Independent Practice Operations
Private Equity Offers a Payday. We Offer a Playbook.
The physician-patient relationship is one of the last things in healthcare that belongs to you. We help independent practices build the operational foundation to keep it that way: recovering margin, fixing what is broken, and competing on your own terms.
Our Process
We work from your actual numbers, move fast, and focus on changes that show up in the financials within weeks.
Week 1-2
Diagnose
We measure your current state across access, capacity, revenue cycle, staffing, and operations. Real data. Real numbers.
Week 3
Prioritize
We identify which areas will yield the highest margin recovery with the least operational disruption.
Week 4 onward
Execute
We implement targeted fixes with your team. Weekly cadence. Clear ownership. Measurable progress.
How We Engage
Four ways to work together, from a four-week diagnostic to retained operational leadership.
Margin Recovery
Find the Money You Are Already Earning
Most practices have $200K to $500K in margin hiding in payer contracts, scheduling gaps, and process waste. We find it and help you get it back.
Learn more about margin recoveryExecutive Advisory
A Monthly Operating Review With Someone Who Has Done the Job
A structured monthly conversation about the numbers, the decisions ahead, and the problems nobody else is willing to raise.
Get AdvisoryOperational Baseline & 90-Day Plan
Know Where You Stand Before You Decide What to Change
A four-week diagnostic that measures your practice across access, revenue cycle, staffing, capacity, and operations. You walk away with a baseline and a 90-day plan.
Discover MoreFractional COO
Operational Leadership Without a Full-Time Hire
For practices that need someone running the operational side of the house on a retained basis. Weekly cadence and clear accountability.
Explore Retained OperationsWhere Margin Leaks
Five zones account for most of the recoverable margin we find in physician-owned practices.
Access
No-shows, late cancellations, and sub-optimal scheduling templates
$50K to $150K
per 1,000 visits
Capacity
Underutilized equipment, inefficient patient flow, and room utilization gaps
$75K to $200K
per FTE optimized
Revenue Cycle
Billing errors, delayed claims submission, and poor denial management
$100K to $300K
per $1M revenue
Staffing
Excessive overtime, high recruitment costs, and low morale affecting productivity
$50K to $150K
per turnover prevented
Operations
Redundant processes, lack of standardized workflows, and outdated technology
$25K to $100K
per process fixed
Results We Have Delivered
$1M+
A/R Recovered
through focused RCM audit and fee schedule recovery
40%
IT Cost Reduction
through smarter vendor modernization
36%
Revenue Growth
across multi-site ambulatory expansion
7% to 20%
Infusion Margin
improved through operational redesign
Who We Work Best With
We are a strong fit for practices that intend to stay independent and are ready to measure, decide, and change.
Practice Size
- • $5M to $50M+ annual revenue
- • 5 to 200+ clinical FTEs
- • Single or multi-location
Ownership
- • Physician-owned or physician-led
- • Committed to independence
- • Willing to invest in operations
Readiness
- • Leadership aligned on need for change
- • Willing to measure and decide
- • Open to workflow redesign
Engagement
- • Dedicated operational leader
- • Weekly cadence commitment
- • 90-day minimum engagement
Start with a conversation.
Thirty minutes, your numbers, and an honest read on where the margin is. No pitch deck.