Independent Healthcare Practice Consulting

Your Practice Is Losing $6k–$25k a Year
to Operational Leaks You Can't See.

Most independent clinics have never measured the drag — unbilled revenue, inventory waste, admin hours that compound. I go inside your practice, find it, and build the fix. Proven inside a real NJ clinic.

No commitment  ·  30 minutes  ·  Just honest assessment
$8,400 recovered — NJ acupuncture clinic
~22% inventory waste reduction (estimated)
HIPAA-compliant protocols
Flat-fee · No hourly billing
Independent practices only

Most Practices Have
No Idea What's Draining Them.

You're seeing patients, running the clinical side, and the business side is quietly bleeding. These aren't rare problems — they're the default state of most independent clinics.

Most clinics are losing money in 4–6 places simultaneously — and treating each one as an isolated problem.

💸

Revenue You Can't See

Unbilled services, missed follow-ups, untracked adjunct revenue. You're delivering value you're not capturing — and it compounds every month.

Typical cost: $3,000–$12,000/yr
⏱️

Staff Time on the Wrong Things

Hours spent on administrative tasks that should take minutes. Every week of wasted admin time is money your practice isn't earning.

Typical cost: $4,000–$10,000/yr
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Inventory You Can't Track

Supplies walk out the door, get over-ordered, or expire on a shelf. Without a system, you're ordering by gut feel and losing margin.

Typical cost: $2,000–$8,000/yr
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Paper-Based Chaos

Manual logs and spreadsheets only one person understands. Every staff change is a knowledge crisis — and a compliance liability.

Typical cost: compliance + turnover risk

What I've Built Inside a Real Practice.

One NJ acupuncture clinic. Everything below is from that engagement — real systems, real outcomes, still running today.

22%
Estimated inventory waste reduction — projected from invoice analysis and ordering patterns
$8,400
Annual savings identified — first engagement, NJ acupuncture practice
6 hrs
Estimated admin time recovered per week — projected from workflow redesign analysis
106
SKUs digitized, categorized, and tracked — now running live in clinic
60
Kickoff to fully operational — total engagement, start to finish

Built Inside a Real Practice

"Every system and number on this page comes from one real practice. I built the inventory tracker, rewrote the workflows, and modeled the outcomes from invoice history and workflow analysis. These aren't hypotheticals — they're projections grounded in real data from a real engagement."

— Alec Corby, Founder, Margin Health Advisory

Area Before After
Inventory tracking Manual guessing, over-ordering 106 SKUs digitized, ~22% est. waste reduction
Admin time ~10+ hrs/week on manual tasks ~6 hrs/week recovered (estimated)
Revenue visibility No system for adjunct revenue tracking $8,400/yr in identified leakage captured
Staff documentation No SOPs — knowledge in one person's head Written SOPs for every rebuilt workflow
HIPAA documentation Informal, incomplete Full compliance documentation package

Choose Your Engagement.

Three clear paths. Flat-fee pricing. No retainer traps, no scope creep surprises. Most clients recover the engagement cost within 3–6 months from identified leakage alone.

Founding Practice Program
Discounted rates for the first 3 clinic engagements — locked in for the full project
2 Spots Remaining
🔍
Operational Audit
$2,250 founding rate reg. $2,500
Founding client rate · 2 spots remaining
⏱ 2–3 weeks
Ideal for practices doing $150k–$750k/yr revenue
Best for: Owners who want a clear picture of where money is going before committing to a full build
Not for: Practices with fully documented, functioning operational systems already in place

A comprehensive diagnosis of where your practice is leaking revenue, wasting time, and creating compliance risk. You'll receive a full report with prioritized action items.

  • Full operational assessment
  • Revenue leak identification
  • Inventory & supply chain audit
  • HIPAA compliance review
  • Prioritized action roadmap
  • 30-min recorded findings call

You walk away with

A written findings report (15–25 pages), a prioritized action matrix, and a recorded 30-min findings call — a blueprint you can execute independently or hand to any operator.

Book Your Free Diagnostic First
🚀
Full Practice Optimization
$6,500 founding rate reg. $7,500
Founding client rate · 2 spots remaining
⏱ 8–10 weeks
Ideal for practices doing $500k–$2M/yr revenue
Best for: Owners who want complete operational visibility with measurable, documented results
Not for: Practices looking for quick advice without full implementation commitment

End-to-end operational transformation. We audit, build, implement, and optimize every system in your practice — and stay on until results are proven and measurable.

  • Everything in System Build
  • Revenue cycle analysis
  • Full financial visibility dashboard
  • Operational SOP library
  • Monthly advisory check-ins (3 mo.)
  • ROI tracking & reporting

You walk away with

Everything in System Build, plus a financial visibility dashboard, ROI tracking reports at day 30 and day 60, an operational SOP library, and three monthly advisory calls.

Book Your Free Diagnostic First

Simple. Structured. Fast.

Three steps from first conversation to measurable results in your practice.

1

Free Practice Diagnostic

We start with a 30-minute call to understand your practice — the size, the pain points, and the biggest opportunities. No pitch, no pressure. Just honest assessment.

30 minutes
2

Custom Engagement Plan

Based on your diagnosis, we recommend the right service tier and build a clear engagement plan with timelines, deliverables, and expected outcomes. You know exactly what you're getting.

3–5 days
3

Build, Implement, Measure

We build your systems, train your team, and document the outcomes. Every engagement ends with a clear picture of what was found, what was built, and what changed — and systems that keep running after we're gone.

30–60 days

See What Operational Drag
Is Actually Costing You.

