THE WORK
I’ve built the systems you’re being asked to build.
The infrastructure a sponsor can forecast against and a CEO can run.
Operating Architecture
The institutional systems that turn a founder-led business into a PE-grade platform.
PE-backed multi-site physician platform · Southeast
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.
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Payer-backed MSO 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.
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Growth Architecture
The growth systems that make pipeline predictable and expansion repeatable.
PE-backed multi-site physician 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.
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PE-backed multi-site physician 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.
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Payer-backed MSO 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.
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PE-backed multi-site physician 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.
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PE-backed multi-site physician 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.
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PE-backed multi-site physician 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.
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Integration Architecture
The systems that compress time-to-value on every acquisition and run without last-minute heroics.
PE-backed multi-site physician 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.
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Payer-backed MSO 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 cost-of-care savings. The strategic framework became the platform's operating language for every initiative.
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Where is the platform stuck?
Just closed, a board meeting you’re dreading, or an add-on that was a scramble. Tell me what’s happening, and I’ll tell you if I can help.
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