A multi-city healthcare diagnostics network invested aggressively in expansion. City infrastructure was sized for two times actual demand. Utilization stalled at 35 to 50 percent with fixed costs fully loaded. Janus Intellect applied cost segmentation, utilization thresholds, and city-level P&L accountability. EBITDA increased approximately 4x. Cash runway extended by 16 months. Engagement duration: 7 months.
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