I live in a house where geese frequently visit my yard. If you’ve ever spent time around geese, you know one thing for sure: when they hang around, they leave a mess. These are majestic animals - truly. They travel thousands of miles in beautiful V formations, taking turns breaking the wind, moving as a team from cold climates to warm ones. It’s nature’s version of collaboration and shared leadership. But despite their grace in the air, on the ground they leave behind something less inspiring. To manage their visits, I’ve installed a video monitor and an automatic sprinkler system. When I see them lounging in one spot for too long, I activate the sprinklers. They’re startled and fly away. Victory, right? Not exactly. They land again - just one zone over. So I trigger that sprinkler too. Off they go, only to return to yet another spot. Zone 3. Then Zone 4. And so the game continues. Now, I’m sure that one day someone will invent a goose-repellent yard solution that fixes this problem once and for all. But for now, chasing them with sprinklers is the best we’ve got. This is what healthcare feels like. Every day, teams of passionate, dedicated people - clinicians, providers, administrators, insurance companies, government leaders, and consumers - are working hard to fix what’s broken. And to be clear, there has been tremendous progress. People are living longer and healthier lives than ever before. That’s thanks to groundbreaking research, innovative collaboration models between physicians and care teams, and continued investment from both public and private sectors. The innovation is real. There is no lack of attention on the challenges. And yet - despite the best efforts of those most passionate about care, outcomes, communities, and health systems - new, seemingly impossible challenges continue to arise. Like the geese in my yard, the problem just shows up in another corner of the industry. At The Hive, we believe in focus. We focus on one thing we can make better - right now, today. One meaningful improvement that makes a tangible difference. Because trying to fix the entire system all at once can be overwhelming. It can paralyze progress. It can make us pause, delay, or lose hope. But when we focus - and keep moving - we make progress. One sprinkler zone at a time. Healthcare will evolve. Our job is to help accelerate that evolution - with precision, urgency, and a belief that focused action today leads to better outcomes tomorrow. Let’s get to work. Rick Anderson Chairman and CEO The Hive Health