Management accounting is a vital component of organizational success, and this article provides an overview of its role in Egyptian hospitals, exploring the relationship between decentralization, perceived environmental uncertainty, managerial performance, and management accounting system information. The study highlights the significance of management accounting systems in informing decision-making processes within healthcare organizations, particularly in the context of Egypt's rapidly changing healthcare landscape. Additionally, the article draws on existing literature to examine the role of cost structure and sticky costs in management accounting research, as well as the importance of validation in interpretive management accounting research.