Pharma Capital
Market: AIM
52-week High/Low:
Sector: Health Care, Equipment & Services
Market Cap: 191.85M
Phone: +1 713 432 1100
Address: 3200 Wilcrest Dr Ste 600, Houston, Texas, 77042-6000.

Constellation Healthcare Technologies is a healthcare services organisation providing outsourced revenue cycle management ("RCM"), practice management ("PM") and group purchasing services to the physician market in the United States.

The Group benefits from a large market opportunity in physician billing, which is estimated by the Directors to be approximately a $37 billion market across current specialties. The Directors believe that there has been an increasing trend towards physicians outsourcing billing operations, although they also believe that approximately 55 per cent. of physicians still retain their RCM operations in-house. This represents a significant market opportunity for large scale RCM service providers such as Constellation Healthcare Technologies.

Constellation Healthcare Technologies, Inc.

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Constellation Healthcare Technologies, Inc. Snapshot

Introduction :

Constellation Healthcare Technologies provides a holistic, integrated suite of practice management support services to hospitals and medical practices across the United States.

Our mission is to work in partnership with our clients to lead the evolution of the Health Care industry. Together, we help our clients bring innovations in patient care to life. We enable our clients to seamlessly access and integrate patient data, diagnostic data, lab and test data, and pharmacology data to improve the quality of care for their patients, while providing automated and optimized technical and logistical support to create and sustain long-term, bottom-line success for our clients.

Industry Challenges :

The Healthcare Industry faces many new challenges that are coming together to reduce physician earnings by increasing practice costs and complexity. Multiple health plans, intricate reimbursement methodologies, complex regulatory issues, increased patient responsibility for payments, and growth of the uninsured consumer, are the major drivers of the changes; however mandated use of technology (EMR), and increased dependence on mobile applications by consumers are also contributing factors. These change drivers are responsible for significant downward pressure on the bottom lines of many healthcare organizations.

Unlike many other industries; the medical industry has not adopted and embraced process improvement and automation technology resulting in an industry ripe for optimization. Improving financial performance requires specific knowledge of medical practice processes and business acumen. This knowledge must be focused on optimizing the inadequate revenue cycle processes in order to maximize profitability. It also requires investments in new technologies such as voice recognition, automated coding, claims, and payment processing, EHR, and business process workflows. Constellation Healthcare Technologies is uniquely positioned to assist the medical profession on this journey of change, transformation, and optimization.

We bring together over a decade of industry experience and innovation. Our staff of industry professionals has the skills and experience necessary to deliver a complete range of health care and advisory services across all sectors of the Health Care industry.

We offer comprehensive, customized solutions that help our clients achieve their financial goals and overcome their most pressing and complex challenges. We value our clients and commit ourselves to their success.

Constellation Healthcare Technologies understands these industry challenges. Using innovative services and tools to address all aspects of the revenue cycle, Constellation Healthcare Technologies helps organizations increase net revenues, expedite billing, improve collections, and reduce costs; all while complying with ever-changing government regulations.


We provide comprehensive revenue cycle management support for medical practices and Hospitals. Our professional and highly skilled team uses state of the art billing systems, which are integrated with EHR systems and provide sophisticated automation and workflows designed to increase reimbursements and dramatically reduce denials. Our clients tell us they enjoy increased revenue and reduction in AR within a few months of making the switch to one of Constellation Healthcare Technologies' billing platforms. Our billing solutions also provide the following benefits to your practice:

  • Faster payments with fewer denials resulting in increased cash flow and higher profits,
  • Sophisticated Business Intelligence and Analytics to help manage your practice more effectively. By combining billing data, patient and physician data, and practice management data and providing a world class proprietary BI tool; we provide our clients with visibility into the details that drive the success of the practice. Our tool allows you to identify business strengths to leverage and weaknesses to correct.
  • On-line management reporting developed for your practice and customized to meet the needs of the different stakeholders (CEO, CFO, Physician, Billing Manager, etc.)
  • Professional coding to ensure maximum revenue for every procedure,
  • Credentialing and contract-negotiation support,
  • Billing fees based on payments received, (We only get paid when you get paid!)

