Healthcare Transformation Operator

I turn structurally distressed hospitals into strategic growth platforms

CEO-level operator specializing in CAH/REH restructuring, ambulatory expansion, RCM modernization, and payment model innovation. I build repeatable playbooks that PE firms and health systems can scale.

8-12%
EBITDA Improvement
$45M+
Platform Growth
10+
De Novo Launches
100
Day Impact Plans
Value Creation Levers

Four strategic plays that transform hospital economics

Each lever creates standalone value. Combined, they build defensible platforms worth 8-12x EBITDA to PE acquirers.

CAH/REH Restructuring

Convert low-volume inpatient facilities to Critical Access or Rural Emergency Hospital models. Shift from PPS to cost-based reimbursement, eliminate structural losses, and create runway for growth investment.

5-12% immediate margin lift via cost-based reimbursement
📈

Ambulatory & ASC Expansion

Capture site-of-service arbitrage through ASC development, urgent care networks, and outpatient specialty clinics. Build high-margin service lines in orthopedics, GI, ophthalmology, and pain management.

25-35% EBITDA margins on ambulatory platforms
🔄

RCM & Shared Services

Deploy modern revenue cycle infrastructure that cuts cost-to-collect, accelerates A/R, and eliminates denial leakage. Scale shared services across portfolio companies for compounding efficiency gains.

22-28% denial reduction, 2-4% net revenue improvement
🎯

VRM Payment Innovation

Implement the Value Realignment Model—a five-layer payment architecture that shifts dollars upstream into prevention and chronic care. Create predictable PMPM revenue while reducing total cost of care.

12-18% cost trend reduction over 3-5 years
The C3-60 Institute

An operating system for healthcare transformation

Not just strategy documents—a complete execution architecture that scales.

01

Base Population Payment

Risk-adjusted PMPM rates ($45-$200) for care coordination

02

Outcome Incentive Layer

5-15% bonuses for chronic disease control & admission reduction

03

Innovation & Prevention Fund

3-5% of premium for upstream interventions with ROI

04

Penalty Reinvestment

Redirect penalties to community capacity-building

05

Chronic Care Dividend

30-50% shared savings for sustained improvements

Healthcare rewards sickness. We're building the architecture that rewards wellness.

The Value Realignment Model isn't theory—it's a practical payment framework with defined rates, funding mechanisms, policy pathways, and operational infrastructure. Designed for implementation through CMS Innovation Center waivers, Medicaid flexibility, or direct employer contracts.

Paired with the C3-60 leadership framework (Focus, Consistency, Hunger, Humility, Adaptability), it creates a complete operating system for healthcare transformation.

  • Specific PMPM rates and risk adjustment methodology
  • 48-month implementation roadmap with milestones
  • Quality and equity metrics aligned with HEDIS/CMS Stars
  • Policy pathways through existing federal and state mechanisms
  • Financial modeling with 15-25% TCOC reduction projections
Work With Me

Engagements tailored to your strategic context

Different stakeholders, different value propositions—same operator discipline.

Private Equity

Transform distressed assets into scalable platforms. I bring both strategic architecture and hands-on execution.

  • Due diligence support for healthcare acquisitions
  • Operating partner or interim CEO roles
  • Portfolio-wide playbook development
  • CAH/REH conversion strategy
  • Value creation planning (100-day impact plans)
Discuss Portfolio Needs →

Health Systems

Stabilize struggling facilities and build growth engines through ambulatory expansion and payment innovation.

  • CAH/REH feasibility and conversion
  • Ambulatory and ASC development strategy
  • RCM modernization and shared services
  • VRM implementation and payer contracting
  • Legislative and policy positioning
Explore Partnership →

Speaking & Advisory

Keynotes, board education, and strategic advisory on rural healthcare transformation and payment reform.

  • Conference keynotes and panels
  • Board and executive education sessions
  • C3-60 leadership workshops
  • VRM briefings for payers and legislators
  • Strategic advisory retainers
Request Speaking Info →
Background

Operator credentials built in the field

Jonathan "JC" Cohee

Healthcare CEO and transformation operator with deep expertise in rural hospital sustainability, private equity healthcare dynamics, and payment model innovation.

Led multiple turnarounds and de novo launches across post-acute, rehabilitation, and community hospital settings. Built $120M platforms to $450M through disciplined execution of CAH conversion, ambulatory expansion, and shared services integration.

Published author ("Mission Matters: Business Leaders") and founder of the C3-60 Institute for Healthcare Innovation. Currently developing the Value Realignment Model as a scalable replacement for stalled value-based care initiatives.

Current Role

CEO, Delta Health (Colorado) • Strategic partnership with Ovation Healthcare

Prior Leadership

Division President, PAM Health • CEO, Kindred Healthcare facilities

Growth Track Record

10+ de novo hospital/clinic launches • 28% ambulatory revenue growth YoY

Education

MA Healthcare Administration • BS Occupational Therapy • ACHE Member

Thought Leadership

C3-60 Leadership Framework • Value Realignment Model (VRM) • Rural Hospital Strategic Playbook

Specializations

CAH/REH Strategy • 340B Optimization • Medicare Reimbursement • PE Healthcare Operations

Start a Conversation

Let's discuss how to create value in your portfolio or system

Whether you're evaluating an acquisition, restructuring a facility, or exploring payment innovation—I'm happy to explore alignment.