The evolution of healthcare is driving a reassessment of how healthcare providers view and manage risk while providing quality care and a safe working environment. Direct care professional shortages, increased regulatory scrutiny and the changing needs patients and families especially in senior living, create new and different risks and opportunities for enterprise risk management and transformational, sustained changes. Topics include COVID response and recovery, risk management and litigation, navigating the staffing crisis and regulatory compliance. What can healthcare providers do proactively to meet the challenges ahead?