Hospital Network Strategy — Hub, Spoke, or Independent?

As CEO Helena Vargas of Hospital San Lucas Network (HSLN), navigate the 24-month consolidation of an 8-facility, 2,840-bed system through the CCSS DRG reimbursement transition. Each period you make architecture, capital, retention, and communications decisions that move operating margin, political capital, medical-staff retention, and clinical quality. Survive the politics of consolidation while delivering a board-approvable architecture that lands FY2028 above the line.