Industries. Healthcare
Healthcare runs on systems that were never designed together.
The execution layer for healthcare owners: we diagnose, plan, build the model, and stay through the work.
Results
a year in doctor time back.
Ten hours of doctor time a day across the practice, at a $500,000 physician salary, over 250 working days. Read the case
Who this is forStuck does not mean broken.
The next step is not obvious, and picking wrong is expensive.
$1M to $100M and up. Healthcare companies in Northern Michigan.
- Independent practices
- Specialty practices
- Clinics
- Healthcare startups
- Healthcare service companies
SignalsWhen practices call us
- 01The EMR (electronic medical record) has stalled.The charting or practice-management system stopped keeping up.
- 02Too many vendors, no scorecard.Nobody is holding them to what they promised.
- 03The revenue cycle leaks.Claims, denials, days in accounts receivable.
- 04Leadership or ownership is changing.The person who held it together is moving on.
- 05AI pressure without a plan.Everyone is selling it. Nobody has said where it pays.
We diagnose, plan, decide with you, then execute.
Typical engagementsWhat the work looks like in healthcare
- 01EMR and system options analysisIs this still the right system, or is it just habit? A needs analysis, vendor presentations, and a written comparison of cost, timing, risk and benefit.
- 02Vendor scorecards and monthly service reviewsService levels for every technology provider, one monthly scorecard, and vendors who answer to someone who speaks their language and yours.
- 03An independent cybersecurity baselineRanked by criticality, with an action plan. An outside firm runs the assessment; we manage it.
- 04Cloud migration project managementProject-managed from plan to go-live while the provider does the work.
- 05Revenue cycle reviewWhere claims, denials and days in accounts receivable are costing you, what each leak is worth, and what to fix first.
- 06AI readiness and the first AI workflowsDocumentation, intake and scheduling first, built into the work your people already do. We do not give clinical advice.
ResultsTwo healthcare companies. Two different first problems.
The charting system lived on servers in the building. Same vendor for about twelve years. A move to the cloud had started and stalled. We put out the brush fires first, and got back roughly ten hours of doctor time a day across the practice. Then the quieter question: is this still the right system, or is it just habit? Alternatives, compared side by side.
About $600,000 a year in doctor time back, across the practice.
The urge was to own every piece of the stack on day one. We built the product catalog, the pricing and the profit architecture, and pushed back on the rest.
Own demand before you build the stack.
The principalsWho leads it

Chief information officer at Hagerty Insurance and at Etisalat Nigeria. Vice president of information services at T-Mobile UK.

Co-founded and ran operations for a manufacturing company from zero to $75M in revenue and 100-plus employees over seven years.
How it worksStart with the diagnostic.
The Profit Acceleration Report names what is leaking, what each leak is worth, and what to fix first.
Includes an AI readiness analysis: where AI tools and systems can improve the business first.
Money-back guarantee
If the final report does not show you at least $5,000 a year in profit you can recover, we refund the $5,000.
The guarantee holds when you give the diagnostic what it needs: accurate accounting reports shared on time, the owner at both working sessions, and our data requests answered on time. The full conditions.
Free guide
The Owner’s Operating Playbook
Six stages from diagnosis to execution: the questions we ask at each, what each one produces, where AI actually helps, and a 20-question scorecard that shows where to start.
Start with a free 30-minute call.
Bring the three things that keep you up. In thirty minutes you’ll know whether we’re the right fit and what we’d look at first. Nothing to sign.