Our summer special offer

Over the last year, we've talked about our offer of services in generic terms.  This was done intentionally simply because different practices have different needs and one size does not fit all.  A large group practice in need of reporting has a completely different set of needs than a single office practice that only has enough cash to last one more month.  But this flies in the face of the advice that we've given which says to provide a concrete offer that a patient can evaluate on his or her own terms.

So, in keeping with our own advice, here's a specific, concrete offer for you (if interested, just e-mail us at bpalmisano2@gmail.com).

Where we think we can be of most value is in improving results in struggling practices.  For these practices, we will come in, visit with you and your team, analyze numbers, find the weak areas, apply our expertise and work with you to implement solutions.  Our history is not to come in firing people (unless necessary) or asking you to spend a bunch of money that you might not have.

If the office has less than $60,000 of annual profit (per office) before owner pay, debt service and personal expenses, our services are free.  If the practice grows past the $60,000 threshold, we will take 25% of the growth only.  So, if the practice grows to $100,000 in annual profit, the $40,000 of excess profit ($100,000 - $60,000) is subject to a fee.  We would take a fee of $10,000, while you enjoy the 75% of growth.  This fee is computed and paid quarterly.

If you have a group practice with some underperforming offices, let us take a shot at those under performers and allow you avoid spending excessive time on low profit offices.

There's no real time commitment here although we would ask for at least 180 days to implement the improvements and see results.

So why would you do this?  First, there's really a low risk to you.  If we can't get improvement in profit above the threshold, you pay nothing.  Since we work pretty quickly, you won't lose much time either.  Second, consider that any fee we get is paid for out of growing profit.  So, it is not that we are asking you to pay with existing practice funds or money that could have been dedicated to marketing to get growth.

For practices outside of the United States that do not use the dollar as currency, we will convert the threshold to local currency as of the date we commence our services.

Restrictions may apply and the arrangement may have to vary slightly depending on the practice and the specific situation.  Some cases may prevent us from making any arrangement.

Some frequently asked questions:

How can I be sure that any growth came from your services and not some other factors?

You can't and our guess is that neither you or us want to spend a bunch of time and money trying to parse that out.  The fee is kept very simple to avoid debates about the source of profits and who had what idea.

What makes you better than the other, big name consultants out there?

Everyone has their own areas of specialty, but I can tell you that we've dealt with the daily minutiae of over 800 offices over a number of years -- both in the US and outside.  Like other consultants, we've seen a lot.  Unlike them, we've been very deeply involved in seeing problems develop and solving them.  On top of that, we are hungry, relatively new to the business of consulting and excited to show you what we can do.

Finally, we are very discreet and low profile.  If you don't want folks knowing that you are working with us, that's fine.  If you have a sensitive matter that you want protected, we are very good at making sure that these matters are kept confidential.  

Plus, did I mention the no fee if we aren't successful part?

Why would I spend that money on you and not just market more instead?  

As we've shown with our various case studies and practice rescues, it's not all about spending more on a TV campaign or a new ValPak.  Every practice has its own challenges and needs and we are in a position