Our Company

Who We Are

Keystone is a premier provider of Certificate of Need and other strategic and business planning consulting services. We provide our clients with concise and personalized business planning solutions. Keystone can help your organization realize its Strategic Mission and execute its Vision. Our reputation as a leading healthcare strategy firm has been earned through years of serving our clients with dedication and distinction.


David B. Meyer, MHA

Bachelor of Science, Business Management, Brigham Young University, 1986, and Master of Health Administration, Duke University, 1989.

For over 30 years, David Meyer has assisted healthcare providers in developing strategies and implementing business plans that enable organizations to achieve their vision in a dynamic competitive marketplace. David focuses on a broad range of business planning issues, including board-level engagements and system-wide service lines. David has extensive experience with Certificate of Need and regulatory issues and serves as an expert witness in CON litigation. David has advised a variety of healthcare providers, including integrated health systems, community hospitals, behavioral health centers, physician practices, ambulatory surgery centers, home care and hospice agencies, and long-term care facilities.

Prior to establishing Keystone, David worked nationally as a healthcare consultant for North Carolina-based planning firms. David began his career working in the hospital setting, serving in successive management positions at an integrated healthcare system in North Carolina. He had significant revenue and cost responsibilities and established a reputation for successfully planning and implementing meaningful organizational performance improvements and cost reductions.

Our Story

Keystone’s principal did not start out as a consultant; he began his career in the ranks of healthcare provider organizations. This means Keystone understands the internal needs and pressures of healthcare organizations, and knows its clients want to be heard and understood, and to receive quality, in-depth work specifically tailored to meet their needs.

Two-thirds of Keystone’s consulting engagements are with existing clients–a key measure of the trust and confidence provider organizations place in our skills and expertise. A hands-on approach to each engagement provides a thorough and comfortable experience that clients truly appreciate. Keystone works with governing boards, executive management, department chairs, physicians, planners, and other clinical staff to help them navigate strategic, financial, organizational, and regulatory challenges.

Certificate of Need

Our attention to detail, combined with the experience to understand the regulatory process, results in a final product that gets your organization to the future that you envision.

Strategic Planning

We offer strategic planning services to assist our clients in determining where their organization is going long-term, and how it’s going to get there.

Litigation Support

Keystone’s principles have served as expert witnesses in over 20 contested case proceedings.  Each has provided testimony and/or deposition with the expert designation of healthcare planning and certificate of need preparation.

Business Planning

With Keystone’s business planning expertise, clients can more successfully plan, implement and manage new or expanded healthcare services and facilities.

Contact Us

If you aren't sure where to start, contact us and we'll get you where you need to be.