01
Operational Waste
Workflows that once worked now waste time, slow your team, and limit growth. We simplify operations so your practice runs more efficiently.
Fractional COO for Physician-Owned Practices
Find and Recover the Profit Hiding Inside Your Practice
We work alongside your team to find operational waste, recover lost revenue, and improve your bottom line.
Confidential. No cost. No obligation.
Areas of Expertise
Healthcare OperationsRevenue CyclePractice GrowthAI & AutomationExecutive Leadership
How We Help Your Practice
Why Most Physicians are Sitting on an Untapped Gold Mine
Your practice may be busier than ever, but that doesn't always translate into maximum profit. As practices grow, small problems become expensive ones that eat away at the owner's profit.
These are the six areas where physician-owned practices often lose out on profit.
02
Outstanding Receivables
Every missed collection, denied claim, and outdated contract costs money. We help you capture more of the revenue you've already earned.
03
Limited Financial Visibility
Your account reviews your finances monthly, quarterly, and annually but you lose money in the day-to-day. We specialize in the areas that your account does not touch.
04
Insufficient Tax Strategy
Having an a team work hand-in-hand with your accountant could help you save on taxes for the last 2-3 years.
05
Unmonitored Spend
We only get paid by increasing your bottom line so we ensure that your recurring expenses are cost-efficient and beneficial for you as the owner.
06
Payroll and Employee Structure
We analyze your payroll and hiring process and recommend policies and procedures that promote practice growth.
REAL-WORLD EXAMPLE
Meet Dr. Patterson
Dr. Patterson owned a single-location dermatology practice. Like many successful physicians, the practice was producing revenue, but significant opportunities were being missed.
While working with a fractional COO over the course of 7 years, his personal net worth grew from $1.2 million to $22.8 million.
The growth was not the result of one dramatic change. It came from repeatedly finding financial leaks, improving collections, controlling expenses, and identifying opportunities already sitting inside the practice.
$1.2M → $22.8M
Personal Net Worth
Growth during the period Dr. Patterson worked with a fractional COO.
+32%
Collections
A collections overhaul increased collections 32% compared with the previous year.
$88,000
Avoided Equipment Cost
A proposed $125,000 laser purchase was replaced with comparable used equipment purchased for $37,000.
3
Additional Locations Added
Expanded from one location to four practice locations over the engagement period.
Dr. Patterson's experience is provided as an example of the impact that our fractional operational leadership can have on a physician-owned practice. Individual results will vary.
Wondering How Much Profit Your Practice Is Losing?
Every engagement begins with a complimentary financial scrub that identifies hidden operational waste, revenue leakage, and financial opportunities inside your practice. If we can't identify enough opportunity to justify working together, we'll tell you.
Confidential. No cost. No obligation.
What a Fractional COO Actually Does
Not consultants. Not full-time hires.
Most physician owners have hired consultants and received a series of decks, recommendations, and a handshake at the end. However, fewer have ever had a true operating partner sitting beside them. Here's where MTMG is different.
Traditional Consultant
MTMG · Fractional COO
Full-Time COO
Engagement
Project-based, time-boxed
Ongoing partnership, embedded
Full-time executive hire
Output
Deck, recommendations, handoff
Implementation alongside your team
Day-to-day operational leadership
Accountability
Limited to scope of engagement
Tied to operational and financial results
Owns the operating P&L
Cost structure
Fixed fee or hourly
Fractional retainer
Full salary, benefits, equity
Best for
A single defined problem
Practices ready to operate at a higher level
Multi-site groups with the scale to support one
Traditional Consultant
Engagement
Project-based, time-boxed
Output
Deck, recommendations, handoff
Accountability
Limited to scope of engagement
Cost structure
Fixed fee or hourly
Best for
A single defined problem
MTMG · Fractional COO
Engagement
Ongoing partnership, embedded
Output
Implementation alongside your team
Accountability
Tied to operational and financial results
Cost structure
Fractional retainer
Best for
Practices ready to operate at a higher level
Full-Time COO
Engagement
Full-time executive hire
Output
Day-to-day operational leadership
Accountability
Owns the operating P&L
Cost structure
Full salary, benefits, equity
Best for
Multi-site groups with the scale to support one
See Whether a Fractional COO Is Right for Your Practice
Not every practice needs a Fractional COO. A strategy session helps determine whether your biggest opportunities can be solved through operational improvements, stronger financial oversight, and hands-on implementation.
