The children’s healthcare landscape faces unique challenges and feels the impact of regulatory, market forces, and more recently COVID-related forces differently than adult-oriented groups and systems. Understanding these pediatric-specific trends within the framework of the larger healthcare industry is essential to the positioning and tactics an organization adopts. This session includes a discussion of these trends and the impact they are likely to have on stand-alone children’s hospitals, pediatric provider groups, and systems with a critical mass of pediatric offerings.