Where vision
meets action
// Our Story
Built at the Pivot Point
Pivot Point Consulting was founded on a straightforward belief: healthcare organizations deserve a partner who gets to the root of what actually needs to change. Someone who rolls up their sleeves, embeds solutions into the culture and operations of the team, and stays until the momentum is theirs to keep.
Our uncommonly agile approach is what sets us apart. While others arrive with a packaged playbook and a fixed delivery model, we meet clients where they are. We're flexible enough to adapt to what the situation actually requires and focused enough to stay locked onto the outcome that matters.
At the pivot point of healthcare and technology, we make the impossible possible. Every associate who joins Pivot Point knows what it's like to be a patient. That's the weight behind the work, and it's what makes our commitment to your organization feel different from day one.
“We tell you what you need, not just what you want.”
// Our Impact
A decade of results
that speak for themselves
From KLAS rankings to client endorsements, these numbers reflect real organizations whose missions we helped move forward.
Overall KLAS Score
Rated #1 Best in KLAS: Managed IT Services four consecutive years — 2023, 2024, 2025, and 2026 — against a segment average of 85.1.
// What We Do
Five Ways We Show Up For You
Strategic advisory
We help healthcare leaders make sense of complexity — shaping IT strategy, optimizing operations, and building roadmaps that hold up in the real world.
Learn moreEHR consulting
From go-live readiness to optimization, we embed with your team to ensure Epic delivers what your organization actually needs.
Learn moreManaged IT services
Steady, unwavering support that keeps your systems running, your team focused, and your patients served 24/7, without dropping the ball.
Learn moreERP consulting
Our ERP consultants help healthcare organizations implement new systems, migrate off old ones, and optimize what is already in place.
Learn moreAnalytics & AI
We help you turn data into decisions. Whether building analytics foundations or AI-enabled workflows that accelerate outcomes across the organization.
Learn moreNot sure where to start? Let's figure it out together.
Contact us// In our clients' words
“They've been top five easily of vendors that I've ever worked with in IT, and I've been in IT for over 20 years.”
// The Journey So Far
Key milestones
Founded
Rachel Marano launches Pivot Point Consulting as a certified Epic and Cerner implementation consultant.
// The People Behind the Pivot
Meet our executive leadership team
// Our business structure
How we're built to deliver
Pivot Point is part of Innovative Consulting Group, backed by leading healthcare-focused investors. Three Managing Partners lead specialized teams across five practice areas, unified by one mission: deliver outcomes that last.
- Three Managing Partners, one unified leadership team
- Five practice areas: EHR, ERP, managed services, analytics & AI, advisory
- Project-based and ongoing managed services delivery
- Serving providers, payers, and health IT organizations
// Life at Pivot Point
More than a consultancy firm
We pass the torch—to each other, too.

“Lorem ipsum dolor sit amet, consectetur adipiscing elit. Sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.”
// Insights
Featured insights & news
The latest announcements, updates, and thought leadership from the Pivot Point team.
Hospitals' 7-Step Guide for AI Preparedness.
Seven readiness gates — data governance, clinical validation, vendor diligence, security, change management, ROI modelling, regulatory alignment — every health system should clear before deploying AI in patient-facing workflows.
Zachary Tisch
Senior Partner, Strategic Advisory
Thomas Kaylor named CFO at Pivot Point Consulting, bringing deep healthcare finance expertise.
Kaylor joins from a multi-billion-dollar healthcare services portfolio with two decades of CFO experience guiding scale, M&A and operational transformation across providers and HIT.
Press Release
Pivot Point Consulting
ChatGPT for Clinicians: OpenAI completes its healthcare trifecta as the AI platform race reaches the exam room.
What OpenAI's clinician-tuned product means for ambient documentation, prior auth, and the handful of governance decisions every CMIO needs to make this quarter — not next year.
James Kowalski
Director, Analytics & AI
Stay up-to-date on Pivot Point
Follow Pivot Point Consulting on LinkedIn for new insights, press, and team updates.
