Drawing on his experience as an attorney and a health system leader, he shares how his perspective on risk has evolved, why growth is necessary for sustainability and how strong community connections shape decision-making. He also addresses workforce challenges, capital investment decisions and the increasing importance of advocacy.

This episode highlights the mindset required to lead through uncertainty while keeping patients and communities at the center.

Rural hospitals are often misunderstood, yet they play a critical role in keeping communities healthy and economically stable. In this episode, Karla Clubine, CEO of Pershing Health System, shares what it really means to lead a critical access hospital in today's environment.

Drawing from her clinical background, Clubine explains how she approaches leadership decisions, balances patient needs with financial realities and works to expand access through partnerships and technology. She also discusses workforce challenges, the importance of community support and why changing perceptions of rural hospitals matters.

This episode highlights both the challenges and the opportunities shaping the future of rural health care.