
Lead What’s Coming. Don’t Just React to It
The difference between good leaders and great ones is how they see the future.Good leaders respond.Great leaders anticipate.The executives shaping the next decade aren’t waiting
A bad executive hire doesn’t just impact performance — it ripples through culture, strategy, and reputation. Here’s how to avoid misalignment and get it right.
It starts with excitement.
A new executive joins the team. Their CV sparkles, their references glow, and their charisma impresses the board and everyone else during the interview stage. There’s a collective breath of anticipation; finally, the leadership team feels complete.
But fast forward a few months, and the story unravels.
Deadlines are missed. Decisions are delayed. Senior staff are leaving. Projects stall. The culture shifts, but not for the better. Morale plummets, trust erodes, and the board is left wondering: where did we go wrong?
Sadly, this isn’t rare. Hiring the wrong executive leaders is an all-too-common scenario that quietly drains organisations of momentum, morale, and millions.
Direct costs can total hundreds of thousands of dollars —recruitment firm fees typically run from 25%–35% of the candidate’s total first-year compensation (retained search). For a $300K executive role, that’s $75K–$105K upfront. Plus there’s onboarding and relocation expenses, termination payouts and legal costs.
However, what runs even deeper are the indirect costs, such as lost productivity, disrupted teams, delayed strategies, and revenue shortfalls.
In fact, research has shown that a poor hire at manager level can cost more than three times their annual salary.
There’s also the opportunity cost – according to McKinsey, a top-performing a critical role can be up to 800% more productive than an average one. Every month spent with the wrong leader in place is a month of opportunity squandered.
As well as the direct and indirect costs, the wrong hire has a ripple effect across the organisation.For example, in healthcare, the wrong hire can flow down to care delivery, funding, and accreditation risk.
But there is something even deeper than these immediate impacts. Bad leadership sends a silent message throughout the company: this is what we accept. And that message can be more damaging than any single resignation or failed project.
The cultural cost is where the damage truly multiplies. With the wrong leader, disengaged employees stop innovating and start looking for the exit. Research has found that nearly half of people have quit a job because of poor culture.
And not only do good employees move on, but when they do, they carry their experience with them, which may damage the employer brand and make future hiring harder – according to the same research, around 70% of people have turned down a job because of poor cultural fit.
Toxic leadership styles also create fear and stifle initiative. The impacts are significant; as this research highlights, 87% regularly witness declines in team productivity due to toxic leadership.
As executive search experts, we often get asked what causes organisations to make the wrong hire. The truth is that it’s less about anything being ‘wrong’ with the person or the organisation, and more due to a misalignment on both sides. For example:
At the root of it all, it isn’t about assigning blame for the wrong executive hire, but about having strong processes. Even brilliant people will underperform in the wrong environment. It’s the responsibility of the board, CEO and CHRO to create a hiring strategy that prevents misalignment before it starts.
There are several ways for healthcare and life sciences firms to ensure their executive search processes are setting them up for the best chance of success.
The first is to make sure that candidate assessments are rigorous and multifaceted. Instead of relying purely on instinct, combine behavioural interviews with psychometric testing and 360-degree feedback from past roles. This will paint a full picture that goes beyond the polished image.
Secondly, prioritise cultural fit, not just credentials. A Harvard pedigree won’t prevent a culture clash. Leaders must align with the organisation’s values, mission, and working style.
Also, investing in succession planning is invaluable. Identifying and nurturing rising talent before you need them builds strong internal pipelines. This in turn reduces hiring pressure and increases the chances of finding an executive with the right cultural alignment.
Finally, track executive performance in the same way as revenue. Define clear KPIs, review them consistently, and course-correct early. Leadership without accountability is a recipe for failure.
A poor executive hire is a strategic risk, which affects an organisation’s ability to execute, inspire, and lead. It damages credibility with staff, customers, and shareholders, ultimately putting long-term vision at risk.
That’s why at Hunton Executive, we go beyond the surface. Our executive search framework is designed to find leaders who not only meet the brief, but elevate the organisation. We partner with boards and CEOs to de-risk hiring, enhance cultural alignment, and build future-fit leadership teams.
In healthcare and life sciences, where leadership drives innovation, trust, and transformation, getting it right is non-negotiable. By prioritising alignment, rigour, and cultural fit, organisations can move beyond reactive hiring and build leadership teams that truly lead.
For more information, read our guide The Real Cost of a Bad Executive Hire – and How to Avoid It . Download here.

Lead What’s Coming. Don’t Just React to It
The difference between good leaders and great ones is how they see the future.Good leaders respond.Great leaders anticipate.The executives shaping the next decade aren’t waiting

Building a Future-Fit Organisation: Designing for What Comes Next
The next decade of healthcare and life sciences will be defined by those who don’t just adapt to change, but design for it. Every organisation

Thinking Strategically About Accessing Top Talent in a New Era of Healthcare and Life Sciences
As healthcare and life sciences enter a new era defined by innovation, technology, and transformation, organisations face an urgent challenge: how to secure the leadership

The Next Wave of Leadership: Navigating the Great CEO Shift
As we move toward 2030, the measure of great leadership will be defined not just by empathy, ethics, or adaptability – but by how well