Industries
Healthcare and life sciences require operators who understand the complexity.
We embed senior leaders who have built finance and people functions inside healthcare, pharma, biotech, and digital health companies. Our team understands reimbursement structures, compliance considerations, and what your board, investors, or lenders will ask for next.
Who we work with
From founder-led clinical operations to multi-site healthcare and life sciences businesses.
Client revenue ranges from $5M to $100M+
- Multi-site clinical and care delivery operations
- Pharma distribution and supply chain businesses
- Consumer health and wellness brands
- Biotech and clinical research operations
- Digital health and healthcare SaaS platforms
- Practice management and healthcare technology
When founders call us
The infrastructure that carried you through a pilot won't carry you through a multi-site operation.
These are the moments where the financial and people infrastructure built for a single-site or early-stage operation stops being adequate for what the business is becoming.
01
Reimbursement claims are taking 90 to 180 days to resolve. The books, the runway model, and the board don't reflect that timing.
02
Your board or owners want a model that separates clinical operations from corporate burn, with payor mix scenarios layered on top. The current model wasn't built for that.
03
A health system or payor contract demands audit trails, cost documentation, and HIPAA-regulated controls at a level of specificity your current infrastructure can't support.
04
You're scaling clinical and administrative teams at the same time. The compliance requirements, comp benchmarks, and credentialing dynamics for each are nothing alike.
The metrics we model and report on
The metrics that matter when healthcare leadership asks the right questions.
When a board, an owner, or an investor asks for Net Collection Rate by payor or contribution margin by service line, your team should be able to produce it the same afternoon. These are a few of the metrics our team builds, defends, and reports on. Every engagement gets calibrated to the metrics your business needs to grow.
Financial Metrics
Net Collection Rate and Days in AR by Payor
Net Collection Rate tells you what percentage of allowable charges you actually collect; Days in AR tells you how long you wait for it. Both segmented by payor (commercial, Medicare, Medicaid, self-pay) so you can see where the operational drag lives.
Contribution Margin by Service Line
For multi-service healthcare businesses, contribution margin at the service line level tells the operating story. Volume growth in a low-margin service line can mask deterioration elsewhere.
Cost per Patient or Cost per Treatment
Unit economics for healthcare delivery businesses, modeled by site, service line, and payor mix. The fundability metric for any scaling clinical operation.
Revenue per Provider
Productivity benchmark for multi-site clinical operations, tracked by specialty, location, and service mix. The metric that surfaces which sites and providers are driving growth and which are dragging on margin.
People and Organizational Metrics
Clinical to Administrative Ratio
For multi-site clinical operations, the balance between billable clinical staff and administrative overhead drives both margin and quality.
Comp Benchmarks for Clinical Roles
Clinical compensation operates under different market dynamics than corporate roles. We benchmark by specialty, region, and license type.
Time-to-Fill for Clinical and Administrative Roles
Clinical hiring takes significantly longer than corporate hiring. We build hiring roadmaps that account for the actual timing.
Employment Compliance Across Jurisdictions
Multi-state healthcare operations carry HR compliance complexity that adds materially to the regulatory picture.
How engagements evolve
Where you start is rarely where you stay. We're built to grow with you.
Most healthcare clients start at one scope and expand as their service mix and regulatory surface area grow. The services below reflect what's most critical at each stage, not a fixed package.
Foundation
A financial foundation built for healthcare complexity from day one.
Early-stage healthcare companies face revenue recognition challenges that generic accounting can't handle. Getting the model right early avoids expensive restatements when the first audit arrives or the first serious financial review begins.
What we focus on:
- Clean books with revenue recognition set up for reimbursement, fee-based, and contract revenue
- Audit-ready financial controls for HIPAA-regulated environments
- Burn rate modeling with clinical and corporate cost separation
- Payroll and compliance for mixed clinical and administrative headcount
- Cap table and equity accounting as ownership conversations begin
Build
The reporting layer that healthcare leadership expects to see.
This is where the complexity multiplies. Multiple revenue streams need separate recognition policies, the first audit is coming, and the board wants payor mix and service line reporting that a standard P&L can't produce.
