Scale healthcare operationswithout the chaos

We help PE-backed MSOs, healthcare organizations, and founder-led startups integrate systems, improve operations, and build the infrastructure needed for sustainable growth.

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See Our Approach
See Our Approach
12+
Years Experience
$80M+
Revenue Scaled
14
Practice Integrations
Our Clients

Trusted by Healthcare Leaders

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Where Growth Breaks Down

Growth creates complexity
before it creates value

Rapid acquisition and growth often break the systems that made you successful in the first place.

01

Integration Fatigue

You're acquiring practices faster than you can integrate them, leaving you with fragmented IT, HR, and Finance systems.

02

Operational Drag

Revenue is growing, but margins are suffering because manual workflows and vendor redundancy are eating your profits.

03

Leadership Bottlenecks

You want executive-level technology and operational strategy without the overhead of a full-time executive hire.

“Bridging people, process, and technology to deliver scalable growth in healthcare operations and integrations.”
Who We Help

Built for high-stakes growth

We partner with healthcare leaders navigating high-stakes growth phases.

You represent a PE-backed MSO needing to standardize operations across multiple states.

You are a founder-led startup ready to professionalize your infrastructure for scale.

You need to integrate a recent acquisition without disrupting patient care.

You want executive-level technology and operational strategy without the overhead of a full-time executive hire.

How We Work

From assessment to execution

012-4 Weeks

Ops & Tech Audit

Identify immediate cost savings and infrastructure gaps.

A focused review of your technology stack, vendor contracts, and operational workflows to identify redundancies, risks, and bottlenecks.

Deliverables
  • Current state analysis
  • Vendor consolidation roadmap
  • Cost savings report
023-6 Months

M&A Integration

Align acquired practices quickly to protect value and culture.

We lead the operational and technology work needed after an acquisition, aligning IT, HR, Finance, and Operations so the platform can scale as one organization.

Deliverables
  • Integration playbook
  • Cross-functional alignment
  • System migration oversight
03Ongoing

Fractional Leadership

Executive-level strategy without the full-time overhead.

Serving as your fractional technology and operations executive to drive strategy execution, mentor teams, and oversee critical technology and operational initiatives.

Deliverables
  • Executive leadership presence
  • Strategic roadmap ownership
  • Board-level reporting
Our Process

How we create lasting change

01

Assess

Discovery2 weeks

We audit your current infrastructure, vendor contracts, and workflows to establish a baseline.

Outcome Audit Report

02

Design

Strategy2-4 weeks

We create the roadmap for integration or transformation, prioritizing the highest-impact opportunities first.

Outcome Roadmap

03

Execute

ImplementationVariable

We lead the deployment, whether that means merging systems, improving workflows, or rolling out new technology.

Outcome Deployment

04

Sustain

OptimizeOngoing

We refine processes and train teams to make sure the changes stick and the value is realized.

Outcome Growth

Results

Proven outcomes across healthcare operations

DAS Health
Healthcare Delivery / PMO
2025-Present
80%
Team Utilization

Building structure and accountability
across project delivery

Challenge

The PMO needed stronger governance, clearer roles, and more predictable delivery across technical project teams.

Approach

Implemented structured governance, SOPs, playbooks, training cadences, intake processes, escalation models, and risk tracking.

Outcome

Increased team utilization from 30% to 80% within 90 days and helped lead a record-setting $1.2M project close in the final month of Q4.

Ascend Aesthetic Partners
Healthcare Integrations / Operations
2023-2025
$100M+
Revenue Scale

Scaling a multi-state platform to $100M+ revenue

Challenge

Rapid acquisition growth required stronger systems, clearer workflows, and better cross-functional alignment across a multi-state healthcare platform.

Approach

Led multi-site operations and technology strategy, managing 23 practice integrations across four states while aligning Finance, HR, IT, and Operations.

Outcome

Scaled operations to $100M+ in annual revenue, impacting 350+ team members.

Ascend Aesthetic Partners
Healthcare Operations
2023-2025
$4M+
Annual Savings

Reducing operational costs through vendor consolidation and automation

Challenge

Fragmented vendor contracts, manual workflows, and disconnected systems were creating unnecessary cost and operational drag.

Approach

Led vendor consolidation, contract renegotiation, workflow automation, and system improvements across clinical, administrative, and financial teams.

Outcome

Reduced IT and operational costs by $4M annually and improved EBITDA by 12%.

Elligo Health Research
Clinical Research / Healthcare Network
2020-2023
20%
Faster Timelines

Improving delivery across a national
healthcare site network

Challenge

A large healthcare site network needed stronger delivery systems, better stakeholder alignment, and scalable processes during a period of growth and integration.

Approach

Led operations and client delivery teams across 200+ healthcare sites, improving account management, site activation, technology systems, and project governance.

Outcome

Accelerated study timelines by 20%, improved client retention by 15%, and increased proposal win rates by 20%.

Spencer McGuire-Mitchem, MHA

Spencer McGuire-Mitchem, MHA

Healthcare Operations & Technology Executive

Career
PresentFounder· NextSpan Consulting
PresentPrincipal, Project Management Office· DAS Health
Graduate Master of Health AdministrationGraduate Doctor of Health Administration Candidate
About Us

NextSpan Consulting helps healthcare organizations scale operations, integrate systems, and lead complex transformation work.

The firm is led by Spencer McGuire-Mitchem, MHA, a healthcare operations executive and doctoral candidate with more than 15 years of experience across enterprise delivery, integrations, PMO leadership, and process improvement.

Spencer has led multi-state practice integrations, enterprise system deployments, PMO governance, vendor consolidation, workflow redesign, and cross-functional operating models across healthcare organizations.

Through NextSpan Consulting, we bring that experience to MSOs, startups, and provider groups that need senior technology and operations leadership without adding a full-time executive role.

$100M+
Revenue Impact
350+
Team Members
23
Practice Integrations

Frequently Asked Questions

Everything you need to know about how NextSpan Consulting partners with organizations to lead technology, operations, and strategic transformation.

A fractional executive provides senior-level leadership on a part-time or interim basis, giving your organization access to experienced strategic and operational guidance without the cost and commitment of a full-time executive hire.

Get in Touch

Let's strengthen
your operations.

Reach out to discuss your integration challenges, technology roadmap, or operational priorities.

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Based in Atlanta, Georgia · Available for fractional and project engagements