Pressure is mounting at Guam Memorial Hospital, as uncertainty over the hospital’s leadership stirs fear and frustration inside its halls.

An anonymous letter from hospital employees, sent to the GMHA Board of Trustees last week, calls for the resignation of Administrator Lillian Perez-Posadas. 

The letter blames what staff describe as leadership failures for unsafe conditions and low confidence in management, made worse by last month’s mock active shooter incident.

The demand has raised serious questions about Perez-Posadas’ future, questions the Governor’s Office is now addressing.

According to Communications Director Krystal Paco-San Agustin, Governor Lou Leon Guerrero has been working closely with Perez-Posadas on her intent to retire from GMH. 

But until a qualified replacement is found, the Governor has asked her to remain in the position.

A structured search process is already underway, led by the GMH board of trustees and the hospital’s human resources committee. 

Their goal: To find the next hospital administrator with the right skills to lead Guam's only public hospital  through its most challenging chapter yet.

Paco-San Agustin says a consultant, already working with GMH, has also provided recommendations to guide the selection process, stressing the need for a candidate with strong hospital leadership experience, deep knowledge of healthcare operations and finance, and the ability to collaborate with both medical and administrative staff at every level.

That leader will inherit a hospital under intense scrutiny, strained by staff shortages, shaken trust, and fresh public doubt after a terrifying security breach. 

As for Perez-Posadas, she still plans to retire. but for now the governor has asked her to remain in her role, to ensure what they call a smooth and orderly transition to the next hospital administrator, providing stability and support as the leadership handoff takes shape.

No timeline has been set for the administrator’s departure or for the hiring of her successor but with public confidence at stake, the pressure on GMH’s leadership is only growing.