Confidential. No cost. No obligation.
Our Approach
A measured approach. Sequenced so the team can absorb it.
No reorganizations. No 90-day transformations. Instead, you receive an embedded operating partner working hand-in-hand with your team.
Step 01
Assess
We spend time inside your practice. We work with you and the team. We review financials, workflows, and systems to understand how the business actually operates.
Step 02
Align
We translate findings into a segmented implementation plan that priorities fixing the largest issues first.
Step 03
Implement
We roll up our sleeves and execute the plan with your team. We tighten processes, install reporting, hold the standard. Real change inside the practice, not slide decks.
Step 04
Improve
We then measure the results against the plan and then refine if necessary. The practice gets steadier and more profitable quarter over quarter.
Leadership
The operators behind MTMG.
MTMG brings hands-on implementation, revenue-cycle knowledge, operational discipline, and the perspective required to improve a physician-owned practice without disrupting the team that keeps it running.
Fractional COO
Stephen Sandoval
Stephen's work focuses on identifying the operational and financial issues holding a practice back, prioritizing the highest-impact opportunities, and working alongside the team to implement practical solutions.
Stephen brings experience across healthcare operations, revenue cycle, business growth, and automation. His role is not simply to recommend what should change. It is to help make the change happen.
Senior Advisor
Trent Wride
Trent has a wealth of experience in operations, financial performance, organizational structure, revenue-cycle strategy, and growth.
Trent provides strategic guidance on assessments, operating plans, and complex client situations, helping ensure MTMG's recommendations are practical, measurable, and built to last.
Why Physicians Work With MTMG
We Only Get Paid if Your Bottom Line Increases
Most consulting firms charge for recommendations. We charge for measurable financial improvement. Before an engagement begins, we identify operational inefficiencies, revenue leakage, billing gaps, workflow breakdowns, and financial opportunities that are already costing your practice money. If we can't confidently identify enough opportunity to cover our investment, we won't recommend moving forward. That keeps our incentives aligned with yours from day one.
Let's Find What's Holding Your Practice Back
If we can't identify enough financial opportunity to make it worth it, we'll tell you. If we can, we'll show you exactly where we'd start and what results you can reasonably expect.
Confidential. No cost. No obligation.
FAQ
Common questions from physician owners.
Straight answers about how MTMG works, what to expect, and whether hiring us is the right fit for your practice.
No. Your practice remains 100% yours. We are a paid service that only gets paid when your bottom line increases.
MTMG engagements start at $5,000 and include a 2.5x return on investment guarantee.
Before any engagement, we conduct a free financial scrub to identify hidden waste, revenue leakage, and operational inefficiencies. We only recommend moving forward if we can confidently find enough opportunity to cover our investment. Our compensation is tied to real financial improvement.
Most practices see measurable operational improvements within the first 90 days. The exact timeline depends on the starting condition, but we prioritize the highest-impact opportunities first so you see progress quickly.
No. Our approach is to work with your team, not around them. We install solutions that make their jobs easier and help the practice grow.
We work with any size of practice but our most typical client owns one or two locations to start.
Start with a free strategy session. We'll talk about your practice and see if we're a good fit. If we are, we'll start with a free analysis to identify the biggest opportunities, and determine whether MTMG is the right fit. There's no cost and no obligation.
Let's talk
Let's talk about
your practice.
Every practice eventually reaches the point where working harder stops producing better results. If your practice is there, let's start with a conversation. No sales pitch. Just 30 minutes to understand your goals, your challenges, and whether MTMG is the right fit.
Confidential. No cost. No obligation.