D4 Consulting Group

Unlock $20M–$50M of Trapped Cash in Healthcare Portfolio Companies

Outcome-Based Cash Acceleration for PE-Backed Healthcare Platforms

Outcome-Based Cash Acceleration for PE-Backed Platforms

Identify trapped cash and EBITDA improvement opportunities in three weeks.

Diagnostic → Execution Sprint → Outcome-Aligned Economics

Many healthcare platforms carry significant cash trapped in revenue cycle inefficiencies, pricing leakage, and working capital drag. These opportunities frequently appear across healthcare services, staffing firms, physician practices, and multi-site providers.

Schedule the Cash Diagnostic

Download the Diagnostic Brief

Most engagements begin with a 3-week diagnostic and transition directly into execution aligned to realized financial outcomes.

Representative Value Creation

$200M+

Enterprise Value Created

$10M+

EBITDA Expansion Programs

$60M+

Cash Released

The Hidden Cash Inside Healthcare Portfolio Companies

Many PE-backed healthcare platforms contain $20M–$50M of recoverable cash tied up in operations. The only question is whether it is captured before exit.

How the Model Works

Unlike traditional consulting engagements that stop at recommendations, D4 works alongside portfolio leadership teams to execute the prioritized initiatives identified in the diagnostic, with compensation aligned to realized financial outcomes.

Featured Value Creation

~$10M Annual EBITDA Improvement

Healthcare Technology Platform

Situation
Fragmented service delivery across a rapidly scaling healthcare technology platform.

Execution
Global shared-services delivery model and structured client transition program.

Impact
~$10M annual run-rate EBITDA improvement driven by global delivery redesign and operating cost reduction; fully realized post-implementation.

~$10M Annual EBITDA Improvement

Healthcare Technology Platform

Situation
Fragmented service delivery across a rapidly scaling healthcare technology platform.

Execution
Global shared-services delivery model and structured client transition program.

Impact
~$10M annual run-rate EBITDA improvement driven by global delivery redesign and operating cost reduction; fully realized post-implementation.

Where Cash Gets Trapped

Revenue Cycle Performance

Delayed billing, denials, and inconsistent collections slow cash conversion.

Working Capital Discipline

Operational inefficiencies tie up cash in receivables and billing processes.

Operational Billing Processes

Fragmented workflows create preventable payment delays.

Pricing & Contract Leakage

Underpayments and inconsistent pricing reduce margins.

Financial Impact

Faster cash conversion.

Accelerate collections and release working capital trapped in billing and reimbursement processes.

Operating margin improvement.

Identify operational bottlenecks and pricing leakage that suppress profitability.

Enterprise value creation.

Operational cash acceleration and margin expansion increase EBITDA and enterprise value.

Identify the Opportunity with the Cash Acceleration Diagnostic

A focused three-week assessment analyzes portfolio company cash flows to uncover hidden reserves and recurring inefficiencies across revenue cycle and working capital processes.

Our proprietary diagnostic identifies cash recovery opportunities that PE-backed healthcare platforms often overlook—typically $20M–$50M of trapped cash per platform.

With transparent, finance-oriented reporting, we ensure potential value is quantified and a proven playbook for rapid operational execution is tailored to each company.

Diagnostic Outputs

1) Trapped Cash Analysis
Quantifies working capital release and margin improvement opportunities.

2) EBITDA Improvement Opportunities
Identifies operational drivers of sustainable margin expansion.

3) 90-Day Execution Roadmap

Prioritized initiatives for rapid cash acceleration.

Schedule the Cash Diagnostic

Download the Diagnostic Brief

From Diagnostic to Value Capture

The diagnostic identifies the opportunity. Execution captures the value.

Most healthcare platforms contain trapped cash, but capturing it requires focused operational execution.

Following the diagnostic, D4 works alongside portfolio leadership teams to implement prioritized initiatives and accelerate results across revenue cycle performance, pricing integrity, and working capital processes.

In many engagements, our compensation is aligned to realized financial outcomes rather than time-based consulting fees.

Selected Value Creation

~$40–60M accelerated cash

Academic Medical Center
(Prior Engagement)

Situation
Complex academic medical center with elevated A/R days and fragmented billing processes.

Execution
Revenue cycle process redesign and cash acceleration initiative across hospital operations.

Impact
~$40–60M accelerated cash through A/R day reduction and billing performance improvement (modeled using contemporaneous revenue base).

~$40–60M accelerated cash

Academic Medical Center
(Prior Engagement)

Situation
Complex academic medical center with elevated A/R days and fragmented billing processes.

Execution
Revenue cycle process redesign and cash acceleration initiative across hospital operations.

Impact
~$40–60M accelerated cash through A/R day reduction and billing performance improvement (modeled using contemporaneous revenue base).

How We Execute

Step 1

Cash Diagnostic

Step 2

Value Creation Plan

Step 3

Execution Sprint

Firm Leadership

Daniel Coonan

Founder

20+ years advising healthcare platforms and private equity investors on operational value creation and performance improvement.

Former Huron Consulting Group and Accenture Health.

Focus: unlocking trapped cash across revenue cycle, pricing, and working capital.

Connect

Download the Diagnostic Brief

Rapid Value Creation

Operational Impact

Deep PE Expertise

D4 Consulting Group

Healthcare Portfolio Value Creation

Private Equity Advisory

Request the Cash Acceleration Diagnostic

Unlocked trapped cash in your portfolio

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Unlock $20M–$50M of Trapped Cash in Healthcare Portfolio Companies

Unlock $20M–$50M of Trapped Cash in Healthcare Portfolio Companies

Unlock $20M–$50M of Trapped Cash in Healthcare Portfolio Companies

Outcome-Based Cash Acceleration for PE-Backed Healthcare Platforms

Outcome-Based Cash Acceleration for PE-Backed Platforms

Identify trapped cash and EBITDA improvement opportunities in three weeks.