Accelerating Results
Turning strategy into margin: how one hospital system mobilized a $12M turnaround
Healthcare
By focusing efforts and moving before all answers were known, the system accelerated margin recovery—cutting waste, improving throughput, and capturing millions in missed revenue.
The challenge
In the wake of the COVID-19 pandemic, a multi-hospital health system faced sustained margin erosion and mounting pressure to recover revenue without compromising care. Years of financial strain had led to delayed capital investments, reduced flexibility, and a growing disconnect between frontline priorities and enterprise goals. Leadership needed to shift from reactive cost control to proactive revenue recovery—fast.
Our approach
Empactful Advisors partnered with system leaders to activate a high-velocity performance initiative designed to accelerate financial improvement and rebuild execution confidence. Working within a 90-day cycle, we focused efforts around a central goal: recover $18M in lost net patient revenue without sacrificing clinical integrity or team engagement.
Rather than defaulting to cost-cutting or overgeneralized solutions, we embedded a disciplined, sprint-based execution model. This structure enabled cross-functional teams to identify and act on targeted opportunities in revenue cycle, clinical documentation, and care variation—areas often overlooked or underleveraged. Every initiative was driven by clear accountability, supported by transparent measurement, and designed to deliver tangible, time-bound outcomes.
The results
$19.2M in Revenue Recovered across multiple targeted focus areas, including documentation accuracy, charge capture, and case mix improvements.
35% Improvement in Physician Coding Accuracy, achieved through tighter feedback loops and physician engagement.
Enterprise Alignment and Accountability, with system leaders and frontline teams working from the same strategic scorecard and timeline.
The 90-day model proved more than just a quick win—it created a disciplined rhythm for execution, decision-making, and learning. It restored belief in what was possible and gave the organization a new operating tempo rooted in results.
Why it worked
This wasn’t just a financial turnaround—it was a strategic reset. By pairing time-bound execution cycles with the deep engagement of those closest to the work, the organization reignited its momentum. Leaders didn’t just reclaim lost revenue—they built the muscle to continue improving it. And most importantly, they did it in a way that reinforced clinical integrity, cultural ownership, and strategic agility.
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Mining
Rescuing iron ore profits, retaining $450 million in revenue, and boosting throughput, quality, and safety
In three months, we converted a contract-killing quality crisis into a $486 million swing—proving that disciplined, human-centered execution can turn “continuous improvement” into quantum leaps.
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