The many pressures squeezing health care providers have all served to make the role of hospital trustees, or governing board members, more important than ever. These boards have been charged with making sure that quality metrics are met and that strategic priorities guide the missions. In this conversation, John Haupert, president and CEO of Grady Health System and the 2023 Chair of AHA’s Board, and Greg Bentz, board chair of Saint Luke's Health and chair of AHA's Committee on Governance, discuss the thin margin of error that hospitals and health systems are facing, and how Saint Luke's is focusing on governance to help achieve the highest levels of excellence in providing health care.