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Case Studies

An illustrative selection of SCALE Consulting case studies.
Case study:

MSO Integration – IT Systems / Revenue Cycle Management

Client Profile

3 practices
10 MDs
13 providers

Central New Jersey


Services Deployed

Strategy & Performance Optimization

MSO & Practice Integration




Our Client wanted to integrate three separate practices into one single practice and sought
SCALE’s multi-disciplinary expertise to achieve this goal.


  • SCALE presented a pro forma financial model of what a consolidated practice would look like
  • SCALE presented options for various levels of integration, recommending a high level of integration
  • SCALE projected managed multiple workstreams including legal, financial reporting, HR, malpractice, IT, RCM
  • The second iteration of integration with three practices began in early 2021 and was completed with billing through the newly formed entity seven months later


  • The newly formed practice is now the fourth largest urology practice in New Jersey
  • SCALE was able to achieve all billing through one new tax ID
  • Each practice's market positioning improved from both an offensive and defensive standpoint
  • Created millions of dollars in realizable equity value
Solve for the Missing MSO Pieces

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SCALE Healthcare is based on the foundation of a singular focus – elevating management performance across healthcare services. We are focused on the entire suite of operational advisory and diligence services exclusively to healthcare service organizations, with local team presence across 10 states.

Unlike the many consulting firms that offer more narrow and often more impractical solutions borne of limited or very general expertise, we rely on our team of 75+ carefully selected senior operational healthcare experts to ensure we provide the most relevant and value added experience across the full range of management disciplines and clinical specialties that fall within healthcare services.

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