Hire the healthcare leader who stays.

Being qualified is the price of admission. You need a leader who stays — and a seat that’s ready to keep them. We assess every candidate on our Retention Index™ and introduce only the ones built to stay.

Who we serve
  • Health Systems & HospitalsHospitals & Systems
  • Ambulatory Care & Physician ServicesAmbulatory Care
  • Community Health
Role alignment
Culture fit
Career trajectory
Stability
Onboarding readiness
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RETENTION INDEX™ VETTED RETAIN HEALTH
Role alignment
Culture fit
Career trajectory
Stability
Onboarding readiness
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RETENTION INDEX™ VETTED RETAIN HEALTH

Your last leadership hire looked perfect on paper. Then they left in fourteen months.

For your organization

The seat is empty again

Another vacancy, another interim, another search. The team is stretched, projects slip, and every month the seat sits open costs you.

For you

You're tired of guessing

Every hire comes down to a hunch and a hope. You did the interviews, checked the references, and it still didn't hold — but a decision this important shouldn't rest on hope.

For healthcare

It shouldn't be this way

A search firm should send you mission-driven healthcare leaders who stay — those who embody your organizational values and set your team up for success.

The issue is most of this industry is paid at the placement. Whether that person is still there in a year isn't their problem. It's yours.

The hard truth

Leadership turnover in healthcare is disruptive.

Healthcare leaders don't just manage people; they shape the systems that affect patient care, staff engagement, financial performance, regulatory compliance, and long-term strategy. Whether an organization is implementing value-based care, improving patient experience, reducing hospital-acquired infections, or integrating AI, these initiatives require sustained leadership.

Frequent turnover often results in changing priorities, abandoned initiatives, and repeated reorganizations — and the fatigue of absorbing each new direction compounds with every cycle. It rarely stops with the leader, as the strongest people on their team, the ones with options, frequently follow them out, and each of those departures carries its own replacement cost. In the US, replacing a single bedside RN costs about $60,090 on average, and RN turnover alone costs the average hospital between $4.2 and $6.2 million a year — before anyone counts the cost of replacing the leader — trapping organizations in a cycle of starting over at a financial deficit instead of continuously improving.

Source: NSI Nursing Solutions, 2026 National Health Care Retention & RN Staffing Report — 527 hospitals, 40 states, calendar year 2025 data.

Our approach

✓

We assess every candidate for retention before you meet them, using our Retention Index™ — our structured method for measuring whether a leader is built to stay in this seat.

✓

We look at both sides. We assess the candidate for fit and staying power, and we factor in what helps a leader stay once they’re in the seat. Retention is a two-way street.

✓

We only run exclusive retained searches — never contingency. Your leadership search gets our full commitment, start to finish.

✓

We're accountable to the same mission you are — we recruit for the community on the other side of the care, not just the seat on the org chart.

✓

We stand behind every placement with a replacement guarantee and tracking through 180 days.

Most executive search firms have never worked inside a healthcare organization.

They learn the roles from job descriptions and the culture from LinkedIn. We learned them from the inside, with over a decade of experience across academic medical centers, ambulatory care clinics, safety-net hospitals, FQHCs, and public health systems — so we can accurately vet leaders who align with your organization's mission and are committed for the long term.

Real-world healthcare experience
NYC Health + Hospitals UCLA Health Cedars-Sinai UC Davis Health AltaMed
Health Services
University of Houston
College of Medicine
How it works

Retention-focused vetting to a healthcare leader who stays.

Hand the search off, and keep your focus on the matters only you can handle. We’ll bring you qualified healthcare leaders, discreetly sourced and vetted for retention — not a pile of resumes.

One firm, start to finish.

The consultant who scopes your search is the one who runs it, through to the offer. No handoff to a junior associate once the contract is signed.

