This;OPEN MINDS;Executive Roundtable was delivered on April 20, 2026, by;Steven Bulger, Chief Executive Officer, and Matthew Buono, Ph.D., Chief Strategy Officer. They walked through their leadership decisions, governance challenges, and strategic tradeoffs when Integrated Community Alternatives Network (ICAN);responded to the loss of funding for a flagship program, which threatened financial stability and mission continuity.

Attendees got a first-hand account of how ICAN assessed its risk, prioritized its investments, and built a more resilient operational foundation that could protect both its financial and mission integrity.

Executive Takeaways

How to lead through . . .

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Performance & Financial Management

The performance and financial management of health and human service provider organizations depends on several factors, including quality measures, staffing models, and the organization’s overall internal processes such as revenue and billing cycles and unit costs. As the market shifts from volume to value, provider organizations face new challenges for financial viability and revenue maximization. Provider organizations must consider their performance, liquidity, risk tolerance, leverage, efficiency, and portfolio balancing to ensure optimal financial management and long-term sustainability as the market shifts away from fee-for-service models to value-based reimbursement.


U.S. non-profit organizations eliminated almost 29,000 jobs in 2025, up from 5,640 in 2024. The recent analysis, Job Cuts Fall To Lowest Level In 17 Months; Highest December Hiring Since 2022, revealed the non-profit sector layoffs were part of a larger trend. In 2025, U.S. employers announced 1,206,374 job cuts, an increase of 58% from the 761,358 announced in 2024. This puts annual job cuts at the highest level since 2020 and it is seventh-highest annual… Read