Keep your hospital running smoothly when leadership capacity is limited

Relief/Interim/PT- Ongoing Practice Manager Support

When a Practice Manager is out, absent, undertrained — or overwhelmed — the impact is immediate: scheduling issues, staff frustration, communication breakdowns, and revenue leakage. Our Practice Manager Relief services, led by Hannah Figueroa, MBA, provide experienced, in‑clinic leadership to maintain stability and keep your team aligned.

Common areas of support: - Staff scheduling and daily operations - Team communication and accountability - Workflow optimization - Policy and procedure enforcement - Leadership continuity during transitions. We are also happy to assist with recruitment and onboarding efforts, including conducting interviews, making hiring recommendations and providing introductory training for new practice managers.

Why gaps in leadership coverage matter:

According to Richardson F, Osborne D. Veterinary practice manager, losing a practice manager immediately risks an estimated 13% of potential revenue growth. Also reported by the VHMA in their article Practice Management is an Expensive Hobby for a Veterinarian, there is an estimated $75,000+ in annual veterinary "opportunity cost" if doctors have to manage a practice themselves at only 4 hours a week every week, the opportunity cost only grows with more time being needed to run a practice instead of practicing medicine.

Pricing

Hourly Support
Starting at $37/hour(best rate available with the 4-week support package)

Weekly Support Packages(longer commitments = greater savings)

• 1 Week (≈36 hours): $1,422

• 2 Weeks (≈72 hours): $2,772

• 4 Weeks (≈144 hours): $5,328(lowest effective hourly rate)

Travel & coverage notes: - Denver Metro practices: standard rates apply - Outside Denver Metro: minimum coverage requirements apply - Out‑of‑state coverage: $500/week travel fee

Clinical leadership, oversight, and continuity of care

When a Medical Director is unavailable or absent, clinical leadership gaps can quickly affect standards of care, associate confidence, and hospital performance. Our Medical Director Relief services, led by Todd Smith, DVM, ensure your team continues operating with clarity, consistency, and support. With a background in surgery and emergency medicine, Dr. Smith provides medical oversight, staff mentorship, and continuity of care — giving your team confidence and stability during transitions or coverage gaps.

Common areas of support: -

Clinical oversight and decision‑making - Associate veterinarian mentorship - Protocol review and implementation - Case support and escalation guidance - Maintaining standards of care

Why gaps in leadership coverage matter:

According to THIS is How Much It Costs When You Don’t Hire the Veterinarians You Need, a typical veterinarian produces over $400,000 a year, this figure is usually higher for Medical Directors given that they tend to be top performing employees. The loss in revenue per month can quickly exceed $33,330, in addition to decreased operational efficiency and increased burnout from support staff.

Pricing

Hourly support: from $110/hour

Weekly coverage options:

1 week: $4,300

2 weeks: $8,400

4 weeks: $16,500

Travel & coverage notes: - Denver Metro practices: standard rates apply - Outside Denver Metro: minimum coverage requirements apply - Out‑of‑state coverage: $500/week travel fee

*If you are located outside of Colorado, please email us with details of your requested relief shifts prior to scheduling. This allows us to confirm current licensing requirements and scope of practice.

Consulting services

Practice Manager l Operational l Financial l Medical Consulting

Operational and financial improvement with real implementation support

Our consulting services go beyond reports and recommendations. We work directly with your leadership team to evaluate performance, identify constraints, and implement practical improvements that drive measurable results.

Areas commonly addressed:

Operational workflows and efficiency - KPI tracking and financial performance - Leadership structure and accountability - Team productivity and role clarity - Strategic planning and execution - New PM or supportive PM training - Budget development and monitoring guidance - Inventory cost management - Cost control and expense tracking - Financial performance analysis - Appointment scheduling systems - Workflow organization - SOP development and implementation - AAHA accreditation support - Fee structure review - Efficient use of PMS/ integrated technology review - DVM standardization protocols - Medical best practices - Surgical protocols review - New grad mentorship guidance - Marketing best practices - Client retention and relations guidance - Recruitment and training best practices - Management of medical records review

Common industry Key Performance Indicators review including, non DVM labor, DVM labor, COGS, revenue, EBITA, new clients, client compliance, ATC, appointment fill rate, marketing and full P&L review

Important To Note:

Not every hospital will require the same level of services, after an initial discovery call we'll recommend tier of consulting based off of discussed needs of the practice.

Moderate Consulting Support — $8,000 (monthly payment plan available)

Best for practices needing targeted improvement and clear direction.

Includes:

3 days onsite evaluation - 2 months of ongoing remote support - Operational and financial assessment - Customized improvement roadmap - KPI benchmarking and a full recommendation report

Typical outcomes: Improved efficiency, clearer leadership structure, and a focused plan for growth and stability

Advanced Consulting Support — $18,000 (monthly payment plan available)

Designed for practices seeking deeper transformation and sustained performance improvement.

Includes:

1 week onsite deep‑dive - 4 months of remote strategic support - Hands‑on implementation coaching - Full performance report with prioritized action steps - Ongoing leadership guidance

Typical outcomes: Measurable financial improvement, reduced operational friction, stronger leadership systems, and long‑term sustainability

All tiers include:

Introductory staff lunch that serves as an opportunity for questions and alignment on goals

Comprehensive recommendation report

Implementation recommendations and hands on support on advanced tier

At a minimum 1 call each week to check in, update progress, assess/reassess strategy

Review metrics for previous week, set weekly goals and monitoring expectations

Flexible payment options

Individualized guidance and support

A team of veterinary professionals dedicated to your hospital's success