Request a search →
Start here30minSearch consultation
Shortlist6wksfrom kickoff to your shortlist
Finalists3–5assessed names on your shortlist
Search timeline
Week 0 · Kickoff We scope the seat
The role, the reporting line, the compensation, and what it will take to keep a leader in it. Took the Seat Readiness scorecard? We start from your results.
60 minutes of your time
Week 1 · Benchmark Market & compensation benchmark
How your band compares with comparable healthcare organizations — with a short call to discuss it before it shapes the search.
Deliverable30–60 minutes
Weeks 1–5 · Sourcing We source discreetly
Direct, confidential outreach to healthcare leaders — including those already in seats who aren’t looking.
No time needed from you
Week 6 · Vetting We assess every finalist
Each candidate is assessed against this specific seat on the Retention Index™.
No time needed from you
End of week 6 Your shortlist arrives
Three to five names, each with the reasoning behind the assessment.
1 hour to review
Weeks 7–10 · Interviews & offer You choose, we close
We prepare both sides for every conversation and handle the offer through to signature.
Your interview time
After the offer · Notice & start Your leader moves into the seat
Accounting for notice periods and, for clinical leaders, licensure, credentialing, and privileging. We stay in touch with your new leader through to their first day.
Timing varies by role
Through your guarantee window We stay engaged
Scheduled check-ins with the placement and with you, because problems are cheapest to fix early.
15 minutes each
Have a date the seat must be filled by?

A new fiscal year, an academic year, an accreditation survey, a board meeting. Tell us at the consultation and we’ll plan the search backward from it, so your leader is in the seat in time. Request a search →

What moves these dates. Timelines assume the scope is settled at kickoff and your panel is available. Changes to the requirements, band, or reporting line mid-search will extend them — and we’ll tell you by how much as soon as we know.
The methodology

The Retention Index™ is how we measure fit before you meet healthcare leaders.

Every candidate is assessed against the seat itself, on the dimensions that matter most to staying power, before we make a single introduction. Being qualified is a given. What the Index weighs is whether this is a role they're likely to stay in.

The five dimensions
Role alignment. Whether the real day-to-day work matches what they’ve done and what they want next.
Culture fit. Shared values and how decisions actually get made — never resemblance to the existing team.
Career trajectory. Whether the seat moves them forward on the path they’re on, and can keep doing so.
Stability. What this leader needs in order to stay — never how long they stayed anywhere else.
Onboarding readiness. What they’ll need in the first ninety days, and whether your organization is ready to provide it.
The Index is advisory

Every assessment is made by a person from documented, job-related evidence, and every decision is made by a person. Protected characteristics are never recorded or assessed. The methodology is published in summary, with the complete version available on request. Read our candidate notice, and our equal opportunity statement.

Who we place

Four healthcare leadership verticals.

The roles below are examples, not a menu. Titles vary. Accountability doesn’t. If the title differs but the leadership mandate is the same, it’s a search we run.

01 — Vertical

Enterprise & Operations

The business engine of your organization.
  • Chief Executive Officer
  • Chief Operating Officer
  • VP / Director of Operations
  • Department / Facility Administrator
  • Patient Experience Leaders
  • Ambulatory Care & Clinic Leaders
02 — Vertical

Clinical Leadership

The clinical leadership your organization depends on.
  • Chief Nursing Officer
  • Chief Medical Officer
  • Chief Clinical Officer
  • Nursing Directors
  • Medical Directors
  • Service Line Leaders
03 — Vertical

Quality, Safety & Population Health

The outcomes you’re accountable for — to your board, your regulators, and your community.
  • Chief Quality Officer
  • Quality & Patient Safety Leaders
  • Care Management Leaders
  • Population Health Leaders
  • Value-Based Care Leaders
  • Compliance & Regulatory Leaders
04 — Vertical

Strategy & Transformation

Hired to change something — and accountable for making it stick.
  • Chief Strategy Officer
  • Chief Transformation Officer
  • Clinical Integration Leaders
  • VP / Director of Performance Improvement
  • Enterprise Transformation Leaders
  • Strategic Initiative Leaders
Where we work

RETAIN HEALTH recruits healthcare leaders across health systems and hospitals, ambulatory care and physician services, and community health — where operational, clinical, quality, and transformation leadership intersect.

The cost of getting it wrong

A bad healthcare leadership hire doesn't just leave.

✕

The seat sits empty for months while you search again — interim coverage, stalled initiatives, and a bill that grows every week the work goes uncovered.

✕

The team absorbs the loss — morale drops, your strongest people quietly start looking.

