Independent physician-owned practices doing roughly $1M–$200M in revenue, where clinical performance is strong but financial pressure has increased as the organization has grown.

Practices with real staffing complexity, payer mix exposure, and operational strain that cannot be solved by billing fixes alone.

Where you are not thinking just now but long term.

  • Costs are rising faster than reimbursement

  • Volume hides margin erosion

  • Cash flow is unpredictable despite “good months”

  • Leadership is pulled into operational problem solving

  • Outside conversations have started to sound tempting