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Advisory Services
Who I Help
I work with founder-led and PE-backed healthcare services organizations navigating growth, complexity, integration, and execution strain across multi-site operations.
Problems I Help Solve
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Operating cadence is unclear or inconsistent
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Site leaders are busy but not truly owning outcomes
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Too many decisions escalate to senior leadership
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Growth has exposed gaps in accountability and execution
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Physician alignment is uneven across sites or markets
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Acquisition or de novo growth has outpaced infrastructure
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The organization needs stronger leadership bench depth
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Margin, access, quality, or patient experience performance varies too much by location
Advisory Services
Operating
Diagnostic
A focused assessment of operating cadence, accountability, leadership ownership, and execution breakdowns across the organization.
Executive Operating
Advisor
Ongoing advisory support for CEOs, founders, COOs, and operating teams working through scaling, accountability, integration, and performance challenges.
Interim/Fractional Operating Leadership
Selective interim or fractional operating leadership for healthcare services organizations needing senior execution support during growth, transition, integration, or turnaround periods.
Relevant Experience
Michael Bruggeman has spent more than 20 years leading healthcare operations across ambulatory surgery centers, value-based primary care, urgent care, RCM, and healthcare analytics. His background includes multi-state operations, P&L responsibility up to $250M, turnarounds, acquisition and de novo growth, physician alignment, and scalable operating cadence design.
Start a Conversation
If your organization is growing faster than its operating infrastructure, let’s discuss whether advisory or interim operating support would be useful.
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