Integration Case Studies
Integration of a PE-Backed Healthcare SaaS Acquisition
Client: Private Equity Firm + Portfolio Company (Healthcare Technology)
Deal Type: Add-on Acquisition
Scope: Full integration planning and execution across IT, HR, Finance, and Customer Success
Timeline: 6-month post-close integration
Value: $90M transaction
🔹 The Challenge
The PE-backed platform was acquiring a regional SaaS provider to expand its product suite and client base. Despite strategic fit, the integration posed significant risks: legacy systems, siloed teams, cultural misalignment, and tight post-close timelines.
🔹 Our Role
Creston Advisory was brought in pre-close to define the integration thesis, establish a Day 1 playbook, and launch an Integration Management Office (IMO). We provided functional leads across IT, HR, and Customer Ops, tracked synergy realization, and supported executive alignment throughout the process.
🔹 The Outcome
- Delivered Day 1 readiness across all business units
- Consolidated IT platforms within 90 days
- Realized 95% of synergy targets within 6 months
- Achieved full customer success team alignment in under 100 days
Client Testimonial

“Creston Advisory was instrumental in making this integration a success. They brought structure, speed, and a deep understanding of both operational and cultural challenges. Their leadership of the IMO gave our executive team the visibility and control we needed to move quickly and with confidence.”
Managing Director
Private Equity Firm
Managing Director
Private Equity Firm
Global Integration of Industrial Manufacturing Acquisition
Client: Fortune 1000 Industrial Manufacturing Company
Deal Type: Cross-border Strategic Acquisition
Scope: Global post-merger integration with a focus on Finance, IT, and Supply Chain
Regions Covered: North America, EMEA, Southeast Asia
Timeline: 9-month integration program
Value: $450M transaction
🔹 The Challenge
The client acquired a European manufacturing firm to expand its footprint and enhance supply chain capabilities. Key risks included ERP incompatibility, fragmented reporting structures, and lack of integration playbooks across global business units.
🔹 Our Role
Creston Advisory led the global integration program by establishing a centralized Integration Management Office (IMO), aligning regional and corporate stakeholders, and deploying functional leads in Finance, IT, and Supply Chain. We also implemented a phased ERP integration strategy and created synergy tracking dashboards.
🔹 The Outcome
- Achieved full ERP cutover in North America and EMEA within 6 months
- Realized $22M in synergies (logistics, vendor consolidation, shared services)
- Standardized financial reporting and accelerated close cycles
- Improved supply chain visibility and unified sourcing across business units
Client Testimonial

“Creston brought calm to the chaos. Their ability to structure global integration efforts across regions and functions was unmatched. They didn’t just bring templates — they brought people who could lead. I’d trust them again on any cross-border deal.”
SVP Global Operations
SVP Global Operations
SVP Global Operations
SVP Global Operations
Integration of a High-Growth SaaS Platform Roll-Up
Client: Growth Equity Firm + SaaS Platform Company
Deal Type: Multiple Add-On Acquisitions (Roll-Up Strategy)
Scope: End-to-end integration leadership across five back-to-back acquisitions over 18 months
Focus Areas: Operating model alignment, system consolidation, HR harmonization
Value: $200M+ in cumulative transactions
🔹 The Challenge
The client was executing a rapid roll-up strategy in the B2B SaaS space. While the deals were accretive, the pace of acquisitions strained internal teams. Each company had its own systems, culture, pricing models, and org structure — with no centralized integration playbook in place.
🔹 Our Role
Creston Advisory was brought in as the firm’s outsourced integration function. We developed a scalable integration playbook, stood up a centralized Integration Management Office (IMO), and deployed workstream leads for each function. We aligned product teams, consolidated GTM strategies, and helped the platform mature its back-office infrastructure.
🔹 The Outcome
- Unified core tech stack (CRM, ERP, HRIS) across five companies
- Aligned pricing, contracting, and billing processes within 100 days of each acquisition
- Reduced integration cycle time by 40% from first deal to fifth
Enabled leadership to scale without losing control of the integration pace
Client Testimonial

“Creston became an extension of our team. They helped us build the integration muscle we didn’t have in-house, and they did it without slowing down our growth agenda. Every time we closed a deal, they were already preparing for Day 1.”
Chief Operating Officer
SaaS Portfolio Company
Chief Operating Officer
SaaS Portfolio Company