Find operational waste. Recover margin. Act on staffing, pricing, and performance.
I’m John DeLay.
I find where independent clinics leak margin — staffing, no-shows, collections, pricing — and hand you a system your team can run. No software platform. No strategy deck.
Is this you?
Staffing is up and you still cannot say which sessions lose money.
You know the no-show rate. You don’t know which misses actually cost you.
Collections reports describe last month. They never say what to do next.
Two sites look equally busy. You cannot tell which one makes margin.
Take the 3-minute Leak Check Book a free Operations Audit
Three ways to work
Answer — fast clarity on one question — Where is staffing capacity wasted? Why are collections slowing? Which locations or services underprice? One decision, plain-language recommendation, clear next step.
System — a tool that lasts — Repeatable workflows for capacity, pricing, margin, or performance so the same question doesn’t come back every month — owned by your team, not locked in a black box.
Engine — ongoing decision support — Recurring monitoring and optimization for staffing, pricing, or performance when the cost of delay compounds monthly — scoped continuity, not open-ended advisory.
How engagements work
Most relationships follow the same pattern:
- Margin Leak Check (optional, three minutes) — A self-serve readout of where pressure is concentrated. No email, no calendar.
- Free Operations Audit — A short, no-commitment look at the operating pressure, whether waste is findable, and whether the ROI path is real. We’ll tell you honestly whether we can help.
- Answer or scoping step — Fixed-price clarity on one decision — often the right first paid step after the audit.
- System or Engine — When the same decision repeats, we build a lightweight system or ongoing engine. You know the scope and cost before we start.
We’re not a large agency and we’re not pitching a six-figure transformation. Most engagements start small and expand only if the first project delivers.
Not sure yet? Start without a meeting.
The Leak Check is eight questions. You get a plain-language readout — Answer, System, Engine, or no engagement — and you can book the audit from there if it’s warranted.