Bison Ridge Healthcare | Healthcare Consulting & Management

Who We Are

Operators Who've Been
Where You Are

Bison Ridge Healthcare is a boutique consultancy and turnaround advisory firm operating at the intersection of healthcare operations, financial restructuring, and advanced technology. We are not career consultants — we are operators who have held the CEO, CFO, CTO, and CISO seats inside the organisations we now advise.

Every engagement is led directly by a founding partner. Our primary practice serves hospitals, health systems, ambulatory networks, physician groups, and PE-backed healthcare platforms across three tightly focused service lines.

We bring the same rigour to every engagement: rapid diagnosis, clear priorities, accountable implementation, and results measured in dollars recovered and margins restored.

⚡

Speed Over Process

4–6 week diagnostic — not a 6-month engagement scoping exercise. A frank assessment and an executable plan.

📊

Results Over Reports

90-day financial milestones committed and measured before work begins. Accountability built into every engagement.

🤝

Partners Only

No delegation to analysts. The partners who pitch lead every engagement. No hand-offs, no junior teams.

🔒

HIPAA-Literate by Default

Every engagement handled by principals with deep HIPAA, HITECH, and healthcare regulatory experience.

What We Do

Three Service Lines

Senior-led, accountable, and embedded. Every service delivered directly by a founding partner — no delegation, no hand-offs.

Healthcare Turnaround

Structured turnaround programmes for hospitals, health systems, physician groups, and PE-backed platforms. Partner-led throughout — from the first diagnostic to the final milestone.

Lisa Tarafulli brings 30 years of direct operating accountability — spanning hospital P&L management, revenue cycle remediation, financial restructuring, CMS and Joint Commission corrective action, and board-level crisis leadership. She has sat in the CEO and CFO seat during the situations our clients are in now.

Paul Jones adds a capability most turnaround advisors cannot offer: CTO and CISO-level technology and cybersecurity expertise embedded from day one. Fractional CTO and CISO leadership is a core part of how we run a turnaround — not an add-on. Paul brings over 25 years across investment banking technology, enterprise AI, and healthcare, and has held senior technology positions at IBM, Rothschild, Wells Fargo, and NASDAQ Europe.

When financial pressure, technology debt, and security risk arrive together — which they increasingly do — Bison Ridge is the only team that addresses all three from the same engagement.

Physician groups, MSOs & ambulatory surgery centres

Digital health & PE-backed healthcare platforms

4–6 week Rapid Diagnostic — quantified opportunity map

90-day financial milestone framework

Interim executive placement (CEO, CFO, COO, CTO, CISO)

Lender and covenant crisis advisory

Operational

Operational Assessment & Stabilisation

Rapid 30–60 day diagnostic of clinical operations, revenue cycle, staffing, compliance, and cash. A frank picture and executable plan — not a slide deck.

Revenue cycle audit and A/R recovery prioritisation
Interim leadership gap identification and coverage
Regulatory risk mapping (CMS, OIG, state licensure)
Vendor, payer, and contract rationalisation
Immediate cash preservation actions

Financial

Financial Restructuring & Recovery

Working alongside CFOs, boards, lenders, and PE sponsors to restructure cost structures and restore financial viability without sacrificing care quality.

Cash flow stabilisation and liquidity management
Payer contract renegotiation and revenue optimisation
Cost structure redesign and workforce rationalisation
Lender, investor, and board communication support
Preparation for restructuring, sale, or recapitalisation

Technology

Technology & Cybersecurity (HIPAA / CISO)

Led by Paul Jones (CTO/CISO) — 25+ years across investment banking technology, enterprise AI, and healthcare. Full-spectrum security framework implementation and advisory.

HIPAA, HITRUST, NIST, FedRAMP, SOC2 & ISO27001
OWASP, Zero Trust architecture & application security
Ransomware and breach response — crisis leadership
EHR, RCM, and health IT risk review
AI governance in clinical and administrative settings

Fractional C-Level Leadership

Healthcare organisations in transition, distress, or rapid growth often cannot justify a full-time executive for every critical function. We provide battle-tested, healthcare-fluent executives on a fractional basis: embedded, accountable, and engaged for as long as you need them. Every role is led by a Bison Ridge principal.

Engagements from 1 day/week to full-time interim

Accountable to board-agreed KPIs from day one

Seamless full-time transition support when ready

Healthcare regulatory expertise across all roles

No minimum term — scale as needed

Chief Executive Officer	Interim or fractional CEO during founder transition, leadership vacancy, or restructuring. Accountable directly to the board with full P&L ownership.
Chief Financial Officer	Financial strategy, cash management, investor and lender relations, board reporting, fundraising support, and covenant compliance. Particularly valuable during distress or pre-transaction.
Chief Operating Officer	Operational infrastructure, process redesign, vendor management, and scaling execution — from stabilisation through growth. Bridges clinical and administrative leadership.
Chief Technology Officer	Technology strategy, architecture governance, engineering leadership, and AI/digital health roadmap for organisations navigating complex health IT environments.
Chief Information Security Officer	HIPAA-compliant security programme design, risk governance, vendor risk, breach response, and regulatory audit support. Critical for any organisation handling PHI. Led by Paul Jones.
Chief Compliance Officer	Regulatory compliance programme design, OIG workplan response, audit management, Conditions of Participation remediation, and staff training.
Chief Revenue / Marketing Officer	Go-to-market strategy, payer and employer contracting, revenue operations, and brand positioning for health systems, digital health, and growth-stage platforms.

How Fractional Engagements Work

01

Assess

Structured intake to understand needs, gaps, timeline, and board or investor expectations. We assess fit honestly before proposing any engagement. No obligation.

