Why EBITDA Growth Without Workforce Stabilization Is a Temporary Illusion

EBITDA DOES NOT SURVIVE WORKFORCE INSTABILITY

HRSA confirms national workforce shortages:
https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/state-of-the-behavioral-health-workforce-report-2024.pdf

Kaufman Hall documents unsustainable labor cost growth:
https://www.kaufmanhall.com

WHY COST-CUTTING FAILS

• Turnover increases 
• Clinical stability declines 
• Documentation degrades 
• Regulatory exposure rises 

WHAT SUSTAINS MARGINS

• Leadership alignment 
• Credentialing discipline 
• Retention architecture 
• Workforce deployment strategy

PIVOTAL’S PHILOSOPHY

Leadership‑first operational discipline:
https://bjcoleman.com