✕

You pay to search twice — the same role, the same cost, all over again.

✕

Patient care, safety, and reputation hang in the balance — without leadership in the seat, your mission is what suffers most.

On a $185K VP seat
~$55,5001
direct cost if the hire fails — before you count anything else
Every month the seat stays open2+ vacancy cost
Searching a second time+ the fee again
Momentum lost while you rebuild+ unbudgeted
Calculate your vacancy cost →

1 U.S. Department of Labor puts the direct cost of a bad hire at roughly 30% of first-year earnings.

2 Interim coverage, overtime, delayed initiatives, and work the team absorbs — varies by organization. Your numbers will differ; the calculator lets you set every assumption yourself.

Pricing transparency

Every healthcare organization says its people are its greatest asset.

A leadership search is where that stops being a line on the careers page and starts being a decision. It's the moment you get to invest in the asset that compounds — and you should be able to see exactly what that investment is before you ever pick up the phone.

Tier 1 · Retained
Manager to Director
Front-line and mid-level leadership
The layer closest to your patients. They set the daily standard in the clinic, on the unit, and across the department, and they are the single biggest reason the people who report to them stay or leave.
View the investment +
20%
Paid in thirds · 90-day guarantee
Check-ins at 30 / 60 / 90 days
Tier 2 · Retained
Sr. Director to SVP
Senior leadership and service-line heads
They own the service lines and the margins that fund everything else. Their judgment decides whether strategy survives contact with operations, and whether quality initiatives finish or quietly stall.
View the investment +
25%
Paid in thirds · 120-day guarantee
Check-ins at 30 / 60 / 90 / 120 days
Tier 3 · Retained
C-Suite
Chief and executive-level leadership
They carry the mission and the balance sheet at the same time. One seat that sets the direction, the culture, and the standard every other leader in the organization works within.
View the investment +
35%
Paid in thirds · 180-day guarantee
Check-ins at 30 / 60 / 90 / 120 / 180 days
The stakes

The wrong leadership hire is the most expensive mistake in healthcare.

Retention isn't a nice-to-have — it's one of the largest avoidable costs you carry. Here's what leadership churn actually costs, and why we built a firm to stop it.

40%
of external executive hires fail within their first 18 months.
Univ. of South Carolina · Center for Executive Succession
2–5×
annual salary — the fully loaded cost of a senior hire that doesn't hold, once disruption and lost productivity are counted.
SHRM · executive turnover analysis
1 in 6
hospitals replaces its CEO every single year (16% turnover).
American College of Healthcare Executives, 2023
85%
report morale, culture, and staff relations suffer when leadership turns over.
ACHE · Impact of Hospital CEO Turnover (survey fielded 2005)

RETAIN HEALTH is built to beat these odds — every finalist assessed for alignment and staying power before you ever meet them.

The Founder

I’ve worked across the full continuum of healthcare delivery — major academic health systems and hospitals, ambulatory care and physician-led practices, and community-based and safety-net organizations. In every one of them, I watched capable leaders get hired and leave before real momentum could ever take hold.

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And here's the problem with that in healthcare: leadership exits aren't just an org-chart change. The impact reverberates through the entire organization — the staff lose heart, and the patients bear the cost of the disruption. Having worked alongside these leaders, and coached healthcare executives up to the CEO level at the moment they decided to leave — I know firsthand what makes a healthcare leader thrive in a role and stay.

So partnering with RETAIN HEALTH runs your search through the Retention Index™, built from experience inside these systems and corroborated by published research. You won't just fill a seat — you'll gain a healthcare leader vetted to stay and propel your organization forward, long after most hires would have walked.

Kimberly Cook, MPH
Founder + CEO, RETAIN HEALTH
Start here

You already have what most firms make you book a call to find out.

Everything a healthcare organization needs to evaluate a search partner is on this page. Here's what's settled — and the three things left.

Answered already
  1. 1
    Make the internal case Answer nine questions about the seat and we'll build a one-page business case for your CEO, CFO, or board — your numbers, our fee and guarantee, and the five questions they'll ask, with the answers. Written so you can forward it without editing. Build my business case
  2. 2
    Schedule a consultation The first step to requesting a search. Tell us about the seat, and let’s explore whether a partnership makes sense — in thirty minutes, with no obligation. Request a search
    Taking new searches now
  3. 3
    We start Kickoff inside a week of a signed agreement. Your shortlist around week six.

