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FTI Consulting Survey: Majority of U.S. Hospital Leaders Predict Serious Financial Challenges in the Near Future
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This year’s findings suggest the pressures facing hospitals are no longer isolated challenges, but interconnected forces affecting financial stability, workforce capacity and care delivery. The hospital leaders surveyed also pointed to physician recruitment constraints (86%), data security and privacy concerns (57%) and workforce shortages and burnout (39%) as among the top pressures shaping the road ahead.
“These are turbulent times for American hospitals and the health system,” said
Key findings from the survey include:
- Hospitals continue to expand digital capabilities, with 92% of respondents saying they are operating digital front doors and 89% said they are supporting integrated virtual-to-physical care models. Despite these efforts, patient wait times have increased (averaging five or more hours), indicating ongoing challenges in patient throughput and potential staffing constraints.
- When it comes to cybersecurity and technology, hospital leaders’ concerns have shifted. In 2025, AI application in hospital operations was the top tech concern (52%), with cybersecurity second (49%). This year, cybersecurity and data privacy are tied at the top (57%), while AI concerns have moderated to less than 40%, suggesting hospitals may be more comfortable with AI governance.
- Value-based care, while enabled by digital tools in supporting preventative care, chronic disease management and more integrated scheduling across care-settings is beginning to deliver more consistent improvements in patient experience — jumping from 37% in 2024 to 53% this year — yet, operational challenges continue to hamper significant progress.
“For hospitals, there’s a lot of cause for concern amidst the uncertain road ahead,” said
The full survey report can be found here.
About the Survey
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Source: FTI Consulting, Inc.