What 30–60–90 Day Post-Acquisition Stabilization Should Actually Look Like

WHY 90 DAYS DETERMINES ENTERPRISE SURVIVAL

Harvard Business Review notes most M&A failures stem from execution failure, not deal design:

https://hbr.org/2011/03/mergers-and-acquisitions-the-keys-to-success

Becker’s Healthcare repeatedly identifies post‑acquisition integration as PE’s top execution challenge:
https://www.beckershospitalreview.com/finance

DAYS 0–30: COMMAND & VISIBILITY

• Executive authority clarified 
• Real‑time financial and census reporting 
• Admissions throughput stabilized 
• Workforce coverage normalized 
• Compliance vulnerabilities surfaced 

DAYS 31–60: OPERATIONAL REBUILD

• Admissions infrastructure rebuilt 
• Utilization discipline enforced 
• Payer alignment reset 
• Labor models recalibrated 
• Department leadership aligned 

DAYS 61–90: SUSTAINABILITY HARDWIRING

• SOPs institutionalized 
• Scorecards standardized 
• Leadership cadence locked 
• Growth governed, not rushed 

WHY MOST FAIL

Most platforms attempt growth before discipline.
This guarantees volatility.

PIVOTAL’S POST‑CLOSE MODEL

We embed disciplined operating cadence from Day 1.