We rebuild practices to growth.
The independent practice is not dying because of size. It is dying because of structure. Physician-owned groups that build disciplined operating models consistently outperform their hospital-owned peers on margin, yet most mid-market practices lack the diagnostic infrastructure to see where their own structure is leaking value.
Where we find the leakage.
Every segment faces different pressures, whether you need physician group turnaround or rural hospital financial consulting. But the underlying financial mechanics—Claim Economics, Administrative Overhead, and Practice Viability—are universal.
Line of credit maxed.
Partner draws cut.
Is your line of credit maxed? Are you facing reimbursement delays and a cash flow gap? We stabilize independent groups by fixing the revenue cycle leakage and payer underperformance.
Operating loss.
Payroll strain.
Cost structure, service-line mix, and revenue cycle inefficiencies are pushing community hospitals to the brink.
Grant dependency.
Sliding-fee leakage.
Enrollment gaps and billing of enabling services are leaving critical safety-net funding on the table.
Rate changes.
Credentialing backlogs.
Enrollment, contract rates, and patient access barriers are blocking revenue in a changing reimbursement landscape.
Acquisition Readiness & Transaction Advisory.
Whether you are buying a practice, selling one, or merging with a partner, the transaction is the ultimate test of Practice Viability.
We conduct the forensic Quality of Earnings (QoE) required to ensure you aren't acquiring a distressed asset, or selling your life's work for less than it's worth. We build the financial model that withstands lender and investor scrutiny.
For the Buyer
We diagnose the target for hidden revenue cycle leakage, overstated EBITDA, and integration risks before you sign the LOI.
For the Seller
We rehabilitate the practice's financials so it commands the best possible multiple, and we build the QoE package investors demand.
For the Lender
We provide an independent, data-backed assessment of the practice's ability to service debt and execute the growth plan.
Ready to rebuild your practice for growth?
We don't hand you a static 100-page slide deck. We sit at the table with you in a half-day interactive workshop to model the practice together. We will map the cashflow, the operations, the QoE, and the capital optionality—whether for a turnaround or a transaction.