Our Medical Billing Solutions include :

  • Charge Capture
  • Demographic Data Entry
  • Coding
  • Claims Submission
  • Payment Collections
  • Denials processing
  • Accounts Receivable Follow-up
  • Quality Assurance
  • Compliance and Audit
  • Financial Accounting
  • Sophisticated and Individualized management reporting on all aspects of RCM
  • Regular personalized client communications with suggestions for coding and documentation enhancements to increase revenue and reduce denials.
  • Client training and education on regulatory changes that effect coding and billing processes.


Constellation Healthcare Technologies has a strong track record of excellence in providing the highest quality practice management, including staffing to its medical practices and partner hospitals. Constellation Healthcare Technologies prides itself on both practice satisfaction and patient satisfaction. We continually improve our processes and workflows to ensure the most efficient operations in the practices we manage. Our hallmark is process and system integration throughout the businesses we manage. Our on-going quality surveys indicate that the patients served by our practice management staff are impressed with our efficiency, but are most appreciative of our helpful and friendly staff.

Our Practice Management Services Include:

  • Scheduling
  • Patient Registration
  • Patient Pay Solutions
  • Patient-First Revenue Cycle Management
  • Insurance Verification & Eligibility
  • Staffing
  • Finance, Accounting, and Purchasing
  • HR and Payroll
  • IT and Administration


Medical Practices and Healthcare organizations are dealing with unprecedented changes to their basic business models. Increased regulations and depressed revenues are putting a severe strain on physicians' earnings.

At Constellation Healthcare Technologies, we provide the consulting expertise to help medical practices and healthcare organizations enhance their operational efficiencies by streamlining and automating internal processes. Our consultants help to increase the time physicians spend with patients and reduce the non-value added time dealing with operational and regulatory matters maximizing revenue and minimizing costs.

Client Challenges

Medical Practices and Healthcare organizations are dealing with unprecedented changes to their basic business models. Increased regulations and depressed revenues are putting a severe strain on physicians' earnings.

At Constellation Healthcare Technologies, we provide the consulting expertise to help medical practices and healthcare organizations enhance their operational efficiencies by streamlining and automating internal processes. Our consultants help to increase the time physicians spend with patients and reduce the non-value added time dealing with operational and regulatory matters maximizing revenue and minimizing costs.

  • Managing a changing business model: Shifting to a patient-centric healthcare system
  • Coping with regulatory pressures for cost containment and alignment of incentives
  • Handling digitized data from multiple sources, leading to a data explosion
  • Implementing reforms to provide greater emphasis on wellness management and preventive care


What Constellation Healthcare Technologies Provides

At Constellation Healthcare Technologies, we have the experience, expertise and capabilities to help you realize greater profits while maintaining or improving the quality of patient care. Our full service offerings include everything from IT services, to business process outsourcing. consulting and infrastructure services. Some of our focus areas include the following :

  • Practice analysis & assessment
  • Process optimization & automation
  • M&A and practice expansion planning
  • Strategic process outsourcing
  • Compliance


Practice Analysis & Assessment

The Constellation Healthcare Technologies practice analysis and assessment service can be tailored to your needs. Our expert medical practice consultants are prepared to address all of the following components of the practice:

Office management and patient processing optimization

Optimizing and automating EHR usage

Revenue cycle management and cash flow optimization

Productivity management and optimization

Technology review

Compliance and security assurance

Staff and physician training for coding and billing to maximize revenue

What can a Medical Practice Assessment Reveal about Your Business? 

Having a qualified third party assess all or part of your medical practice can uncover a host of missed opportunities, and needless exposure to liabilities. It can also provide some strategic direction for your business as you grapple with the many reimbursement, regulatory and market pressures that confront today's practitioners.

Our assessments provide world class solutions to questions like...

Am I documenting my procedures properly to ensure maximum charges for each patient encounter?

