Season 3 | Episode #10

Leading Through Change in Behavioral Health: Insights from Dr. Lewis Zeidner

In the ever-evolving landscape of healthcare, leadership demands more than clinical expertise or operational know-how—it requires emotional intelligence, adaptability, and a deep understanding of the intersection between patient care and business sustainability. Dr. Lewis Zeidner, CEO of EOSIS Behavioral Health, embodies these qualities with over 40 years of experience in healthcare leadership, particularly in addiction and mental health services. His journey to executive leadership offers a wealth of insights on steering healthcare organizations through change, scaling responsibly with private equity backing, and placing patient outcomes at the core of growth strategies.

EOSIS Behavioral Health is a remarkable example of transformation in the behavioral health sector. What began as a high-intensity residential treatment program has evolved into a comprehensive continuum of care for individuals battling addiction and mental health challenges. This article unpacks Dr. Zeidner’s leadership philosophy, the strategic shifts at EOSIS, and the broader implications for healthcare CEOs navigating similar paths in a post-pandemic, outcome-driven environment.

Understanding EOSIS Behavioral Health: A New Dawn in Addiction and Mental Health Care

EOSIS Behavioral Health, formerly known as Meridian Behavioral Health, has a rich 25-year history of serving patients struggling with substance use disorders and co-occurring mental health conditions. The organization operates a diverse array of care settings, including residential treatment facilities, outpatient programs, and detox centers, offering a spectrum of services tailored to meet patients where they are in their recovery journey.

The decision to rename Meridian Behavioral Health to EOSIS was both strategic and symbolic. Dr. Zeidner explains that the name EOSIS, inspired by the Greek goddess of the dawn, reflects a “new day” for both the organization and its patients. For individuals in recovery, this represents hope, renewal, and the opportunity to rewrite their life stories. From a branding perspective, EOSIS stands out uniquely in the healthcare space, avoiding the confusion caused by the commonality of the Meridian name across multiple unrelated entities.

This rebranding was not just cosmetic, but emblematic of the organization’s broader transformation—moving from a single-focus residential model to a continuum of care that supports patients through the chronic nature of addiction, much like how other chronic diseases, such as diabetes, are managed.

The Chronic Disease Model: Redefining Addiction Treatment

One of the most profound shifts in behavioral health is the recognition of addiction as a chronic disease rather than an acute condition. Dr. Zeidner highlights this paradigm change as fundamental to EOSIS’s evolution. Unlike acute illnesses like the flu or a cold, addiction requires ongoing management and support over a lifetime.

This understanding has led EOSIS to expand its service offerings beyond intensive residential care. Today, the organization provides a continuum of services including detoxification, intensive outpatient programs (IOPs), and lower-intensity residential care. This comprehensive approach acknowledges that patients’ needs fluctuate over time, and continuous support is critical to sustained recovery.

By adopting this model, EOSIS can walk alongside patients from the initial crisis through various stages of recovery, adapting the level of care as needed. This approach aligns with broader healthcare trends that emphasize patient-centered, longitudinal care, addressing the whole person rather than isolated episodes of illness.

Leadership Lessons from Four Decades in Healthcare

His extensive experience deeply informs Dr. Zeidner’s leadership philosophy. Reflecting on what it takes to scale organizations successfully, he emphasizes that managing one’s own emotions—particularly anxiety—as a core competency is essential for leaders. He points out that anxiety is inevitable, whether it stems from concerns about cash flow, staffing, or customer satisfaction. However, allowing this anxiety to permeate the organization unchecked can undermine morale and stability.

“There are days you worry about cash. There are days you worry about customer satisfaction. There are days you worry about staffing. All of those sorts of things. And the more that anxiety comes through to your staff, to your customers, to your patients, the more difficult it is for the business to become sustainable and grow.”

Notably, Dr. Zeidner distinguishes between suppressing emotions and transparent communication. Leaders should avoid broadcasting free-floating anxiety without context, but they should also not hide genuine concerns. Instead, providing clear information about specific issues—for example, a temporary cash constraint—and the steps being taken allows staff to understand and engage constructively.

This transparency is especially crucial in today’s workforce, where employees expect openness and clarity. Dr. Zeidner draws an analogy to parenting, noting that just as children need age-appropriate explanations, employees require information tailored to their role and level of understanding, delivered honestly but with appropriate context.

The Cascading Effect of Leadership Emotions

Dr. Zeidner also discusses the phenomenon of emotional contagion within organizations. Staff members, who often lack access to the whole picture, pick up on the leader’s mood and may fill in gaps with their assumptions, which can exacerbate anxiety or misinformation.

