Organizational Culture

Align your mission. Empower your team. Create a culture worth belonging to.

Your team isn’t broken.
But the system might be misaligned.
The vision might be unclear.
And the culture might be quietly burning out your best people.

At Anvil and Swage, we specialize in helping healthcare and academic teams move from dysfunction to direction, and from compliance to connection. Whether you’re dealing with burnout, low engagement, or resistance to change—we can help you reset the foundation and forge a healthier, higher-performing culture.

Our Approach: Culture First, Then Change

Medical team of four surgeons performing surgery, all wearing masks, surgical gowns, and head coverings, is seen from a low angle in an operating room, with a surgical light above.

Team Alignment & Culture Transformation
Culture eats strategy for breakfast—especially in healthcare.

  • Psychological safety assessments

  • Mission & values alignment workshops

  • Cross-functional trust & communication training

  • Trauma-informed systems repair

Strategic Planning & Change Navigation
You know what needs to change. We help you make it real.

  • Stakeholder mapping & buy-in strategies

  • Vision-to-execution roadmap development

  • Leadership coaching for change agents

  • Conflict mapping and process redesign

ICU & ED-Specific Interventions
High acuity doesn’t have to mean high dysfunction.

  • Overnight handoff & sign-out systems

  • Debrief and feedback loops for high-stakes teams

  • ICU–ED collaboration models

  • Coaching for new leaders or unit directors

A graphic logo featuring a gear encircling an anvil with a chisel and hammer, set against a dark background.

What Makes Us Different

Clinician-led and educator-informed – We’ve lived the complexity of medicine and know how to teach others to lead through it.

  1. Rooted in emotional intelligence and adult learning – We turn resistance into insight, and insight into action.

  2. Customized and courageous – We don’t sell templates. We help your team have the hard conversations that lead to real growth.

A black and gray metal compass rose with a star in the center, pointed north.

Who We Help

  • Emergency Departments & ICUs

  • GME leadership and faculty teams

  • Departments navigating mergers, leadership transitions, or growth

  • Faith-based institutions seeking value-aligned reform

  • Burned-out teams ready for change—but unsure where to start

Let’s Build Together

Culture isn’t just how we treat each other.
It’s the air your team breathes—and the story they believe about their work.

Let’s rewrite that story—together.