A repeatable playbook for EBITDA expansion and enterprise value creation across portfolio companies.
Portfolio-level value creation
At healthcare provider platforms, administrative functions like billing, revenue cycle, scheduling, HR operations, and related workflows often represent a meaningful recurring cost base.
Targeted automation can conservatively pull a portion of that cost base out of the business. When those savings become recurring EBITDA, the impact compounds at exit.
Illustrative annual impact from admin automation
Assumes admin spend at ~6% of revenue, ~20% automation savings, and a 10x exit multiple.
Proof
Case Study 01
Prior authorization automation helped a provider reduce auth staffing from 3 FTE to 1 FTE while absorbing five additional clinics without hiring new administrative staff.
Case Study 02
A front-loaded automation program across high-volume RCM and compliance workflows produced recurring annual benefit with ongoing cost dropping materially after year one.
The playbook
We start with workflow analysis, then match the right approach to each use case: AI, RPA, payer-specific bots, custom integrations, or process redesign.
High-volume, payer-specific checks and elevated error rates.
Payer bots, exception workflows, and clearinghouse integration.
Manual intake, payer variability, and document handling drive delays.
RPA, AI document parsing, and workflow routing.
Manual EOB processing and reconciliation create backlog and errors.
ERA bots, EOB conversion, and reconciliation controls.
Inconsistent root-cause identification limits recovery rates.
AI categorization and automated recovery workflows.
Manual invoicing and follow-up reduce collections performance.
Automated billing workflows and follow-up sequencing.
Fragmented data across systems limits visibility and control.
Custom data pipelines and a centralized reporting layer.
Manual and inconsistent review creates compliance risk and missed revenue.
AI-assisted review with human-in-the-loop controls.
Applying a single tool across every workflow produces inconsistent outcomes. The value comes from identifying the right operational constraint and matching it to the right automation approach.
How we engage with sponsors
We typically start with a portfolio-level diagnostic across one or two platforms, identify high-impact workflows, size the ROI, and define a prioritized automation roadmap.
From there, Simple Fractal builds, runs, and supports the automation as an embedded partner: consultative design, deep healthcare domain expertise, and long-term operational support.
~30 mins
Assess fit and the leverage hypothesis with RCM or operations leadership.~60 mins
Map the highest-volume admin workflows and size the top 2–3 opportunities.~2 weeks
Validate the approach, ROI projections, and technical path to execution.Ready to evaluate the opportunity?