Community hospital chief executive officers ranked financial challenges first on a list of their top 10 concerns in 2014, according to an annual survey by the American College of Healthcare Executives. Financial challenges also claimed first place in 2013 and 2012. Concerns about health reform implementation and governmental mandates ranked next in a tie for second.

The remaining items on the list, in order of importance, were: patient safety and quality, care for the uninsured and underinsured, patient satisfaction, physician-hospital relations, population health management, technology and personnel shortages.