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 private equity (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.
We look before a buyer has to.
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.
How Koru uncovered an operational warning hiding beneath two quarters of positive board reporting at a multisite healthcare organization. Organization name and identifying details withheld to protect confidentiality, consistent with Koru's standard practice.
Read the full case study →“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.
We find what your numbers won’t say.
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 →What to fix first, from COO to practice administrator. Start with Report No. 001 for the four bottlenecks compounding behind credentialing.
What this actually costs you, from CFO to VP of Finance. Start with Report No. 002 for the EBITDA and enterprise value findings.
What your teams are absorbing. Start with Report No. 003 for the true cost of staffing turnover.
What's hiding in your next exit. Start with Report No. 004 for the six dimensions of integration debt compounding across add on acquisitions.
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. Koru Research Institute's third report, drawing on data from NSI Nursing Solutions, the American Hospital Association, and AAPPR, traces the full cost of staffing turnover, overtime, agency labor, lost productivity, and quality impact, that most hospital reporting was never built to capture.
Download the report →How add on acquisitions quietly erode the exit value of private equity (PE) backed healthcare platforms. Koru Research Institute's fourth report introduces the Koru Integration Debt Index, an original framework spanning six dimensions of operational liability that compound silently across sequential acquisitions and surface as value destroying findings at exit.
Download the report →What healthcare's AI race misreads about credentialing, and the ninety days no algorithm controls. Koru Research Institute's fifth report tests a specific, checkable claim inside a credentialing software market projected to grow from $3.8 billion to more than $10 billion by 2035, that automation can compress credentialing timelines to under thirty days, against real processing data published by state medical boards. Introduces the Koru Controllable Time Ratio.
Download the report →The demographic pressure building inside America's fragmented credentialing system. Koru Research Institute's sixth report maps physician licensing processing times across all fifty states, testing whether credentialing speed is a policy outcome, not a technology outcome, against the full country. It holds, and even the Interstate Medical Licensure Compact only explains part of the story. Aging driven demand is accelerating into a system that was never built to move at one speed.
Download the report →How fifty state medical boards quietly govern who can practice medicine, where, and when. Koru Research Institute's seventh report turns the analysis on the institutions themselves, documenting a licensing authority that borrowed money to stay open, a board that fell to a single employee, a state that came within two days of stripping a third of its physician workforce of practice authority, and three states where a board's own fee revenue was targeted for diversion. Introduces an Indicators and Warnings framework for identifying which board fails next.
Download the report →Get 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 multisite 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
Something in your organization is not adding up, and you probably already sense it. A margin that should be higher. A hire that took longer than it should have. A board question nobody could fully answer. Most executives explain those things away. The ones who don't are usually right.
I spent years learning to trust that instinct as an intelligence officer. The job was rarely about chasing the obvious threat. It was pattern of life analysis: understanding what normal looked like so precisely that you could recognize when the baseline moved.
Sometimes the first signal wasn't what happened. It was what didn't.
A seemingly insignificant deviation could tell us where to look. One signature became two, then three. Individually, they meant almost nothing. Together, they changed the intelligence picture. By the time the pattern became obvious, we had already been watching it.
That discipline followed me to Wall Street, where pattern recognition became enterprise risk and technology governance, and ultimately led me to found Koru Health. Georgetown. Cornell MBA. The credentials matter less than what those experiences taught me: the crisis rarely arrives without warning. It usually leaves a trail of weak signals first.
That is why Koru Health exists. We look beneath the headline numbers to find the deviations, contradictions, and operational signals others miss, early enough to change the outcome, because the future often becomes evident before it becomes obvious.
Koru finds the evidence.
Learn the baseline. Find the deviation. Follow the evidence.
You already sense when something isn't adding up. I'm trained to find out why.
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.