What is Organizational Health?
The most underrated competitive advantage a business can have.
Organizational health, as defined by Patrick Lencioni and The Table Group, is the degree to which a company has minimal politics, minimal confusion, high morale, high productivity, and low turnover. It is not about perks, culture decks, or team-building events.
Lencioni's research and work with hundreds of organizations over decades identified a pattern: the most successful companies — the ones that outperform their competitors over the long run — are healthy organizations first. Smart strategy and strong execution follow from health, not the other way around.
The Four Pillars We Measure
Leadership Courage
Healthy organizations have leaders who address difficult conversations, political behavior, and underperformance directly — without softening, delaying, or avoiding.
Organizational Clarity
Every employee understands the purpose of the organization, what the core values actually mean in practice, how success is measured, and what their priorities are right now.
Strategic Alignment
The leadership team is genuinely aligned on direction, makes decisions confidently even without perfect information, and communicates priorities repeatedly through multiple channels.
Culture & Execution
Meetings produce clear decisions and defined next steps. Results matter more than busyness. Relationships across the organization are genuine, not transactional.