Healthcare Consulting Services —
We Solve Difficult Operational Problems and Optimize Growth Strategy, Delivering Improved Throughput, Market Expansion, and Increased Revenue.
Our focus is Behavioral Healthcare, ABA Autism Therapy, and Medical Practice and Health System Growth and Development
Proven Results for PE/Entrepreneurs
Recent Successes:
Healthcare Thought Leadership
April 13, 2026
Belonging, Burnout, and Better Leadership with Ed Speedling
In this episode, we talk about a situation most leaders have faced but few feel prepared for. Someone walks into their office with a personal issue, and suddenly, the leader who can handle complex operations feels out of their depth.
March 26, 2026
What if burnout isn't a weakness problem — it's a design problem?
In this episode, we talk about how high performance and human sustainability are in direct conflict in most organizations today. The tension between performance and burnout isn't just an HR conversation; it's a strategic crisis hiding in plain sight at every level of your org chart.
Key Services —
Collaborative Services That Transform Your Business Trajectory
Increase revenue & EBITDA
Control and reduce costs
Improve quality and compliance
Expand to new markets and establish new services and service lines
Operational turnaround specialist
Fractional CEO, COO, SVP operations coverage
Business Evaluation and Assessment
Look under the hood to understand current capabilities, operational gaps, strengths, weaknesses, and readiness to grow successfully with high clinical fidelity and outcomes.
Guiding and Advising PE/Entrepreneurs
Support startup healthcare practices, clinics, hospitals, service lines, and ABA therapy providers to establish a business soup to nuts; assist existing high performing and high value organizations in successfully proceeding from pre-LOI through diligence to a successful transaction including tactics and levers to navigate post-transaction.
Fractional Executive
Operations Coverage
Supporting the strategic decisions of businesses, particularly start-ups and small to mid-sized enterprises, seeking seasoned leadership without the commitment of a full-time executive salary.
Supporting the Evolving Needs of Behavioral Health and Healthcare Leaders
- Supporting both your short- and long-term goals
- Delivering fast, data-informed recommendations through expert partnerships
- Optimizing staff and systems to ensure growth can occur without setbacks
- Providing interim C-suite leadership during key transitions
- Working with buyer-side and seller-side teams to ensure all critical questions, barriers, and opportunities are identified to determine fit for their portfolio
Areas of Expertise
Experience leading or working in both for-profit and non-profit healthcare organizations, including Nemours, UHS, HCA, ProMedica, Newport Healthcare, and PE backed healthcare portfolio companies
Hospitals & Health Systems
We help streamline care delivery, optimize payer strategy, and expand service lines to enhance performance in acute and post-acute environments.
Federally Qualified Health Centers (FQHCs)
We help FQHCs expand behavioral health services, enhance community impact, and improve funding and reimbursement strategies.
Physician-Led and Entrepreneurial Ventures
We support emerging provider groups expanding into behavioral health or launching new service lines, with tailored business plans, market analysis, and operational strategy.
Ambulatory Services
(Post-Acute)
We work with PHPs, IOPs, ABA therapy, and telehealth providers to strengthen outpatient programming, coordinate care transitions, and increase clinical and financial sustainability.
Private Equity & Healthcare Investors
From pre-LOI through diligence to integration, we support PE firms and venture-backed teams in assessing, acquiring, and scaling behavioral health assets.
Mid-Sized and Community-Based Providers
We work with organizations seeking to scale responsibly, improve clinical operations, or prepare for investment, all while preserving mission and culture. This includes smaller ABA organizations and residential, IOP, or PHP companies (revenue under $25M; EBITDA under $10M).
Featured Projects
Private Equity Behavioral Health Diligence
Overview:
Partnered with a New York-based private equity firm to assist with fact acquisition review for a national behavioral health provider organization. We provided strategic analysis, operational insights, and participated in key diligence meetings with management and third-party vendors.
Results:
Delivered critical frameworks and actionable insights that helped the firm assess investment risks and opportunities, shaping their decision-making during the pre-LOI and diligence phases.
Turnaround of a Multi-State Health Provider
Overview:
Spearheaded the operational and financial turnaround of a struggling behavioral health organization spanning multiple states. We restructured the leadership team, introduced a new clinical program model, and negotiated improved payer contracts.
Results:
Achieved a 20% increase in revenue and 10% increase in EBITDA, returning the company to a path of sustainable growth.
- Increase in Revenue20%
- Increase in EBITDA10%
$100M PHP/IOP Acquisition Diligence
Overview:
Advised a private equity firm on buy-side due diligence for a ~$100M PHP/IOP behavioral health acquisition. Evaluated synergy and value creation opportunities, performance improvement levers, and quality/operational gaps. Reviewed payer contracts and reimbursement rates and built a proactive plan to renegotiate rates and improve margins in existing and new markets.
