Thirty practices a year, thirty objectives met.
We don't work with everyone. A project starts with a preliminary analysis, goes on with an operating plan carried out beside you, and closes when the objective is met and the numbers say so.
Not when the hours run out.
How a project runs.
First, write to us from the form at the foot of the page. Within 48 hours we tell you whether we can be useful and who will follow the work; if we can't, we tell you that too. From there the project has three movements.
Analysis
We start from the numbers, not from impressions.
A few hours with one of the founders, online or at your practice, on the real numbers: accounts, production, structure, people. It is the only way in — no project starts without it — and what comes out of it stays yours even if the project never happens.
- A reading of the business and its production figures
- A conversation with you and, where useful, your team
- A written reading of the practice
- A project proposal, if we believe we can be useful
Action
The plan, and who carries it out.
The proposal becomes an operating plan: few objectives, written down, each with an owner and a date. We work beside you and your team until the decisions are taken and the documents signed. We don't hand over a report and leave.
- Written objectives, each with an owner and a date
- Working sessions with you and with your team
- The documents, contracts and figures it takes to execute
Monitoring
The part almost nobody promises.
At fixed intervals the numbers are opened again and we look at whether the plan is working. When it isn't, it changes, and the correction is written down the way the objective was. The project closes on the result.
- Reviews at fixed intervals, in the calendar from day one
- The same indicators chosen together at the start
- Course corrections put in writing
What it costs.
Once only, at the start. If there is no project after the analysis, it ends there.
A project that runs across the whole business is not a sum of hours and has no list price: it is sized after the analysis.
A project's cost is set on its objectives and its length, and written into the proposal before anything starts: you approve it, freely. No surprises on the final invoice, and no practice paying for the time it takes us to understand it.
Request an analysisWhat we have taken on.
Some of the engagements we have carried out. They are decisions a practice takes three or four times in its whole life, and cannot take again: each has a founder who follows it from the analysis through to the monitoring.
StructureFrom sole practice to company
Led by · Loris Vignoli
When the practice has outgrown the legal form that holds it. We read the accounts, the tax load and the position of the associates, then design the structure that carries the next ten years.
- Tax comparison across the possible forms
- Articles and shareholder agreements
- Transition plan and calendar
PartnersSelling to, or admitting, a partner outside the family
Led by · Francesco Longo
A share of the practice changes hands between colleagues. The value, the exit rules and who decides what are written before, not after.
- Practice valuation
- Shareholder agreements and exit clauses
- Steering of the negotiation
AcquisitionAcquiring a practice in difficulty
Led by · Andrea Facincani
A nearby practice is closing or faltering, and its patients need someone. Due diligence on the real numbers, a price, and a plan for the first year.
- Financial and legal due diligence
- Price and deal structure
- Twelve-month integration plan
ValueWhat the practice is worth
Led by · Loris Vignoli
To sell, to admit a partner, to plan a succession, or simply to know. A method, a figure, and the levers that raise it.
- Valuation report
- Value levers and a 24-month plan
OpeningThe first practice after specialisation
Led by · Antonio Pelliccia
Where, how big, with what capital and which bank. An economic plan that holds before the lease is signed.
- Catchment and competition analysis
- Five-year economic and financial plan
- Bank dossier
NetworkA network between distant practices
Led by · Francesco Longo
Two or more practices that want to buy, train and communicate together without merging. The cooperative model, the contracts and the governance.
- Network model and contract
- Governance and exit rules
OrganisationThe practice that grew without organising itself
Led by · Andrea Facincani
More chairs, more clinicians, the same processes as ten years ago. Management control, job descriptions, objectives: the practice run on its numbers.
- Economic and organisational diagnosis
- Management dashboard and job descriptions
- Ninety-day action plan
MarketThe European patient
Led by · Antonio Pelliccia
Positioning the practice for the mid-to-high EU patient: offer, price, communication and agreements with those who bring them.
- FDOM positioning analysis
- Commercial and communication plan
Tell us about the practice.
A few lines and a few numbers. Within 48 hours we tell you whether we can be useful and who will follow the analysis.