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Healthcare: Bookkeeping & Practice Advisory for New or Established Healthcare Practices

Practice Pulse

Disrupt before being disrupted. Control your growth narrative.

Welcome to Practice Pulse, your gateway to unparalleled excellence in healthcare practice management. Our subscription services help practices of all sizes excel by maximizing operational and business performance and building a practice with the end game in mind.

clinician working with client in growing practice

At ELEVATE, we trust the intelligence of practice owners.

ELEVATE’s three-step methodology isn’t about selling a service—it’s about helping owners see what is already true in their practice.

This is who we are, this is what we offer, and if this resonates with you, you’ll know.

Advantages of Practice Pulse

ELEVATE practice performance. Pulse subscription services are personalized to meet the
unique needs of your practice.

Leadership and Influence

  • Culture
  • High performance
  • Purpose and impact
  • Client experience
  • Self-growth

Operations and Execution

  • Execution/ accountability
  • Clinic scorecards
  • Schedule efficiency
  • Monthly plan
  • Profit and loss

Practice Management and Accountability

  • Clinician scorecards
  • Onboarding
  • Client experience
  • Care plan management
  • Soft skills/EQ/empathy

Human Resources 
and Retention

  • Compensation
  • Hiring/termination
  • Performance management
  • Risk management
  • Coaching

Profit Optimization 
for Personal Wealth

  • Gross margin drivers
  • Occupancy rates
  • Bad debt
  • Levers of profitability
  • G&A

The End Game and 
Your Next Chapter

  • Prepare to sell
  • Cut costs
  • Remove personal/one time expenses
  • Identify buyers
  • Create a pitch deck

Invest in Your Practice Growth

Subscribe to a Tier that fits your unique practice needs.

Premium Pulse

  • Bi-weekly 45-minute consultation sessions to address specific challenges and opportunities in your practice.
  • Monthly P&L review.
  • Quarterly consultation sessions to review key business metrics.
  • Annual business planning advice.
  • Priority email support: Faster response times and priority access to our consultancy team.
  • 3-month minimum subscription

Pro Pulse

  • Bi-weekly 45-minute consultation sessions to address specific challenges and opportunities in your practice.
  • Quarterly consultation sessions to review key business metrics.
  • Priority email support: Faster response times and priority access to our consultancy team
  • 3-month minimum subscription

Essential Pulse

  • Bi-weekly 45-minute consultation sessions to address specific challenges and opportunities in your practice.
  • Email support: Prompt answers to your pressing questions from our team of business and clinical experts.
  • 3-month minimum subscription

SEO/SEM Pulse

  • 3-month minimum subscription

IT Pulse

  • 3-month minimum subscription

ELEVATE’s Three-Step Practice Management Methodology

.

ONE: Healthcare Specific Bookkeeping and Payroll Services – Financial Clarity First

  • Recording and categorizing financial transactions 
  • Bank and credit card reconciliations 
  • Quarterly or annual GST/HST filing 
  • Expense report management 
  • Cloud based Quick Books software 
  • Monthly income statement (P&L)   
  • Real time financial clarity 
  • Industry benchmarking-KPI’s 
  • Data driven tactical decisions are generated from an integrated look across:  Financial, Operational and Practitioner lead/lag measure performance. 
  • Chartered Professional Accountant (CPA) driven insights. 

TWO: Operational & Practitioner Scorecards – Production and Performance

Operational and Practitioner scorecards that are customized to meet the needs of the practice owner. 

Possible Scorecard themes include (not limited to): 

Operational 

  • Financial KPI review 
  • Client retention (PVA/payor) 
  • Schedule efficiency 
  • Intake growth 
  • Occupancy rate 

 Practitioner(s): 

  • Care plan completion 
  • Production-Sch. Efficiency 
  • Client engagement-Google 
  • Revenue/month 
  • Growth/Development 
  • Real time operational and practitioner clarity. 
  • Industry benchmarking-KPI’s 
  • Data driven tactical decisions are generated from an integrated look across:  Financial, Operational and Practitioner lead/lag measure performance. 
  • CORE insights generated by ELEVATE Team Members with clinical and operational backgrounds. 
  • Human Resources driven insights 

THREE: Growth & Advisory Services – ELEVATE’s Intelligence Growth Engine 

ELEVATE’s Customized Monthly Offerings 

  • Strategic growth advisory 
  • Profit optimization 
  • Operational efficiencies 
  • Leadership and Team Development  
  • Performance/ production coaching 
  • SEO integration 
  • Practice Valuation + exit planning 
  • Pricing 
  • Competitive position/differentiation   
  • Real time ‘Practice’ clarity 
  • Gifts of time and effort 
  • High performance team 
  • Stability and scalability 
  • Reduced practice risk 
  • Competitive advantage 
  • Wealth creation 

ELEVATE’s Three-Step Practice Management Methodology

.

ONE: Healthcare Specific Bookkeeping and Payroll Services – Financial Clarity First

  • Recording and categorizing financial transactions 
  • Bank and credit card reconciliations 
  • Quarterly or annual GST/HST filing 
  • Expense report management 
  • Cloud based Quick Books software 
  • Monthly income statement (P&L)   
  • Real time financial clarity 
  • Industry benchmarking-KPI’s 
  • Data driven tactical decisions are generated from an integrated look across:  Financial, Operational and Practitioner lead/lag measure performance. 
  • Chartered Professional Accountant (CPA) driven insights. 

TWO: Operational & Practitioner Scorecards – Production and Performance

Operational and Practitioner scorecards that are customized to meet the needs of the practice owner. 

