We do healthcare governance.
For over 25 years, we’ve worked alongside healthcare leaders nationwide to strengthen governance, shape strategy, and navigate complex change.
What we do
Board Effectiveness
From soup to nuts -
We improve how boards work by aligning structure, roles, board operations and behaviors for stronger performance and greater impact.
Board Effectiveness
See how we partnered with a Northern California hospital board and executive team through their "purposeful governance evolution".
Featured Project
Governance Design
We design new governance structures - or reimagine old ones - as organizations affiliate, partner, evolve, or grow more complex.
Governance Design
See how we guided governance through a multi-year, multi-affiliation transformation — providing education, retreat facilitation, design guidance, and steady change support.
Featured Project
Retreat Facilitation
Never dull, highly interactive, aways engaging - We plan and facilitate board retreats that challenge thinking, unlock collective wisdom, and build shared understanding.
Retreat Facilitation
See how we facilitated a board retreat that aligned leaders, clarified direction, and strengthened governance for a five-hospital safety-net health system in Northern California.
Featured Project
Education and Speaking
From conference stages to boardrooms, we provide practical, insight-rich education on healthcare governance and strategy that stretches thinking and strengthens leadership.
Education and Speaking
Learn about the issues we tackle and the clear, practical approach we bring to speaking engagements and board education.
Topics and Approach
Client Testimonials
"Kara facilitated our board retreat at Alameda Health System. As the chair, I’ve been working to get our group of nine to develop a shared identity and common purpose. Kara has an uncanny ability to listen and sense people. Late on a Friday afternoon we went well over our planned time because the group became really engaged. Thanks to her work we are better prepared to face the headwinds facing our county health system which is heavily dependent on Medicaid.”
David SayenChairman, Alameda Health System
"Kara has been an invaluable partner in shaping and sustaining our provider governing board. Her expertise, impartiality, and dedication ensure that physician and clinician voices remain central to our decision-making, keeping us focused on governance while strengthening our medical group’s leadership and impact."
Tamara Brown HolsingerChief Executive, Providence Medical Group Alaska Region
We can help if your board...
- Would benefit from a governance refresh or redesign.
- Needs greater clarity on its role, responsibilities.
- Is seeking to strengthen fiduciary, strategic, and generative decision-making.
- Is navigating leadership transitions or having board recruitment or retention challenges.
- Wants to deepen its understanding of key governance and healthcare topics.
- Feels stuck or uncertain about what to do or where to begin.
Witalis LLC is a national healthcare governance consulting firm advising hospital and health system boards on governance design, board effectiveness, retreat facilitation, and strategic thinking.