Est. New York  ·  Los Angeles MMXXVI  /  Vol. XXII


A consultancy for legaltech and healthtech — built around partners who have spent careers inside the institutions our clients are trying to win.

Engage Us By introduction or inquiry · response within 48 hrs
N° 001 — The Firm
A boutique practice

Twenty-two years inside the rooms where legal and healthcare get rebuilt.

Background

The Stilwell Group was founded by operators, not consultants. Our principals have spent careers inside Am Law firms, integrated delivery networks, regulated technology platforms, and the boards that govern them — long enough to recognize patterns the next cycle hasn't named yet.

We work in legaltech and healthtech because that is the work we know best. Two markets where compliance, capital, and clinical or professional judgment intersect — and where the difference between a thesis that survives diligence and one that doesn't is rarely a slide. It is who is in the room.

Founded
2004 — New York
Principals
Senior partners, no associates
Engagement model
Retained, by introduction
Sectors
Legaltech  ·  Healthtech
— A standing order —
20+ Years./
Two Markets./
One Standard.
Held since two-thousand-four
N° 002 — The Focus
Two markets, end to end

We do two things. Both of them, at depth.

N° 002.A  —  Legaltech

Legaltechnology

For platforms selling into Am Law and corporate legal — and for the firms and GCs evaluating them. We work where contract intelligence, e-discovery, matter management, and now generative tooling meet a buyer with a long memory and a slow sales cycle.

  • Go-to-market for AI-native legal platforms
  • Diligence for sponsors entering the category
  • Buy-side vendor selection for Am Law & in-house
  • Operating-model redesign for legal ops functions
N° 002.B  —  Healthtech

Healthtechnology

For digital health, payer-aligned platforms, clinical workflow, and life-sciences software — sold into systems and plans that do not move unless reimbursement, risk, and clinical signal all line up. We have built and bought inside that environment.

  • Provider and payer market-entry strategy
  • Reimbursement and value-based-care positioning
  • Clinical-workflow and EHR integration counsel
  • Commercial diligence for health-tech sponsors
N° 003 — The Approach
Why a boutique

Built differently than the large firms we are often weighed against.

/ 01

Tenured practitioners, not analysts.

Every engagement is staffed by principals with twenty or more years inside the markets they advise on. No leverage pyramid. No deck factory.

/ 02

Partner-led, end to end.

The partner you meet at intake is the partner you brief at the board. The relationship does not get handed down a chain.

/ 03

Sector-only focus.

We do not pivot into adjacent markets when the wind changes. Two industries, learned across multiple cycles, with the contacts to match.

/ 04

Speed without compromise.

Senior judgment shortens the path. Most engagements deliver substantive work in weeks — without the staffing models that make rigor expensive.

Side by side
Big-Four model Stilwell
Who does the workTiered teams, analyst leverageTwo to four senior principals, named
Sector postureGeneralists with a vertical practiceLegaltech and healthtech, exclusively
Time to substanceSix to ten weeks, kickoff onwardWorking briefings inside two weeks
Engagement footprintLong, broad, scoped to billable hoursTight, retained, scoped to the question
N° 004 — Capital
A small, selective book

We don't just advise on these markets. Occasionally, we invest in them.

Investment posture

Stilwell operates a small pre-seed investment practice as a natural extension of the advisory work — not a fund, not a program, and not a thesis we are trying to deploy against.

We see more legaltech and healthtech companies in a given quarter than most allocators see in a year. Once in a while, one of them is unmistakable, and the right thing to do is to write a check alongside the counsel. When we do, the position is small, the relationship is long, and the involvement is partner-level — the same as everything else here.

N° 005 — Selected Work
Anonymized, by request

A representative sample. The rest sits under NDA.

Engagement / 047Legaltech
Consumer class-action data research and a productized deliverable for a national plaintiffs' practice — turning years of case data into a defensible signal for class certification and settlement modeling.
Ongoing · NYCIn flight.
Engagement / 052Healthtech
Closed-loop referral system for a nationwide network of providers. Specification, vendor selection, and rollout governance across primary care, specialty, and post-acute — built so a referral never goes unanswered.
Ongoing · LAIn flight.
/ 058Legaltech
Intake OS for mass tort and class action — a single front door for claimant qualification, evidence capture, and matter routing at scale.
OngoingIn flight.
/ 060Cross-sector
A governance layer for AI inside regulated industries — controls, evidence, and audit trail for model behavior in environments where "explain it later" is not an option.
OngoingIn flight.
/ 061Healthtech
Clinical-workflow integration audit for an EHR-adjacent platform.
Five weeks
/ 064Legaltech
Operating-model redesign for an in-house legal-ops function at a Fortune 100.
Nine weeks
Engagement / 066Healthtech
Payer-strategy work for a value-based-care platform extending from a single regional plan to a national footprint — sequencing, contracting, and the operating model behind both.
Twelve weeks · NYCIn flight.
— Client names provided in person, where appropriate.
N° 006 — Offices
Two coasts

Where to find us, when an introduction is in order.

Two coasts, one practice

New York

40.7549° N   /   73.9840° W
Madison Avenue
Midtown East, NY 10022
By appointment.
— Founding office, est. 2004

Los Angeles

34.0488° N   /   118.2518° W
Avenue of the Stars
Century City, CA 90067
By appointment.
— West Coast practice, est. 2014
— Engage —

If the work in front of you is the kind that requires the room to be quiet, write to us.