Gaining trust of employees: This can be a significant challenge for any new leader, especially if they're replacing a well-liked or long-standing previous leader. Elizabeth Wells will need to demonstrate her competence, integrity, and care for her employees. She can do this by communicating openly, involving employees in decision-making where appropriate, and showing that she values their contributions. 2. Keeping morale: This is closely related to the first point. Morale can suffer during periods of change, especially if employees feel uncertain or insecure about their future. Elizabeth can help maintain morale by providing clear and consistent communication about what the changes will mean for everyone, recognizing and rewarding good work, and providing support for employees during the transition. 3. Following ACA policy requirements: The Affordable Care Act (ACA) has many complex requirements that organizations must follow. If Elizabeth is not familiar with these, she may need to invest time and resources into understanding them, or hire experts who can help. Non-compliance can result in penalties, so it's crucial that she ensures the organization is meeting all its obligations under the ACA. Each of these challenges will require careful planning and execution to overcome. Elizabeth will need to balance the needs