Case Studies | Rick Ables Revenue Turnarounds and Growth Engagements

VIEMed Healthcare

NASDAQ: VMD. Director of Product Marketing, promoted to Chief Growth Officer within 5 months.

$64.5M to $131M in annual revenue. 6 states to 48. 18 months.

Situation: A post-acute home respiratory care company with 6 states, 6 field reps, no CRM, and no lead tracking.
What was broken: Prescriptions were stalling in unworked insurance-denial files. Reps had no territory data and no support team.
What I did: Built the CRM and territory system from scratch. Stood up a 16-person inside sales support team and a prescription-recovery team that worked denials back into revenue. Brought pharmaceutical-style territory and call discipline into home respiratory care. Built a 100+ person certified Respiratory Therapist sales team.

Embedded CEO through Nimble Rhino. Full P&L, 60 people, no equity.

$7M to $21M in under one year. 3x.

Situation: One of the top three jigsaw puzzle companies in the world, family-owned and founder-led, stuck at $7M for seven years.
What was broken: $10M+ a year in lost revenue tied to single-source manufacturing. Nobody knew true net income by channel.
What I did: Did a full strategic and operational review, and the leadership team asked me to step in as CEO. Built contribution models for Amazon, Walmart, Costco, Kroger, and direct. Renegotiated Costco, diversified manufacturing, raised prices 25%, and rebuilt forecasting for investor conversations.

Lead Development Manager to Senior Director, Strategic Alliances.

ACA product from $0 to $140M+ in about 9 months. $41M closed personally.

Situation: A roughly $1B compliance and SaaS division with no landing pages, no lead tracking, and no call attribution.
What I did: Built attribution across 8 to 10 products and 100 tracked numbers, a qualification framework, and Salesforce routing. Created ADP's first Sales Development team model, later adopted company-wide. Launched a new ACA compliance product by running campaigns at the top 50 U.S. PE firms and their portfolio companies.
Also: Lead development from $40K to an $11M/year run rate in 2.5 years. 300% and 225% of quota, President's Club twice.

VP of Sales & Marketing through Nimble Rhino.

Monthly revenue from $20K to $200K.

Situation: An enterprise AI chatbot platform for training and behavior change, a decade before most companies were talking about AI.
What I did: Built the marketing system and sales process end to end. Stood up a 12-person team in the Philippines and an outbound engine that took meetings from 4 or 5 a month to 25 a day.
Clients: Disney, Google, Apple, Microsoft, JPMorgan Chase, and PwC.

Growth strategy and business development through Nimble Rhino.

$14M to $67M recovered per hospital engagement. 8 to 14x ROI.

Situation: A 200-person healthcare revenue cycle firm that needed a way into hospital systems.
What I did: Picked the target health systems, built the decision-maker lists, and built the outbound engine that booked the meetings.
Result: Signed engagements with Kaiser Permanente, HCA HealthOne, Children's Hospital, and Denver Health.

AI vision and 90-day commercial operating plan.

Delivered to the CEO, CFO, and a sponsor board member.

Situation: A PE-backed dental practice management software company with a 50,000-practice installed base. New logos were hard to win, and most of the growth opportunity was already sitting with existing customers.
What I did: Diagnosed the commercial operating model and built a company-wide AI growth strategy and a 90-day implementation plan. Delivered it to the CEO and CFO, then walked a sponsor board member through the growth, margin, and capital-efficiency case.
Why it's here: It's exactly what a Revenue Diagnostic looks like, delivered to a PE-backed leadership team.