Stravisor®
A Strategic Advisory Practice

Strategic counsel at the intersection of finance, operations, and technology.

CPA-grade financial rigor. C-suite operational execution. Builder-level technical fluency. Brought to bear on the questions that matter most to healthcare leaders — the ones that span the controller’s office, the operating floor, and the boardroom.

Gene Preston, CPA
Principal
01 — The Practice

Built for the questions that span three domains at once.

Most advisory engagements deliver one of three things: a financial analysis, an operational assessment, or a technology recommendation. The questions facing healthcare leadership today rarely fit inside one of those boxes.

Reimbursement pressure doesn’t stop at the controller’s desk. Operational reform requires financial modeling and technical execution to land. AI adoption requires governance, infrastructure, and a clinical operating model that can absorb it. The hardest decisions sit at the intersection.

Stravisor exists for the intersection. The work is engaged at the level of strategy, executed at the level of detail, and accountable to the institutions and the people it serves.

02 — Three Disciplines

One practitioner. Three operating fluencies. Brought into the same frame.

Finance

CPA discipline applied to healthcare’s structural complexity.

Mid-month and full-cycle forecasting. Variance analytics and management reporting. Payer mix modeling, capital structure analysis, bond strategy, and wage index optimization. The kind of narrative work that holds up to executive committee, audit, and credit rating agency scrutiny.

Operations

A C-suite operator’s view of how the work actually gets done.

Revenue cycle redesign. Productivity benchmarking. Expansion, reopening, and capacity strategy. Salary architecture and workforce design. Regulatory compliance built from inside a working facility — not from a consulting deck.

Technology

Builder-level fluency in the tools shaping the next decade.

Power Platform. SharePoint architecture. PostgreSQL. Python. Applied AI for finance and operations. And the governance frameworks that make enterprise AI adoption defensible to boards, auditors, and regulators.

03 — Selected Capabilities

Where the practice is most often called.

Financial Forecasting & Variance Analytics
Reporting infrastructure built to survive executive, audit, and rating-agency scrutiny.
Capital Strategy & Bond Issuance Support
Preparing healthcare borrowers for the rating agencies and the markets.
Revenue Cycle Diagnostics & Redesign
Utilization review, denials, payer performance, and the metrics that move EBITDA.
Behavioral Health Strategy
Acute, sub-acute, and community-based care across the recovery continuum.
M&A & Partnership Structuring
Services agreements, management contracts, full acquisitions, and the governance to hold them together.
Regulatory & Reimbursement Strategy
340B, price transparency, wage index, Directed Payment Programs, and Medicare/Medicaid policy translation.
Enterprise AI Adoption
Governance, data policy, productivity infrastructure, and executive education frameworks.
Custom Analytics & Automation
SharePoint, Power Automate, dashboards, and bespoke tools built to clinical-finance operating cadence.
04 — Perspective

A point of view on the decade ahead.

The next decade of healthcare will be defined by leaders who can hold financial discipline, operational reality, and technological possibility in the same frame — and who refuse to let any one of them drown out the other two.
Gene Preston, CPA · Principal
05 — Voice

Where the work has been seen and heard.

Speaker
National healthcare finance forums on reimbursement, capital strategy, and the AI-era CFO.
Presenter
Credit rating agency presentations supporting multi-hundred-million-dollar healthcare bond issuances.
Counsel
Boards, executive teams, and operating leadership across acute, behavioral, and community-based care.
Author
A premium AI education curriculum for healthcare executives — built for leaders who will define the next operating model, not survive the last one.
06 — Connect

Selected engagements. Direct access.

For senior leadership inquiries, board engagements, and selected advisory mandates — the conversation begins directly.