What we focus on:
- Multi-stream revenue model: reimbursement, fee-based, services, and product in one view
- Board reporting with payor mix scenarios and runway visibility
- First-time audit preparation with HIPAA-aligned controls documentation
- Benefits, compliance, and people systems for a scaling clinical workforce
- Organizational design as clinical and administrative teams begin to separate
Scale
Enterprise infrastructure and transaction readiness for a complex operating model.
Multi-state operations and payor contracts introduce working capital dynamics and reporting requirements most Series A healthcare companies weren't built for. Transaction readiness needs to be built in parallel.
What we focus on:
- Advanced FP&A: payor mix modeling, contribution margin by service line, scenario planning
- Working capital and collections infrastructure for reimbursement-heavy revenue
- Transaction advisory and Quality of Earnings for strategic processes
- C-suite retained search across clinical and administrative leadership
- Strategic Talent Planning™ and succession planning for dual workforces
From founders
What it sounds like when the infrastructure works.
"
"Working with the team gives me peace of mind knowing our AP/AR and monthly reporting are handled. The consistency and dependability mean I never have to worry about whether we're up to date. It's just always done when it should be. That reliability frees me up to focus on the bigger picture, and the team is always quick to respond when something urgent comes up."
Dean Goodman
President, Cielo Works
"
We have had the privilege of working with 512Financial for over five years across consulting, coaching, and training engagements. Throughout that time, they have been a trusted partner, providing valuable expertise and guidance that has helped us strengthen our organization and expand our capabilities. Their commitment to our success and ability to adapt to our evolving needs have made them an important contributor to our growth.
David Harrington, MBA, OTR/L, CBIST
Chief Executive Officer, Centre for Neuro Skills
"
"The team has been a game-changer for our hiring efforts. They helped us develop and define exactly what we were looking for and delivered multiple top-tier candidates, several of whom we've successfully hired. Their professionalism, responsiveness, and ability to find the right people make them an invaluable partner. We couldn't recommend them more highly."
Matthew Hoff
CEO, A-S Medication Solutions
Six service lines, one integrated partner
Healthcare companies rarely engage a single service line.
The service lines below are available individually or as an integrated engagement. Healthcare companies most often engage across Finance, Accounting, and People Operations in combination.
financial leadership
Finance
Fractional CFO, ARR modeling, board reporting, capital planning, fundraising prep
Clinical and corporate cost allocation, multi-stream revenue modeling, payor mix scenario analysis.
Accounting
GAAP-compliant financials, audit-ready close process, controller services
Recognition for multi-element payor contracts, deferred revenue for service arrangements, and a close process that survives first-time audit with HIPAA-adjacent controls in place.
Transaction Advisory
Quality of Earnings, due diligence support, working capital assessment, M&A readiness
Reimbursement revenue normalization, payor mix quality assessment, and healthcare-specific diligence.
organizational leadership
People Operations
Fractional People leadership, HR compliance, benefits, comp benchmarking, HR systems
Compensation benchmarking across clinical and non-clinical roles, compliance for licensed healthcare workforce, and benefits that work across diverse employee populations.
Executive Retained Search
C-suite and VP placement, success profile development, candidate evaluation
Placement of first permanent finance leaders, Chief Medical Officer, VP Clinical, and Head of People.
Strategic Talent Planning™
Org design, hiring roadmaps, leadership alignment, team structure development
Organizational design for companies building clinical and administrative leadership simultaneously.
Also serving
Other industries we work in
SaaS/Software
ARR modeling, cohort retention, burn multiple, audit-ready financials for VC-backed SaaS companies
Fintech & Financial
Services
Complex revenue recognition, regulatory reporting, banking partnership financials, SOC 2
Consumer
Inventory and COGS modeling, channel margin analysis, DTC and retail expansion readiness
Industrial & Energy
Project-based accounting, field-to-corporate workforce dynamics, capital-heavy operating models
Real Estate & Construction
Job costing, bonding capacity,
working capital cycles, project-level economics
Tell us your revenue model.
We'll tell you what comes next.
The first conversation is always about where you are now and what's coming next, whether that's a payor partnership, a Series B, or a first-time audit.
Let’s Talk