What are the primary differences in the human resources strategies needed for expansion, contraction, and maintenance of scope?

Discuss the importance of organizational culture when implementing adaptive strategies

For this discussion, use an example from a healthcare institution. It can be your workplace, one you or your family and friends are familiar with, or an institution you have read about in the news that you have researched. With that in mind:

What are the primary differences in the human resources strategies needed for expansion, contraction, and maintenance of scope? Which type of adaptive strategy is the most difficult to implement from a human resources perspective? Why? What role does organizational culture play in the implementation?