02

Engage

Your fractional executive joins leadership cadences, board meetings, and key decisions — accountable to agreed KPIs. A true member of your leadership team.

03

Transition

When ready to hire full-time, we help define the role, support the search, and ensure a clean, documented handover. We leave organisations stronger than we found them.

Management Services

For organisations that need experienced, ongoing management support without a full turnaround. We work alongside existing leadership — not above them — to close gaps, build capability, and drive performance.

Monthly retainer or defined project scope

On-call access to senior Bison Ridge principals

Board and investor communication support

Defined deliverables — not open-ended engagements

Advisory board membership available

Advisory

Retained Strategic Advisory

Monthly retainer giving leadership teams on-call access to senior advisors. Monthly working sessions with documented, actionable outputs — not PowerPoints.

Unlimited senior access for urgent decisions
Monthly strategy session with documented action items
Board preparation and investor materials
Lender and covenant communication support
Option to serve as named advisory board member

Governance

Governance & Compliance

Building the governance infrastructure that regulators, investors, and commercial partners expect — before they ask for it. Full US healthcare regulatory spectrum.

Board structure, committee charters, and governance policies
Healthcare regulatory compliance (CMS, OIG, state licensure)
HIPAA Privacy and Security programme design
Audit readiness and corrective action plans
Shareholder and investor reporting cadence

Financial

Financial Cleanup & Investment Readiness

Clean, accurate financials are table stakes for fundraising and board credibility. We get organisations to investment-ready standard efficiently and rigorously.

Financial records audit and reconciliation
Accounting process setup, controls, and documentation
Financial modelling, projections, and scenario analysis
Data room preparation and due diligence management
Pitch deck financial narrative and materials

Who We Work With

The right fit matters.
We are selective by design.

We work with a limited number of clients at any time to ensure every engagement receives genuine senior attention.

Healthcare Organisations

Physician groups and management services organisations
Ambulatory surgery centres and specialty networks
Behavioural health and substance use disorder providers
Digital health and healthtech companies
Regional health systems and hospital networks

Investors & Sponsors

PE-backed healthcare portfolio companies in distress
Healthcare-focused VC and private equity firms
Family offices with healthcare holdings
Pre-close targets requiring operational cleanup
Post-close platforms requiring integration support

Organisations in Transition

Companies in financial distress or covenant breach
Leadership transitions and founder succession
Post-merger integration challenges
Regulatory enforcement or OIG investigation response
Companies preparing for fundraising, sale, or recap

Our Leadership

Founding Partners

Every engagement is led directly by a founding partner — not delegated to junior staff. Our partners have held the CEO, CFO, CTO, and CISO seats inside the organisations they now advise.

Lisa Tarafulli

CEO · Director of Financial Services

Lisa brings a three-decade tenure across finance, healthcare, real estate, and strategic consulting. Her background as a CEO and CFO provides a robust framework for financial management and strategic investment in both emerging and established healthcare organisations.

At Bison Ridge Healthcare, Lisa leads financial services, overseeing financial planning, investment strategies, and risk assessment. Her expertise is critical for healthcare organisations requiring robust financial frameworks to attract investors, navigate distress, and manage growth effectively.

Healthcare FinanceInvestment StrategyRisk ManagementCEO / CFO ExperienceStrategic Consulting

Paul Jones

COO · CTO · CISO

Paul brings over 25 years of experience in investment banking technology, enterprise AI, and cybersecurity. He has held senior technology positions at IBM, Rothschild, Wells Fargo, and NASDAQ Europe.

At Bison Ridge Healthcare, Paul leads technology strategy, cybersecurity governance, and operational infrastructure. His CISO-level expertise is a material differentiator for healthcare clients navigating HIPAA compliance, EHR risk, ransomware exposure, and the increasingly complex threat landscape facing organisations handling PHI.

CTO / CISOHIPAA / HITECHAI & CybersecurityHITRUST / NISTInvestment Banking Tech

Why Us

Why Bison Ridge Healthcare

What sets us apart from generalist advisory firms and traditional consultancies.

⚡

Operator-Led, Not Consultant-Advised

Our partners have held CEO, CFO, CTO, and CISO roles inside distressed healthcare organisations. We advise from experience, not frameworks.

🎯

Results in 90 Days

We commit to quantified financial milestones at the start of every turnaround. Revenue recovered, margins improved, cash stabilised — measured and reported weekly.

🔒

Regulatory Fluency

HIPAA, CMS CoP, OIG, FDA SaMD, EMTALA — our partners have led compliance remediations inside these frameworks, not just advised on them.

📊

Investment Banking Discipline

Paul's background at Rothschild, Wells Fargo, and NASDAQ Europe brings financial-sector rigour to healthcare operations, internal controls, and lender reporting.

🏥

Three Focused Practices

Healthcare Turnaround, Fractional C-Level Leadership, and Management Services — deliberately narrowed to where we deliver the deepest, most measurable impact.

🤝

Stays Through Implementation

We don't produce reports and disengage. We build the plan, assign accountabilities, and track performance every week until results are locked in.

Restoring Performance.
Rebuilding Value.

Operators Who've Been
Where You Are

Three Service Lines

How Fractional Engagements Work

The right fit matters.
We are selective by design.

Founding Partners

Why Bison Ridge Healthcare

Start the Conversation

Restoring Performance.Rebuilding Value.

Operators Who've BeenWhere You Are

Three Service Lines

How Fractional Engagements Work

The right fit matters.We are selective by design.

Founding Partners

Why Bison Ridge Healthcare

Start the Conversation

Restoring Performance.
Rebuilding Value.

Operators Who've Been
Where You Are

The right fit matters.
We are selective by design.