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Collier & Associates brand mark featuring the core services: Business Transformation; Enterprise Systems; AI-Enabled Execution.

PE-Backed Specialty Healthcare MSO — ~$200M Revenue, 50+ Locations, 5 Regional Affiliates · 3–4 Months

Client Challenge

  • Fragmented EMR, PMS, and RCM systems inherited through successive add-on acquisitions were destroying enterprise value

  • Fragmentation blocked consolidated clinical analytics, created compliance risk, impeded revenue cycle optimization, and capped the scalability the acquisition thesis required

  • The PE sponsor and MSO leadership needed a rigorous, defensible platform selection

Client Solution

  • BAS™ Across Affiliates: Stakeholder discovery with clinical, operational, financial, and IT leadership across the MSO and all 5 affiliates

  • Requirements Engineering: 669+ weighted functional, non-functional, technical, and data requirements — each traced to discovery source, stakeholder, justification, and acceptance criteria

  • Vendor Evaluation: Structured RFI to 3 enterprise EMR/PMS/RCM platforms with capability matrices, weighted scoring, demo scripts, and comparative gap analysis — scored with the PARA™ Vendor/System RFI Framework (finalists ModMed vs. athenahealth athenaOne: Must-Have coverage 55.0% vs. 65.8%; coverage gap 301 vs. 228.5 points; customization-to-score ratio 0.215 vs. 0.198)

  • Financial Modeling: Full TCO — one-time implementation, CapEx, OpEx, licensing — with NPV, IRR, and payback analysis

  • Business Case: Comprehensive, CTO-endorsed strategic business case integrating value-destruction quantification, future-state architecture, vendor recommendation, and phased implementation roadmap

Client Impact Results

  • Requirements: 669+ weighted across 12+ process domains and all affiliates

  • Evaluation: 3 enterprise SaaS platforms scored quantitatively and qualitatively

  • Financials: Complete NPV/IRR/TCO model with phased timeline

  • Deliverable: Strategic business case and consolidation plan with phased implementation roadmap, presented to executive leadership and endorsed by the CTO

Client Technologies

  • BAS™ methodology

  • APQC Process Classification Framework

  • Weighted scoring and decision matrices

  • PARA™ Vendor/System RFI Framework — RFI architecture, vendor response scoring, coverage and customization metrics

  • NPV/IRR/TCO financial modeling

  • HIPAA compliance and healthcare IT governance

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