Background: Contemporary healthcare facility management operates under conditions of increasing instability, requiring high leadership competencies from executives. Crises, such as the COVID-19 pandemic, have underscored the key importance of skills in coping with pressure and stress, as well as efficient work reorganization (adaptive capabilities). The study utilized the Healthcare Leadership Alliance (HLA) model to assess these competencies. Material and Methods: A computer-assisted web interview survey was conducted among 71 representatives of healthcare management staff in Poland. An original questionnaire based on the 5 domains of the HLA model was used. Statistical analyses were performed using Fisher’s exact test and Spearman’s rank correlation. Results: In the self-assessment according to the Dreyfus model, the competent level prevailed (nearly 50%), and team management was the highest-rated area. Significant deficits were identified regarding the reorganization of one’s own and the team’s work (difficulties reported by 1/3 of respondents) and the identification of stress in employees (deficiencies perceived by 25% of managers). Women more frequently indicated the mobilizing effect of stress (p = 0.048), while men rated their active listening skills higher (p = 0.02). Higher self-assessment correlated with better internal communication (p = 0.006) and operational continuity planning (p = 0.002). Contract-based managers were significantly more capable of planning business continuity (p = 0.009). Data-driven management is significantly more frequent in inpatient care than in outpatient care (p = 0.03). Conclusions: The identified deficits in the ability to cope with stress and data analytics limit managers; ability to adapt effectively to the volatile and unpredictable environment described by the volatility, uncertainty, complexity, ambiguity – VUCA and brittle, anxious, non-linear, incomprehensible – BANI concepts. It is necessary to modify management training programs by integrating psychological knowledge (coping with pressure) with the practical application of data in management, which will enable the building of sustainable organizational resilience in healthcare facilities. Med Pr Work Health Saf. 2026;77(3)