Are my collections in line those delivered by industry best practices?

What are the most profitable services that I provide? How can I improve profitability on all of my services?

Are my labor costs too high? How can I reduce my costs, and increase the quality of my patient care?

How do I measure and improve staff productivity?

Our Medical Practice Assessments can be focused on specific areas of your operations, such documentation, coding, billing and collections. Or it can be an all-encompassing "top-to-bottom" review of your business's financial, human resource and administrative activities.


Process Optimization & Automation

Our consultants will work with you to integrate disparate technologies to eliminate duplicate data entry, eliminate redundant data collection, and reduce the cycle time from patient service to full payment collection. We focus on meaningful use and physician quality reporting system (PQRS) so that each physician is able to maximize the incentive compensation that they are eligible to receive. Constellation Healthcare Technologies' Practice Strategy Center of Excellence provides templates and accelerators along with world class best practices to ensure that every engagement results the practice achieving the best financial and operational results possible. Our consultants carefully select the industry best practices that apply to your practice, they do not use a one size fits all approach to process optimization.


M&A and Practice Expansion Planning

Constellation Healthcare Technologies has experienced dramatic growth by balancing strategic acquisitions and strong organic growth. We leverage our dynamic growth strategies and transition/consolidation planning experience to assist you in achieving your growth objectives. We guide you through a structured due diligence process to ensure that the targeted acquisition truly meets the expectations outlined in the growth strategy. We assist you with a transition plan designed to deliver the benefits that are derived from the synergies provided by the merger or acquisition. Finally we will help you execute the transition plan and ensure that the benefits that were promised are actually realized within budget. Our transition planning includes IT systems integration and operations/process consolidation designed to leverage the best systems and processes from your existing practice and those of the targeted organization.


Strategic Process Outsourcing

Constellation Healthcare Technologies is an expert at Business Process Outsourcing. Our billing companies are strategic partners with their clients. We provide guidance, planning, and support for your practice as you transition low value added functions from expensive and un-reliable in-house resources to professional low cost external resources. We assist in all aspects of the outsourcing process from opportunity identification, to creation of Requests for Proposals RFPs, to vendor evaluation and selection, to transition planning and execution. We assist you with strategies to transition internal staff members to external staffing and provide you with the guidance you need to ensure that your outsourcing agreement will minimize your risks and deliver the high quality support you envision and require at a cost that enhances your bottom line.



The challenge is here. Implementing healthcare reform measures will impact every aspect of your operations. HIPAA-compliant electronic transactions are only one of many readiness considerations. Every system, interface or vendor application will need to be evaluated and adapted - including financial reporting, quality, disease/case management systems, management and operational reporting, even provider contracts - the list is long. It will take time and knowledgeable healthcare IT professionals. The healthcare technology experts at Constellation Healthcare Technologies are prepared to lead you through this challenge. Assertive regulation of healthcare by the states and the federal government is the new norm. This greater focus has been the source of numerous improvement programs, collectively referred to as Healthcare Reform, addressing the many areas that comprise healthcare delivery and consumption in this country. A key enabling element underlying these programs is technology. And not just the technology introduced by a provider or health plan into their organizations, but the ubiquity of it now within the general population with the explosion of smart phones and tablets. To help your organization to live and thrive in such a demanding and chaotic environment, Constellation Healthcare Technologies has teams of experienced healthcare and technology delivery experts available to help your organization navigate the many challenges and opportunities of complying and driving value through those efforts.



Currently there are many electronic health record (EHR) systems on the market. While they all offer varying levels of functionality all of them provide a digital version of a patient's paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. Many of the more sophisticated EHR systems are built to go beyond standard clinical data collected in a provider's office and provide a broader view of a patient's care. Constellation Healthcare Technologies helps you get the most from your existing EHR system because we have developed a proprietary integration tools, which can integrate data such as:

A patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results

Evidence-based tools that providers can use to make decisions about a patient's care

Patient demographics and billing information

Our integration tools along with our expert IT consultants help practices automate and streamline data to eliminate redundant data entry and provide workflows that expedite claims processing and ensure rapid payments on claims. Our clients have found that using our integration of your EHR system and your internal or third party billing system you can achieve success on first claim submission in over 98% of your claims.

