
  • Transition vers les soins basés sur la valeur : 42 % des populations de patients participent désormais à ces modèles, avec 91 % rapportant une amélioration des résultats
  • Pressions financières : les hôpitaux font face à des coûts croissants, des changements réglementaires et de potentielles réductions de Medicaid
L'enquête souligne la nécessité pour les hôpitaux de s'adapter grâce à l'innovation numérique, à l'investissement dans le personnel et à des mesures proactives en cybersécurité, tout en maintenant une communication claire avec les parties prenantes.
Die neueste Hospital Operations Outlook-Umfrage von FTI Consulting zeigt erhebliche Herausforderungen für Krankenhäuser in den USA auf. Die Umfrage unter über 200 leitenden Krankenhausmanagern hebt mehrere kritische Themen hervor:
  • Personalherausforderungen: 34 % nennen Rekrutierung und Personalkosten als große Belastungen, 48 % fühlen sich auf das aktuelle Patientenaufkommen nicht ausreichend vorbereitet
  • Cybersecurity-Bedenken: 50 % sehen dies als ihre wichtigste digitale Sorge
  • Übergang zur wertbasierten Versorgung: 42 % der Patientengruppen nehmen inzwischen an diesen Modellen teil, 91 % berichten von verbesserten Ergebnissen
  • Finanzielle Belastungen: Krankenhäuser sehen sich steigenden Kosten, regulatorischen Änderungen und möglichen Medicaid-Kürzungen gegenüber
Die Umfrage betont die Notwendigkeit für Krankenhäuser, sich durch digitale Innovation, Investitionen in die Belegschaft und proaktive Cybersecurity-Maßnahmen anzupassen und gleichzeitig eine klare Kommunikation mit den Interessengruppen aufrechtzuerhalten.
Positive
  • 91% of hospitals report better care coordination and improved patient outcomes with value-based care models
  • 42% of patient populations now participate in value-based care models, showing significant adoption
  • Hospitals are actively investing in digital innovation and modern infrastructure
Negative
  • 34% of hospitals face critical financial stress from recruitment, retention, and staffing costs
  • 50% of hospitals identify cybersecurity threats as their primary digital concern
  • 48% of hospitals feel unprepared for current patient volumes due to workforce shortages
  • Hospitals face potential Medicaid cuts from the federal government

WASHINGTON, May 15, 2025 (GLOBE NEWSWIRE) -- FTI Consulting, Inc. (NYSE: FCN) today announced findings from its annual Hospital Operations Outlook Survey of more than 200 senior executives across all types of hospitals. The survey found rising costs, patient wait times, workforce challenges and persistent cybersecurity threats are among the top issues highlighted by hospital leaders.

These issues — bundled with an increasingly complex operating environment shaped by regulatory changes, such as potential Medicaid cuts from the federal government, inflationary pressures and growing patient demand — make adaptability and nimbleness in an organization’s ability to quickly respond to these challenges critical. Moreover, clear and strategic communications to stakeholders about the mounting pressures and plans to address them are more important than ever to maintain support inside and outside the hospital.

To protect their reputation and fulfill their mission, hospital leaders must stay closely connected with stakeholders while embracing value-based care, digital innovation, workforce investment and proactive cybersecurity risk mitigation as part of a broader strategic plan.

“Healthcare leaders are at a crossroads, juggling financial pressures with the need to deliver high-quality care, support hospital staff and improve patient outcomes,” said Lauren Crawford Shaver, Head of Healthcare & Life Sciences for the Americas within the Strategic Communications segment at FTI Consulting. “At the same time, adaptation to the digital era demands investment in modern infrastructure, robust cybersecurity and AI-driven efficiencies. And with the regulatory landscape in constant flux, staying ahead requires more than strategy and vision. It takes agility to lead in a world that won’t stand still.”

