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Operator first.
Advisor always.

Navigate Forward.

Senior CFO-level strategy, financial leadership, and operational transformation for health systems and healthcare organizations navigating their most complex moments. Every engagement led personally by principal with 20+ years in the chair, across $2.8B in health system revenue.

$2.8B

Health system CFO experience

$3.65M

Annual savings — one engagement

$500M+

Capital programs led

20+

Years operator experience

“The most valuable advisory work comes from leaders who have actually done it.”

WHY ORION

Most consulting firms send a team to learn your organization. Orion brings 20 years of having led at IU Health, Advocate Aurora, Fresenius Medical Care, public health districts, and digital health ventures. The difference is not methodological. It is experiential.

Principal-led delivery

Principal is in every engagement personally. Not a senior partner who checks in weekly,  the person doing the work, every day, until it's done.

Healthcare expertise

Revenue cycle, capital programs, M&A, turnarounds, governance, every tool and framework built from healthcare financial leadership.

Speed to impact

An experienced principal diagnoses and acts in days. No learning curve. No ramp-up period. The Crisis Map is complete in 30 days.

Fraction of the cost

Senior CFO advisory at Orion costs a fraction of a Big 4 engagement,  delivered by someone who has actually held the role, not studied it.

SERVICES

Eight service lines. One non-negotiable standard.

Every engagement is principal-led. Every deliverable is board-ready. Every recommendation comes from someone who has implemented it.

01
Financial Turnaround

Embedded CFO-level leadership for organizations in financial distress — pre-insolvency, sustained deficit, or post-crisis recovery.

04
Revenue Cycle Transformation

Comprehensive revenue cycle redesign — denial management, AR compression, digital payments, payer contracts.

02
Interim & Fractional CFO

Senior financial leadership for organizations in transition. Immediate implementation and board reporting.

05
Capital Asset Advisory

Strategic valuation and retain vs. divest analysis for major infrastructure assets. Multi-method modeling.

03
Capital Program Management

End-to-end leadership of large-scale capital programs. Multi-source funding strategy through board approval.

06
M&A Advisory

Due diligence leadership, deal structuring, and post-close integration. $450M+ in closed healthcare transactions.

CASE STUDIES

Proven across every segment of healthcare.

Five documented engagements. Every service line validated by real work, real results, and real organizations.

Turnaround · FQHC

From pre-insolvency to three consecutive profitable months

Led a comprehensive financial turnaround for a Midwest FQHC, stabilizing operations and restoring profitability.

3 months of profitability

$3.65M annual savings

Capital Program · Public Health District

$500M healthcare campus, planned, funded, board approved

Managed the end-to-end capital program for a major public health district, securing multi-source funding and board approval.

$500M budget

6+ stakeholders

5-year plan

Asset Advisory · Hospital System

$180M asset valued at $3M on the books

Conducted a multi-method valuation and NPV modeling for a major hospital system, leading to a retention decision and avoided costs.

$180M identified

30-year NPV

$3M book value

Platform Launch · Telehealth

Maternal health platform

Orion provided full-scope launch advisory for a telehealth startup.

4mo to approval

100+ hospital system - 1st customer

JN

 Managing Principal

Joyce Nwatuobi

CREDENTIALS

MBA, Durham Business School
BSc Accounting, Middlesex University
CGMA, Chartered Institute of Management Accountants
Three-time Top Healthcare CFO honoree
Top 20 Telehealth Innovator

Twenty years in the chair. Now available to yours.

We bring a unique blend of senior CFO-level strategy and operational transformation to Orion Health Advisors. With a career spanning $2.8B in health system revenue, Joyce has led complex turnarounds and capital programs at IU Health, Advocate Aurora, and Fresenius Medical Care.

 

Her philosophy is simple: 'The most valuable advisory work comes from leaders who have actually done it.'

 

We are dedicated to delivering board-ready solutions without the overhead of traditional consulting firms.

FREE TOOLS

Know where you stand before you need to.

Three free diagnostic tools built from Orion's proprietary frameworks. Complete them before a problem becomes a crisis.

Financial Health Scorecard

15 questions | 6 dimensions | 5 minutes. Evaluate your organization's liquidity, revenue cycle, and governance.

Results: 4 tiers from Financially Strong to Urgent Action Required

Ready to navigate forward?

Every engagement starts with a conversation. No pitch. No proposal before we've talked. Just a direct discussion about what your organization needs and whether Orion is the right fit.

Turnaround Readiness Calculator

5 metrics | Immediate risk tier | Response protocol. Assess your financial stability and crisis preparedness.

Results: 5 tiers from Stable to Pre-insolvency

Capital Readiness Index™

18 questions | 5 domains | Board approval probability. Evaluate your funding strategy and stakeholder alignment.

Results: 5 tiers from Board-ready to Significant risk

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