Possible Scorecard themes include (not limited to): 

Operational 

  • Financial KPI review 
  • Client retention (PVA/payor) 
  • Schedule efficiency 
  • Intake growth 
  • Occupancy rate 

 Practitioner(s): 

  • Care plan completion 
  • Production-Sch. Efficiency 
  • Client engagement-Google 
  • Revenue/month 
  • Growth/Development 
  • Real time operational and practitioner clarity. 
  • Industry benchmarking-KPI’s 
  • Data driven tactical decisions are generated from an integrated look across:  Financial, Operational and Practitioner lead/lag measure performance. 
  • CORE insights generated by ELEVATE Team Members with clinical and operational backgrounds. 
  • Human Resources driven insights 

THREE: Growth & Advisory Services – ELEVATE’s Intelligence Growth Engine 

ELEVATE’s Customized Monthly Offerings 

  • Strategic growth advisory 
  • Profit optimization 
  • Operational efficiencies 
  • Leadership and Team Development  
  • Performance/ production coaching 
  • SEO integration 
  • Practice Valuation + exit planning 
  • Pricing 
  • Competitive position/differentiation   
  • Real time ‘Practice’ clarity 
  • Gifts of time and effort 
  • High performance team 
  • Stability and scalability 
  • Reduced practice risk 
  • Competitive advantage 
  • Wealth creation 

ELEVATE’s Three-Step Practice Management Methodology

ONE: Healthcare Specific Bookkeeping and Payroll Services – Financial Clarity First

  • Recording and categorizing financial transactions 
  • Bank and credit card reconciliations 
  • Quarterly or annual GST/HST filing 
  • Expense report management 
  • Cloud based Quick Books software 
  • Monthly income statement (P&L)   
  • Real time financial clarity 
  • Industry benchmarking-KPI’s 
  • Data driven tactical decisions are generated from an integrated look across:  Financial, Operational and Practitioner lead/lag measure performance. 
  • Chartered Professional Accountant (CPA) driven insights. 

ONE: Healthcare Specific Bookkeeping and Payroll Services – Financial Clarity First

  • Recording and categorizing financial transactions 
  • Bank and credit card reconciliations 
  • Quarterly or annual GST/HST filing 
  • Expense report management 
  • Cloud based Quick Books software 
  • Monthly income statement (P&L)   
  • Real time financial clarity 
  • Industry benchmarking-KPI’s 
  • Data driven tactical decisions are generated from an integrated look across:  Financial, Operational and Practitioner lead/lag measure performance. 
  • Chartered Professional Accountant (CPA) driven insights. 

TWO: Operational & Practitioner Scorecards – Production and Performance

Operational and Practitioner scorecards that are customized to meet the needs of the practice owner. 

Possible Scorecard themes include (not limited to): 

Operational 

  • Financial KPI review 
  • Client retention (PVA/payor) 
  • Schedule efficiency 
  • Intake growth 
  • Occupancy rate 

 Practitioner(s): 

  • Care plan completion 
  • Production-Sch. Efficiency 
  • Client engagement-Google 
  • Revenue/month 
  • Growth/Development 
  • Real time operational and practitioner clarity. 
  • Industry benchmarking-KPI’s 
  • Data driven tactical decisions are generated from an integrated look across:  Financial, Operational and Practitioner lead/lag measure performance. 
  • CORE insights generated by ELEVATE Team Members with clinical and operational backgrounds. 
  • Human Resources driven insights 

THREE: Growth & Advisory Services – ELEVATE’s Intelligence Growth Engine 

ELEVATE’s Customized Monthly Offerings 

  • Strategic growth advisory 
  • Profit optimization 
  • Operational efficiencies 
  • Leadership and Team Development  
  • Performance/ production coaching 
  • SEO integration 
  • Practice Valuation + exit planning 
  • Pricing 
  • Competitive position/differentiation   
  • Real time ‘Practice’ clarity 
  • Gifts of time and effort 
  • High performance team 
  • Stability and scalability 
  • Reduced practice risk 
  • Competitive advantage 
  • Wealth creation 

Why it Works: The Power of Recurring Revenue and Value in Private Healthcare Practices

Sustainable and predictable practice growth isn’t just about attracting new clients—it’s about creating predictable recurring revenue and incremental value for communities where you have a privilege to serve 

Many practice owners struggle with financial instability due to inconsistent client flow, ineffective pricing models, or lack of financial oversight. ELEVATE’s financial and bookkeeping services ensure that your revenue isn’t just growing but is also stable and predictable. 

Your team is the engine of your practice. If they aren’t aligned with your practice goals, recurring revenue and value suffer. ELEVATE’s practitioner scorecards help owners measure and improve practitioner performance, ensuring consistent client care, productivity, and financial contribution. Instead of waiting for problems to arise, ELEVATE provides owners with real-time insights of practitioner’s efficiency, client retention rates, and their overall impact on the practice and the communities you serve. 

You can’t grow profit when you don’t know what to measure. Many practice owners operate reactively, making decisions based on gut feeling instead of data. ELEVATE’s operational scorecards provide a clear, structured view of key performance indicators (KPIs) that drive success and profit—client retention, visit averages, productivity, and revenue per visit. By tracking these metrics monthly, you don’t just create recurring revenue—you create predictable, scalable value. 

Growth isn’t a one-time event—it’s a continuous process that requires recurring tactics and execution. Practice owners’ often plateau because they lack the time or expertise to develop a structured, long-term growth plan. ELEVATE’s advisory services provide ongoing strategic guidance, ensuring you stay ahead of industry shifts, client expectations, and financial challenges. Whether it’s expanding locations, optimizing pricing, or enhancing client retention strategies, our advisors work alongside you monthly to keep your practice on an upward trajectory. 

Get Started Today

Learn more about Practice Pulse or other ELEVATE services.

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