If you are not currently using an EHR system, Constellation Healthcare Technologies is ready to help you through the selection, acquisition, implementation, and deployment of a state of the art EHR system, so you too may begin receiving the incentives provided by the Medicare and Medicaid EHR Incentive Program.


Medical transcription solutions that perfectly aligned with your needs!

Constellation Healthcare Technologies offers transcribing and documentation solutions that are affordable, secure and more importantly, tailored for you. We understand that in today's tech driven healthcare landscape listening to dictations and typing out transcripts is not enough. If there is anything that we are good at, it is rolling with the punches!

We can work seamlessly with your EMR/EHR!
To, make our services, more, client friendly. And to save you from dreary clerical tasks, we now offer EMR friendly medical transcription services. We work with dozens of EMRs every day and know our way around every single template of every single EMR/EHR.

Over 400 medical practices have streamlined their documentation process, cut down on operational costs, and increased the ROI of their EMR by working with us. We interface with your EMR seamlessly and adhere to all HIPAA and HL7 guidelines.

Specialty specific transcription services
We have separate teams of expert transcribers, for every medical specialty. The medical terminology and lingo, changes, with, every, medical specialty. And that is why we have a separate team of transcribers for all major medical specialties.

Please click here to see the list of the transcription services and customised templates on offer


John Joseph Johnston: Chairman and Independent Non-Executive Director

Mr. Johnston has spent his entire career in investment management, initially in fund management then in equity sales. Mr. Johnston began his career at General Accident as a trainee fund manager, subsequently working at Ivory & Sime, Murray Johnson and Legg Mason. In 2003 he established Revera Asset Management and was its Chief Executive Officer until 2007. In 2008, he joined Seymour Pierce as a managing director in Institutional Sales & Trading. In 2011 he left Seymour Pierce to join Nomura Code in a similar role. and after leaving Nomura Code he established Johnston Asset Management, which is his own consultancy.


Paul Parmjit Parmar: Group Chief Executive Officer

Mr. Parmar has provided consultancy services to a number of the world's largest companies including a major healthcare company, to improve their operational platforms by reducing costs and driving efficiencies.

Mr. Parmar has previously invested in healthcare businesses and technologies. In 2008 a group represented by Mr. Parmar bought a controlling interest in a medical billing company and subsequently sold the business to NextGen. In 2013 he founded Constellation Health to acquire Orion.

Mr. Parmar built a private aviation business through both acquisition and organic growth which was sold to Delta Airlines in 2010.


Sotirios Zaharis (known as Sam Zaharis): Group Chief Financial Officer

Sam Zaharis is a qualified Chartered Accountant with over 25 years corporate experience. He most recently served as Chief Financial Officer for Yarra Valley Farms, a wholesale supplier of fruit and vegetables servicing the commercial and hospitality industries in Australia. He has also held roles at Ernst & Young, Ferrier Hodgson and Kroll Inc., and previously worked with Paul Parmar to set up and establish Pegasus Elite Aviation.

He has extensive experience in M&A and integration, as well as day to day operational experience, corporate governance in addition to investor and lender reporting.


David Andrew Clark: Independent Non-executive Director

A fund manager for 25 years, David Clark began his career with six years at Scottish Mutual as an investment analyst before joining Ignis Asset Management (formerly Resolution) where he worked from 1993 until September 2014. At Ignis he was responsible for the UK Smaller Companies quoted investments across all sectors. His universe of potential investment candidates included not only those stocks quoted in FTSE UK Small Cap Index but also the Fledgling Index and companies quoted on AIM. His performance resulted in him being ranked number two Fund Manager in the UK (2009) across all sectors by Citywire. David graduated from Glasgow University with a Bachelor of Accountancy Degree and also holds an MSc in Investment Analysis from Stirling University.


