The Company
Industry: Healthcare Services
Entity Type: Nonprofit
Operating Region: U.S.
Size: $30M
The PROBLEM
Amid rapid growth, the organization’s accounting function became unstable due to the absence of a Chief Financial Officer and the departure of its Controller. Without internal leadership, financial processes deteriorated, reporting lagged, and the organization lacked the structure required to manage complex billing and support a transition to a fee-for-service model.
The Solution
McDermott + Bull Interim Leaders placed a highly experienced Interim Controller with a strong background in nonprofit finance, GAAP reporting, and system optimization. They assumed full ownership of both accounting and finance functions, stabilized operations, implemented disciplined processes, and partnered with leadership to rebuild budgeting, forecasting, and reporting capabilities.
The RESULT
The interim Controller rapidly restored financial control, rebuilt core accounting processes, and established the infrastructure required for scalable, data-driven decision-making. Their leadership transformed a fragmented function into a structured, forward-looking finance operation.
Stabilized Close + Core Accounting Operations
Implemented a disciplined 10-day month-end close and reestablished consistent accounting workflows, restoring timeliness and operational reliability.
Rebuilt Financial Accuracy + Reporting Integrity
Reconciled the balance sheet and P&L, corrected historical gaps, and delivered accurate, GAAP-aligned financials to support leadership decision-making.
Established Budgeting + Forecasting Discipline
Built program-level budgets and cash flow projections, enabling financial visibility and supporting the organization’s transition to a fee-for-service revenue model.
James Hickey
Managing Partner and President, McDermott + Bull Interim Leaders
hickey@mbexec.com
James Hickey serves as Managing Partner and President for McDermott + Bull Interim Leaders, helping companies with mission-critical needs for talented executives during key points in their life cycle. He also works closely with Private Equity Groups to help their portfolio companies when there are gaps in leadership or to provide additional support to the team during critical transactions.