Margin Health Advisory  ·  NJ Healthcare Operations

For independent practice owners who've spent years building something worth protecting.

MHA installs the operational systems that give you control, compliance confidence, and the clarity to step back, or hand it off, on your terms.

$8,400 Annual savings identified — first engagement
22% Inventory waste eliminated
6 hrs Admin time recovered per week
6 wks Full engagement duration
The Problem

The questions you're not saying out loud

01

"Am I clean enough to sell this when I'm ready?"

You've built real equity here. But if a buyer walks in tomorrow and starts pulling threads — credentialing, compliance calendar, documentation — do you know exactly what they'd find? Most owners don't. That uncertainty doesn't go away. It compounds.

02

"I'm probably out of compliance somewhere and I won't know until someone's looking."

HIPAA policy last updated when? OSHA documentation in the drawer no one opens? Credentials expiring with no alert system? This is the quiet exposure most practices carry for years. It doesn't matter until it does.

03

"I can't take two weeks off without things breaking."

If the practice runs on you — your memory, your presence, your willingness to answer the phone — that's not a business. That's a job that owns you. The goal isn't to work less. It's to make the thing run when you're not in the room.

04

"Half my week goes to running the business. I became a doctor to practice medicine."

The admin fog is real. Orders placed from memory, scheduling held together with verbal agreements, reporting that only exists because you made a spreadsheet in 2019. The operational layer you never formally built is the thing now running you.

The Method

Why I see this differently — and how I know it works

"Margin" is a deliberate double entendre. Financial margin: the gap between revenue and cost. And human margin: the buffer capacity that lets a person operate at their best instead of reacting from depletion. The business and the philosophy are the same word.

I know what operational burnout looks like from the inside. A few years ago, I was running on fumes. Chronic stress, no systems, body working against me before the day even started. I couldn't take a real rest because everything depended on me staying in motion. That's the exact dynamic I watch destroy practice owners who came here to help people heal.

I rebuilt my own operating system: sleep, movement, nervous system regulation, mental health, the whole stack. On the other side of that, I went from burnout to running 12-hour days with extra capacity. Not because I worked harder. Because I stopped running on deficit and built margin into the structure instead.

That's what I do for practices. I don't just optimize the billing flow. I install the operational foundation that removes the chronic, low-grade drag that compounds quietly until something breaks. When the operational layer is handled, you stop white-knuckling it. You breathe. You're present for the work you actually built this for.

The first engagement was a NJ healthcare practice. 106 SKUs systematized, SOPs documented, compliance calendar built, live dashboard running. $8,400 in annual savings identified. 22% inventory waste eliminated. 6 hours a week back to the owner. Six weeks. That's not a case study. That's the proof of concept for every engagement that follows.

I'm a Finance and Wealth Management student at TCNJ. I use tools that took four-person analyst teams to deploy five years ago. That's not the headline. It's why engagements take six weeks instead of six months, at a fraction of the cost.

Alec Corby, Founder — Margin Health Advisory
$8,400
Annual operational savings identified — first engagement, 6 weeks
22%
Inventory waste eliminated. 106 SKUs systematized.
6 hrs/wk
Admin time recovered per week, ongoing
2nd Place
TCNJ Real Estate Case Competition — 18-page solo underwrite, $10.5M bid, 17% IRR
Services

The Margin Operating System

Three tiers. Each one builds on the last. All engagements start with a free 30-minute operations diagnostic. No cost, no pressure, no slide deck. Pricing is flat-fee. No percentage of savings. No hourly billing.