“If they don’t know what to do with [the emotions], they fantasize about what might be going wrong.”

This dynamic underscores the importance of balanced communication—enough to inform and reassure without overwhelming employees with unnecessary details or unfiltered concerns.

Humility and Openness: Overcoming Leadership Arrogance

Another key leadership lesson Dr. Zeidner shares is the importance of overcoming personal arrogance. He stresses that, regardless of a leader’s experience or knowledge, blind spots and mistakes are inevitable. What sets effective leaders apart is their willingness to listen to diverse viewpoints, admit when they are wrong, and adjust course based on facts.

This humility fosters respect and collaboration within teams, contrasting with the “know-it-all” attitude that can alienate others and stifle innovation.

Partnering with Private Equity: Navigating Growth and Change

EOSIS’s recent growth has been fueled by private equity investment, a partnership that brings both opportunity and complexity. Dr. Zeidner joined EOSIS as CEO in January 2024, shortly after the private equity firm’s acquisition in August 2023. His role has been pivotal in implementing operational changes to align the organization with its growth ambitions.

One of the first challenges was the company’s name, which was changed from Meridian Behavioral Health to EOSIS to avoid brand confusion and better represent the company’s mission and vision. This rebranding was part of a broader effort to signal a new chapter for the organization and its stakeholders.

The Balance of Control and Collaboration

Dr. Zeidner offers valuable advice for healthcare CEOs working with private equity or other investors. He emphasizes the critical understanding that accepting investment invariably means giving up some control over the organization. This trade-off is often underestimated or misunderstood by founders and leaders eager to scale.

“If you take money, you give up control. And as straightforward and as simple as that sounds, that is not something everyone understands going into it.”

Leaders must carefully consider whether they are prepared to share decision-making and align with their investors’ vision and priorities, especially during challenging times.

Speaking Two Languages: Investors and Clinicians

Another unique challenge in behavioral health leadership is the need to communicate effectively with both financial stakeholders and clinical teams. Dr. Zeidner describes this as being “bilingual”—able to translate the priorities, concerns, and language of investors and clinicians without compromising transparency or integrity.

Investors focus on profitability and return on investment, while clinicians prioritize patient care quality and outcomes. Successful leaders bridge these perspectives, ensuring that financial goals do not overshadow clinical excellence and vice versa.

Managing Change: Communication and Culture in Growth

Change is a constant in healthcare, particularly in private equity-backed organizations where operational improvements and technology upgrades are frequent. Dr. Zeidner emphasizes that effective change management requires clear and empathetic communication throughout the implementation process, both before and after.

Employees often experience change as disruptive and stressful, especially when new technologies or processes alter their daily routines. Leaders must involve staff in the change process, acknowledge the challenges, and set realistic expectations about the timeline to reach a steady state.

From an investor perspective, there is often pressure to realize quick returns on technology investments, but Dr. Zeidner cautions that financial impact usually follows a longer trajectory. Patience and support are essential during transitional periods.

Growth Strategies: Acquisitions, De Novo Development, and Cultural Integration

EOSIS’s expansion strategy includes both acquisitions and the development of new (“de novo”) facilities. Each approach has advantages and challenges. Acquisitions can accelerate market entry and drive revenue growth, but they require careful cultural integration to minimize friction.

De novo development, particularly for outpatient programs, can provide more control over culture and processes but may take longer to establish. Dr. Zeidner advocates for a balanced approach, selecting the method that best fits the service type and geographic needs.

Outcome-Driven Behavioral Health: The Future of Care

One of the most critical shifts in behavioral health today is the move toward documented, quantitative outcome measures that demonstrate the effectiveness and sustainability of care. Historically, behavioral health has relied heavily on standards of care and good intentions without robust data to prove success.

Dr. Zeidner explains that as healthcare costs rise, payers and regulators increasingly demand measurable results. This requirement poses unique challenges in addiction treatment, where traditional outcome metrics like abstinence are essential but insufficient to capture the whole recovery journey.

Many patients experience relapses but continue to make meaningful progress. Therefore, outcome measurement must evolve to include a broader range of indicators that reflect sustained improvements in health, functioning, and quality of life.

Raising the Bar: Filtering Providers Through Outcomes

The emphasis on outcomes also serves as a mechanism to elevate the quality of care providers. Dr. Zeidner notes the complicated history of addiction treatment, which was once viewed through a moralistic lens rather than as a medical condition. This history allowed some providers to operate with less accountability.

