Health Systems Management Network
Health Systems Management Network (HSMN) is a boutique US healthcare consulting firm founded in 1987 that delivers revenue cycle management, clinical documentation, and medical coding/billing services to hospitals, physician practices, and specialized providers.
- Company typePrivate
- Founded1987
- HeadquartersWest Palm Beach, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Health Systems Management Network does
Health Systems Management Network (HSMN) is a privately held, boutique healthcare consulting firm founded in 1987 and headquartered in Wellington, Florida. The firm specializes in revenue cycle management, clinical documentation improvement, medical coding/billing, compliance, and organizational assessment for US hospitals, physician practices, and specialized providers (notably large dialysis operators). Service delivery is partner-led: only partners and principals engage directly with clients, and all staff are credentialed across the disciplines essential to revenue cycle success. The firm is led by CEO Cathy Idema (BSN, MPH, FAAHCC, former Nursing Supervisor at University of Michigan) and COO Theo Tarantini.
HSMN's underlying technology stack is comparatively modest and practitioner-led rather than platform-led. Core assets include advanced analytics applied at macro and micro levels across client claims data, a proprietary "Case Deconstruction" methodology for clinical documentation refinement developed over 25+ years, an ICD-10 transition roadmap with certified trainers, a Charge Description Master (CDM) review and management process, and a web-based medical necessity scrubber and QA tool built for a dialysis client. The firm has direct experience with every iteration of DRG, APC, and ICD-10 transitions since 1985, and its earlier work at Johns Hopkins contributed to a Smithsonian Award-winning ambulatory electronic record system.
The business model is professional services, with revenue generated through bespoke consulting engagements priced on a project basis (pricing is not publicly disclosed). Distribution is direct enterprise field sales, with new work driven primarily by client referrals and thought leadership content. The firm has no external funding, no parent company, no M&A history, and no disclosed partnerships. HSMN has been recognized as one of the largest Revenue Cycle Management Companies by Modern Healthcare and claims track-record outcomes of 2-5% net revenue improvements, 30% cash flow increases, and 40% denial reductions for clients.
Health Systems Management Network firmographics
Firmographics- Name
- Health Systems Management Network
- Legal name
- Health Systems Management Network, Inc.
- Website
- https://hsmn.com
- Company type
- Private
- Founded year
- 1987
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Health Systems Management Network (HSMN) is a boutique US healthcare consulting firm founded in 1987 that delivers revenue cycle management, clinical documentation, and medical coding/billing services to hospitals, physician practices, and specialized providers.
- Ownership category
- akta.pro rank
Where Health Systems Management Network is headquartered
LocationHeadquarters
- HQ city
- West Palm Beach
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Health Systems Management Network business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Healthcare Consulting Services: HSMN provides consulting services to hospitals, physician practices, and specialized providers. Services include Revenue Cycle Management, Clinical Information Management, Organizational Assessment, Medical Coding/Billing, Financial & Revenue Management Consulting, Compliance & Risk, and Interim Management. The firm is niched and works exclusively with partners and principals directly with clients.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels1 record
Health Systems Management Network product offering
Product offeringCore offering
HSMN is a boutique healthcare consulting firm that delivers revenue cycle management, clinical information management, medical coding/billing, financial and revenue management, organizational assessment, compliance and risk, and interim management services to hospitals, physician practices, and specialized providers. Engagements are led by partners and principals using advanced claims analytics, the proprietary Case Deconstruction clinical documentation methodology, and ICD-10 transition expertise. The firm does not sell standalone software; its deliverable is tailored consulting engagements producing measurable net revenue, denial, and cash flow improvements.
Product overview
Health Systems Management Network (HSMN) is a healthcare consulting firm offering an integrated suite of revenue cycle management and clinical documentation services. The core portfolio includes Revenue Cycle Management, Clinical Information Management, Medical Coding/Billing, Financial & Revenue Management Consulting, Organizational Assessment, Compliance & Risk Management, and specialized services including ICD-10 transition consulting, EMR selection support, and quality assurance programs. The company primarily serves hospitals, physician practices, and specialized providers (such as dialysis centers) with consulting engagements focused on improving net revenue, reducing denials, and optimizing cash flow through data analytics, process redesign, and staff training. HSMN does not appear to offer a standalone software product but rather professional services engagements.
