Pivot Point Consulting

What Pivot Point Consulting does

Pivot Point Consulting is a healthcare-focused IT consulting and managed services firm that serves providers, payers, life sciences organizations, and healthcare technology vendors across the United States. Its core delivery covers five integrated service lines: Managed Services (including a 24/7/365 IT Service Desk, incident management, upgrade support, and Integration-as-a-Service), Strategic Advisory (growth strategy, M&A support, business process transformation, vendor selection), Analytics & AI (enterprise analytics strategy, data governance, AI and automation readiness), Electronic Health Record (EHR) implementation and optimization with deep Epic expertise, and Enterprise Resource Planning (ERP) consulting. The firm also delivers a Patient Service Desk, Clinical Service Desk and Virtual Care/Telehealth practice, plus a Microsoft-enabled Dragon Copilot AI implementation service targeting rural hospitals through Microsoft's Rural Health Resiliency Program.

The underlying technology stack is a services platform rather than a SaaS product: a 24/7 IT Service Desk operation, Epic-certified delivery capabilities, enterprise analytics and AI readiness methodologies, and partner-integrated clinical AI (Microsoft Dragon Copilot). Service differentiators center on scale and reliability (continuous service desk operations), domain specialization (deep Epic practice leadership drawn from Epic, Nordic Consulting and BetterHealth), and integration/interoperability across EHR and ERP environments. Quantified outcomes cited include HIMSS Analytics Maturity Model progression from Stage 0 to Stage 3 in approximately two years and analytics development cycle compression from months to weeks.

Pivot Point Consulting generates revenue through three streams: (1) recurring Managed Services on multi-year contracts, (2) Strategic Advisory and project-based professional services engagements, and (3) Talent Solutions for healthcare IT staffing and placements. Pricing is quote-based, with managed services typically structured as multi-year subscriptions. Go-to-market is sales-led enterprise field sales targeting CIOs, CFOs and IT decision-makers, supplemented by webinars, HIMSS conference participation, content marketing and earned media in healthcare IT publications. The company was founded in 2011 (per firmographics) by Rachel Marano and Matt Simpson, acquired by Vaco in 2016, and in February 2026 was acquired by Innovative Consulting Group (a portfolio company of SV Health Investors) and combined under the Pivot Point brand with backing from SV Health Investors, Health Enterprise Partners and Petra Capital Partners. It employs 251-500 people, was ranked #1 Best in KLAS for Managed IT Services for four consecutive years (2023-2026), and has been recognized by Modern Healthcare's Best Places to Work six times since 2014.

Name

Pivot Point Consulting

Legal name

Pivot Point Consulting, LLC

Website

https://pivotpointconsulting.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

251–500 employees

Short description

Pivot Point Consulting is a U.S. healthcare IT consulting and managed services firm providing 24/7 IT Service Desk, EHR (Epic) implementation and optimization, analytics and AI enablement, and strategic advisory to providers, payers, life sciences and healthcare technology organizations nationwide.

Ownership category

akta.pro rank

Product category

Healthcare IT Consulting and Managed Services

NAICS

Other Management Consulting Services (541618), Management Consulting Services (54161), Administrative Management and General Management Consulting Services (541611), Computer Systems Design and Related Services (54151)

SIC

Services-Management Consulting Services (8742), Services-Computer Programming, Data Processing, Etc. (7370), Services-Computer Programming Services (7371)

akta.pro primary industry

Data, Analytics & AI Consulting (BPAHAEAF)

akta.pro secondary industries

Data, Analytics & AI Consulting (BPAHACAI), Healthcare IT & Health Informatics Staffing (BPACADAK), Innovation, Product & R&D Consulting (BPAHACAM)

Keywords

• Healthcare IT consulting
• Managed IT services
• EHR implementation
• Healthcare analytics
• Strategic advisory

Headquarters

HQ city

Bellevue

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Managed Services: Recurring managed IT services including 24/7 service desk operations, application support, system maintenance, and managed services engagements with healthcare organizations.
2. Strategic Advisory Services: Consulting engagements providing strategic guidance, digital transformation, EHR optimization, and healthcare technology advisory services.
3. Talent Solutions: Staffing and consulting placement services for healthcare IT professionals, including project-based and permanent placements.

Pricing tiers

Go-to-market motion3 records

Distribution channels1 record

Marketing channels5 records

Core offering

Pivot Point Consulting provides healthcare-focused IT consulting, managed services, and talent solutions. The firm delivers 24/7/365 IT Service Desk operations, EHR (especially Epic) implementation and optimization, ERP consulting, analytics and AI enablement, strategic advisory, and telehealth support to healthcare providers, payers, life sciences organizations, and healthcare technology vendors. Following the 2026 combination with Innovative Consulting Group, the firm operates as a unified healthcare IT services platform under the Pivot Point brand.

Product overview

Pivot Point Consulting is a healthcare IT consulting firm offering an integrated platform of services across three core areas: Managed Services (including 24/7 IT Service Desk, implementation, and integration), Strategic Advisory (including growth strategy, M&A support, and vendor selection), and Analytics & AI (including enterprise analytics and AI readiness). The firm also provides specialized services in Electronic Health Record (EHR), Enterprise Resource Planning (ERP), and Virtual Care/Telehealth. Following its 2026 combination with Innovative Consulting Group, the unified company operates under the Pivot Point brand backed by SV Health Investors, Health Enterprise Partners, and Petra Capital Partners.

