Industries / Healthcare Practices
Which providers, procedures and locations actually pay?
Understand profit by location, provider, and procedure. For clinician-owned practices. The business side, in plain numbers, never the clinical side.
By Fenwick How, Founder
BBA in Project Management, certified PMP, currently pursuing an MBA at Texas A&M. He leads the work himself, start to finish.
Who this is for
Built for businesses like yours.
Clinician-owners of dental, veterinary, physical-therapy, med-spa, and optometry practices, single or multi-location, sitting on years of practice-management data.
We work strictly on the business side of your practice, with de-identified or business-level data under proper agreements. No patient care, no clinical advice, and full respect for HIPAA and patient privacy.
The problems we solve
Sound familiar?
- Profit by location, provider, and procedure is unclear
- Chairs and rooms underutilized
- Patient recall left to chance
- Add-a-location or add-a-provider decisions
- Retaining high-value patients
How we help
The offer.
A Profit Map by location, provider, and procedure; the Customer (Patient) Map for recall and high-value segments; and a data-backed answer to the “should I add a location” question.
The Aperture Method phases: All five phases
- Profit Map
- Customer & Market Map
- Focus Plan
- Scoreboard
What the work looks like.
Representative case study · Illustrative
A three-location dental group unsure where to invest next.
The owner was considering a fourth office but couldn't tell which of the three, or which providers and procedures, actually drove profit. Aperture Insights found the constraint wasn't demand; it was utilization and mix. Aperture Analytics produced a Profit Map by location, provider, and procedure and showed the “busy” office was least profitable once chair time was counted, with a few procedures run at a loss. Aperture Intelligence flagged a large base of lapsed patients overdue for recall and the highest-value segments. Aperture Compass prioritized fixing scheduling and mix before expansion, plus a recall push and a geographically-informed site decision. Aperture Atlas tracked utilization and recall. Illustratively, a practice like this could lift chair utilization and reactivate dormant patients before spending on a new build-out.
What you'd learn first
Which locations, providers, and procedures actually profit, and should you add a location?
The Business X-Ray is a fixed-fee, low-risk first step. It answers exactly this before you commit to anything more.
Before you book
Questions healthcare practices owners ask.
Does this involve patient data?
No patient identifiers are needed and none are wanted. The analysis works from encounter and procedure-level data with identifiers removed, plus postcodes for the mapping. Addresses are converted to coordinates and deleted. The terms covering all of this are signed before anything is sent.
Our payer mix makes every comparison messy.
Payer mix is usually the answer rather than an obstacle. Contribution by procedure has to be read net of the reimbursement each payer actually pays, and doing that properly is what reveals that two clinically identical procedures can have opposite economics.
Can this help us decide whether to add a provider?
Yes, and it is one of the clearer uses. It comes down to contribution per provider, the capacity actually available, and whether the demand exists in your catchment. The scenario model lets you test the hire before you make it.
We are part of a group with shared overhead. Does that break it?
It has to be handled explicitly rather than ignored, which is a common failing in practice benchmarking. Shared overhead is allocated on a stated basis, that basis is shown, and the analysis reports results both with and without it so you can see how much the allocation is doing.
The position an established private business is in is not specific to your sector, even though the questions are.
Last reviewed . Fees and timings on this page are current as of that date.
See your business clearly. Then watch the strategy run.
Start with the Business X-Ray, a fixed-fee, low-risk first step.