We’re hiring
Home Author Posts
Imagine seeing ten patients today instead of twenty-two. And having more time per patient. And making more profit. Then at 4pm, having an hour to call all ten, six minutes each, to ask how they are doing. It isn’t a fairy tale.
The responses most practices use when revenue falls short are not wrong. They are correct inside a model that does not include the variable causing the problem.
Your income statement shows what you collected. It does not show what collections cost you, what you were prevented from collecting, or what you would have collected if the price had been set by a market instead of by a contract.
Every game has rules. Medical reimbursement is no different. If you accept insurance, you need to know who wrote yours. Because what separates a fair game from a rigged one is who writes the rules.
The insurance companies hired the experts. Did the math. Built the models. And discovered they could take from you, take from your patients, reduce economic welfare, and pocket the arbitrage of the deadweight loss they created.
Most business decline does not come from bad decisions. It comes from reasonable ones. Another hire that seemed necessary. Another expense that felt justified. Another expansion that worked last time. Another accommodation to keep things moving.
Most business owners understand cost through an accounting lens. Cost is what reduces profit. It is what leaves the bank account. It is measured, categorized, and reported after the fact.
You didn’t go into medicine to run a business. You went into it because you wanted to help people. You endured the education, the residency. the clinical hours, the debt, the years of building. Somewhere along the way, you realized that truly helping people would require owning the practice that lets you.
What Growth Actually Measures A three-provider veterinary practice generates $2.4 million in revenue. The owner adds a fourth provider, expands the facility, and hires two more technicians. Revenue rises to $3.1 million. Growth.
April 10, 2026
March 27, 2026Error: Contact form not found.
