Why isn't pricing listed here?

Two practices of the same size can need very different work. We would rather send a fee that fits your practice than post a number that fits nobody. Every proposal shows the full fee in writing.

Does the intake commit me to anything?

No. The intake gets you a proposal. Nothing is committed until you sign it.

What if I don't know which engagement I need?

Tell us what is pressing. Most practices begin with the Operating Baseline, and we will tell you plainly if something else fits better.

Will you tell us to sell the practice?

No. Our work is about helping physician-owned practices stay independent and run well.

Work With Us

Paid Engagements for Physician-Owned Practices

Four ways to work together, one clear way to start. Tell us what is pressing. We confirm fit, then send a written proposal for the Operating Baseline with scope, timeline and fee.

Start with the Operating Baseline

See an illustrative findings memo and scorecard

The engagements

The Operating Baseline

Fixed fee. Four weeks.

Where most practices start. We find out what is really going on and hand you a findings memo, a KPI scorecard and a 90-day plan.

Explore The Operating Baseline

Margin Recovery

Monthly fee. Usually three to six months.

Hands-on work on denials, aged A/R, payer contracts and overhead, with a written result we agree on before we begin.

Explore Margin Recovery

Fractional COO

Monthly retainer. Six-month minimum.

Senior operating leadership a few days a week, for practices that need someone running operations without a full-time hire.

Explore Fractional COO

Executive Advisory

Monthly retainer or single sessions.

A standing review with the owners or administrator to keep decisions tied to the right measures.

Explore Executive Advisory

How fees work

We do not publish prices. Here is how every fee is built, so there are no surprises when the proposal arrives.

Set by scope

Fees follow practice size, number of sites and what the work covers. You see the full fee in writing before anything starts.

Fixed, never hourly

No hourly billing and no surprise invoices. The Baseline is a single fixed fee; ongoing work is a flat monthly fee.

Billed in advance

Each month or phase is billed at the start, so the budget is known and the work never waits on paperwork.

No contingency deals

We do not take a cut of recovered revenue. Our advice stays about what is right for the practice.

From intake to signed engagement

1
Client intake
Your name, email and the problem you are trying to solve. You can add more detail after sending.
2
We review it
We read every intake ourselves and reply within two business days, sometimes with a few follow-up questions or a short call.
3
Written proposal
You get a proposal with scope, timeline, the written result we will stand behind and the fixed fee.
4
Sign and start
Review and sign online in your client portal, along with the services agreement and a BAA if needed.