Case Study- Healthcare Management Consulting Services

Performance Improvement Case Study #2

BACKGROUND – SCALE Healthcare was engaged with a midsize orthopedic group in Pennsylvania. The practice decided it needed a new vision and business plan to improve its performance within their clinical research division. SCALE provided a 4-week timeline and commissioned a Subject Matter Expert (SME) with over 10 years of experience in Clinical Research.

Performance Improvement Case Study #3

BACKGROUND – SCALE was engaged to assess a plastic surgery client’s (had 16 providers with 5 sites across 2 states) holistic provider oversight and compensation program in the context of high provider turnover and provider dissatisfaction despite running a profitable business. Approximately 10 providers left over the past couple of years and provider compensation as a percentage of revenue was very low (22%). Optimizing provider retention and developing a scalable and sustainable compensation model (to both the providers and the MSO) was critical to achieving the Company’s mid- and longer-term value creation potential. 

Platform Restructuring Advisory

Overview – A multi-national, $800 billion in assets, institutional lender engaged SCALE to advise in the restructuring of a specialty pharmacy and infusion borrower owned by a private equity firm.

The underlying company included multiple business lines serving both disparate and partially overlapping markets. Each business line had a unique strategic and financial profile, as well as varying levels of reliance on shared corporate infrastructure.

Client Profile

DSO Turnaround Assessment

SCALE was engaged by a lender to assess a DSO business that is failing, and provide a recommended course of action to management to support closure, or stabilization & future success.

  • DSO was owned jointly by a PE firm that held the primary equity stake, and lender holding the debt.
  • Management team was in chaotic state and business was losing approximately $1-$1.25mm a month over a 18 month period
  • Lender understandably concerned about future prospects given routine capital calls

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