Led by an operator, not theorists.
Twenty-two years inside health systems and pharma, on the same three problems this firm was built for: strategy, business development, and the operations that connect them.
Origin
The opportunities were there. The bandwidth was not.
In hospital administration it became clear that many healthcare organizations lacked the strategic infrastructure, business development resources, and operational capacity to grow sustainably. The opportunities were there. The executive bandwidth to pursue them often was not.
That observation became the foundation of the firm. McMackin & Co. provides senior-level strategy, business development, and growth operations expertise at the scale you need, when you need it.
We work as an extension of your leadership team, giving steady attention to your goals, partnerships, and growth initiatives — not only when the next quarter demands it.
Our principal
Mack Wallace, MHA
Principal
Mack Wallace brings 22+ years of strategy, business development, and operations experience across pharma and health systems. He has led strategy and business development for multiple regional health systems, delivering double-digit EBITDA growth and expanded surgical and specialty capacity.
Trusted by C-suite and physician leadership alike, the throughline is consistent: translate market and operational data into strategies that strengthen referral networks and physician alignment, then convert that vision into measurable growth.
He works from the Carolinas, in the same markets as his clients.
Health system & pharma experience
Tenet Health • MUSC Health • Community Health Systems • AmerisourceBergen (Cencora) • Smith Drug Company
Education
MHA, Hospital Administration — Medical University of South Carolina
BS, Biology — University of South Carolina
What makes the firm different
A local pulse.
Our work is grounded where our feet are — across the Carolinas, not in a distant conference room.
Relationships already in place.
Established relationships with health systems and physician groups across primary and specialty care, plus integration into industry, academics, government, and community. Engagement starts immediately.
Bespoke, not canned.
Strategies are built on real operating experience, not lifted from a prior engagement.