The latest special report from the Center for Healthcare Governance looks at the legal and governance structures of safety net hospitals and health systems. In the report, author Larry Gage, former president of the National Association of Public Hospitals and Health Systems, provides an overview of key trends that safety net and nonprofit hospital boards and leaders must be familiar with to govern effectively in transformative times. The report includes case studies of more than 30 organizations and perspectives from executives and board members about the special challenges these organizations face in continuing to provide care for vulnerable populations. The report concludes with a discussion of best practices to ensure governance accountability and transparency. The report, produced in conjunction with NAPH, is available for free but requires registration to download. The Center is an AHA affiliate.