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Your practice runs on you. Let’s fix that.
Fractional COO and practice operations consulting for medical and dental practices. We install the scheduling, billing follow-up, team accountability, and reporting systems that let providers practice while the business runs itself. Built on 15 years of C-suite operating experience, including medical group clients.
Built for practice owners, not hospital systems.
Good fit
You own a medical, dental, or allied health practice doing $300k to $5M+ in annual collections. Production is strong, but the operations behind it (scheduling, billing follow-up, hiring, front office) all route through you or one overloaded office manager. You want systems, not another seminar.
Not the right fit yet
You’re pre-launch, or you’re looking for clinical consulting, coding audits, or credentialing services. Our work is the business operating layer of the practice: people, process, cash flow, and reporting.
Start with The Small Business MBA.
The same operating playbook we install for clients, taught operator to operator for you to apply yourself. Foundation, market and revenue, operations, and scale. Free. No card required.
Explore The Small Business MBA →
Fractional COO, CMO and CFO engagements from $5,000 a month, scoped on a free Build Call.
Every engagement is shaped around the business, so there is no menu to pick from. Take the assessment, then book a free 30 minute Build Call. If it is a fit, a written proposal follows: the scope, the price range and the timeline.
The honest "no" cases
Some operators reach out and the right answer is "not us, not yet, or not at all." Saying it upfront saves everyone time.
If you're under $300k in revenue: the operating layer isn't your binding constraint yet. Get to product-market fit on one customer first. Use the Foundation Builder Field Guide.
If you want a coach who hands you frameworks: we're builders, not coaches. We install systems. We don't sit in calls and ask Socratic questions. There are good coaches out there. We're not one of them.
If you want a one-month engagement: the operating layer takes 3 to 6 months to install honestly. Less than that is theater. We won't take the money for it.
If you want the install for $1,500/mo: embedded executive support has a real floor. Below $5,000 a month the work shape changes from "we install this" to "we suggest you install this." That's coaching, not fractional.
Take the assessment
Free. Your score, where the business leaks, and the one next step we would take in your place. If it is a fractional engagement, the Build Call is next.
Take The Assessment →