You’re seeing more patients.
Collecting less revenue.
Medical practices and healthcare businesses lose hundreds of thousands to revenue cycle friction, payor mix imbalance, and invisible cost-per-visit economics. We install a financial system that connects clinical volume to collected cash.
Free diagnostic for medical practices & healthcare businesses doing $1M–$20M in revenue.
Patient volume keeps climbing.
So why is cash flow shrinking?
Clinical volume is up. But collections aren’t keeping pace. Denial rates are climbing. Days in AR stretch further every quarter. You don’t know your true cost per visit by service line or provider. Payor mix shifts go unnoticed until cash flow tightens. And provider compensation models reward production, not profitability. The gap between clinical activity and collected revenue is where your margin disappears — it’s the same visibility problem we fix in every service business.
We diagnose in order. COGS, S&M, then G&A.
60% gross margin. 15% sales & marketing. 15% overhead. That leaves 30% operating profit. Here’s how we get your healthcare practice there.
Clinical Staff, Supplies & Revenue Cycle
In healthcare, COGS is clinical staff, medical supplies, and revenue cycle costs. Before we touch margin, we reconcile every metric. Your collections must match across billing, payor remittance, and your GL — or every downstream number is wrong.
Know your cost to acquire — by channel.
Target: 15% of revenue on patient acquisition and marketing. Most practices overspend on digital ads while underinvesting in referral networks that cost a fraction. We break down patient acquisition cost by channel and referral source — so you stop subsidizing channels that don’t convert.
Facility & admin overhead that survives scrutiny.
Target: 15% of revenue on G&A. Healthcare overhead is typically facility costs, admin staffing, EHR/PM systems, and compliance infrastructure nobody audits. We model overhead under multiple scenarios — so you know exactly where your margin is being consumed before expanding or adding locations.
Healthcare entity structure & tax strategy.
Your entity structure determines your tax ceiling. We model the financial impact of S-Corp elections, multi-entity structures, and provider retirement plans — turning improved practice economics into real after‑tax wealth through entity structure and tax strategy.
Don’t just take our word for it.
“We grew from zero to $300K MRR with Arron’s leadership.”
“A team we can rely on, with rapid-fire responses and consistent support.”
“He brings creative ideas and valuable insights that have transformed our business.”
From first call to deployed system.
30-Minute Assessment Call
We discuss your current state, your goals, and whether we’re the right fit. No pitch deck — just an honest conversation.
Scale-Ready Assessment
We stress-test your books, metrics, cash position, tax strategy, and operational dependency. You get a Scale-Ready Report with green/yellow/red scoring and the top blockers prioritized.
System Installation
Full financial operating system: clean books, reconciled metrics, deployed tax strategy, live dashboard, and monthly CFO cadence. Typical deployment: 90 days.
The system works. Here’s what it looks like.
Time to full financial system deployment.
Tax liability eliminated through entity restructuring and strategic planning.
Revenue under active management across client engagements.
Three signals your practice has a collections problem.
If any of these hit home, the 60-15-15 diagnostic will show you exactly where the leak is and how to fix it.
Patient volume is up but collections haven’t kept pace — and nobody can explain why.
You’re seeing 20% more patients than last year. Revenue should be up proportionally. But collections are flat or declining. Denial rates crept up. Days in AR stretched from 38 to 52. The gap between billed charges and collected cash keeps growing — and nobody in the practice can point to the root cause.
You don’t know your true cost per visit — or which service lines actually make money.
Primary care runs at 34% margin. Specialty is at 48%. Ancillary services hit 62%. But you’re allocating resources evenly across all three. Without service-line profitability data, you’re investing in the wrong places and leaving margin on the table with every scheduling decision.
Provider compensation rewards production — not profitability.
One provider has a 52% comp-to-collections ratio. Another is at 61%. The benchmark is 55%. But compensation is set by seniority and volume, not margin contribution. You’re overpaying the providers who generate the least profit — and risking losing the ones who generate the most.
Free for medical practices & healthcare businesses doing $1M–$20M in revenue.
Common questions.
Everything you need to know about our CFO services for healthcare and medical practices.
Stop leaving revenue on the table.
The Scale-Ready Assessment shows you exactly where your practice stands — revenue cycle scorecard, profitability analysis, and a clear picture of what to fix first.
Book Your Scale-Ready AssessmentFree for medical practices & healthcare businesses doing $1M–$20M in revenue.