Leadership Transition Prepare for a leadership handoff as the CEO retires at year-end 2026. This presents an opportunity to engage during the transition with strategic messaging on continuity of behavioral health services, partnerships, and ongoing program initiatives.

Strategic Partnerships Active and growing collaboration with universities, telemedicine providers, and ICF/PWD partners (UNC Pembroke, StationMD, Rubicon, LIFE Inc., Skill Creations) signals receptivity to pilot programs, internships, and joint care models that can be scaled to other counties.

Telemedicine Innovation The ED@Home telemedicine pilot and Ultimate Living Assistant integration indicate a willingness to invest in remote care and digital care coordination. This creates upsell and expansion opportunities with telehealth platforms, remote monitoring, and care-management tech.

Care Delivery Expansion New pilots across nine counties and integrated care teams point to appetite for scalable service lines in behavioral health, I/DD, trauma, and SUD. Cross-county expansion could align with new providers, managed care networks, and Medicaid/state-funded programs.

Public Sector Growth Significant revenue tier and large employee base within Medicaid-focused public sector suggest targeting procurement, RFPs, and partner solutions that address compliance, data reporting, and cost efficiencies for state-sponsored health programs.