Tampa, FL  ·  São Paulo, BR

Finance.
Healthcare.
Technology.

- ONE INTEGRATED ADVISORY -

World-class consulting capacity to unlock value.

Founded by experts from
McKinsey & Company Deloitte PwC Bain & Company
60+
Deal Engagements
US$1.0B+
In M&A Deals
3
Awarded Health Tech Platforms
2
Office locations
About Aleso

One firm.
Two countries.
Built from practice.

Aleso is a boutique advisory firm at the intersection of corporate finance, healthcare, and technology - founded in São Paulo, Brazil, in 2021 and expanded to the US through Aleso & Company LLC in Tampa, bringing the same methodology, sector depth, and cross-border expertise to both markets.

Aleso was built around a combination rarely found within a single advisory firm: deep financial engineering expertise - rooted in Big Four transaction advisory and operations transformation - alongside hands-on experience in healthcare technology, pharmaceutical market access, hospital strategy, and patient-centered care innovation. It is this integrated model that Aleso & Company brings to the US mid-market.

What distinguishes Aleso is the depth of its integrated perspective. The convergence of finance, healthcare, and technology is the foundation of the firm's ability to navigate complex, high-stakes client environments with a level of clarity and insight that only emerges when all three domains work together.

Aleso team
2 Countries US & Brazil-based
Our Story
2021
Aleso Consulting founded in São Paulo at the intersection of corporate finance, healthcare, and technology. First venture: Ana Saúde, a digital oncology clinic built to expand access to cancer care through technology.
2022
Honco - an oncology patient navigation platform - built, funded, and deployed under Aleso. Serving 6,000+ patients and 400+ physicians across Brazil, Honco earns national recognition from Hospital de Câncer de Barretos (1st Place), BNDES Garagem (Finalist), and Fleury Group (Innovation Award).
2023
Refmed launched - a technology platform for healthcare referral coordination and medical congress management. Strategic engagements with leading public hospitals and foundations across Brazil.
2024
First international engagements: technology platform developed for a real estate client in London, UK. Aleso expanded its scope with a co-founder engagement in a surgery billing management platform in Brazil.
2025
US expansion: consulting engagements across the United States. Renan Aleluia, Aleso's founder, named ABSS Ambassador, representing Brazil's healthcare startup ecosystem at national and regional levels.
2026
Aleso & Company LLC incorporated in Tampa, Florida. Aleso's direct entry into the US healthcare advisory market. Renan Aleluia, Aleso's founder, engaged as CFO of a surgery billing management platform, leading strategic financial management and M&A operations.
Capabilities Deck

Our portfolio of services, line by line.

Pick a practice to see what we deliver in detail. Every item can be contracted on its own or as part of a broader engagement.

The modeling and diligence layer of a transaction, built to be reviewed line by line by a buyer, a lender or an investment committee.

Financial modeling 01

  • Three-statement operating models
  • Driver-based revenue and cost builds
  • Budget, forecast and rolling forecast models
  • Scenario, sensitivity and stress analysis
  • Unit economics and cohort models
  • Cap table, dilution and waterfall models
  • Model review, audit and rebuild of inherited files

Due diligence 02

  • Financial due diligence (FDD)
  • Quality of earnings (QoE) analysis
  • EBITDA normalization and add-back schedules
  • Net working capital and peg analysis
  • Revenue, customer and product analytics
  • Databook preparation and data request management

Valuation 03

  • Discounted cash flow analysis
  • Trading comparables and precedent transactions
  • LBO and returns bridge analysis
  • Football field and valuation summary materials
  • Equity allocation and waterfall analysis
  • Purchase price allocation support

FP&A and reporting 04

  • Monthly and quarterly reporting packs
  • Budget vs actual variance analysis and commentary
  • KPI design and dashboard build
  • Board and investor reporting
  • Budget cycle preparation and coordination
  • Profitability analysis by product, customer or site

