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Case Study · 02

COO

MAY 2023 - APR 2024

TURNAROUND

How I stabilized a mental health organization in crisis — financially, operationally, and clinically — and left it standing.

How I stabilized a mental health organization in crisis — financially, operationally, and clinically — and left it standing.

<12

MONTHS TO STABILIZATION

MONTHS TO STABILIZATION

<12

FULL

OPS RESTRUCTURE

OPS RESTRUCTURE

$1.2m

$1.2m

P&L MANAGED & SAVED

P&L MANAGED & SAVED

$60/m

$60/m

REVENUE GENERATED

REVENUE GENERATED

Overview

A mental health company in crisis. A turnaround that couldn't fail.

A mental health company in crisis. A turnaround that couldn't fail.

Within Center was experiencing what most companies don't survive — simultaneous financial instability, leadership fractures, and operational breakdown, all inside a clinical environment where the stakes weren't just business. They were human.


I was brought in as COO to stabilize the situation. That meant making hard decisions fast, rebuilding trust with investors and the board, restructuring the management team, and doing it all without disrupting the care being delivered to patients.


This is the engagement I'm most proud of. Not because of the numbers — but because of what was at stake and the discipline it took to fix it right.

Within Center was experiencing what most companies don't survive — simultaneous financial instability, leadership fractures, and operational breakdown, all inside a clinical environment where the stakes weren't just business. They were human.


I was brought in as COO to stabilize the situation. That meant making hard decisions fast, rebuilding trust with investors and the board, restructuring the management team, and doing it all without disrupting the care being delivered to patients.


This is the engagement I'm most proud of. Not because of the numbers — but because of what was at stake and the discipline it took to fix it right.

THE CHALLENGE

Finances were unstable. The management team was fractured. Clinical protocols were underdeveloped. Investors needed confidence. Patients needed continuity. Everything had to be fixed simultaneously without shutting down operations.

Crisis on every front at once.

THE APPROACH

Week one was pure diagnosis. I prioritized the financial bleed, restructured the management team to eliminate internal friction, then worked with the clinical team to build the protocols and SOPs that the organization needed to operate safely and efficiently.

Triage. Stabilize. Rebuild.

THE OUTCOME

Within 12 months, Within Center had stabilized finances, a restructured and functional management team, formal clinical protocols co-developed with MDs and NPs, and a board that was aligned and informed through regular financial forecasting and presentations.

A company that survived and improved.

How it actually happened — month by month.



How it actually happened — month by month.



Financial Triage & Team Assessment

Conducted a full audit of financials, cash flow, and burn rate. Simultaneously assessed every member of the management team — who was contributing, who was the source of friction, and what needed to change immediately.

Conducted a full audit of financials, cash flow, and burn rate. Simultaneously assessed every member of the management team — who was contributing, who was the source of friction, and what needed to change immediately.

MONTH 1

Management Restructure & Revenue Recovery

Team Restructure & Revenue Creation

MONTH 2-3

Restructured the team and immediately turned to the most urgent problem — primary revenue channels had been shut down and revenue was in freefall. Secured a new opportunity from scratch and drove a recovery of over $60,000 per month.

Restructured the team and immediately turned to the most urgent problem — primary revenue channels had been shut down and revenue was in freefall. Secured a new opportunity from scratch and drove a recovery of over $60,000 per month.

Restructured the team and immediately turned to the most urgent problem — primary revenue channels had been shut down and revenue was in freefall. Secured a new opportunity from scratch and drove a recovery of over $60,000 per month.

Customer Journey & SOP Architecture

MONTH 4-6

Designed journey-driven SOPs that integrated patient care with operational efficiency — so that doing the right thing for the patient and running a sustainable business weren't in conflict. Left the organization with documented processes it could own independently.

Designed journey-driven SOPs that integrated patient care with operational efficiency — so that doing the right thing for the patient and running a sustainable business weren't in conflict. Left the organization with documented processes it could own independently.

Investor Communication & Growth

MONTH 7-12

Built a communication cadence with investors and the board. Authored the first structured financial forecasting decks the organization had ever produced — and delivered them personally to restore confidence.

Built a communication cadence with investors and the board. Authored the first structured financial forecasting decks the organization had ever produced — and delivered them personally to restore confidence.

THE TURNAROUND

WHAT I ACTUALLY BUILT

The infrastructure that made survival possible.



Financial Forecasting System

01


01


01

Built the first structured financial model and forecasting process the organization had — monthly reports, board decks, and cash flow visibility that allowed leadership to make informed decisions instead of reactive ones.

02

02

Clinical Safety Protocols

Worked directly with MDs and NPs to develop the medical standards and safety documentation required for compliant, scalable mental health service delivery.

03

03

Patient Journey SOPs

Architected the full patient journey from intake to ongoing care — every touchpoint documented, every handoff defined, so quality didn't depend on any individual person doing it right.

04

04

Made the personnel decisions required to eliminate internal friction and rebuild a functional leadership team capable of running the organization independently after my engagement ended.

Restructured Management Team

"The hardest turnarounds aren't the ones where the business is failing. They're the ones where people are counting on it not to."

"The hardest turnarounds aren't the ones where the business is failing. They're the ones where people are counting on it not to."

Andrew Kaluza · COO, WITHIN CENTER 2023–2024

Andrew Kaluza · COO, WITHIN CENTER 2023–2024

Andrew Kaluza · COO, WITHIN CENTER 2023–2024

ANDREW KALUZA COPYRIGHT 2026

ANDREW KALUZA COPYRIGHT 2026

ANDREW KALUZA COPYRIGHT 2026