The new trio expands A&M’s ability to help hospitals and health systems navigate financial stress, funding shifts and multi-domain transformation across the healthcare continuum.

New York, September 3, 2025 – Leading global professional services firm Alvarez & Marsal (A&M) has strengthened its Healthcare Industry Group  with the addition of Managing Directors Seth Ciabotti and Christopher Smedley and Senior Director Elizabeth Gonzales in its Hospital and Health Systems practice. These new hires reflect A&M’s commitment to delivering results-oriented financial guidance as healthcare organizations face growing complexity and operational pressure.

“As federal funding shifts, labor shortages persist and technology reshapes care delivery, traditional healthcare systems must evolve to stay competitive,” said Chris George, Managing Director and leader of A&M’s Health Systems practice. “With financial discipline and strategic clarity more critical than ever for health systems, we’re energized by the opportunity to strengthen our team’s ability to partner with leaders in navigating these challenges and shaping a sustainable future.”

Our recent report, Governance of High Performing Nonprofit Hospital System,” urges fortification of board oversight and taking proactive steps in advance of looming funding cuts. Seth, Chris, and Elizabeth reflect the caliber of leadership we’re bringing in to meet this unprecedented moment.”

“M&A activity has surged in recent years, but board governance models haven’t kept pace with the transformation—creating risk at a critical time for strategic oversight. Now, boards face the additional pressure to act decisively ahead of sweeping reimbursement challenges, including forthcoming Medicare and Medicaid funding cuts,” added Martin McGahan, Managing Director and Head of A&M’s Healthcare Industry Group. “What was needed 10 years ago is not what is needed today.”

Mr. Ciabotti, Mr. Smedley and Ms. Gonzales collectively bring decades of operational, financial and management experience advising and leading hospitals, health systems, physician enterprises and integrated delivery networks. Their backgrounds span enterprise cost transformation, ambulatory strategy, physician alignment, performance improvement and access expansion. This seasoned team of healthcare leaders accelerate value through their deep expertise partnering with organizations in financial distress as well as those pursuing strategic growth through transformation.

Mr. Ciabotti most recently served as CEO of MSU Health Care, while Mr. Smedley previously served as Chief Operating and Strategy Officer at GW Medicine. Prior to joining A&M, Elizabeth Gonzales held a leadership role at Premier. 

About Alvarez & Marsal

Founded in 1983, Alvarez & Marsal is a leading global professional services firm. Renowned for its leadership, action, and results, Alvarez & Marsal provides advisory, business performance improvement, and turnaround management services, delivering practical solutions to address clients' unique challenges. With a worldwide network of experienced operators, world-class consultants, former regulators, and industry authorities, Alvarez & Marsal helps corporates, boards, private equity firms, law firms, and government agencies drive transformation, mitigate risk, and unlock value at every stage of growth. To learn more, visit: AlvarezandMarsal.com

Contact: Jen Hemmerdinger, US Public Relations Director, Alvarez & Marsal, +1 603 547 7219