Differentiator
Problem solved
Functional benefit
Products and services
- Revenue Cycle Management Consulting
Quantifiable outcome
- 2-5% net revenue improvements for clients
- +3 more outcomes
Companies that use Health Systems Management Network
Customer profileNamed customers9 records
Segments3 records
Ideal customer profiles3 records
Health Systems Management Network technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Health Systems Management Network partnerships and signals
Strategic signalScale indicators6 records
Recent moves5 records
Expansion highlights3 records
Health Systems Management Network competitors and assessment
Company assessmentDirect peers
- Huron Consulting Group: Huron operates a dedicated healthcare practice focused on hospital performance improvement, revenue cycle optimization, and EHR implementation support — directly comparable to HSMN's hospital RCM and clinical documentation consulting offerings.
- ECG Management Consultants: ECG is a healthcare-focused consultancy serving hospitals, health systems, and physician practices on revenue cycle, clinical operations, and IT planning — closely paralleling HSMN's verticals and service lines.
- Premier Inc. Premier provides performance improvement, supply chain, and revenue cycle consulting to U.S. hospitals and health systems, overlapping directly with HSMN's RCM, denials management, and clinical documentation improvement engagements.
- Impact Advisors: Impact Advisors provides healthcare IT and revenue cycle consulting to hospitals and health systems, with particular depth in Epic implementations — directly comparable to HSMN's Epic post-go-live recovery work.
- BerryDunn: BerryDunn's healthcare practice group serves hospitals and physician practices with RCM, clinical documentation, and compliance consulting - a like-sized specialty consulting firm targeting the same provider customer base.
Broad incumbents
- Optum (UnitedHealth Group): Optum offers technology-enabled revenue cycle management, coding, and analytics services at massive scale across U.S. providers - a dominant incumbent that competes for the same hospital RCM budget HSMN targets.
- Conifer Health Solutions: Conifer delivers end-to-end revenue cycle management services and consulting to hospitals and health systems, overlapping with HSMN's core RCM, denials, and patient access offerings.
- McKinsey Healthcare Practice: McKinsey's healthcare practice serves hospital systems on performance transformation, revenue optimization, and operating model redesign - a broader top-tier strategic consulting incumbent competing for the same large AMC mandates.
- Navigant / Guidehouse: Guidehouse's healthcare segment delivers strategy, operations, and revenue cycle consulting to providers and payers - a broader incumbent with overlapping hospital RCM and value-based care capabilities.
Emerging players
- Cotiviti: Cotiviti provides payment accuracy, revenue integrity, and analytics solutions to health plans and providers, intersecting with HSMN's analytics-driven denials and clinical documentation work as a tech-enabled adjacent player.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks5 records
Key highlights7 records
Customer concentration
Health Systems Management Network financial estimates
Financial estimateRevenue estimate
Valuation estimate
Health Systems Management Network leadership team
Management profileNumber of profiles
Profiles2 records
Health Systems Management Network funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Health Systems Management Network M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Health Systems Management Network
What does Health Systems Management Network do?
HSMN is a boutique healthcare consulting firm that delivers revenue cycle management, clinical information management, medical coding/billing, financial and revenue management, organizational assessment, compliance and risk, and interim management services to hospitals, physician practices, and specialized providers. Engagements are led by partners and principals using advanced claims analytics, the proprietary Case Deconstruction clinical documentation methodology, and ICD-10 transition expertise. The firm does not sell standalone software; its deliverable is tailored consulting engagements producing measurable net revenue, denial, and cash flow improvements.
Is Health Systems Management Network a public or private company?
Health Systems Management Network is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Health Systems Management Network founded?
Health Systems Management Network was founded in 1987. It employs 11 to 50 people.
Where is Health Systems Management Network based?
Health Systems Management Network is headquartered in West Palm Beach, United States, in the North America region.
How does Health Systems Management Network make money?
One revenue line is on record: healthcare Consulting Services.
Who are Health Systems Management Network's main competitors?
Direct peers on record are Huron Consulting Group, ECG Management Consultants, Premier Inc., Impact Advisors and BerryDunn. Broad incumbents are Optum (UnitedHealth Group), Conifer Health Solutions, McKinsey Healthcare Practice and Navigant / Guidehouse. Cotiviti is listed as an emerging player.
Does Health Systems Management Network have an API?
No public API is recorded for Health Systems Management Network.