Independent Practice Operations

Your Practice Runs on Systems, Not Intentions

We help physician-owned practices find the margin they are losing to broken processes, outdated contracts, and operational blind spots.

The Five Leak Zones

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Redundant processes, lack of standardized workflows, outdated technology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.

Margin Recovery

Find the Money You Are Already Earning

Most practices have $200K–$500K in margin sitting in payer contracts, scheduling gaps, and process waste. We measure it, prioritize it, and help you recover it.

Executive Advisory

A Monthly Operating Review With Someone Who Has Done the Job

For practice leaders who want a structured conversation about the numbers, the decisions ahead, and the problems nobody else is raising.

Operational Baseline & 90-Day Plan

Know Where You Stand Before You Decide What to Change

A 4-week diagnostic that measures your practice across access, revenue cycle, staffing, capacity, and operations. You get a baseline, a prioritized list, and a 90-day plan.

Fractional 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. Clear accountability. Real execution.

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.

Ready to Find Your Hidden Margin?

Most practices we work with find between $200K and $1M in recoverable margin. Let us show you where yours is hiding.