Case Studies: Advisor Experience

Driving Scalable Growth Through Regional Restructuring

Challenge
A rapidly expanding European healthcare provider was facing growing pains. Operating through 15 separate national organizations, the business had become siloed and inefficient. Redundant support functions, inconsistent reporting, and a lack of shared systems were driving up costs and creating operational friction. The decentralized model also hindered strategic alignment, making it difficult for leadership to scale the business or respond quickly to evolving priorities.

The client recognized the need for structural change but required a transformation partner who could lead with both strategic insight and operational discipline.

Approach
A transformation advisor was engaged to lead a comprehensive restructuring initiative focused on long-term scalability and efficiency. The cornerstone of the strategy was a shift from 15 independent national entities to five streamlined regional hubs. This enabled the organization to maintain essential local responsiveness while unlocking the benefits of centralization and standardization.

Key initiatives included:

  • Consolidating operations into five regional structures to eliminate duplication and align leadership
  • Centralizing core support functions (finance, HR, IT) to reduce overhead and improve consistency
  • Implementing unified systems and shared reporting tools to enhance visibility and accountability
  • Redesigning workflows to reduce the administrative burden on frontline clinics and increase focus on patient care

Throughout the transformation, the advisor applied a structured change management approach to engage stakeholders, align leadership, and ensure a smooth transition across diverse teams and geographies.

Business Impact
This regional restructuring delivered tangible, enterprise-wide benefits:

  • Reduced overhead costs through leaner, more efficient operations
  • Increased productivity with unified tools and standardized processes
  • Enhanced clinical performance by removing administrative barriers and strengthening support
  • Faster, more aligned decision-making across business units and regions

Why It Matters
This experience demonstrates how thoughtful organizational design—anchored by strategic consulting and supported by rigorous execution—can unlock scalable growth. By simplifying complexity and realigning resources to focus on value creation, the client is now positioned to expand its impact, with a stronger foundation and clearer strategic direction.

Ready to Restructure for Growth?
If your organization is experiencing the limits of a legacy operating model, we can help. Whether through regional consolidation, systems harmonization, or back-office transformation, our consulting approach is designed to accelerate performance and prepare your business for the future. This case is one example of the deep, hands-on experience Astellara Advisors bring to complex transformation initiatives—partnering with leaders to deliver results that scale.