About.
Austin Healthcare Advisory is built on execution, not advice - bringing structure, clarity, and control to complex healthcare practices.
Austin Healthcare Advisory works inside independent, physician-owned practices to restore financial and operational control, eliminate day-to-day chaos, and build systems that actually work.
We typically partner with practices between $1M and $10M in annual revenue - where complexity has outgrown structure, but institutional support does not exist.
We are not a traditional consulting firm. We don’t provide recommendations and step away. We take ownership of the operational reality and execute the changes required to stabilize the business.
John Austin
Founder
John is the founder of Austin Healthcare Advisory and brings over 20 years of experience across healthcare operations, financial strategy, and enterprise systems.
He has operated in COO capacities within independent practices and led financial and operational strategy within the Mass General Brigham system, supporting over $1B in patient service revenue. His experience includes capital planning, operational performance, and building the financial and reporting infrastructure required to support complex clinical operations.
Earlier in his career, John worked in private credit and sponsor finance, including roles at J.P. Morgan and Antares Capital, where he developed a strong foundation in financial analysis, capital structures, and risk management.
John’s approach is grounded in execution - working inside practices to restore financial visibility, align operations, and build systems that support long-term stability and growth.
Vanessa McLellan
Client Operations
Vanessa leads client coordination and administrative operations at Austin Healthcare Advisory, supporting the day-to-day execution of each engagement.
She works closely with practice leadership and staff to manage communication, align expectations, and ensure operational initiatives remain organized and on track. Her role includes overseeing administrative workflows, coordinating recruiting and staffing efforts, and supporting consistent execution across the engagement.
Vanessa brings a calm, structured approach to complex environments and is experienced in navigating evolving priorities and unique situations with discretion and responsiveness. She ensures that details are handled, communication remains clear, and the engagement moves forward smoothly - even in challenging or rapidly changing situations.