Healthcare organizations are under pressure to embed succession planning into their core culture as CEO turnover and demographic changes increase. Stakeholders seek lasting strategies for leadership continuity and resilience.

October 12, 2025

Source:
B.E. Smith
Leadership Turnover Prompts Urgent Change
Healthcare organizations are facing a surge in CEO turnover, reaching 20% in 2025, with average tenures dropping to just four years. This trend, fueled by post-pandemic resignations and baby boomer retirements, threatens stability across hospitals nationwide. According to the AcademyHealth, proactive succession planning is now seen as crucial for resilience and organizational health.
Strategic Imperative
Succession planning is treated on par with strategic planning in leading health systems, according to a 2025 report from the American Hospital Association.
Board-level involvement and regular plan reviews are now best practices cited by organizations like Siemens Healthineers.
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Source:
B.E. Smith
Core Elements of Effective Succession Planning
Key Components
Governance and Oversight: Making talent pipelines a board priority, with regular review cycles (Harvard Business Review).
Talent Identification: Leveraging assessments and performance reviews to highlight high-potential employees.
Leadership Development: Using training and mentorship programs to build capability at every level.
Diversity and Inclusion: Prioritizing representation to reflect patient populations, fueling innovation (McKinsey).
Stakeholder Priorities
How to start a formal succession process and make it a recurring agenda item.
Balancing retention and external hiring for continuity versus fresh perspective (Becker's Hospital Review).
Tracking measurable metrics, including leadership readiness and transition smoothness.
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Source:
B.E. Smith
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