Differentiator

Problem solved

Functional benefit

Brands

• Focus Search Partners: Healthcare executive search services under the Vaco/Pivot Point umbrella.

Products and services

• Managed Services
• Strategic Advisory
• Analytics & AI
• Electronic Health Record (EHR)
• Enterprise Resource Planning (ERP)
• Virtual Care/Telehealth
• Microsoft Dragon Copilot Implementation Support

Quantifiable outcome

• Healthcare organizations achieve HIMSS Analytics Maturity Model progression from Stage 0 to Stage 3 in approximately 2 years
• +3 more outcomes

Named customers6 records

Segments4 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• San Juan Regional Medical CentercoreImplementation/ SI/ Consulting Partner · 28 April 2026San Juan Regional Medical Center selected Pivot Point Consulting to operate its IT Service Desk on a 24/7/365 basis. Pivot Point provides incident management, break-fix resolution, system maintenance, and application support across the medical center's clinical and business systems. The agreement aims to deliver high availability IT operations and standardized ITSM processes to support the community-owned hospital's trauma center and care teams.
• MicrosoftcoreTechnology or Integration · 3 March 2026Pivot Point Consulting announced a partnership with Microsoft's Rural Health Resiliency Program to expand access to Microsoft Dragon Copilot AI solution for rural hospitals nationwide. Microsoft offers a 60% discount to eligible rural hospitals, and Pivot Point provides implementation support including free readiness assessments, workflow engineering, and governance design. The initiative aims to reduce administrative burdens and improve workflow efficiency for rural clinicians through ambient clinical listening, automated documentation, and real-time visit summarization.
• San Francisco Community Health CenterminorImplementation/ SI/ Consulting Partner · 7 November 2022Pivot Point Consulting partnered with San Francisco Community Health Center to deliver better care to medically underserved populations through improved health IT systems.
• Legacy HealthcoreImplementation/ SI/ Consulting Partner · 16 March 2022Legacy Health selected Pivot Point Consulting for Epic Help Desk Support Agreement, providing IT service operations support for the health system.
• MetroHealthcoreImplementation/ SI/ Consulting Partner · 16 November 2021MetroHealth entered into a multi-year Epic Application Managed Services agreement with Pivot Point Consulting. The engagement allows the healthcare system to realize better strategic alignment by redeploying staff to high-priority projects.
• JvionminorStrategic or Co-development Partner · 16 June 2020Pivot Point Consulting announced a strategic partnership with Jvion, expanding its AI and analytics capabilities for healthcare clients.

Scale indicators6 records

Recent moves8 records

Expansion highlights6 records

Direct peers

• Optimum Healthcare IT: Optimum Healthcare IT is a healthcare IT consulting and managed services firm with a similar Epic-centric delivery model. Both firms compete head-to-head in the KLAS Managed IT Services rankings and serve analogous provider customers.
• Tegria: Tegria (formed from the Providence Health tech assets and acquisitions including Bluetree) provides healthcare IT consulting, managed services, and analytics to providers and payers. Its service mix and customer segments overlap heavily with Pivot Point's.
• The HCI Group: The HCI Group is a healthcare IT consulting firm specializing in EHR implementation, advisory, and managed services with deep Epic and Cerner expertise. It directly competes with Pivot Point for health system engagements.
• Nordic Consulting Partners: Nordic is the largest pure-play Epic-focused healthcare IT consulting firm in the US, offering advisory, implementation, and managed services. It is the most direct comparable to Pivot Point on Epic specialization, KLAS positioning, and managed IT services.
• Avaap: Avaap is a healthcare IT consulting and technology firm focused on EHR (Workday, Epic, Infor) implementations and managed services. Its vertical focus and ERP/EHR service breadth make it a close peer in mid-market hospital engagements.
• Chartis: Chartis is a healthcare advisory and analytics consulting firm providing strategy, clinical, and IT advisory to providers and payers. It overlaps with Pivot Point's Strategic Advisory practice on transformation and analytics engagements.
• Impact Advisors: Impact Advisors is a healthcare IT consulting firm providing EHR implementation, advisory, and managed services to providers. It competes in the same KLAS categories and serves a similar large health system client base.

Broad incumbents

• Huron Consulting Group: Huron is a large, diversified consulting firm with a significant healthcare practice spanning EHR, revenue cycle, and clinical operations. It competes for large-system transformation deals where Pivot Point also bids.
• Accenture (Health): Accenture Health provides large-scale healthcare IT implementation, managed services, and digital transformation to providers and payers globally. It is a frequent competitor on marquee health system engagements where Pivot Point also participates.
• Deloitte (Healthcare Consulting): Deloitte's healthcare consulting practice serves large providers, payers, and life sciences clients on strategy, technology, and operations. It overlaps with Pivot Point on enterprise-scale EHR and analytics transformations.

Market position

Strengths5 records

Weaknesses2 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/pivot-point-consulting-llc
• Xx.com/pivotpc
• Facebookfacebook.com/pivotpointconsulting

Revenue estimate

Valuation estimate

Number of profiles

Profiles16 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Pivot Point Consulting