CG Common Ground | A PE-backed medical group: operating audit (2026)
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A PE-backed medical group: operating audit (2026)

PE-backed multi-office medical group; fractional COO, 90-day operations and efficiency audit; July 2026 to present

IndustryHealthcare services (PE-backed)
Project typeOperating model design and efficiency audit
DatesJuly 2026 to present
SeatFractional COO, operations and efficiency audit

A 90-day operating audit and roadmap across IT, HR, FP&A, marketing and revenue cycle, for a sponsor on a margin and exit clock; redeploy people, not cut.

A group built by acquisition, office by office; IT vendor sprawl the biggest pain under HIPAA.

Problem

Not a platform. A map, one vendor owner, fixes nobody owned, the topology question answered.

What we did

Map first, govern second, build third. Buy clinical AI and integrate it. Patient messaging only on BAA infrastructure. Audit and recommendation only; builds as separate SOWs.

Result

Under retainer; the 90-day audit is under way. The introduction became a signable audit contract in 18 days, after the client argued with a live scoring engine.

They buy practices for a living, so I did not pitch them. I scored practices that were for sale that week and let them argue with the output.Jesse Fowler

Read on

01

The decision and the reasoning

Why we did it this way, told first.

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02

What we did and what it produced

The work, decision by decision, and the result.

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03

A slice of the project list

A few related projects.

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Team

Private side

The full report, the source files on record, the timeline and every figure with its source. Password.

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