By establishing objective outcome standards, the industry can better distinguish effective providers from those who do not prioritize patient progress, ultimately improving overall care quality and patient trust.

The Impact of the Pandemic: Mental Health, Stigma, and Systemic Response

The COVID-19 pandemic brought behavioral health challenges to the forefront, increasing public awareness and willingness to discuss mental health struggles. Dr. Zeidner observes that the pandemic’s isolation and uncertainty led to increased substance use and the introduction of dangerous substances like fentanyl into the illicit drug market.

While the pandemic helped reduce stigma and increase acceptance of treatment, challenges remain regarding who receives care and how it is funded, especially within Medicaid programs. The recent uptick in overdose deaths highlights the ongoing urgency of addressing behavioral health comprehensively.

Building a Sustainable Leadership Legacy: Advice from Dr. Zeidner

For aspiring and current healthcare leaders, Dr. Zeidner offers practical and profound advice. He emphasizes the importance of recognizing that leadership is a journey filled with both triumphs and challenges. Success requires resilience, humility, and a clear-eyed understanding of the relationships that underpin growth and development.

Leaders must consider not only the potential financial rewards of partnerships and investments but also how those relationships will endure during difficult times. Compatibility in leadership style and values is crucial for long-term success.

“Think through not just the good days, the payout days, the days where you can get rewarded for the good work, but the tough days. And what is it going to mean? What will it be like with this partner in the most difficult of days?”

Influential Reading: The Developmental Approach to Care

Dr. Zeidner credits some of his leadership and clinical perspective to the work of Barry Brazelton, a pioneer in pediatric development. Brazelton’s research emphasizes the dynamic interaction between individuals and their caregivers, a concept that Dr. Zeidner applies broadly to patient care and system design.

This developmental lens encourages leaders to consider patients within the full context of their lives—their environments, relationships, and expectations—rather than viewing them solely through the lens of disease.

Frequently Asked Questions (FAQ)

What is the significance of EOSIS’s name change from Meridian Behavioral Health?

The name EOSIS was chosen to create a unique brand identity and avoid confusion with other organizations named Meridian. Symbolically, EOSIS represents a “new dawn,” reflecting both the company’s transformation and the hope of new beginnings for patients in recovery.

How does EOSIS approach addiction treatment differently from traditional models?

EOSIS treats addiction as a chronic disease requiring a continuum of care. Their services span detox, residential treatment, outpatient programs, and ongoing support, acknowledging that recovery is a lifelong process rather than a one-time event.

What are the key leadership qualities Dr. Zeidner emphasizes for healthcare CEOs?

Managing emotional anxiety, transparent and context-appropriate communication, humility in leadership, and the ability to bridge financial and clinical perspectives are among the top qualities Dr. Zeidner highlights.

How does private equity impact healthcare organizations like EOSIS?

Private equity provides capital for growth but also requires leaders to share control and align with investor expectations. It often brings operational changes, new technology, and a focus on financial returns, necessitating strong communication and cultural integration.

Why are outcome measures becoming increasingly important in behavioral health?

As healthcare costs rise and accountability becomes paramount, documented, quantitative outcomes help demonstrate the effectiveness of treatment, justify expenses, and improve care quality by holding providers accountable.

What challenges did the COVID-19 pandemic present to behavioral health?

The pandemic increased isolation, substance use, and introduced new risks like fentanyl contamination. It also reduced stigma around mental health but highlighted ongoing systemic challenges in access and funding.

What advice does Dr. Zeidner offer to leaders partnering with investors?

Leaders should carefully consider the implications of relinquishing control, evaluate partner compatibility in both good and challenging times, and communicate effectively across financial and clinical domains.

Conclusion

Dr. Lewis Zeidner’s leadership at EOSIS Behavioral Health provides a compelling blueprint for navigating the complexities of behavioral health care in today’s dynamic environment. His emphasis on emotional intelligence, transparent communication, and outcome-driven care aligns with the evolving demands of patients, clinicians, and investors alike.

The transformation of EOSIS from a single-focus residential program into a continuum-based care model illustrates the necessity of adapting to the chronic nature of addiction and mental health conditions. Meanwhile, the lessons on managing private equity partnerships and cultural integration provide practical guidance for healthcare CEOs who are scaling with intention.

As behavioral health continues to face unprecedented challenges and opportunities, leaders like Dr. Zeidner remind us that success lies not just in growth or innovation but in the ability to lead with empathy, humility, and a steadfast commitment to measurable patient outcomes.

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