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Frequently Asked Questions

In a nutshell — what it's like working with us.

How is RETAIN HEALTH different from a generalist executive search firm?
Most generalist executive search firms have never worked inside healthcare organizations. RETAIN HEALTH was built by a healthcare insider — someone who has worked alongside these leaders, coached them, and lived with the cost when a placement didn’t hold. Your search starts from real knowledge of the roles and the settings, not a keyword filter in a recycled database.
Who does RETAIN HEALTH partner with?
RETAIN HEALTH partners with healthcare organizations across three sectors: health systems and hospitals, ambulatory care and physician services, and community health — where operational, clinical, quality, and transformation leadership intersect. We’re an especially strong fit for organizations that want a wider field than a recycled database produces: we source beyond the usual networks and assess every candidate against the same written criteria.
Do you take every search?
Almost always. What we won’t do is start a search we don’t believe can hold. If something about the seat would work against a leader staying — an unsettled reporting line, a band the market won’t meet, a mandate that isn’t defined yet — we’ll tell you in the consultation, along with what it would take to address it.
What is the Retention Index™?
The Retention Index™ is our proprietary methodology for assessing how well a healthcare leader aligns with a specific role, across the five dimensions that matter most to staying power — before anyone is introduced to an employer. Every candidate is qualified first; that’s the baseline. The Index goes a step further to assess whether they’re likely to stay, because leadership stability is critical to a healthcare organization’s mission and momentum. The Index is advisory: every assessment is made by a person, from documented, job-related evidence, and every hiring decision is made by a person. Protected characteristics are never recorded or assessed.
Does RETAIN HEALTH work on contingency?
No — RETAIN HEALTH runs retained searches only. In a contingency model, a firm is paid only if it places someone, so a single role gets handed to several firms at once and none of them truly commits. It becomes a race to submit first rather than a discipline of submitting well, and volume quietly replaces judgment. We work the opposite way: one exclusive, dedicated search that balances speed with alignment and keeps retention as the goal.
What kinds of healthcare leaders do you place?
We place across four verticals: Enterprise & Operations (CEO, COO, VP and Director of Operations, Department and Facility Administrators, Patient Experience and Ambulatory Care leaders), Clinical Leadership (CNO, CMO, Chief Clinical Officer, Nursing and Medical Directors, Service Line leaders), Quality, Safety & Population Health (Chief Quality Officer, Patient Safety, Care Management, Population Health, Value-Based Care, and Compliance leaders), and Strategy & Transformation (Chief Strategy and Transformation Officers, Clinical Integration, and Performance Improvement leaders). Titles vary; accountability doesn’t. If the title differs but the leadership mandate is the same, it’s a search we run.
How long does a search take?
Your shortlist typically arrives at the end of week six, and most searches reach a signed offer eight to twelve weeks from kickoff. It starts with a 30-minute consultation. Once the agreement is signed, we hold a kickoff on the seat, deliver a market and compensation benchmark in the first week, source across the full candidate market through week five, and vet every finalist on the Retention Index™ in week six. Interviews and the offer follow. Two things move the dates: changes to the scope, band, or reporting line mid-search, and how quickly your panel can convene. And the signed offer isn’t the start date — executives give notice, and clinical leaders may need licensure, credentialing, and privileging before their first day.
What happens if a placement doesn't work out?
Every placement carries a replacement guarantee — 90 days for Tier 1, 120 days for Tier 2, and 180 days for Tier 3. If a placed leader leaves within that window for reasons within our control, we conduct a replacement search at no additional professional fee. What that covers — and the specific situations it doesn't — is set out in full on our search terms and guarantee page.
What does healthcare executive search cost?
RETAIN HEALTH charges 20% for Manager-to-Director roles, 25% for Senior Director to SVP roles, and 35% for C-suite roles, calculated on first-year base salary. All three tiers are retained searches, paid in three installments — one at engagement, one on delivery of your shortlist, and one at placement.
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Qualified was never the hard part. Staying is.

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