Most consultants deliver a report and leave. Seismic is led by a healthcare executive who has held the COO, CSO, and Chief Pharmacy Officer (CPO) seats inside FQHCs — running the P&L, standing up the pharmacy, leading the HRSA site visit — supported by a team of seasoned FQHC specialists. Every recommendation we make, we have successfully implemented ourselves.
Seismic leaders embed as fractional and interim executives with real accountability — not as outside observers. We are measured by what changes, not by what we recommend.
Greater than twenty years inside FQHCs — HRSA readiness, UDS, grant compliance, sliding fee. We do not adapt hospital playbooks; we build for community health.
We help safety-net organizations grow stronger, stay compliant, and keep improving — long after we're gone.
We identify high-impact service line opportunities based on community need, market demand, and financial viability — organic or through partnership — from urgent care and specialty pharmacy to infusion, weight management, and community-based behavioral health.
We guide organizations through the full lifecycle of partnerships and acquisitions — from opportunity identification to execution and integration — building aligned, value-driven relationships that reduce reliance on grant funding.
We design and implement compliant, high-performing 340B programs tailored to your structure — entity-owned pharmacy with a contract network, or contract-pharmacy-only.
Entity-owned pharmacies are powerful but not required. We have built strong, compliant, financially significant programs with no entity-owned pharmacy at all.
We evaluate existing programs to find risk, gaps, and opportunity, then optimize for compliance, capture rate, and value. A healthy program should contribute 20–60% of a covered entity's total revenue — most have never had that number calculated.
Is your program underperforming? Take the 340B Quick Assessment below — free.
Executive expertise, scaled to what your health center needs — no learning curve, no recruitment cycle, no long-term salary commitment.
Patient access, revenue cycle, provider productivity, credentialing, vendor negotiation, and HRSA Operational Site Visit readiness — enterprise operational leadership on day one.
We build the strategic plan, pressure-test the business case, model the financials, and stay through implementation — aligning growth with payer mix, demand, and mission.
Executive pharmacy leadership without the full-time cost. For many health centers, 15–20 hours a week is enough to optimize the 340B program and materially increase net savings.
One Source — any document, any audit, located in minutes.
A Centralized Compliance, Operational & Intelligence platform designed to give every seat at the table one live view of organizational health.
In DevelopmentResponsible, compliant AI governance frameworks aligned with clinical, operational, and ethical standards — so your board can approve AI with confidence.
We quantify leakage across clinical, operational, and pharmacy workflows and implement controls — prior-auth denials cut from 15% to 5%, A/R reduced 70%, $2M recovered via look-back.
We position covered entities to reduce reliance on grant funding by optimizing service lines, eliminating revenue leakage, and executing organic and inorganic growth — from single-site centers to multi-site enterprises.
We strengthen your ability to expand revenue opportunities, navigate value-based care, and deliver consumer-centric, high-quality outcomes through fresh approaches, technology, and deeper expertise.
Most engagements begin with a conversation and a scoped assessment — an easy, no-pressure start. Clarity first, commitment when it's right.
Ongoing executive leadership at partial time, typically 10–20 hours per week. Best when a function needs sustained senior ownership. Common for CPO and CSO.
Full-time coverage during a transition, turnaround, or unexpected departure. Best when operations cannot drift while a search runs. Common for COO.
Defined scope, timeline, and deliverable — 340B assessment, revenue leakage analysis, HRSA OSV readiness, or operational and compliance documentation design.
We get inside the numbers, workflows, and team — using your data, not a generic diagnostic.
We present findings ranked by financial impact and effort. You decide what we tackle first.
We execute alongside your team. Changes go live; results become measurable.
We build the controls and internal capability so performance holds after we step back.
Engagements typically begin with a scoped assessment.
Most health centers we assess discover revenue they did not know they were losing. The first conversation costs nothing and usually takes thirty minutes.
