Independent physician-owned practices doing roughly $3M–$25M 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 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

This is not for you if:

  • Hospital systems or system-owned practices

  • Early-stage groups without operational complexity

  • Organizations looking for advisory opinions rather than execution

  • Practices seeking short-term fixes or point solutions