Results:
Supported a successful transaction with an actionable value creation plan that reduced post-close risk and accelerated execution. Delivered a clear post-close 100-day operating roadmap for the incoming leadership team, including prioritized initiatives and key organizational changes.
Applied Behavioral Analysis Go-To-Market Relaunch
Overview:
Built a go-to-market strategy to restart growth for a stalled clinical product in behavioral health and autism/ABA. Revamped the ABA sales deck with sharper positioning, stakeholder roles, and key billing code context to improve credibility in the vertical. Created a sell sheet and differentiators to help sales teams clearly communicate operational, clinical, and financial value. Introduced initial ABA target clients and co-presented with the sales team to drive engagement and identify cross-sell opportunities.
Results:
Equipped the team with vertical-ready messaging and collateral plus early ABA customer traction to support scalable growth.
Managing Partner
Ed Speedling is a seasoned healthcare leader with a passion for transformative change, new service line development, revenue growth, and quality patient outcomes. With Master of Health Administration and Master of Social Work degrees, Ed combines business acumen with deep empathy for individuals and communities impacted by complex medical and behavioral treatment needs. Over the past 20+ years, he has worked across both for-profit and non-profit sectors, holding executive roles—including CEO and RVP—and leading organizations through major transformations and successful periods of rapid growth.
In every role, Ed focuses on driving innovation—expanding service lines, improving clinical operations, and building strategic partnerships. He is known for crafting effective payer strategies, including value-based contract negotiations, and integrating behavioral and physical health services to reduce costs and address social determinants of health. As a Fellow of the American College of Healthcare Executives (FACHE), he holds himself to the highest standards of professionalism and ethics.
Ed takes a collaborative, warm, and data-informed approach in working with clients. He believes the best outcomes happen when strategic insight is combined with analytics, high-quality care delivery, lived experience, and a commitment to people. That belief shapes everything he does. He listens closely to the needs of healthcare providers and the communities they serve, and he partners with leaders to design solutions that elevate care, empower teams, and strengthen financial performance.
Ed looks forward to meeting with you to understand what is challenging your business so that he can provide the right solutions to help you achieve your organizational goals. Finally, and most importantly, Ed is a father of three and husband of 20+ years who calls RVA home.
FAQ
Can’t find what you are looking for? Email Me
What services or solutions do you provide, specifically for healthcare providers?
Ed provides services that include business planning, pro forma development, clinical and financial assessments, interim or fractional executive coverage, physician practices, new growth strategy, compliance and quality evaluation, market analysis, payer rate consultation, business development support, and both buyer- and seller-side due diligence. He works with hospitals, health systems, human service organizations, FQHCs, startups, ABA companies, CMHCs, and private equity firms. He helps these organizations optimize operations, assess readiness for growth, and mitigate risks before major investments. His goal is to create as much value as possible for his clients through consistent, quality services.
What is your 'sweet spot' —the client profile or situation where you consistently add the most value?
Ed’s sweet spot is companies with revenues of $25M–$150M and EBITDA of $3M–$25M. These organizations often cannot afford large consulting firms and benefit from Ed’s deep operational, financial, clinical, and regulatory expertise, especially in growth transitions.
How is your organization structured (size, ownership, leadership)?
The organization is a sole proprietorship run by Ed Speedling. He partners with independent consultants when needed for specific expertise and includes access to proprietary data analytics tools.
How long have you been in business?
Ed has operated his LLC for approximately 10 years, initially part-time alongside executive roles. He is now transitioning to consulting full time.
What separates you from others offering similar services in the healthcare provider market?
Ed differentiates himself by offering executive-level insight and lessons learned from his lived experience in executive and provider roles with Nemours, UHS, HCA, Newport Healthcare, BlueSprig, and ProMedica, along with high responsiveness, one-on-one advisory, affordability, and intimate knowledge of healthcare operations. He often provides direct templates, hands-on guidance, and flexible cost options. He can be onsite with the leadership teams to ensure full transparency and observe care delivery. Ed has experience managing P&Ls as small as $30M and as large as $450M.
Can you give an example of a recent client success story that highlights how you are different from other providers?
A recent engagement with a private equity firm involved guiding them through due diligence (buyer-side) and helping them successfully acquire a PHP/IOP company ($100M). He has also helped an entrepreneur grow and scale an SUD PHP/IOP business to new locations after startup support over a period of four years. We can report that the company also successfully transacted in 2025.
Do you have any conflicts of interest that might affect referrals or partnerships in the provider space?
No conflicts of interest exist. Ed operates independently and is not restricted by NDAs or exclusivity clauses.
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