Four ways to work with us.

A complete, standalone operational guide. The full road from decision to operating license, written for founders who are ready to do the work themselves with a thinking partner in book form.

What you get

• Eighty-plus pages of operational guidance, written from inside a real build.
• The Journey at a Glance, the seven pillars, the eight phases, and the Bridge Period.
• The master pre-launch checklist.
• Every URL you need for forms, agencies, and references.
• Lifetime access. Updates as the practice grows.

Best for

Disciplined founders who want a working manual and who learn by doing the work themselves.

A small-group program where you join a working group of other founders building agencies in parallel. Weekly working sessions with us. Group accountability. Shared learning. Access to the full artifact library.

What you get

• Weekly working sessions, structured around the eight phases.
• A group thread for between-session questions.
• The artifact library: operating manual templates, policy templates, SOPs, forms.
• Group accountability and shared lessons across cohort members.
• A defined start and finish, so the build does not drag.

Best for

Founders who want structure plus a community. Founders who learn well from peers and who benefit from regular cadence.

A dedicated engagement. We walk through every phase of your build with you. We review your documents, prep your applications, and stay close until you are operating. Personalized to your specific state, payer mix, and target population.

What you get

• Scheduled working sessions on a cadence that fits your build.
• Review of your incorporation, EIN, NPI, insurance, bonding, and workforce setup.
• Side-by-side prep of your provider application and supporting documents.
• Coaching through Requests for Information and pre-certification review.
• Ongoing access between sessions for stuck points.

Best for

Founders who want a senior partner working with them through every phase, and who value a personalized engagement over group format.

Hands-on partnership across corporate setup, credentialing, policy development, application preparation, and operational launch. We do meaningful portions of the work with you, not just for you.

What you get

• Corporate setup support: entity, EIN, NPI, banking, operating agreement.
• Insurance, bonding, and workforce credential pipelines.
• Policy and procedure development tailored to your state and services.
• Application package preparation and submission support.
• Site-visit prep and Requests-for-Information response support.
• Operational launch support during your first ninety days of operating.

Best for

Founders who want a senior practitioner shoulder-to-shoulder, and who have the operating capital to move quickly.