I am delighted to share that Letendre & Associates has been recognized by Manage HR Magazine as the recipient of “Top Leadership & Organizational Excellence Consulting Firms 2026”.
Are You Coachable?
Some time ago, two colleagues of mine had a podcast conversation on a simple question: Is everyone coachable? The short answer is no. The long answer is more useful.
As my colleague put it — with a sigh, if I recall — not everyone believes they need to grow. Based on what I’ve seen across dozens of executive coaching engagements, I’d agree.
Culture Is a Symptom, Not a Cause
Processes produce your results. If you want to improve results, you have to improve the processes that produce them. It’s a simple enough principle…to understand. Until you apply it to culture, and leaders suddenly reach for something else entirely: rather than processes they focus on a values campaign, an engagement survey, a town hall about who we want to be.
Excellence Advantage Inspirations | Quarterly Summary (April – June 2026)
Perhaps there was an article you hoped to come back to and then it slipped past.
Implementing well…
In a prior article, my colleague Christian Milaster and I made the case that TeleEmergency is one of rural America’s most urgent telehealth priorities — and that the CMS Rural Health Transformation Program presents a great opportunity to fund the closing of that gap for those living and working in rural America.
The Fastest Access to the Best Care
Whether you are a resident living in rural America, have a family member who does, or are seeking to understand innovative ways to improve rapid access to emergent, time-sensitive emergency healthcare services across a large geographic area, this piece may offer some ideas worth exploring.
From Burnout to Breakthrough
How one organization stopped blaming the people and started fixing the system — and what your organization might learn from their journey.
Buying Technology for RHTP Is Easy. Driving RHTP Outcomes Is Not.
Given the tremendous interest in rural healthcare transformation, I feature this piece from my colleague and close collaborator, Christian Milaster. His article has struck a chord with many – from rural healthcare organizations, to private medical practices, behavioral health agencies, and, of course, States seeking a comprehensive, coordinated, non-duplicative approach. I share here so that you too can gain insight, inspiration, or a valued partner.
What if we’re measuring the wrong things?
I thought I’d try a different medium (audio) this edition…
I recently sat down with Dr. Rhiannon Winsor, host of VBCare’s podcast The Exam Room . Our conversation explored a number of topics that I thought you’d be interested in.
When Leadership is a Team Sport
At the recent Quest for Excellence Conference in Baltimore, I was reminded—again and again—that when leadership is pursued as a team sport, rather than as an individual endeavor, truly extraordinary things can happen.