Moshe Menachem Feuer (known as Mark Feuer): Independent Non-Executive Director

Mr. Feuer is the founding partner of Beechwood Capital Group, a private investment firm located in New York, which is focused on investments in the healthcare and insurance industries.

Prior to forming Beechwood, Mr. Feuer most recently was Chief Executive Officer of Marsh USA. In previous roles he was also the Chief Operating Officer of Merrill Lynch Americas, with responsibility for the Trust Company, Retirement Division, Private Bank, and other operations. Mr. Feuer sat on the Product Development committee for the Global Wealth Management organisation.

Mr. Feuer serves on several Boards of Directors, including many non-profit institutions in the New York area. He holds a Juris Doctor from New York Law School and an LLM in Taxation from New York University School of Law.

Sir Rodney Aldridge: Independent Non – Executive Director

As the founder of the Capita Group in 1984 until his retirement in 2006, Sir Rodney Aldridge led the company from start-up to becoming a FTSE 100 company, with Capita thus becoming the market leader in the provision of support and professional services to the government and private sector in the UK. Capital Group is now the 50th ranked company on the FTSE 100, with a market capitalisation of over £8 billion. Prior to Capita, Sir Rodney worked in local government for ten years with East Essex County Council, Brighton Borough Council, Crawley District Group and West Sussex Council, becoming a qualified accountant with CIPFA in 1970, joining CIPFA in 1974, and ultimately becoming its Technical Director.

Sir Rodney was awarded an OBE in the 1994 New Years Honours List and was given the Freedom of the City of London in 1996. In 2006 he was elected fellow of the Royal Society of Arts and in 2012 he received a Knighthood. In addition, Sir Rodney is Chair of the Lowry Arts and Entertainment venue in Salford; Chair of Acorn Care and Education, Patron and former Trustee of the Prince’s Trust; and founding member of the Prince’s Charities Council.

Dr Shawn Zimberg: Independent Non – Executive Director

Dr. Zimberg is a Board Certified Radiation Oncologist and the Medical Director of Advanced Radiation Centers of New York, a division of Integrated Medical Professionals, PLLC for whom Dr. served on the board of directors since July 2006. Dr. Zimberg is a leading expert in his field and performed his Radiation Oncology residency at the renowned Memorial Sloan-Kettering Cancer Center in New York where he was chosen to receive the American Cancer Society's Clinical Fellowship award. Dr. Zimberg is widely published in the Oncology field. In addition, in 2014, he was one of the founding partners of Evolution Ventures LLC, a merchant and investment bank focused on life sciences, biotechnology and healthcare and wellness industries.


Securities Information

The number of common shares issued as of admission of the common shares to trading on AIM: 55,615,056 (none in treasury)

Shares not in public hands: 86.87%

Significant shareholders are listed in the table below:


Number of Common Shares

Percentage of issued Common Share Capital

Constellation Health, LLC 37,862,074 68.08
AAKB Investments Limited 9,465,519 17.02
Legal & General Investment Management Limited 2,962,963 5.33


Constellation Healthcare Technologies

3200 Wilcrest Dr. Suite 600

Houston, Texas 77042

Phone: 1-800-523-1966 (713) 432-1100

Fax: (713) 481-3548

Nominated Adviser and Broker to the Company

finnCap Ltd

60 New Broad Street 

London EC2M 1JJ


Reporting Accountants to the Company

Grant Thornton UK LLP

30 Finsbury Square 

London EC2P 2YU


Legal advisers to the Company as to English law

Squire Patton Boggs (UK) LLP

7 Devonshire Square 

London EC2M 4YH


Legal advisers to the Company as to US law

Squire Patton Boggs (US) LLP

41 S High St #2000 


Ohio 43215



Capita Registrars (Guernsey) Limited

Mont Crevelt House

Bulwer Avenue 

St Sampson 

Guernsey GY2 4LH

Constellation Healthcare Technologies, Inc. Timeline

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