
December 2–4, 2026
The Resort at Pelican Hill × Newport Coast, CA


The behavioral health industry is navigating the most complex operating environment in its history. Workforce shortages, payer pressure, regulatory shifts, and rapid consolidation are reshaping every sub-sector simultaneously.
The BHB Exchange brings together a carefully curated group of 15 senior behavioral health executives for three days of candid, off-the-record strategic dialogue at one of America's premier coastal resorts.
This is not a conference. There are no exhibition halls, no name badges, no breakout tracks. Under Chatham House rules, attendees speak freely about the strategies, challenges, and market forces defining the next era of behavioral health.

Staffing costs have risen over 30% since 2020. Payers are tightening reimbursement while demanding more data. AI is moving from pilot to production. And the M&A landscape is shifting weekly.
Labor costs are the single largest P&L line. Leaders need proven models for attracting, training, and retaining clinical talent in a market that has structurally changed.
From clinical documentation to predictive analytics, AI is reshaping operations. The question is no longer whether to adopt, but how to deploy responsibly at scale.
Reimbursement rates are compressing while measurement-based care mandates expand. Executives need peer-tested strategies for payer negotiations and value-based arrangements.
Behavioral health M&A volume continues to accelerate. Platform builders, acquirers, and those considering exits need candid dialogue with peers navigating the same decisions.


A AAA Five Diamond resort perched above the Pacific Ocean in Newport Coast, California. 504 acres of Mediterranean-inspired architecture, award-winning dining, and one of the most iconic resort pools in the world.

Fifteen CEOs and C-suite executives representing the full spectrum of behavioral health. Selected for organizational scale, strategic influence, and willingness to engage candidly with peers.
CEOs leading multi-service inpatient and residential platforms
Leaders in substance use disorder treatment and MAT programs
Executives scaling ABA and autism care delivery models
CEOs building the next generation of outpatient platforms

Five category-exclusive sponsorship positions. Learn more about sponsorship.

Accepted members attend as guests of the BHB Exchange, and a plus one is included. Every detail is planned for you with concierge-level coordination, so you and your guest can focus on the conversations and connections that matter.
Concierge-level coordination from travel to itinerary, so you focus on what matters
Your guest enjoys the resort and all evening events
Round-trip flights arranged and covered
Three nights at The Resort at Pelican Hill
Welcome dinner, working lunches, gala evening
Keynotes, roundtables, workshops, and networking


Since 2019, the HealthLeaders Exchange has convened senior healthcare executives for peer to peer problem solving. In place of large lectures, each event runs role specific tracks built around editor moderated roundtables of 8 to 12 peers, hosted at premium resort destinations.

Enterprise strategy, growth, and governance

Margin, capital allocation, and financial recovery

Nursing leadership, workforce, and care models

Clinical quality, physician alignment, and outcomes

End-to-end revenue integrity and yield

Automation and AI across the revenue cycle

Joint executive strategy and capital decisions
The Behavioral Health Business Exchange brings this proven format to behavioral health, convening the leaders shaping the sector.






Membership in the BHB Exchange is by invitation. If you lead a behavioral health organization and are ready for candid peer dialogue at the highest level, we invite you to request consideration.
REQUEST AN INVITATION