Fractional & Interim Leadership

When your organization needs experienced leadership to navigate growth, transition, or operational challenges, Census By Design offers fractional and interim executive leadership with deep behavioral health expertise. Acting as an interim or fractional CEO, COO, Chief Growth Officer, or Chief Revenue Officer, Judy Sylvia brings more than two decades of experience leading and scaling behavioral health organizations through transformation.

Our approach combines strategic vision with hands-on execution, providing oversight across admissions, marketing, operations, and finance departments, including revenue cycle management (RCM) and central business office (CBO) functions. We help organizations stabilize leadership teams, align strategy with execution, and enhance accountability through EHR optimization, CRM design and implementation, and digital metric tracking.

Census By Design’s interim and fractional leadership services are ideal during times of organizational change, such as restructuring, de novo expansion, mergers and acquisitions, or leadership turnover. We bring immediate executive capacity while ensuring continuity in business operations and culture.

With a proven track record of driving growth through operational excellence and data-informed strategy, Census By Design partners with your board and executive team to strengthen infrastructure, improve performance, and prepare your organization for sustainable growth.