Key findings from the survey:

  • Workforce management costs dominate financial concerns, with 34% of respondents citing recruitment, retention and agency staffing expenses as critical stressors.
  • Cybersecurity threats remain top of mind, identified by half of respondents (50%) as their top digital concern, driven primarily by the concern for potential data breaches and operational disruptions.
  • Workforce shortages persist, with 48% of executives feeling their hospitals are unprepared for current patient volumes, particularly in specialist (49%) and nursing roles (46%).
  • Hospitals continue shifting toward value-based care, with hospitals reporting 42% of patient populations now participate in value-based care models due to better care coordination and improved patient outcomes as reported by 91% of respondents.

“Hospital executives are seeing promising, sustainable results when it comes to value-based care. This model is increasingly viewed as a smart, strategic approach in today's evolving healthcare environment given ongoing challenges such as market pressures and a shifting regulatory landscape,” said Paul Dioguardi, a Managing Director in FTI Consulting’s Healthcare Risk Management & Advisory practice.

“In today’s fast-evolving healthcare landscape, hospital leaders must make decisions that build resilient organizations,” said Rebecca Ayer Pitt, a Managing Director in FTI Consulting’s Corporate Reputation practice within the Strategic Communications segment. “This means investing in their workforce and value-based care as well as strengthening digital and cybersecurity capabilities. Most importantly, communicating proactively and transparently about strategic decisions and actions will build and maintain stakeholder confidence and support. In doing so, health systems will be better positioned to face the demands of the current healthcare environment without losing sight of what matters most — delivering exceptional care and patient outcomes.”

About the Survey
This research was conducted online by FTI Consulting’s Strategic Communications segment between March 3, 2025 and March 12, 2025, with more than 200 senior executives across all types of hospitals and 17 mid-level leaders of academic hospitals. Overall, 60 respondents represent academic hospitals, 96 are part of a health system and 47 are hospitals not affiliated with health systems.

“FTI Consulting's Hospital Operations Outlook Survey offers healthcare leaders valuable insights into the headwinds and tailwinds being experienced by hospital and health system executives,” said James Condon, a Managing Director and Head of Research for the Americas in the Strategic Communications segment at FTI Consulting. “The survey is designed to provide a holistic perspective on current industry pressures, and highlights innovative, forward-thinking, technology-driven solutions that are being leveraged by hospitals to adapt to and overcome these hardships.”

The full survey report is available here.

About FTI Consulting
FTI Consulting, Inc. is a leading global expert firm for organizations facing crisis and transformation, with more than 8,100 employees located in 33 countries and territories as of March 31, 2025. In certain jurisdictions, FTI Consulting’s services are provided through distinct legal entities that are separately capitalized and independently managed. The Company generated $3.70 billion in revenues during fiscal year 2024. More information can be found at www.fticonsulting.com.

FTI Consulting, Inc.
555 12th Street NW
Washington, DC 20004
+1.202.312.9100

Investor Contact:
Mollie Hawkes
+1.617.747.1791
mollie.hawkes@fticonsulting.com

Media Contact:
Matthew Bashalany
+1.617.897.1545
matthew.bashalany@fticonsulting.com


FAQ

What are the main challenges facing U.S. hospitals in 2025 according to FTI Consulting's survey?

The main challenges include workforce management costs (34% cite as critical), cybersecurity threats (50% top digital concern), staff shortages (48% unprepared for patient volumes), and potential Medicaid cuts.

How many hospital executives participated in FCN's 2025 Hospital Operations Survey?

The survey included more than 200 senior executives across various types of hospitals.

What percentage of hospitals are participating in value-based care models in 2025?

According to the survey, 42% of patient populations now participate in value-based care models, with 91% of respondents reporting better care coordination and improved patient outcomes.

What is the biggest digital concern for hospitals according to FTI Consulting's 2025 survey?

Cybersecurity threats are the top digital concern, identified by 50% of respondents, primarily due to concerns about potential data breaches and operational disruptions.

What are the main workforce challenges hospitals face in 2025?

Hospitals face significant workforce shortages, with 48% feeling unprepared for current patient volumes, particularly in specialist (49%) and nursing roles (46%). Additionally, 34% cite recruitment, retention, and agency staffing expenses as critical financial stressors.
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