Enterprise Infrastructure & Operational Scale for Healthcare Companies

THE PILLAR BETWEEN LEADERSHIP AND RESULTS

We don’t deal in theory. Column Six delivers the battle-tested MSO infrastructure, pre-negotiated technology environments, and fractional C-suite leadership required to scale your organization at elite velocity.

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We Didn’t Just Study the Market. We Built It.

The Playbook Behind the Velocity


Our team recently scaled a teleradiology enterprise from 0 to 300,000+ annual reads in just 6 months, recruiting 25+ specialized physicians and managing the complete tech stack. We bring that exact level of operational precision and real-world execution to every healthcare organization we partner with.

SERVICE OFFERINGS

  • Turnkey back-office infrastructure, physician scaling, and fully managed PACS environments built to commercialize or scale your practice at pace.

  • Fractional COO — Operational excellence, process design, team alignment.

    Fractional CFO — Financial strategy, reporting, capital planning, profitability.

    Custom Executive Roles — CEO, CMO, CRO, or project-based leadership as needed.

    • Strategic planning

    • M&A readiness and integration support

    • Performance improvement initiatives

    • Process automation and system integration

    • Project-based finance support without the need for full time or fractional CFO

Leadership Team

Kevin and David first connected at the University of Missouri and have since worked together at four organizations prior to founding Column Six. With over 25 years of combined experience in finance, operations, and strategy, they bring a complementary blend of skills that bridges executive leadership and on-the-ground execution.

Together with their team, they partner with healthcare organizations and growth-focused companies to deliver structure, clarity, and measurable results embodying the Column Six mission of being the pillar between leadership and results.

  • Managing Partner

    David started his career as a CPA with PwC before transitioning into healthcare, where he has spent the past 13 years driving financial and strategic transformation. His experience spans CFO, strategy, analytics, and consulting roles across large healthcare providers and innovative healthcare vendors.

    Throughout his career, David has led initiatives in financial strategy, M&A, and commercialization, consistently improving revenue performance and operational efficiency. He now partners with healthcare organizations and physician-led groups as a fractional executive, helping them scale operations, adopt AI-driven solutions, and position themselves for strategic growth or exit. David’s unique blend of financial expertise and strategic leadership skills enables him to bridge clinical, operational, and business priorities delivering enterprise-level results for organizations of all sizes.

  • Managing Partner

    Kevin is a licensed CPA with more than a decade of experience in finance, operations, and strategy across healthcare, consumer brands, and professional services. Most recently, he served as Chief Financial Officer for USA Radiology Management Solutions, where he drove a 28% year-over-year revenue increase by redesigning physician compensation models, improving contract terms, and introducing advanced financial forecasting frameworks. His leadership spans full-cycle finance, billing, payroll, and benefits operations, ensuring efficiency and compliance across multiple entities.

    Earlier in his career, Kevin held leadership roles across numerous organizations guiding them through financial transformation, operational alignment, and sustainable growth.

    Today, Kevin partners with healthcare and other growth-focused companies as a fractional executive and advisor, bringing both strategic insight and hands-on execution to every engagement. His deep expertise in financial management and operational excellence enables him to align leadership vision with ground-level execution, driving results that last.

CONTACT US

Interested in partnering with us or joining our team? Share your information below, and a member of our team will be in touch soon.

We look forward to connecting with you!