● Orthopedic Groups ●
Operating leverage for orthopedic practices
Orthopedics has more revenue levers than almost any specialty — surgical mix, imaging, therapy, DME, ASC ownership. That’s also why undermanaged orthopedic groups leave more on the table than anyone else.
Sound Familiar?
Complexity is the tax on orthopedic profitability
Ancillaries running on autopilot
MRI, PT, DME, and bracing lines each have their own economics, compliance rules, and leakage points — and in many groups nobody owns any of them.
Clinic and OR fighting for the same hours
Surgeon time is the scarcest asset in the building. Template design, case sequencing, and first-case starts decide whether it compounds or evaporates.
Partners with different books
Productivity-based compensation without clean data and agreed governance turns every partner meeting into an argument about numbers no one trusts.
● Two Ways to Engage ●
Same executive expertise. Two engagement models.
Both engagements bring senior healthcare-executive expertise to your orthopedic group. The difference is the number of hours per week your outside expert is involved — and who executes the plan.
Fractional Executive
We lead it with your team
A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.
Consulting
We build it, you run it
A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.
How We Work
Five steps. Every engagement.
Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.
Where We Focus
What we work on inside orthopedic groups
Aligning the clinical engine, the ancillary portfolio, and the partnership economics — with data everyone can trust.
■ Ancillary line management
Contribution-margin reporting and dedicated ownership for imaging, therapy, DME, and injections — run as businesses, compliant with Stark/AKS in-office rules.
■ Surgical scheduling & throughput
Clinic templates that feed the OR, block utilization, first-case on-time starts, and case-cost visibility by procedure and payer.
■ Payer contracting
Rate benchmarking, bundle and episode strategy, and negotiation leverage built from your own outcome and cost data.
■ Partnership economics
Compensation-plan design, overhead allocation methodology, and governance rhythms that keep partner alignment ahead of partner disputes.
■ ASC strategy
Feasibility, syndication, and utilization economics for surgery-center ownership — modeled honestly against your case mix and payer contracts.
■ Revenue cycle at orthopedic scale
Surgical coding accuracy, implant and supply cost capture, denial management, and AR discipline on high-dollar episodes.
“An orthopedic group is five businesses sharing a lobby. Each one deserves a P&L, an owner, and a plan.”
Questions
Frequently asked questions
How can an orthopedic practice increase ancillary revenue compliantly?
Should our orthopedic group invest in an ASC?
How should an orthopedic group structure partner compensation?
Do you replace our practice administrator?
The Orthopedics briefing series
Five sourced, data-driven reports on the business of running an orthopedic practice.
How orthopedic practices structure in-office imaging, physical therapy, and ASC ownership for durable ancillary revenue – with Stark compliance essentials.
How orthopedic practices negotiate commercial contracts and navigate CMS bundled payment models – BPCI Advanced and the mandatory TEAM model starting 2026.
wRVU compensation models in orthopedics: 2025 MGMA benchmarks, conversion factor math, and the governance mistakes that drive partner disputes.
Evaluating a PE offer against staying independent: EBITDA multiples, MSO governance, rollover equity risks, and building the independence model first.
Block time and clinic flow in orthopedics: increase surgical revenue without adding physicians by fixing scheduling templates and release protocols.
Book your complimentary discovery call now
Thirty minutes. No pitch. An honest read on where your practice stands.
Free Consultation