Most practices are losing $6,000–$40,000 annually to operational inefficiency. Find out your number. Estimates based on benchmarks from independent clinic operational audits and published healthcare operations research.

Calculate Your
Revenue Leak

Enter a few details about your practice and we'll estimate the annual cost of your current operational gaps.

Your Estimated Annual Losses

Inventory waste & over-ordering $0
Admin time cost (excess hours) $0
Missed / unbilled revenue $0
Compliance & documentation risk $0
Total Estimated Annual Leak
$14,200

That number is an estimate — an audit will find exactly which of those dollars are real in your practice.

Book a Free Diagnostic →

Built for Independent
Healthcare Practices.

We work exclusively with independent practices — not hospital systems or corporate chains. If you own and operate your clinic, you're exactly who we built this for.

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Acupuncture Clinics

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Chiropractic Offices

🏃

Physical Therapy

🧘

Wellness Centers

💆

Integrative Medicine

👤
Alec Corby
Founder, Margin Health Advisory
🏥1 live NJ clinic — built from scratch
📦106-SKU inventory system
🔒HIPAA-compliant by design
💰Finance-trained lens
🎯Independent practices only

I took a finance background directly into a live NJ acupuncture practice — built the inventory system, digitized 106 SKUs, rewrote the workflows, and designed the HIPAA documentation package. The result: ~22% estimated waste reduction, ~6 hrs/week recovered (projected from workflow analysis), and $8,400 in annual leakage identified. One real engagement, built from the ground up.

My lens on healthcare came first as a patient — years of specialists, a four-week inpatient stay at Children's Specialized Hospital, and more billing and intake friction than most people see in a lifetime. The clinicians were excellent. The operations around them weren't. My parents built careers in finance, so I grew up knowing exactly what that costs. That combination is what I bring to every engagement.

Built systems inside 1 live NJ clinic Patient — Children's Specialized Hospital NJ Parents in finance — grew up reading P&Ls HIPAA-compliant workflow design Inventory & revenue cycle systems Independent practices only
"You're not a consultant with 20 years of experience. Why would I hire you?"

Fair. Here's the actual answer: I'm not selling you 20 years of opinion. I'm selling you systems I've already proven inside a real practice. That's a different thing.

  • Start with a free diagnostic — zero commitment. See how I think and what I'd find before you decide anything.
  • The systems already exist. Inventory tracker, workflow SOPs, compliance protocols — built and running inside a real NJ clinic.
  • Implementation, not advice. You get working systems — not a slide deck. Flat-fee pricing means I finish fast and clean, not slow and billable.

Common Questions.

Audits run 2–3 weeks. System builds are typically 4–6 weeks. Full optimizations take 8–10 weeks. We scope everything before you commit, so you'll know exactly what the timeline looks like for your specific practice.
All documentation, data protocols, and systems we build follow HIPAA Privacy and Security Rule standards. We build access controls, audit trails, and data handling procedures into every workflow — not as an afterthought, but as a core design requirement.
Yes. In fact most of our best work happens in practices that have partial systems — a spreadsheet here, a paper process there — but nothing integrated or reliable. We audit what exists, keep what works, and rebuild what doesn't.
Every engagement ends with full documentation and staff training so your team can run the systems independently. You don't need us to keep things working. Optional monthly advisory retainers are available for practices that want ongoing support.
A written findings report (15–25 pages) documenting every operational gap identified, the estimated annual cost of each, and a prioritized action roadmap. You'll also receive a recorded 30-minute findings call walking through the report line by line. Even if you don't continue to a System Build, the audit alone gives you a complete blueprint to execute internally — or hand to any operator you trust.
Generic consultants give you a deck with recommendations. We build the actual systems. We're also specifically focused on small independent healthcare practices — not restaurants, not retail, not startups. The operational challenges of a 3-provider acupuncture clinic are specific, and we've lived inside one.
For an audit, we need access to your inventory records (whatever form they're in), billing summaries or revenue reports, and basic scheduling data. We work with whatever you have — spreadsheets, paper logs, EHR exports, or a mix. We never need direct EHR access or patient-level clinical records. Everything is scoped clearly before you commit.
We never access or process patient-level clinical records. All operational data (inventory, scheduling, billing summaries) is handled under a signed Business Associate Agreement (BAA) where required. Every system we build is designed with HIPAA Privacy and Security Rule compliance as a core requirement — not an afterthought. You'll receive documentation of our data handling procedures at the start of any engagement.
Not necessarily. Most of our work operates alongside your EHR rather than inside it — we build inventory trackers, workflow documentation, and operational dashboards in tools like Google Sheets, Notion, or Airtable that your team already uses. If your EHR allows data exports (most do), we can use those as inputs. We scope integration requirements clearly upfront so there are no surprises.
Yes. All engagements are fully remote — we work via video calls, shared documents, and async communication. The only time on-site presence is needed is for very specific inventory assessments, which can often be handled through video walkthroughs or detailed documentation you provide. Distance has not been a barrier in any engagement to date.
Every engagement ends with full documentation and a staff training session so your team can run everything independently — you don't need us to keep the systems working. For practices that want ongoing support, optional monthly advisory calls are available at a flat hourly rate. Full Practice Optimization clients receive three months of monthly check-ins included.

The Diagnostic Costs You Nothing.
The Leak Costs You Every Month.

Book a free 30-minute practice diagnostic. I'll tell you what I see and what I'd do — no pitch, no commitment.

The Founding Practice Program closes after 3 clients. Two spots remain at the discounted rate.