A Veteran Healthcare Finance Leader Warns That Today's Crises Begin Long Before They Are Visible
NASHVILLE, TN / ACCESS Newswire / December 18, 2025 / US based healthcare finance leader Miroslav Boyanov is urging organizations and professionals across the industry to take a more active role in crisis awareness and early action. Drawing on two decades of hands on turnaround work, international transitions, and high pressure financial assignments, he says healthcare systems are entering a period where uncertainty is no longer occasional. It is constant.
"People think a crisis begins with a loud event," Boyanov said. "But most failures start quietly, with small decisions that were never made."
His warning comes at a time when the healthcare sector faces rising instability. A 2024 Kaufman Hall analysis reported that more than half of US hospitals ended the previous year with negative operating margins. In Europe, the OECD found that nearly thirty percent of hospitals required restructuring support during the past five years. The Middle East continues to undergo rapid transformation, with large scale projects under Vision 2030 creating both opportunity and risk.
Boyanov has worked inside many of these environments. He stepped into interim CFO roles, managed joint venture transitions, and stabilized hospitals during periods of high operational tension. He says the biggest problems he encountered rarely came from external forces. They came from internal assumptions.
"Too many people wait for senior leadership to act," he said. "But when leaders hesitate or have their own agenda, the entire organization is left exposed."
He emphasizes that individuals at every level can prevent harm long before it reaches crisis stage. He calls this a shift toward personal accountability, not positional authority.
"Anyone can do something today that strengthens stability," Boyanov said. "You do not need a title to notice early warning signs or to raise a concern."
He offers several practical steps professionals can take on their own. First, document inconsistencies instead of dismissing them as temporary. Second, ask direct questions when numbers, staffing needs, or timelines do not match reality. Third, learn enough about the financial structure of your department to recognize when something starts sliding in the wrong direction.
During a restructuring project in Europe, Boyanov relied on this approach. The turning point came when a frontline manager shared a small discrepancy in supply costs. That detail uncovered a larger pattern of misallocation that had gone unnoticed. Addressing it early prevented a months long deterioration.
"That manager changed the trajectory of the entire project," he said. "Small actions can have large outcomes if they happen early enough."
His message is not meant to alarm but to motivate. He hopes people take proactive steps before pressure builds. Global data shows this urgency is justified. The World Health Organization reports that weak governance increases system failure risk by up to forty percent. McKinsey studies show that organizations with strong internal oversight outperform their peers by double digits in stability and long term performance.
Boyanov believes individuals can influence these outcomes more than they realize.
"Clarity and responsibility inspire confidence," he said. "When people act early, they protect patients, teams, and their own futures."
Call to Action
Boyanov encourages healthcare workers, managers, and administrators to pay attention to small problems before they become structural ones. Document issues. Ask clear questions. Stay alert to early signs of instability. The first step in preventing a crisis often begins with one person who chooses not to ignore what they see.
About Miroslav Boyanov
Miroslav Boyanov is a US based executive specializing in corporate finance, M&A, and international healthcare development. Born in Bulgaria and educated in the United States and Europe, he has spent his career leading complex turnarounds across the US, Europe, and the Middle East. He is a licensed CPA with graduate degrees from Duke University and from the Wharton School at the University of Pennsylvania.
Media Contact
Miroslav Boyanov
info@miroslavboyanov.com
www.miroslavboyanov.com/
SOURCE: Miroslav Boyanov
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