Investor materials 05

  • Business plans and financial narratives
  • Investor decks and financial appendices
  • Financial sections of the CIM
  • Teaser financials and one-pagers
  • Use of proceeds and funding requirement analysis

Commercial due diligence 06

  • Market attractiveness and growth driver assessment
  • Competitive positioning and share analysis
  • Customer retention, churn and cohort analysis
  • Revenue quality and pipeline testing
  • Red-flag reports and full CDD reports
  • Vendor and sell-side CDD support

Work aimed at the operating company: liquidity, capital structure, reporting discipline and the finance side of getting through a difficult year.

Liquidity & working capital 01

  • 13-week cash flow models and weekly updates
  • Cash conversion cycle analysis
  • Receivables, payables and inventory optimization
  • Covenant tracking and compliance models
  • Liquidity stress testing and runway analysis

Capital structure 02

  • Debt capacity and refinancing analysis
  • Lender package and information memorandum preparation
  • Amortization, covenant and interest schedules
  • Term sheet comparison and scenario analysis
  • Sources and uses, funding plan design

Performance management 03

  • Management reporting build-out
  • Chart of accounts and KPI framework design
  • Contribution margin and profitability analysis
  • Cost-to-serve and pricing leakage analysis
  • Board packs and governance reporting

Restructuring & turnaround 04

  • Cost reduction and efficiency programs
  • Business plan rebuild and viability analysis
  • Creditor negotiation support materials
  • Carve-out, wind-down and exit analysis
  • Operational turnaround tracking

Finance transformation 05

  • Internal controls and compliance
  • ERP and financial systems implementation
  • Process automation and efficiency
  • Finance talent and org design

Post-close finance 06

  • Day-one readiness checklists
  • Synergy identification and tracking
  • Transition service agreement scoping
  • Finance function stand-up after close

Deal execution across the full process - from positioning and materials to analytics, diligence management and closing.

Origination & marketing 01

  • Teasers and blind profiles
  • CIM drafting and production
  • Management presentations
  • Buyer and target long lists and short lists
  • Market maps and sector landscapes
  • Pitch and credentials materials

Transaction analytics 02

  • Comparable company analysis
  • Precedent transaction analysis
  • LBO models and returns analysis
  • Merger models, accretion and dilution
  • Sum-of-the-parts and segment valuation
  • Sensitivity tables and scenario decks

Process management 03

  • Data room setup, indexing and permissions
  • Q&A log management
  • Diligence tracker maintenance
  • Bid analysis and offer comparison
  • Closing checklist and signing support

Capital raising 04

  • Debt or equity fundraising advisory
  • Investor targeting and outreach strategy
  • Term sheet review and comparison
  • Series A to growth round preparation

Sector research 05

  • Industry primers and thematic research
  • Deal and funding trackers
  • Valuation benchmark libraries
  • Company profiles and screening files

Succession & exit 06

  • Succession and exit planning
  • Sell-side readiness assessment
  • Value creation levers before exit
  • Buy-side and sell-side M&A advisory

Strategy, commercial and operating work for healthcare and life sciences - pricing and access decisions, growth strategy, and the operational programs that make them stick.

Pricing & market access 01

  • Pricing strategy and price architecture
  • Market access strategy and pathway mapping
  • Payer insights and requirement mapping
  • Value proposition and value dossier development
  • Launch pricing and international reference pricing
  • Formulary and HMO listing strategy
  • Price approval frameworks and governance
  • Patient support program design

Commercial strategy 02

  • Go-to-market strategy and channel design
  • Commercial policy: list and net pricing, discounts, trade terms
  • Revenue growth optimization
  • Tender strategy and public procurement
  • Sales force sizing and territory design
  • Incentive and compensation model design
  • Partnership and distributor strategy

Healthcare operations 03

  • Clinical operations design and improvement
  • Revenue cycle management
  • Operational transformation programs
  • Patient navigation and care pathways
  • Capacity, throughput and productivity analysis
  • Service line profitability

