Healthcare Operations & Transformation · New York, NY
Every delayed provider, every manual workflow, every administrative bottleneck costs healthcare organizations revenue. Koru Health partners with healthcare executives to fix operations, starting with provider credentialing and building toward the systems that let an organization scale.
Know your number
A quick estimate, grounded in the same cited data behind Koru Research Report No. 001, not a guess.
Based on industry reported credentialing delay costs of $6,000 to $10,000 per provider, per month, discussed and sourced in full in Koru Research Report No. 001.
Request a Bottleneck Assessment →How it works
You do not need to commit to a platform on day one. Every engagement starts with the same first step.
We diagnose where your organization is losing revenue and time, using the Koru Bottleneck Matrix. You leave with a number, not a guess.
We fix the fires the diagnosis found, credentialing, enrollment, and the workflows behind them, so revenue starts moving again.
We stay on as an ongoing partner, instrumenting the blind spots and keeping leadership aligned as the organization scales.
Our approach
We work across the full operational stack, from the revenue you are already owed to the systems that let you scale.
The fastest path to recovering revenue that is already yours.
The systems that let a healthcare organization scale without breaking.
How we work
You do not have to buy the whole platform on day one. Most relationships start with one tier and grow into another.
A diagnostic engagement using the Koru Bottleneck Matrix™ to locate exactly where your organization is losing revenue and time, with a return on investment you can defend to your board.
Fixed feeCredentialing, CAQH, payer enrollment, and practice launch, handled end to end so your providers can start seeing patients and generating revenue.
Project basedMonthly advisory on operations, KPIs, revenue, and AI enablement, with executive dashboards that keep leadership and the board aligned.
RetainerFor PE-backed platforms preparing for exit
The operational equivalent of a Quality of Earnings report. An independent audit of your credentialing and provider revenue infrastructure, built for the buyers who will actually read it.
Every healthcare mergers and acquisitions (M&A) diligence process now treats credentialing as its own line of inquiry, separate from clinical quality and separate from the financial statements. Weak documentation rarely kills a deal. It moves value into escrow, earnout, and indemnity provisions instead, quietly discounting what a seller actually receives. The Koru Readiness Certification is a pre diligence audit against the same ten dimension framework published in Koru Research Institute's second report, producing a single findings document a buyer's diligence team can rely on before they find the gaps themselves.
Presented to certified platforms for use in the deal process.
The organizations that outperform aren't the ones with zero delay. They're the ones that stopped treating it as someone else's problem.Koru Research Institute, Report No. 002
Who we serve
We work with the healthcare executives inside these organizations, leadership teams who are ready to treat operations as a strategic asset, not an administrative cost. Different organizations are fighting different fires.
A funded expansion that adds providers on paper but not in revenue for months.
Onboarding and credentialing built to close that gap in weeks, not quarters.
Staff turnover that resets training and continuity of care every few months.
Workforce systems built around retention, not just recruitment.
Walk in volume that a scheduling system built for appointments was never designed to handle.
Scheduling and workflow rebuilt around how patients actually arrive.
Federal reporting requirements that compete for the same staff hours as patient care.
Documentation and compliance systems that satisfy funders without consuming your team.
Operational inefficiency hiding inside a platform investment's P&L until diligence finds it.
A standardized operating model applied consistently across every portfolio asset.
A process that works at one location and breaks the moment you open a second.
Systems designed to scale with you, not systems you outgrow every time you grow.
The shape of a win
Not client testimonials, the model. Built from the operational patterns Koru Health encounters most often, these show exactly what a focused engagement is designed to produce.
A 12 provider behavioral health platform had a hiring plan on schedule and capital already deployed, but an average 90 plus day credentialing backlog per provider was quietly sitting between the hires and the revenue. A Koru Insight™ diagnostic located the backlog in week one. Koru Execute™ rebuilt the credentialing and payer enrollment process end to end, primary source verification, CAQH maintenance, payer specific tracking, compressing the average cycle from over 90 days to under 30. Twelve providers reached billable status inside a single quarter instead of trailing into the next one.
A 6 location urgent care network was running an appointment built scheduling system against walk-in volume it was never designed to handle, and patient wait times were climbing month over month. Koru Insight™ traced the gap to how patients actually arrived, not how the system assumed they would. Koru Execute™ rebuilt scheduling and front desk workflow around real walk-in patterns across all six sites. Average wait time dropped 34% within the first full quarter, recovering the equivalent of an additional exam room's worth of capacity per location, without adding a single new hire.
These are illustrative models, not individual client case studies. They represent the kind of outcome a focused engagement is designed to produce, not a guarantee of results.
