The comparison nobody makes out loud
Two years and six figures studying companies you will never run. Nothing in the curriculum covers a payer contract, a medical director agreement, a landlord who wants a personal guarantee, or the first employee you have to let go. You graduate fluent in frameworks and still unable to price a membership.
Bills you by the hour to hand back a deck assembled from numbers you gave them. Before you sign, ask what they have personally opened, staffed, insured, and made payroll for. The pause is the answer.
Twenty minutes a day from an operator running a multi-location concierge practice today — plus advisors in marketing, finance, and operations who work in medicine, not around it. Today’s problem, today’s answer, implemented before clinic closes. Taught from the trenches, live, mistakes included.
What lands in your day
Every weekday, one lesson under twenty-five minutes with a single action attached. Not a module. Not a workbook you will open once. One thing to go do.
Why most practice policies are unenforceable, and the one paragraph that makes yours hold. Written by an owner who lost four figures a week to empty chairs..
Your accountant sends eleven pages. Four lines tell you whether the practice is healthy. Learn which four, and what each one is allowed to do.
Physicians hate selling and it shows. The reframe that turns a referral request into a clinical courtesy — and the exact message to send.
Almost every physician-owner sets the first price too low, then defends it for years. How to price against outcome and delivery cost instead of against fear.
Recorded courses answer last year’s questions. Circle happens live because the questions are the point — and because the practice we teach from is still open, still hiring, still solving something new this week.
Medicine, marketing, finance, operations — rotating, with the advisor who owns that lane. Bring your contract, your ad spend, your staffing problem.
Unscripted. The build, the bankruptcy, the rebuild — and whatever is breaking in your practice this month.
The same operators who run a multi-location practice, available to yours. Not a directory of vendors — a bench you can call.
Miss a session and it is waiting for you, indexed by pillar. Live first, permanent after.
The four Pillers
Protocols, scope, documentation, and the clinical model that holds up when volume arrives.
Getting found, getting chosen, and getting paid without discounting yourself into a corner.
Hiring, systems, vendors, and the boring machinery that decides whether you ever take a vacation.
Pricing, margin, cash, debt, and the numbers that tell you the truth before your accountant does