Digital health & product 04

  • Digital health strategy and roadmap
  • Health tech assessment and vendor selection
  • Product management and discovery
  • Product-market fit and adoption analysis
  • Data and analytics use-case design
  • Implementation and change management

Market & growth research 05

  • TAM, SAM and SOM sizing, bottom-up and top-down
  • Market assessment, segmentation and attractiveness scoring
  • Competitive landscape and capability benchmarking
  • Expert and customer interview programs
  • Voice-of-customer surveys and synthesis
  • Demand forecasting and adoption modeling
  • White space, adjacency and expansion analysis

Organization & PMO 06

  • PMO setup, governance and cadence
  • Post-merger integration planning and tracking
  • Zero-based budgeting
  • Org design, spans and layers
  • Cost optimization and efficiency programs
  • Process mapping and SOP documentation

Not on the list? If it is analysis-heavy and deadline-bound, there is a good chance we cover it - send us the brief and we will tell you straight if we do not.

Talk to us
Industries

Wherever the work demands expertise.

Two industry groups, six segments - the markets where our team has operated, advised, or both.

Financial Services

Deal-side and finance-function work, from diligence to reporting.

01

Private Equity & Investment Banking

PE firms, venture capital, independent investors, and M&A boutiques running live processes.

02

Advisory & CPA Firms

Consulting boutiques, accounting and CPA firms, fractional CFOs, and independent consultants.

03

Corporate & Mid-market

Manufacturing, real estate, professional services, and software companies outside healthcare.

Healthcare & Life Sciences

Our deepest bench - operators and advisors across the care and product chain.

01

Providers & Payers

Hospitals, health systems, oncology centers, specialty clinics, ASCs, payers, non-profits and public health institutions.

02

Pharmaceutical & BioTech

Pharmaceutical companies, biotech, medtech, pricing and market access.

03

Digital Health

Healthtech startups, digital health platforms, and healthcare software & SaaS companies.

Team

Our leadership.

Deep, hands-on expertise across healthcare and life sciences - shaped by years inside top-tier consulting firms, banks and global industry leaders.

Renan Aleluia

Renan Aleluia

Financial Advisory

Partner & Practice Leader

Deloitte PwC KPMG

Founder of Aleso & Company. 15 years in corporate finance, M&A and strategy at Deloitte, PwC and KPMG, focused on the US-Brazil healthcare corridor.

  • Financial modeling & valuation
  • M&A and commercial due diligence
  • Corporate finance
LinkedIn
Daniel Favoretto

Daniel Favoretto

Pharma & Biotech

Associate Partner & Practice Leader

AbbVie Abbott IE Business School

Ex-Abbott and AbbVie leader in oncology and immunology, with an end-to-end view of the LATAM pharma market. IE Business School MBA.

  • Pricing
  • Market access
  • Commercial strategy
LinkedIn
Guilherme Sakajiri

Guilherme Sakajiri

Digital Health & Data

Associate Partner & Practice Leader

McKinsey & Company Optum INSEAD

Clinical trials, CRO and provider expert. 15+ years in healthcare strategy and innovation; ex-McKinsey and Optum. INSEAD MBA.

  • Zero-based budgeting
  • Post-merger integration
  • New business design
LinkedIn
Lucas Campos

Lucas Campos

Strategy & Operations

Associate Partner & Senior Advisor

Bain & Company DaVita Kellogg

Ex-Bain & Company Manager. 14+ years in strategy, healthcare and digital; expert in pricing and growth. Kellogg MBA.

  • Strategy
  • Pricing
  • Commercial due diligence
LinkedIn
Locations

Two Americas. One firm.

Tampa
USA

Tampa, FL

400 North Tampa Street, 15th Floor, Downtown Tampa, Tampa, Florida 33602.

São Paulo
Brazil

São Paulo, SP

Av. Paulista, 1106 – 16º andar, Bela Vista, SP 01310-914.

