Full Service Margin Recovery
Five Areas Worth Examining
Most independent practices have never measured these. When they do, the numbers usually tell a story the leadership team was not expecting.
Access
No-shows, late cancellations, sub-optimal scheduling templates
Capacity
Underutilized equipment, inefficient patient flow, room utilization
Revenue Cycle
Billing errors, delayed claims submission, poor denial management
Staffing
Excessive overtime, high recruitment costs, low staff morale impacting productivity
Operations
Redundant processes, lack of standardized workflows, outdated technology
Where the Margin Usually Hides
These are the ranges we have seen across practices of different sizes. Every practice is different, but the patterns are remarkably consistent.
Access
$50K–$150K
per 1,000 visits
Capacity
$75K–$200K
per FTE optimized
Revenue Cycle
$100K–$300K
per $1M revenue
Staffing
$50K–$150K
per turnover prevented
Operations
$25K–$100K
per process fixed
Most practices we work with find between $200K and $1M in recoverable margin. The range depends on practice size, payer mix, and how long the problems have been compounding.
Ideal Fit Criteria
We work best with practices that meet these criteria.
Practice Size
- $5M–$50M+ annual revenue
- 5–200+ 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
The Recovery Model
A systematic approach to identifying, quantifying, and recovering hidden margin across your practice.
Diagnose
We measure your current state across access, capacity, revenue cycle, staffing, and operations. Real data. Real numbers.
Prioritize
We identify which leak zones will yield the highest margin recovery with the least operational disruption.
Execute
We implement targeted fixes with your team. Weekly cadence. Clear ownership. Measurable progress.
Engagement Models
How We Engage
Four ways to work with Edison Breakwater, each designed around a different stage of operational maturity and urgency.
New Program
Practicing Independence
A guided 6-chapter program to strengthen your independent practice across Foundations, Financial Clarity, Operations, Leadership, Growth, and Future planning.
About Edison Breakwater
Edison Breakwater exists because independent practices deserve the same operational discipline that health systems and PE-backed groups use to grow—without giving up ownership to get it.
The work is straightforward. We measure what matters, fix what is broken, and build systems that the leadership team can run without us. We are direct, we are data-driven, and we do not do theory.
Independent medicine is worth defending. That is not a tagline. It is why this firm exists.