Rebuild the operating model, and the numbers underneath it.

When costs have outpaced revenue, the fix is rarely a line-item trim. We rebuild the operating model — and align the budget, the labor plan, and the census-to-cash projection behind it — so the community supports itself.

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When communities call us

Margins are eroding and nobody can say precisely where
Agency staffing and overtime have become a structural cost, not a bridge
Rates haven't kept pace with acuity, or the care-level pricing doesn't hold up
Ownership or lenders need a credible forecast, not last year plus three percent

What the work includes

P&L forensics: labor cost per resident day, food cost, agency percentage, benchmark gaps
Rate study: care-level pricing against actual acuity and the local market
The five biggest financial leaks, sized in dollars, with the fix for each
An annual budget built with department heads — theirs to own, ours to pressure-test
A monthly variance cadence that keeps the budget honest after we leave

The financial work and the operational work are one job.

A budget that ignores how the schedule actually runs fails by March. That's why the same team that rebuilds your numbers walks your building — the labor model, the census plan, and the operating cadence are designed together, or none of them hold.

Related work

Operating systems build-out

Install the systems the new model depends on.

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Capital projects & redesign

When the plan calls for reinvestment, sequence it by return.

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Our engagement model

Milestone fees tied to financial results.

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Get started

Talk with a partner about your community.

One conversation: what we see, how we would approach it, and exactly what it would involve. Survey and leadership situations receive a same-day response.

Speak with a partner

[email protected] New York · Memphis