“The koru, the shape of an unfurling fern frond, carries new growth forward without letting go of where it started.”
The idea behind the name
We think about healthcare operations the same way. Credentialing is not the destination, it is the first turn in the spiral, the entry point that proves an organization can execute. What comes after is where the real transformation happens: workflow redesign, KPI visibility, AI enablement, and the operational discipline that lets a healthcare organization grow without losing control of its own quality.
Koru Health is not a credentialing vendor. We are an operating partner for healthcare executives who are ready to treat operations as a strategic asset rather than an administrative cost. We are building an institutional company, not a single product company: a platform built to grow with the organizations we serve, not a tool built to solve one problem and stop.
Published research
Original research on healthcare operations, credentialing, and transformation, published through Koru Research Institute and posted to SSRN, Zenodo, and Figshare.
A quarterly benchmark of how fast healthcare organizations actually move from hire to revenue. First release, with a new snapshot published every quarter.
Download the Q3 2026 index →Why credentialing is only the first domino. Koru Research Institute's first report, with data from CAQH, the AMA, and the peer reviewed literature on where healthcare organizations actually lose revenue.
Download the report →An executive framework for understanding how credentialing influences healthcare performance. Koru Research Institute's second report, drawing on data from CAQH, the AMA, and healthcare M&A market research, traces how credentialing delays propagate through ten distinct dimensions of organizational performance, from revenue and provider productivity to EBITDA and enterprise value.
Download the report →A closer look at what staffing turnover really costs healthcare organizations, and why most reporting misses it.
ForthcomingGet notified when new reports publish.
No newsletter, no noise, just an email when Koru Research Institute releases new work.
From Koru Research Report No. 002
The dimensions with the highest financial severity are consistently the ones with the lowest organizational visibility, which is exactly why they survive board meeting after board meeting unnamed.
EBITDA and enterprise value impact, payer relationship erosion, and physician retention risk. Rarely discussed in board materials because they surface months or years after the credentialing decision that caused them.
Direct revenue loss and delayed provider productivity. Visible immediately in monthly financials, which is exactly why these two dimensions dominate executive attention over the other eight.
Minor data entry inconsistencies and one off documentation errors. Worth monitoring, not worth resourcing ahead of the categories above.
Individual provider complaints about credentialing paperwork. Visible and irritating, but rarely the organization's most expensive credentialing problem.
Questions
A credentialing vendor processes files. Koru Health is an operating partner: we diagnose where the organization is actually losing revenue and time across ten dimensions of performance, not just the credentialing queue, and we stay engaged as the systems we build mature. Credentialing is usually the first fire we put out, not the whole relationship.
A Koru Insight™ diagnostic is built to move in weeks, not quarters. Most organizations leave with a clear picture of where they are losing revenue and time within the first few weeks of engagement, grounded in the same data and methodology behind our published research.
We work with medical groups, behavioral health organizations, urgent care networks, Federally Qualified Health Centers, and private equity portfolio companies, ranging from single site practices to multi site platforms. If you are unsure whether your organization is a fit, the fastest way to find out is a short conversation, not a guess.
Biography
Founder & Managing Partner, Koru Health
A Koru Capital Management Company
Georgetown alum. Cornell MBA. Former intelligence officer. A seasoned Wall Street executive, his background spans finance, geopolitical strategy, and operations, a career built on reading leading and lagging indicators before anyone else in the room does, first in service to the United States, then on Wall Street, now in healthcare. That same discipline is what built Koru Health: not a credentialing vendor, but an institutional operating partner built to run at the pace healthcare actually demands.
The pattern showed up before Wall Street did. As an intelligence officer, his job was pattern of life analysis: establish what normal looks like for a system, then find the deviation nobody else has noticed yet. At Leonard Green & Partners, BlackRock, and Blackstone, that same instinct just wore a different uniform: growth theses lived or died on operational plumbing, not ambition. At Aon and Marsh McLennan, the same question wore a different mask: risk. Then came NYC Health + Hospitals, the U.S. Department of Health and Human Services, Healthfirst, and AWS, a public hospital system, a federal health agency, a regional payer, and the infrastructure underneath all of it, and the pattern only sharpened. Every mission, however urgent, was only as strong as the system carrying it. That recognition became Koru Health: the same discipline that once found the deviation in a pattern of life now finds it in a hiring plan, a payer contract, a board deck that doesn't add up, before it becomes a crisis.
Get in touch
Koru Health takes on a limited number of engagements at a time. This works best for organizations serious about operating with discipline, not looking for the fastest quote.
Conversations are confidential. NDAs are available before diagnostic engagements.