Tier 1  ·  The Margin Audit

Paid diagnostic + blueprint

$2,500 founder rate
Locked for life of the engagement
  • Full operations diagnostic across revenue, inventory, scheduling, compliance, staffing, and financial visibility
  • Prioritized finding report with specific dollar-impact estimates
  • 30-day implementation roadmap scoped to your practice
  • Blueprint for the system install (not recommendations in a binder)
Book a diagnostic →
Tier 3  ·  Full Margin OS

End-to-end operational build

$7,500 founder rate
Locked for life of the engagement
  • Everything in Tiers 1 and 2
  • Live operations dashboard: appointment volume, no-show rate, supply cost trend, compliance status at a glance
  • Automation layer: daily brief to your inbox, compliance alerts, reorder triggers
  • 6-week hands-on implementation alongside your team
  • Handoff and staff onboarding so the system runs without me
Book a diagnostic →
Ongoing · Monthly Retainer

Margin OS Maintenance & Advisory

The system I build will start degrading in 90 days without maintenance. Credentials expire, par levels drift, the dashboard needs updated data. The retainer keeps everything current. Monthly compliance monitoring, system updates, and one advisory call per month.

$1,500 – $4,000
per month  ·  founder rate

Market rates available at client 6+: $3,500–4,500 / $6,500–8,000 / $10,000–12,500. Founder rates are locked permanently for engagements starting now.

Process

How an engagement works

No discovery sprints that last three months. No slide decks with recommendations nobody implements. One engagement. Systems running at the end of it.

01

Free 30-Minute Diagnostic

We talk about where the practice is: revenue cycle, inventory, compliance posture, operational bottlenecks, your exit timeline if relevant. I ask specific questions. You get an honest read on what's there. No pitch, no slide deck. If there's nothing to fix, I'll tell you that.

No cost  ·  No obligation
02

The Margin Audit (Weeks 1–2)

Full diagnostic across six dimensions: revenue systems, inventory, scheduling, compliance, staffing, and financial visibility. I come in, look at everything, and map the gaps with specific dollar-impact estimates. You get a prioritized finding report and a 30-day implementation roadmap. This is the paid blueprint that scopes the build.

Deliverable: Audit report + ranked priority matrix + implementation roadmap
03

System Build (Weeks 3–5)

This is where the systems get installed, not described. Inventory tracker built and loaded. SOP library written and placed. Compliance calendar wired with alerts. Dashboard connected to your actual data. Each piece built alongside your team so they understand how it works before I leave.

Deliverable: Operating systems live in your practice
04

Handoff & Optionally: Retainer (Week 6)

Staff training. Documentation. Everything labeled so you know what it does and why it's there. The practice runs the system; the system runs without me. For practices that want ongoing monitoring and advisory, the $1,500/month retainer keeps everything current. Not a hard sell. An obvious next step if the engagement delivered real value.

Deliverable: Independent operations  ·  Optional retainer conversion
Credentials

The work is verifiable

Every number below is independently verifiable. No inflated projections. No aggregate estimates from unnamed sources. If you ask where a figure came from, I can show you.

Founding Engagement — NJ Healthcare Practice (De-identified)

$8,400 in annual operational savings identified. 22% inventory waste eliminated. 6 hours of admin time recovered per week. 106 SKUs systematized. Full SOP library, compliance documentation, and live dashboard installed. Six weeks.

2nd Place — TCNJ Real Estate Case Competition (2026)

Solo 18-page underwriting analysis, 90 E. Halsey St., Parsippany NJ. $10.5M bid at a 17% IRR. Judged by JLL, Saxum, and Seagis. This is the financial rigor behind the operations work. The same approach, applied to your practice's numbers.

TCNJ Finance · Wealth Management (In Progress)

Finance major, Wealth Management minor. 3.625 GPA. SIE exam (FINRA) in progress. AI certifications: Claude Code 101, Claude 101 (Anthropic/Skilljar). The finance background is what makes the operational findings legible as a business case, not just an ops checklist.

Top 5 — Johnson & Johnson Case Competition

Competitive case work across finance, operations, and strategy disciplines. Healthcare and corporate operations knowledge applied under competitive conditions.

The founding engagement is not named publicly. The practice owner's identity and specific financial details remain confidential by agreement. Numbers are real. Your first published case study will be your own, with your consent, after we work together.

Free 30-Minute Operations Diagnostic

You didn't open your practice to drown in admin. Start here.

Thirty minutes. I'll tell you exactly what I see and whether there's anything worth fixing. If there isn't, you'll know that too.

Book Your Free Diagnostic

Prefer email? hello@marginhealthadvisory.com   ·   LinkedIn