
Becker’s Healthcare Podcast John Mallia, Interim CFO, Methodist Le Bonheur Healthcare
Dec 20, 2025
John Mallia, the Interim CFO at Methodist Le Bonheur Healthcare, brings extensive experience in healthcare finance to the conversation. He dives into the pressing financial challenges that health systems face today, from rising labor costs to payer pressures. Mallia shares insights on the organization's strategic partnerships with Ensemble Health and investments in Epic, highlighting how these initiatives improve automation and patient experiences. He also discusses the evolving role of CFOs in storytelling and leading through uncertainty.
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System Scale And Recent Tech Transformation
- Methodist Le Bonheur is a six-hospital system with about $2B in net revenue and a nationally recognized children’s hospital.
- The system recently went live on Epic and Workday, marking major transformational change across operations.
Persistently High Workforce Costs
- Labor costs remain elevated post-pandemic with ongoing workforce pressures across staff, physicians, and APPs.
- These market-driven increases are essential for recruitment and retention but strain finances system-wide.
Payer Pressure And Reimbursement Risks
- Medicare Advantage is creating higher administrative burdens, more denials, and lower yield versus traditional Medicare.
- Potential reductions to 340B savings and directed payments present major reimbursement risks for safety-net hospitals.
