Working with Astrelis

From the public record to your boardroom.

I'm a financial advisor for rural healthcare. I price every strategic option before a board votes, stress-test the plan against a thousand versions of the next five years, and then run it with the board monthly so it never dies on a shelf. Everything below starts from evidence and ends with owners, numbers, and dates.

Facility profiles

47,955

Registered public sources

133

Traceability

every figure to its source

The atlas you're standing in is the work sample.

Strategic planningThe flagship

Who it's for: boards and CEOs who want a plan that survives contact with the budget.

Six months. Not four months of meetings and a binder: four months to an approved plan, then two months of the plan already running before I leave.

Month 1

Heard

Board, executives, and department leaders answer the same fourteen questions, scored against rural peers. Staff and community get their own instruments.

Month 2

Priced

The board prices its options live. Every move carries a dollar figure and a probability of holding the covenant line, plus a written list of what we are not doing.

Months 3–4

Owned

Every initiative gets one owner, a first step, and a ninety-day proof point. The board approves the plan and its operating rhythm in a single vote.

Months 5–6

Running

One page a month. Owners report, numbers move, and the board watches its plan operate before the engagement ends.

Month one, everyone gets heard. The gaps between what the board believes and what the frontline knows are usually where the strategy is. Month two, the board prices its options live in the room. Months three and four, ownership. Months five and six, the plan runs.

Fixed fee, quoted after a twenty-minute conversation.

Financial modelingThe standing advisor

Who it's for: leadership weighing a specific move, a recruit, a building, a service line, before committing.

For organizations that need the numbers before, or instead of, the full plan. Your hospital lives in a financial model built from your own audited statements. Board considering a surgeon, a swing-bed push, a building? It's priced before anyone votes, with five to ten years of financial statements that move while the room watches, and a plain-English read on the chance the plan holds. Available as a focused engagement or a monthly relationship where the model stays current and I stay at the table.

Contribution margin analysisKnow what you actually earn

Who it's for: CFOs tired of steering by gross charges.

Most hospitals steer by charges. Charges aren't money. This engagement crosswalks what you bill to what you're actually paid, service line by service line, against your true variable costs, so the board finally sees real profitability instead of gross-charge folklore. The decisions that follow (what to grow, what to fix, what to stop pretending about) tend to pay for the work many times over.

The Board Briefing$1,000

Who it's for: any leadership team. Every profile carries the order path, with your report's coverage class disclosed before you reserve.

The front door. One facility, one board-ready document: your community's trajectory, your payer environment, the financial health of every facility your patients depend on, what you give back to the local economy, and where you sit against matched peers, every figure sourced to the public record. Offered on every profile under disclosed coverage classes: Standard Facility Benchmark, Limited Facility Benchmark (partial public coverage becomes report findings, never a decline), Peer Benchmark Only (no facility-specific measures; the peer picture plus a source-coverage inventory), Historical Facility Benchmark (terminated CCNs, benchmarked in their own contemporaneous peer year), and the Indian Health Public Record and Reimbursement Context Brief. Each class states its own scope. The refund guarantee applies. Delivered within 2 business days.

Request the briefing for your facility. Find it first:

Every facility page carries the request form, pre-filled for that facility, with its coverage class shown above it.

How to start

Request a briefing from any facility page (the coverage banner there shows what your report will carry), or write to me directly. You'll hear back from me, not a funnel, within one business day.