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Healthcare group with approx. 2,000 employees across Mexico, Germany, and the U.S.

Key Challenge

After acquiring a U.S. subsidiary and during the pandemic, the organisation faced major integration issues, cultural misalignment, and a 47% turnover rate in 2022, resulting in financial losses and missed growth targets.

The organisation encountered significant operational and talent-related pressures:

  • Workforce attrition reached 62%, driven by uncertainty and organisational misalignment
  • Financial losses of approximately €2.4 million
  • High dependency on the parent organisation
  • Loss of critical clients and limited new business acquisition
  • Rising indirect costs due to knowledge loss and workforce instability

The business required urgent stabilisation while repositioning itself as a leading healthcare services provider.

Root Cause

Our diagnostic identified several underlying issues:

  • Absence of a shared organisational vision post-acquisition
  • Fragmented leadership alignment between stakeholders and management
  • Weak cultural cohesion across merged entities
  • Inefficient organisational structures impacting speed and decision-making
  • Lack of a clear workforce and talent management strategy

These factors contributed to declining engagement, reduced performance, and talent attrition.

 

What We Have Done

Ewolves designed and delivered a comprehensive organisational transformation programme focused on culture, leadership, and workforce strategy:

Strategic & Cultural Alignment

  • Defined a shared organisational vision, values, and strategic direction
  • Facilitated alignment between investors and executive leadership
  • Established a clear roadmap towards sustainable profitability

Leadership & Workforce Transformation

  • Strengthened leadership capabilities and cohesion across management teams
  • Redesigned organisational structures to improve agility and accountability
  • Implemented a targeted talent management framework

Engagement & Culture Activation

  • Conducted organisation-wide engagement diagnostics
  • Embedded cultural initiatives to reinforce collaboration and shared purpose
  • Designed actionable insights to improve employee experience and retention

Our Impact

Within 12 months, the transformation delivered measurable improvements:

  • 47% reduction in employee attrition (from 62.6% to 26.5%)
  • Recruitment cycle time reduced from 106 days to 79 days
  • €250,000 reduction in hidden costs associated with workforce turnover
  • Improved employee engagement and satisfaction through shared vision and culture
  • Successful acquisition of new clients driven by enhanced organisational capability

 

Client Feedback

Ramona and Steffi are really experts in HR!! Ewolves helped us with a project to define mission, visión, values, competences, strategic pillars, and align culture with the global holding, as well as running our first engagement survey, which helped us to obtain relevant information and make a working plan. They gave us a very close and expert advierte. I definitively Will recommend working with them

— SVP of Operations

It was an honor and privilege to work with two such talented,
experienced and intelligent individuals. Their superb guidance did not live in the
clouds, but rather drove real results, both immediate and setting the platform for
longer term growth as well. I would work with them again on any opportunity I have.

— CFO from US

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Healthcare group with approx. 2,000 employees across Mexico, Germany, and the U.S.

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Julia Lemmer
Ewolves expert based in Malawi, Africa and owner of Hanaco Consulting in Brussels Belgium. Executive Coach and expert in
organizational development, transformation, change management and organizational culture.

Berufspraxis:

  • Mehr als 15 Jahre Beratungserfahrung mit Fokus auf Organisations- und Führungskräfteentwicklung, davon über 10 Jahre in Führungspositionen; Projekterfahrung in Europa, Afrika und Asien
  • Zertifizierte Coach (Professional Co-Active Coach, Management Coach, ICF PCC Zertifikat) mit über 1.000 Stunden Coaching-Erfahrung in der Begleitung von Führungskräften und Talenten
  • Konzeption, Durchführung und Evaluation von Führungskräfteentwicklungsprogrammen für internationale Organisationen
  • Entwicklung und Implementierung von HR-Strategien, Prozessen und Instrumenten
  • Change Management Expertise: Begleitung von Transformationsprozessen, u.a. Entwicklung von Führungsleitlinien, Feedback-Kultur und Lean Management-Initiativen
  • Erfahrung im Management komplexer Projekte mit Budgets in Millionenhöhe

Was mich antreibt:

Ich glaube fest daran: Große Veränderungen entstehen im Kleinen. In unserem täglichen Handeln als Individuen, als Teams und als Organisationen – durch viele kleine Schritte. In der Art, wie wir führen, miteinander umgehen und Organisationen gestalten. Mein Antrieb ist es, Menschen, Teams und Organisationen dabei zu unterstützen, ihr volles Potenzial zu entfalten. Mit analytischem Blick und pragmatischen Lösungen begleite ich sie dabei, Verantwortung zu übernehmen und die Veränderungen zu bewirken, die sie sich für ihr Umfeld wünschen. Meine besondere Stärke liegt darin, genau zuzuhören und den Blick für das Zusammenspiel zwischen Menschen und System zu schärfen.

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Ramona Litzenberger

Founder of ewolves®

  • Kleve, Germany
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Founder of ewolves®, expert in strategic human resource management and development, and certified business mediator. Consulting focus: Establishing the right employee structures aligned with business goals and as part of a healthy organizational culture.

Professional Experiences:

  • 18 years of consulting experience in HR strategy consulting at renowned consulting firms and as an independent consultant.
  • International project assignments involving design and implementation support, typically lasting 6-12 months, for corporations (with more than 200,000 employees), as well as medium-sized and family-owned businesses in various industries.
  • Over 10 years of living and working abroad,
    including 6 years in Mexico.
  • Certified business mediator.
  • MBA – Master of Business Administration, Tias Nimbas Business School, Netherlands, graduated summa cum laude and awarded best student in 2013.
  • Fluent in German, English, and Spanish.

What Motivates Me:

I am driven by a positive outlook on life. “Ethics First, Team Up & Think Positive” are the values ​​I stand for. My guiding principle is “Nothing is impossible,” because there’s always a way: daring to leave your comfort zone and involving others to best utilize the collective intelligence of the team in finding solutions.

Through my work, I want to contribute to maintaining a strong middle class in Germany and building economies in developing and emerging countries – elements that, in my view, are essential for the democracy of tomorrow (and the world of tomorrow for my children). I love working with a wide variety of people and appreciate everyone’s unique quirks and idiosyncrasies.