Get In Touch

Let's discuss your next move.

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Insights

Press, Publications & Recognition

Selected media coverage, industry publications, and institutional recognition of Aleso's work across healthcare innovation, oncology technology, and financial advisory.

Press & Media
O Globo Jun 2026

Renan Aleluia analisa diferenças entre os mercados de saúde do Brasil e dos Estados Unidos

A comparative look at the structural differences between the Brazilian and US healthcare markets, and what they mean for cross-border strategy.

Read article
Medicina em Pauta Jun 2026

Renan Aleluia analisa diferenças entre os mercados de saúde do Brasil e dos Estados Unidos

Coverage of Renan Aleluia's analysis on the contrasts between the Brazilian and US healthcare systems and their strategic implications.

Read article
Estadão 2026

Empresa de um homem só pode valer US$1 bilhão? O caso MEDVi reabre a tese de Sam Altman

Analysis of the one-person billion-dollar company thesis and its implications for the future of advisory and healthtech.

Read article
Valor Econômico Apr 2026

Caso MEDVi reabre debate sobre empresa bilionária operada por uma só pessoa

Brazil's leading financial newspaper covers the MEDVi case and the emerging model of lean, high-impact advisory firms.

Read article
Estadão 2021

Healthtechs ganham espaço e mostram que estão saudáveis

Estadão covers the rise of healthtech companies in Brazil, featuring Aleso's work in oncology patient navigation.

Read article
Medicina S/A Jul 2021

Perspectivas: O "boom do câncer" em 2022 e o papel das healthtechs

Published analysis on cancer care trends and the strategic role of digital health platforms in oncology access.

Read article
Medicina S/A May 2021

Startup lança clínica digital especializada em oncologia e atenção primária

Feature on the launch of Ana Saúde - Brazil's first 100% digital oncology clinic, founded under the Aleso brand.

Read article
Projeto Draft 2021

Ana Saúde é a primeira clínica digital especializada em oncologia e atenção primária ao paciente com câncer

Leading Brazilian startup media covers the launch and vision behind Ana Saúde's anywhere-care oncology model.

Read article
G1 / Globo Feb 2020

Grupo compra 80% do Hospital Aliança em Salvador por R$800 milhões

Coverage of the largest healthcare M&A transaction in Brazil's North-Northeast region in 2019, in which Aleso's founding advisor played a central advisory role.

Read article
Awards & Recognition
🏆 1st Place 2022

Hospital de Câncer de Barretos - Innovation Award

Honco selected as one of only four case reports ever awarded in the entire history of Barretos Cancer Hospital's innovation program - Latin America's largest cancer center.

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🏅 Finalist 2022

BNDES Garagem - National Innovation Program

Honco selected and recognized within Brazil's national innovation initiative supported by the Brazilian Development Bank (BNDES) - validating the platform's technical robustness and public-interest impact.

View recognition
🏆 Award 2022

Fleury Group - Innovation Award for Patient Digital Journey

National recognition by one of Latin America's leading diagnostic medicine institutions, awarded for the design and implementation of a technology-enabled oncology patient journey.

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Top 5 2023

BNDES - Oncology Patient Navigation ranked Top 5

Honco's oncology patient navigation model recognized as a Top 5 initiative by Brazil's national development bank among all submitted healthcare innovation projects.

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Conference 2022

Congresso Hospitalar - Honco presented at national healthcare congress

Honco's patient navigation methodology and clinical outcomes presented at Brazil's national hospital congress, demonstrating measurable impact across oncology care coordination.

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Acceleration 2022

Hospital de Amor Barretos - Startup Acceleration Program

Honco selected for the prestigious acceleration program at Hospital de Amor Barretos in partnership with SEBRAE, validating the platform's clinical model and scalability potential.

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