How It Works

We Build First.
You Decide After.

Most firms ask for a signature, then show you what you bought. We do it in the opposite order — because the work is the pitch.

01
Fifteen Minutes

The First Conversation

A short call — phone is fine, between patients is fine. We ask for three ballpark numbers: rough annual revenue, providers and locations, and the headache that made you take the call. Ballpark is perfect; we do the rest. And if you can't answer something off the top of your head, that's not embarrassing — that's the reason this company exists.

Then one more question, and it's the one that matters: what's the one thing you most want to see about your own numbers? Your answer shapes everything that follows.

02
Before You Spend a Dollar

We Build Your View

Before any agreement is signed, we build a working Hub from your practice's real numbers. Our time, our cost. We'd rather show you than tell you.

And before you share a single number, you'll have our written confidentiality commitment — signed by us, to you. We will never ask you to sign anything to see your own practice on a screen.

03
Twenty Minutes

The Walkthrough

One screen, your numbers, and the thing you said you wanted to see — first. We walk the engines together: what you're earning, what it costs, what's actually landing in the account, what the schedule leaves on the table, and what it all means for you personally.

If there's money sitting outside your account — aged receivables, underpayments, empty slots, quiet payroll drift — you'll see it in dollars, on your own numbers. You'll also talk with both of us before any decision: Nate on the build, Mike on the strategy and the first 90 days. Then the decision is yours. No follow-up sequence. No pressure.

04
If We Both Say Yes

The First 90 Days

Every engagement starts as a 90-day commitment — long enough to prove the value, short enough to keep us honest.

Weeks 1–2Data connected, dashboard live, and the daily number assigned to your practice manager — minutes a day, not hours a month.
Weeks 3–4Your first full scorecard is built, and every metric gets a named owner. Nothing important belongs to nobody.
Every MonthThe scorecard meeting — sixty minutes with Mike and Nate. What's red, why, and who's fixing it. You make calls; we carry them out.
Day 90We sit down and ask one question: was this the most valuable line item in the practice's budget? If the answer isn't a clear yes, we'll have an honest conversation about whether to continue.
After the First Scorecard

What Working Together Feels Like

Step One Takes Fifteen Minutes

Start the conversation.

Three ballpark numbers, one headache, and the thing you most want to see. We'll take it from there.

Book the Walkthrough →

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