Behavioral Health Consulting Firm
We Help Behavioral Health Operators Regain Control
When operations break down, we don’t just advise. We fix.
Align Consulting Group works with treatment centers, private equity sponsors, and executive teams to restore performance, improve margins, and prepare businesses for scale or sale.
Executed Strategy
Embedded execution, not strategy decks.
Focused Expertise
Specialized in behavioral health only.
Unparalleled Track Record
Proven results in turnarounds, growth, and exit prep.
WHAT WE DO
We Don’t Just Advise.
We Execute.
Align is not a traditional consulting firm. We are an execution partner for behavioral health businesses that need real operational change.
We help facility owners, PE sponsors, and executive teams fix what’s broken, build what’s missing, and scale what works.
Our work covers the full lifecycle of a behavioral health business, from de novo planning to turnaround to sale.
Who We Work With
Align isn’t for everyone. But if you’re serious about solving operational problems and executing at a higher level, we’re ready.
Treatment centers preparing for growth or sale.
Private equity sponsors managing underperforming assets
Founders dealing with burnout or operational complexity
Leadership teams that need outside firepower to move faster
Operational Turnarounds
We step into unstable situations and lead the path back to control. We’ll address diagnostics, leadership realignment, margin repair, and front line execution.
Admissions & Marketing Optimization
We build high-performance admissions engines & reconnect marketing spend to census results. We’ll optimize CRM design, outreach playbooks, & channel strategy.
Revenue Cycle Management
We fix broken billing systems and reclaim lost revenue. We’ll implement live VOBs, utilization review, appeals, and denial recovery with full transparency.
Compliance & Risk Management
We stabilize clinical workflows, documentation, licensure, and audits. We’ll help you prevent compliance issues before they show up on a payer scorecard.
Payer Strategy & Contracting
We support in-network strategy, rate negotiation, and SCA process improvements, using data-backed approaches, not guesswork.
Strategic Advisory & M&A Preparation
We help operators get sale-ready. That includes executive alignment, system cleanup, KPI dashboards, and the supporting materials buyers expect.
De Novo Facility Buildouts
From concept to opening day, we support licensing, floor plan strategy, program design, hiring, systems implementation, and go-to-market.
AI & Systems Implementation
We replace bloated tech stacks & disconnected tools with intelligent, integrated workflows. We’ll create CRM & EMR dashboards, automation designed to reduce friction, & increase visibility.
Additional Expertise
We Don’t Just Advise. We Execute.
Most consultants hand you a slide deck and disappear. Most billing vendors process claims but don’t understand your business. Most operators are left chasing results without the right support.
Align was built to close that gap.
We partner with behavioral health operators to deliver real-world results: stronger margins, cleaner operations, better decisions, and execution that actually sticks.
What Sets Us Apart
Execution-First, Not Strategy-Only
We don’t just point out what’s broken. We step in and fix it. That means taking ownership of outcomes and embedding with your team to get the work done.
Behavioral Health is All We Do
We’re not healthcare-lite or generalists. Our team has operated, scaled, sold, and rebuilt behavioral health businesses across the country. We know the nuance. We speak the language. We’ve lived the chaos.
End-to-End Capabilities
From forensic billing recovery to admissions system design to pre-sale preparation, we cover the full lifecycle. You don’t have to juggle five vendors or retrain outsiders.
Flexible Deal Structures
We work on terms that make sense for both sides. Fixed-fee, performance-based, revenue share, or fractional equity–the right structure depends on your goals.
Embedded Support, Not Just Reports
We build tools, train staff, manage vendors, implement systems, and monitor results. Our team becomes part of yours, until you’re ready to run without us.
Real Results. No Fluff.
Admissions Rebuild for 100+ Bed System
A multi-site provider was burning through marketing spend with no visibility into ROI. We overhauled the admissions process, installed a CRM, designed KPIs, and aligned incentives across outreach, admissions, and clinical.
Result: Inquiries converted 2.5x faster. Admissions increased by 31%. Cost per admit dropped by 24%.
Billing Takeover and Recovery
A residential facility had over $1.2 million in aging AR and no visibility into claims status. We stepped in, conducted a forensic billing audit, and took over RCM functions directly.
Result: Collected $870K within 90 days. Cut denials in half. Established clean billing workflows and reporting.
Turnaround and Sale Preparation
A 40-bed detox and residential facility was struggling with census volatility, executive turnover, and pre-sale disorganization. We rebuilt core operations, stabilized staffing, and developed a full sale-readiness package.
Result: Facility reached sustained census stability and was successfully acquired by a national provider.
New Market Entry and De Novo Launch
An investor group needed support launching a residential mental health program from the ground up. We led licensing, hiring, clinical program design, marketing launch, and payer strategy.
Result: Facility opened on time and under budget with admissions flowing within 30 days of launch.
System Cleanup for Private Equity Hold
A portfolio company had grown too fast and was buried under disconnected systems and weak accountability. We conducted a cross-functional audit, restructured workflows, and implemented integrated tech across marketing, admissions, and RCM.
Result: Reduced operational overhead by 18%. Improved cross-team visibility. Leadership regained control.
These are not hypotheticals. They are real facilities, real operators, and real outcomes, delivered by a team that knows how to execute.
Ready to Fix What’s Not Working?
Whether you’re preparing for scale, cleaning up for a sale, or just trying to regain control of a business that feels chaotic, we can help.
Align Consulting Group works directly with owners, executives, and sponsors to solve the problems holding your organization back.
We don’t do longwinded discovery phases or passive advisory. We move fast, go deep, and execute alongside your team.
Ways to Engage
Schedule a Diagnostic Call
Talk directly with a principal consultant. We’ll listen to your current state, ask the right questions, and outline next steps. No pressure. No obligation.
Request a Sample Deliverable
Want to see how we operate? We’ll send a sample audit summary, system map, or KPI framework from a prior engagement.
Refer a Facility in Trouble
We work with operators, vendors, and investors who want to refer a struggling program or underperforming portfolio company. We’re equipped to step in quickly.
[email protected] | 828.545.3997 | Based in North Carolina. Serving clients nationwide.
We don’t take on every project. But if you’re serious about change, we’ll help you make it happen.