Behavioral Health
Turnaround & Interim
Executive Leadership
Stabilizing distressed treatment organizations. Restoring census, cash flow, and operational control.
Pivotal Health Partners is a national behavioral health consulting and interim executive leadership firm specializing in enterprise turnarounds, executive stabilization, and performance acceleration across substance use disorder and psychiatric treatment organizations.
Proven Behavioral Health Turnarounds at Enterprise Scale
Multi-State Impact
$100M+ EBITDA
1,000+ Staff
Executive leadership across more than $100M in annual EBITDA, hundreds of inpatient beds stabilized, multi-state operational transformations, and national regulatory success across Joint Commission and CARF environments.
Proven Behavioral Health Turnarounds
When Performance Breaks, Everything Breaks
Declining census and eroding payer mix
Admissions bottlenecks and poor conversion
EBITDA compression and cash flow instability
Leadership fatigue, turnover, and operational drift
These are not people problems. They are systems problems, and systems require operators, not opinions.
Operators, Not Career Consultants
Pivotal is built and led by behavioral health CEOs who have carried full P&L responsibility, rebuilt teams under regulatory pressure, stabilized distressed operations, and delivered quantifiable financial and census recovery.
We deploy as Interim Executives, Fractional Operators, Turnaround Leaders, and Departmental Performance Specialists.
When organizations reach an inflection point—financial distress, leadership instability, regulatory exposure, or failed growth strategies—Pivotal deploys directly as interim executive and departmental leadership.
Turnaround & Interim Executive Leadership
Interim Roles Include:
Interim CEO
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Interim COO
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Interim Departmental Leaders (Admissions, Utilization Review, Finance, HR, Business Development)
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Interim CEO | Interim COO | Interim Departmental Leaders (Admissions, Utilization Review, Finance, HR, Business Development) |
Our mandate is simple: Stabilize. Rebuild. Sustain.
Our Performance
Acceleration Model
Stabilize:
Immediate control of leadership alignment, cash flow, census, andregulatory exposure.
Rebuild:
Restructuring operations across admissions, utilization, finance, HR, and business development.
Hardwire:
Installing systems, cadence, and accountability that sustain performance long after transition.
Who We
Partner With
If performance matters, Pivotal belongs in the room.
- Underperforming SUD or psychiatric facilities
- Distressed behavioral health assets
- Private equity-backed treatment platforms
- Founder-led programs that have outgrown infrastructure
- Growth-stage organizations preparing for exit or expansion
BJ Coleman is a seasoned behavioral health CEO who has led enterprise platforms exceeding $62M in EBITDA, 779+ inpatient beds, and workforces of more than 1,200 employees. His leadership has driven double-digit census growth, EBITDA margin expansion up to 45%, major turnover reduction, and regulatory success across Joint Commission and CARF environments.
Led by Behavioral Health Turnaround CEO, BJ Coleman
Pivotal reflects BJ’s core philosophy: Performance follows leadership and leadership must be operational.
$62M+ EBITDA
〰️
45% Margin
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Multi-State Turnarounds
$62M+ EBITDA 〰️ 45% Margin 〰️ Multi-State Turnarounds
If Your Organization Is at a Crossroads, Let’s Talk
Turnarounds require decisive leadership, disciplined execution, and zero tolerance for operational drift. Whether you need immediate interim leadership or enterprise-wide restructuring, Pivotal is built for moments that matter most.