WHAT WE DO
We support organisations where decisions matter — financially, operationally, and reputationally. Our work is grounded in real-world delivery and shaped by the specific context, constraints, and operating environments in which our clients operate.
We work alongside boards, executives, and senior leadership teams to clarify options, test assumptions, and support confident decision-making — particularly in environments characterised by complexity, resource constraints, and competing priorities.
Our experience spans the health sector (public and private), tertiary education, financial institutions, infrastructure, construction, manufacturing, logistics, and primary industries.
Strategic and Board Support
We help boards and leadership teams translate strategy into decisions and operational plans that are operationally deliverable and financially sound.
This includes:
- Strategic and operational planning linked to deliverable initiatives and measurable outcomes
- Comparing options to identify priorities, trade-offs, risks, and their financial and operational implications
- Identifying the key drivers of value, performance, and long-term sustainability to support effective decision-making
- Advising on governance, funding structures, and risk allocation
Service Sustainability and Operational Reviews
We support organisations to understand how demand, capacity, workforce, and resources finances interact — and where change is required to sustain services over timehow to manage demand and utilise capacity and workforce to ensure operating models are financially viable and sustainable over time.
This includes:
- Demand, capacity,workforce, and financial alignment analysis
- Testing and redesigning service delivery models to improve affordability and sustainability
- Supporting change while maintaining service continuity and workforce stability
- Identifying productivity improvement and cost-saving opportunities that improve value for money without compromising service quality, supported by robust cost–benefit analysis
Business Cases and Financial Modelling
We provide decision-focused analysis to support investment, disinvestment, and material change.
This includes:
- Developing integrated financial models linking activity, workforce, and cost to support planning and service delivery
- Integrated profit and loss, balance sheet and cash flow modelling to support robust budgeting, forecasting, and cash flow management
- Preparing capital, funding, and whole-of-life cost analyses to support investment decisions
- Providing objective analysis to inform and stress-test strategic investment and disinvestment decisions, including business cases
Mergers & Acquisitions, Joint Ventures & Public / Private Partnerships
We advise on alternative delivery, ownership, and collaboration models where organisations are seeking to manage risk, scale capability, or improve outcomes.
This includes:
- Structuring partnerships and joint ventures, including public/private delivery arrangements
- Cost-benefit analysis of alternative delivery and ownership options
- Supporting mergers, acquisitions, and integrations, including due diligence, transaction structuring and negotiation, and post-transaction integration to realise value
Performance Measures and Reporting
We help organisations focus on what genuinely drives performance, cost, and sustainability.
This includes:
- Developing governance-ready reporting frameworks and templates that support oversight and informed decision-making
- Identifying fit-for-purpose strategic, operational, and financial performance measures that translate strategy into operational objectives
- Designing activity, utilisation, and productivity measures, including practical approaches to data capture and measurement
- Developing performance management frameworks that link strategy, value drivers, and operational activity – supporting behaviour change and sustained performance improvement
Health & Disability
Health and disability organisations face rising demand, constrained funding, workforce pressure, and increasing scrutiny. Leaders are required to make complex decisions with incomplete information and real delivery risk.
Since 2008, Alma has worked extensively across the health and disability system, including:
- Public funders of hospital, primary, and community services
- Public hospital and specialist service providers
- Primary and community health organisations
- NGO and not-for-profit health and disability services
- Private providers working alongside the public system
This breadth of experience gives us a strong understanding of system interfaces, funding and contracting dynamics, and the practical realities of service delivery across different settings.
We are known for being independent, pragmatic, and operationally grounded — able to translate complex system issues into clear, actionable advice.
Tertiary Education
Tertiary education organisations operate in an environment characterised by constrained and evolving funding settings, increasing accountability and performance expectations, workforce capability pressures, structural reform, and system redesign.
We have worked with organisations across the tertiary education system, including universities, polytechnics and institutes of technology, and industry training organisations.
Our experience includes:
- Board-level governance and strategy support
- Interim executive leadership roles
- Business cases and financial modelling
- Merger support, due diligence, and integration
- Funding and investment planning aligned to government and agency requirements
- Capital raising
This breadth of experience gives us a strong understanding of how policy, funding, governance, and delivery interact in practice across the tertiary system.