Billing cycles, provider comp, capacity.
For founder-led practices and clinics at $1M to $15M+, where insurance timing and provider compensation shape the P&L.
Scheduling, payer timing, and provider comp all move the same number.
Founder-led practices run on three intertwined levers: how fast payers actually pay, how the provider compensation plan lands on operating margin, and how much capacity the schedule can absorb. I write down the interaction so the next hire, compensation change, or payer negotiation is math, not a hunch.
Cash flow, margin, and a scorecard you can lead with.
Cash Flow Stabilization
Insurance AR cycles, patient collections timing, and the reserve buffer for slow-pay quarters.
Margin Improvement
Service mix and compensation-plan analysis, tuned so growth actually earns margin instead of just adding overhead.
Executive Scorecard
An executive scorecard built around the numbers that actually decide profitability in a practice: capacity, collections, and provider contribution.
"Most accountants tell you what happened. I help you know what to do next."
Michel Chelnokov, MBA, CPAPrincipal, MIV Partners
Book a call.
Thirty minutes. No pitch. Take the Clarity Check if you want a clearer picture first.