Design a Workforce Structure Built to Perform

Strong organizational design in health care aligns people, roles, and structure so your mission-driven strategy can be executed consistently and successfully.

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When Structure Doesn’t Match Strategy, Performance Suffers

Health care organizations are under increasing pressure to improve access, quality, and efficiency while navigating workforce shortages, rising labor costs, and evolving care delivery models. Yet many operating structures were built for a different era—and haven’t kept pace with today’s demands. Over time, roles, layers, and reporting relationships often accumulate in response to growth, new initiatives, or urgent operational needs. 

Without a deliberate approa­ch to organizational design, it becomes difficult to execute strategy consistently, deploy talent effectively, and create the clarity needed to sustain performance.

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Workforce Structural Challenges

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Fragmented Accountability

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Inconsistent Decision-Making

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Duplicated Effort

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Overburdened Leadership

Partnering with SullivanCotter

Uncover a Better Organization Within Your Organization

SullivanCotter helps health care organizations align their operating model and workforce structure to the capabilities that drive performance and differentiation. By designing around strategic priorities—rather than starting with existing roles or legacy models—organizations build structures that can adapt alongside care delivery and shifting market demands.

Our human-centered design approach begins not with org charts, but with clarity around goals, design principles, decision rights, and accountabilities. We focus on who makes decisions, how accountability is established, and how workflows interconnect—enabling faster execution, reduced friction, and better use of leadership capacity.

Each solution is tailored to your organization’s strategy, culture, and maturity, balancing trade-offs and engaging leaders throughout the process. This deliberate, inclusive approach builds alignment and results in workforce structures that support sustained performance and long-term growth.

Seven Elements of an Operating Model

Services & Capabilities

Organizing Blueprint

Roles & Accountabilities

Decision Rights & Governance

Structure

Behavioral Norms & Culture

Workforce Strategy

How We Help

SullivanCotter helps organizations design workforce structures and operating models that reflect the complexities of health care. By combining organizational design expertise with industry-leading workforce intelligence and analytics, we build scalable, flexible models aligned with organizational strategy and performance goals.

See Beyond Structure

Effective organizational design goes beyond boxes and reporting lines. It requires a holistic view of how work is organized, decisions are made, and accountability is established across the organization.

Align Interconnected Elements

Our organizational design framework brings together a set of interdependent elements that must be addressed in concert to support strategy and performance.

Design to Adapt

When these elements are intentionally aligned, organizations strengthen execution and accountability while building a workforce structure that can evolve as care models and strategic priorities change.

Build Shared Understanding & Ownership

We engage leadership and stakeholders throughout the process—establishing a shared understanding, alignment among leaders, and commitment to implementation. This increases adoption and accelerates impact.

Technology & Data Spotlight

Workforce Insights360™

Data That Anchors Better
Organizational Design

Workforce Insights360™ brings deep workforce analytics and proprietary health care workforce data to the organizational design process, giving leaders a clear, objective view of the size, shape, and structure of their workforce. 

By mapping roles into standardized job families, functional hierarchies, and objectively defined job levels, the platform highlights where structures may be misaligned, where spans of control vary from peers, and how workforce composition influences cost, accountability, and performance outcomes. These insights help organizations design and refine structures that support strategic goals, informed decision-making, and sustainable operational performance. 

Explore Workforce Insights360™
Headcount and compensation benchmarking data

“Designing the right structure ensures the workforce is aligned, roles are clear, and leaders can effectively manage performance across the organization.”

— Garrett Sheridan, President, Lotis Blue Consulting

Surveys to Guide Organizational Design

Explore SullivanCotter’s comprehensive survey data—including compensation, workforce, and performance benchmarks—to inform strategic decision-making and operating model design.  

Workforce Metrics Benchmark Survey

As health care organizations seek to optimize care delivery and improve performance, effectively managing workforce size, shape, and complexity remains key. This survey helps organizations understand how their workforce size, distribution, and cost compare to market practices.

Health Care Workforce Premium Bundle

Includes six survey reports: Advanced Practice Provider Compensation and Productivity, Health Care Management and Executive Compensation, Health Care Staff Compensation, Medical Group Executive Compensation, Physician Compensation and Productivity, and Physician Executive Compensation.

Advanced Practice Provider Leadership and Organizational Survey

As health care organizations seek to transform care delivery by improving access, quality, services, and affordability, supporting the advanced practice provider (APP) workforce and optimizing leadership practices are essential. This survey highlights leadership roles, integration strategies, and workplace infrastructure for better APP workforce management.

Pulse on the Industry

Stay current with the latest research and thought leadership from SullivanCotter on workforce analytics, organizational design, operating models, retention drivers, and performance optimization.

More Services to Explore

Let’s Architect Your Solution

Ready to connect organizational design to strategic priorities and operational performance?
Contact SullivanCotter to begin.

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