Maintaining a healthy operating margin is elusive for many healthcare organizations given a tight labor market, inflationary supply expenses, demand for perioperative services, increased length of stay, and revenue attrition. There has been a lot of attention specifically on the ramifications of the nursing shortage given the dramatic increase in travel nurse agency usage and costs. However, it is important to note that there has been a high level of turnover among all types of hospital employees. In particular, hospitals and health systems are facing significant challenges from the tremendous turnover in leadership positions of late (revenue cycle, key department leaders, etc.). Without the right leaders in place for sustained periods of time, many health delivery organizations have been unable to effectively drive change – and fully achieve the financial outcomes and benefits associated with that change.