Specialized senior expertise. Flexible engagements.
Accelerated execution. Measurable long-term results.
About Collins Fractional Leadership
Collins Fractional Leadership was founded to help healthcare organizations access senior-level strategy, growth, transformation, and execution support without always needing to add a full-time executive role. The firm supports healthcare organizations navigating growth opportunities, performance pressure, service-line challenges, referral dynamics, partnerships, integration, and leadership capacity constraints.
The work is built around a practical model: assess what is happening, prioritize what matters most, and help leaders move from strategy to execution with accountability, urgency, and measurable progress.
Collins Fractional Leadership brings agility, speed, specialization, accountability, and execution capacity to organizations that need senior leadership support without adding permanent overhead.
Our work is grounded in four core principles: integrity, kindness, service to others, and speed to impact.
Mission: To help reduce avoidable suffering at scale by strengthening the organizations that deliver care.
About the Founder & Firm Principal
Mat Collins, MBA
Mathew Collins is a healthcare strategy, growth, and operational leadership executive with experience across health systems, physician networks, post-acute care, behavioral health, home-based care, and community-based healthcare organizations.
Mat founded Collins Fractional Leadership to help healthcare organizations move faster on the priorities that matter most — stabilizing performance, accelerating transformation, strengthening execution, and protecting their missions for the long term.
His work has focused on enterprise transformation, service-line performance, referral strategy, market development, optimizing partnerships and integrations, operational leadership and turnaround, enterprise transformation, and performance-management infrastructure across complex healthcare environments.
Collins Fractional Leadership is built for organizations that need more than a report. The firm helps leaders assess what is happening, prioritize what matters most, and move from strategy to execution with accountability, urgency, and measurable progress.
Selected Measurable Impact
Representative results from Mathew’s healthcare strategy, growth, transformation, and operational leadership work include:
Helped lead enterprise performance improvement work associated with operating margin improvement from approximately -7% to +2.5%.
Supported enterprise growth, transformation, and merger activity during a period in which annual revenue expanded from approximately $53M to more than $100M.
Helped improve a mobile wound care service line from approximately -80% operating margin to +47% in less than 10 months.
Supported hospice growth from approximately 330 to 400 average daily census organically, with admissions growth exceeding 25%.
Partnered with physician, practice, and shared-service leaders to reduce palliative care referral-to-visit time from 25 days to 0.9 days across an 11-hospital, 6-clinic, and home-visiting model.
Partnered with hospital, medical group, and physician leaders to improve network integrity from 69% to 91%, with provider retention improving from 73% to 96%.
Helped shift a personal care/home care service line from 1% to 30% cash-pay mix, supported by 410% growth in cash-pay hours.
What We Do, When to Engage
When growth stalls, performance declines, major transformation is needed, or leadership gaps threaten momentum, you don’t need another report —you need an executive who stays, leads, and delivers results.
We provide on-demand C-suite and VP-level fractional leadership to health systems, post-acute care groups, behavioral health organizations, independent physician practices, ambulatory networks, community-based agencies, and private equity–backed healthcare companies.
Unlike traditional consultants, we embed as accountable leaders: Building plans, making decisions, launching initiatives, restructuring and owning outcomes until performance improves.
Led by Mathew Collins, with access to a curated network of clinical, operational, and transactional specialists as needed.
When to Engage Collins Fractional Leadership
Turnaround leadership: Results are declining, and internal teams can’t diagnose root causes or drive recovery—especially in distressed or underperforming units.
PE-aligned value creation: You require rapid EBITDA improvement, de-risking, or exit readiness within 6–12 months – based on 12+ years healthcare turnarounds and transformations. Track record of stabilizing distressed units and accelerating growth within typical PE holding periods.
Growth execution: You’re scaling, entering new markets, or launching service lines—but lack in-house strategy or go-to-market capacity.
Interim C-suite coverage: Leadership gaps during transitions, searches, or post-deal integration demand immediate, credible stewardship.
Embedded, accountable leadership: You need more than a report—you need an executive who stays, leads teams, makes decisions, and owns outcomes.
Access & flexibility: Access battle-tested executive leadership with no full-time, long-term commitment—deploying exactly the expertise you need, when you need it
When to Consider an Introductory Strategy, Growth, & Performance Assessment
Financial & Margin Pressure
Margins are tightening, payer mix is unfavorable, revenue is flat or missing target, or service lines are not producing expected contribution.
Growth & Volume Performance Challenges
Volumes, referrals, admissions, visits, census, or revenue are below expectations despite market opportunity.
Referral & Market Position Uncertainty
Referral patterns are unclear, leakage is increasing, competitors are gaining ground, or market share is shifting.
Service-Line Underperformance
A program is strategically important but underperforming on growth, access, quality, margin, productivity, or execution.
Leadership Capacity & Execution Constraints
The executive team knows what needs attention, but leaders are stretched and priorities are not moving fast enough.
Partnership, JV, M&A, or Affiliation Questions
The organization is considering whether to grow, partner, affiliate, acquire, integrate, or exit a service.
Strategic Focus & Board Clarity Needs
There are too many priorities, unclear tradeoffs, or misalignment around what should move first over the next 30, 60, 90, or 180 days.
A focused introductory Strategy, Growth & Performance Assessment can help leadership teams assess what is happening, prioritize what matters most, and identify a practical path from opportunity to execution.
Summary of Core Offerings:
Fractional Executive Roles: Acting CSO, CTO, CGO, VP of Strategy, Business Development, Operations, or Sales—plus trusted advisory to CEOs, boards, and investors.
Enterprise Strategy & Market Growth: Strategic planning, full-cycle M&A support, joint ventures, market entry, competitive analysis, and new service-line launch.
Operational & Financial Turnaround: Rapid intervention for distressed or underperforming organizations—driving margin recovery, cost rationalization, workforce realignment, and sustainable performance.
Business Development Transformation: Full assessment and rebuild of underperforming growth functions—including pipeline optimization, referral analytics, partnerships, team restructuring, onboarding, performance management, and incentive design.
Value Creation for Investors & Leaders: Supporting executive teams and private equity firms in building scalable, defensible business models, improving EBITDA, and preparing assets for exit or scale.
Begin your transformation.
Accelerate growth.
Improve performance.
Protect your mission.
Submit the inquiry form to discuss your objectives and determine how a tailored consulting, fractional leadership, or advisory engagement can advance your strategic priorities.