Revenue, operations, leadership, and organizational behavior are connected.
About Rosh and Zander
Executive insight for the complexity behind healthcare performance.
We help healthcare leaders understand the organizational conditions behind recurring revenue and operational concerns.

Founder and advisor
Antoinette Cooper
Executive Revenue Intelligence Advisor
Antoinette approaches revenue performance as an organizational story—not merely a billing outcome. Her work focuses leadership attention on the decisions, behaviors, operating conditions, and hidden complexity that influence results long before they appear on a financial report.
Through focused executive discovery, she helps organizations distinguish visible symptoms from the conditions that are actually shaping performance. The objective is not to arrive with a predetermined answer. It is to ask the questions that reveal what others may have overlooked.
“Financial performance is the reflection of organizational behavior.”
How we work
Three principles guide every engagement.
The concern presented first may not be the condition that most needs attention.
Every engagement should leave leaders with a sounder decision—not more noise.
Before pursuing another solution