Case Study 1: Scaling a $29M Healthcare Practice to $35M

Industry: Mobile Healthcare
Engagement Type: Fractional Operations & Strategic Leadership

Starting Point

When RNR joined the organization, the company was generating approximately $29.2M in annual revenue. Growth was strong, but operations were under strain. Leadership was overloaded, documentation delays were impacting billing timelines, and internal teams lacked role clarity as the organization scaled.
 

The RNR Scope

RNR embedded as fractional operational leadership, overseeing:

• People Operations

• Clinical Operations

• Field Operations

• Day-to-Day Business Operations

Key initiatives included:

• Clear delineation of roles and responsibilities across departments

• Strategic hiring and role expansion to reduce leadership bottlenecks

• Deployment of outsourced administrative support for data entry and low-value tasks

• Vendor partnership optimization, especially with billing partners

• Deep collaboration with sales to align market promises with operational reality

• ROI analysis for new service lines and vendor vetting

• CEO advisory support on operational decision-making
   

Results

• 20% revenue growth, scaling the business to $35M annually

• Faster billing submission and improved cash flow

• Leadership refocused on strategy instead of daily firefighting

• Stronger vendor relationships with improved A/R visibility

• Operational alignment across sales, clinical, and administrative teams
   

Outcome: Operations became a growth engine rather than a constraint.