01
Operational Inefficiency
Workflows that once worked now waste time, slow your team, and limit growth. We simplify operations so your practice runs more efficiently.
Private Practice Owners:
Fractional COO for Physician-Owned Practices
Hire the team trusted by physicians nationwide.
Confidential. No cost. No obligation.
Areas of Expertise
Healthcare OperationsRevenue CyclePractice GrowthAI & AutomationExecutive Leadership
How We Help Your Practice
Why Most Practices Never Reach Their Potential
Your practice may be busier than ever, but that doesn't always translate into higher profits. As practices grow, small problems become expensive ones.
These are the six areas where physician-owned practices most often lose time, money, and opportunities for growth.
02
Lost Revenue
Every missed charge, denied claim, and outdated payer contract costs money. We help you capture more of the revenue you've already earned.
03
Limited Financial Visibility
You shouldn't have to guess how much money you're leaving on the table. We offer clear reporting so you can make confident business decisions.
04
Staff Accountability
When expectations aren't clear, performance suffers. We create accountability so your team can operate consistently without constant oversight.
05
Technology Inefficiencies
Technology should reduce work, not create it. We streamline your systems and automate repetitive tasks wherever possible.
06
Growth Complexity
Growth shouldn't create chaos. We build the systems and leadership structure that allow your practice to expand naturally.
What a Fractional COO Actually Does
Not consultants. Not full-time hires.
Most physician owners have hired consultants and received a series of decks, recommendations, and a handshake at the end. However, fewer have ever had a true operating partner sitting beside them. Here's where MTMG is different.
Traditional Consultant
MTMG · Fractional COO
Full-Time COO
Engagement
Project-based, time-boxed
Ongoing partnership, embedded
Full-time executive hire
Output
Deck, recommendations, handoff
Implementation alongside your team
Day-to-day operational leadership
Accountability
Limited to scope of engagement
Tied to operational and financial results
Owns the operating P&L
Cost structure
Fixed fee or hourly
Fractional retainer
Full salary, benefits, equity
Best for
A single defined problem
Practices ready to operate at a higher level
Multi-site groups with the scale to support one
Traditional Consultant
Engagement
Project-based, time-boxed
Output
Deck, recommendations, handoff
Accountability
Limited to scope of engagement
Cost structure
Fixed fee or hourly
Best for
A single defined problem
MTMG · Fractional COO
Engagement
Ongoing partnership, embedded
Output
Implementation alongside your team
Accountability
Tied to operational and financial results
Cost structure
Fractional retainer
Best for
Practices ready to operate at a higher level
Full-Time COO
Engagement
Full-time executive hire
Output
Day-to-day operational leadership
Accountability
Owns the operating P&L
Cost structure
Full salary, benefits, equity
Best for
Multi-site groups with the scale to support one
MTMG exists for the practice that's outgrown one-off consulting projects but isn't ready—or doesn't need—to carry a full-time executive on payroll. You get the operating leadership of a COO without the headcount, the search, or the seven-figure commitment.
Our Approach
A measured approach. Sequenced so the team can absorb it.
No reorganizations. No 90-day transformations. An embedded operating partner working through the practice in a sequence the team can carry—and results that compound quarter over quarter.
Step 01
Assess
Spend time inside the practice. Talk with you and the team. Review financials, workflows, and systems to understand how the business actually operates.
Step 02
Align
Translate findings into a focused operating plan—priorities ranked by impact, sequenced so the team can absorb change without losing momentum.
Step 03
Implement
Roll up sleeves and execute alongside the team. Tighten processes, install reporting, hold the standard. Real change inside the practice, not slide decks.
Step 04
Improve
Measure results against the plan. Refine what's working, retire what isn't. The practice gets steadier and more profitable quarter over quarter.
Leadership
The operators behind MTMG.
MTMG brings hands-on implementation, revenue-cycle knowledge, operational discipline, and the perspective required to improve a physician-owned practice without disrupting the team that keeps it running.
Fractional COO
Stephen Sandoval
Stephen's work focuses on identifying the operational and financial issues holding a practice back, prioritizing the highest-impact opportunities, and working alongside the team to implement practical solutions.
Stephen brings experience across healthcare operations, revenue cycle, business growth, reporting, and automation. His role is not simply to recommend what should change. It is to help make the change happen.
Senior Advisor
Trent Wride
Trent has a wealth of experience in practice operations, financial performance, organizational structure, revenue-cycle strategy, and growth.
Trent provides strategic guidance on assessments, operating plans, and complex client situations, helping ensure MTMG's recommendations are practical, measurable, and built to last.
Why Physician Owners Work With MTMG
Executive experience across the disciplines a modern practice runs on.
Fractional COO leadership grounded in years of operating work across healthcare, revenue cycle, growth, and technology—brought to your leadership team without a learning curve.
01
Healthcare Operations
Multi-site practice operations, clinical workflow design, vendor and contract management, and the day-to-day rhythm of a well-run office.
02
Revenue Cycle
Charge capture, coding, payer mix, denials, and collections—built and managed end-to-end so earned revenue actually makes it to the bank.
03
Business Growth
Adding providers, opening locations, launching service lines, and pricing the work—structured so growth produces leverage instead of more chaos.
04
Executive Leadership
Years inside the operator's seat. Building teams, setting standards, leading through change, and giving owners a real partner in the room.
05
Startup Operations
Comfort building from zero. Pragmatic about what a small team can carry, and ruthless about what's worth the team's attention this quarter.
06
AI & Automation
Quietly removing the work that shouldn't require a human. Smarter workflows in scheduling, billing, and reporting—without disrupting the practice.
Insights
Notes from inside the practice.
Short essays on healthcare operations, revenue cycle, and the realities of running a physician-owned business.
Let's talk
Let's talk about
your practice.
Every practice eventually reaches the point where working harder stops producing better results. If your practice is there, let's start with a conversation. No sales pitch. Just 30 minutes to understand your goals, your challenges, and whether MTMG is the right fit.
Confidential. No cost. No obligation.