Operating Cadence

Multi-site physician services platform

Post-Close Operating System Build

~16 sites · ~100 providers · ~$50M revenue at acquisition

Founder-led reactive management to institutional operating discipline in 12 months. 10% SG&A reduction, 20% employee engagement increase. The foundation for every subsequent build during the four-year hold.

Operating Cadence

Independent physician network platform

Board Governance and Communication Build

Board deck request to full governance model in seven months

Strategy codified into the operating language of the full stakeholder group. Board authorized the next phase of capital deployment. Board and leadership looking at the same information for the first time, with a cadence to act on it.

Commercial Engine

Multi-site physician services platform

Growth Engine Build

Commercial operating system on top of four affiliation pathways

Platform grew from 16 to 36 practices, 100 to 400+ providers, $50M to $100M+ revenue. One commercial operating system across intake, routing, pipeline, and capacity planning.

Commercial Engine

Multi-site physician services platform

Affiliation Pathway Build

Addressable market expanded from one segment to the full landscape

Addressable market expanded from one physician segment to the full independent practice landscape. Two distinct pathways, both generating consistent deal flow after launch.

Commercial Engine

Independent physician network platform

Business Development System Build

Commercial engine built from zero and validated through a three-market pilot

All five BD domains built from fragmented baseline to operational maturity. Platform grew 97 to 170 providers during the engagement.

Commercial Engine

Multi-site physician services platform

Clinically Integrated Network Build

Partnership rejected, partner became competitor. Built the growth engine they wouldn't.

Anchor payer contract secured. 400+ providers and ~28,000 attributed commercial lives reached through a pathway that didn't exist before.

Commercial Engine

Multi-site physician services platform

Market Entry Strategy Build

Regional thesis converted into executable market blueprint

Platform expanded from 1 market to 4. 20 practices added, 200+ providers, $50M in incremental revenue over three years.

Commercial Engine

Multi-site physician services platform

Medicaid Capability Build

Medicaid capability built across nine practices in seven months

$1.4M run-rate revenue, $800K EBITDA, and an entire pediatrics practice category newly accessible as M&A targets.

Add-On Strategy & Integration

Multi-site physician services platform

M&A Infrastructure Build

One opportunistic deal to M&A infrastructure that compounded

Supported 20+ launches and $100M+ in capital deployment over three years. A three-layer playbook spanning deal evaluation, transaction execution, and post-close integration.

Add-On Strategy & Integration

Independent physician network platform

Acquisition Strategy Build

Strategic architecture, evaluation framework, and business case in sequence

Board authorized diligence spend for a target that would double the provider network and create approximately $20M in savings. The strategic framework became the platform's operating language for every initiative.