Build the practice that gives you your life back.
Time with the people you love. Decisions that don't wait on you. Revenue that shows up before the month starts. And a business worth real money whether you keep it for decades or sell it on your terms. That's what a practice built on systems and numbers does for its owner. We show you exactly where yours stands, hand you the plan, and help you build it. Assess. Optimize. Multiply.
Fixed fee. Credited toward the next step. If it doesn't tell you something you didn't know, we refund it.
The practice you have. The company you could own.
That's the whole job: move you from the left column to the right, and prove it with numbers.
What becomes possible
Every practice is hiding money. Not because anyone's careless, but because a practice has dozens of levers and an owner can only pull a few of them by hand. Leads that were paid for and never followed. Consults that only close when you're the one in the room. Patients who quietly stopped coming and were never asked back. A menu that's busy but not profitable. Revenue that resets to zero on the first of every month.
Set right, those same levers do something else entirely. Revenue you can forecast. Consults that close on the days you're not there. Margins you actually know. A team that runs the week. And a business that a buyer would price on its future instead of discounting for its dependence on you.
Which lever comes first is different for every practice, and getting the order wrong is how owners spend a year working harder for the same result. We find the one constraining all the others, fix it, prove it moved, and go to the next. That sequence is the work. It's also the part you can't see from the outside.
We can show you exactly where your practice is on that path, in your own numbers, in three weeks.
Assess. Optimize. Multiply.
Three stages, in a fixed order. Most owners try to grow before the engine is fixed and end up with a bigger, more exhausting version of the same practice. We do it in sequence, and we measure every step.
Assess
Know exactly where your business stands.
We start the way you'd start with a patient: read the markers before they become the diagnosis. Your real numbers, reconciled, because in most practices the books and the bank tell different stories. Your practice scored on a fixed rubric. Your dependence on it scored too. Out of that comes one answer: the single thing holding your business back right now, and the dollars attached to it. Never patient data.
Optimize
Fix the engine before you scale it.
A handful of systems decide whether a practice makes money. We install proven playbooks against your constraint, give every number an owner and a threshold, and put a weekly rhythm in place your team can run without you. Margins go up. Revenue gets predictable. Your presence becomes a choice.
Multiply
Grow something worth owning.
Once the engine runs without you carrying it, growth becomes a decision instead of a gamble. Another provider. A second location built on a model that's already proven. A new service line with the margin to justify it. Or simply more of your life back. Whichever you choose, you're building toward one of two outcomes: a cash-flowing asset that funds the way you want to live, or a company set up for a sale at a multiple you'd be proud of.
We measure everything we change. You'll always know what moved, by how much, and why.
Read the full approach →Diagnosis. Plan. Execution.
Three tiers, the way you'd chart a patient. Each includes everything in the one before it, and every dollar you spend is credited toward the next step.
Practice Value Diagnostic
A full workup of your practice as it operates today. Business numbers only, never patient information. In three weeks you know exactly where revenue is leaking, what you truly earn after paying someone to do your work, how much the business depends on you, and the one thing holding it back.
- Your numbers reconciled against your bank statements
- Practice Value Score across eleven areas of the business
- Founder Dependence Index, including the thirty-day test
- Where revenue is leaking, in dollars
- Your true owner profit
- Written report and a 60-minute review with a physician
- Credited in full toward the Blueprint within 60 days
Practice Blueprint
The diagnosis plus the plan, and the working tools to put it into your practice this week.
- Everything in the Diagnostic
- Prioritized action plan and KPI scorecards with owners and thresholds
- SOP templates for the workflows that matter most
- Pricing, packaging, and high-ticket package design
- Membership, device, marketing, retention, and reactivation strategy
- Full advisory video library, plus a 90-minute live presentation with a physician
- Credited in full toward Satven 90 within 90 days
Satven 90
The Blueprint gives you the plan. Satven 90 is for owners who want it done faster, with a physician beside them, reading the numbers as they come in and pressure-testing every decision before it's made. Three strategy sessions, a check-in every two weeks, and a re-score at day ninety so you see exactly what moved.
- Everything in the Blueprint
- Customized 90-day action plan
- Three private strategy sessions with a physician
- Six biweekly 30-minute check-ins
- KPI dashboard and accountability framework
- Day-90 re-score, so you see exactly what moved
- Roadmap for months four through twelve
What happens after you click
Step one: a short, private data request. Business numbers only, never patient information, and we tell you exactly which documents and where to find them. Step two: we reconcile, score, and write, and you'll know where we are the whole way. Step three: your written report and a call with a physician who walks you through every number and what to do about it. From that first call forward, you'll never look at your practice the same way again.
Paying in full is the only discount we offer. Your price never changes mid-engagement. See everything included →
This is for you if
Just opening, or buying your first device? The Practice Blueprint adapts into a launch framework, so you build the company right from day one. Tell us on the contact form and we'll set it up for where you are. Not for owners looking for a marketing agency, or anyone who wants a course; if that's you, we'll say so and point you somewhere useful.
We've run the practice you're running.
Fifteen years of combined experience owning, operating, and fixing cash-pay practices. The full schedule with the thin bank account. The leads nobody called. The consult only you could close, the refund only you could approve. What we learned changed everything: a business rises or falls to the level of its systems, not the effort of its owner. Build the systems, and the practice stops being a job with your name on the door and starts being an asset that pays you. We built Satven Advisory to hand you those systems, backed by the numbers to prove they're working.
Every result we share comes with a before-and-after score.
Meet the founders →Questions owners ask us
Is this coaching?
No. Coaching sells access to a person. We work from a fixed method, fixed scope, and fixed fee, and we re-score your practice so you can see what changed.
I already know my numbers.
Most owners do. Most have never reconciled them against the bank. If yours are clean, we'll confirm it fast and move on to what matters.
I'm an NP / PA / RN owner. Is this for me?
Yes. The medicine is yours. The business is what we work on.
What does a practice like mine sell for?
A multiple of EBITDA that moves with recurring revenue, clean books, a management layer, and how little it depends on you. We don't quote your number without your data. The Diagnostic shows where you stand and what moves it.
What do you need from me?
Business numbers you already have, a few hours, and honesty about what's not working. Never patient information.
Find out where your practice really stands.
Three weeks. Fixed fee. Credited toward the next step. Refunded if it doesn't tell you something you didn't know. Every month without the numbers is a month the leak keeps running.
Start with a Diagnostic — $3,500 →