P I V O T
PIVOT is a community of veterinary surgeons who build and optimize high-performance brick-and-mortar surgical practices.
PIVOT is for surgeons seeking practice ownership, greater operational efficiency, financial clarity, and long-term sustainability.
What is PIVOT?
PIVOT is a private community of like-minded veterinary surgeons & practice owners interested in building, optimizing, or transitioning into a high-performance brick-and-mortar surgical practice.
We believe a modern practice should be:
Operationally efficient
Financially intelligent
Clinically excellent
Intentionally congruent
Culturally resilient.
WHAT IS A “PIVOT” TYPE PRACTICE?
PIVOT promotes a modern surgical practice model built around operational efficiency, strong patient care, team culture, & long-term sustainability.
We believe a surgery practice should allow:
. greater control over patient care & outcomes
. streamlined scheduling, case flow, & operations
An elevated client experience and referring veterinarian relationship
. a positive culture
. stronger financial performance.
PIVOT focuses on those 5 pillars in practices that are not just functional - but optimized.
Who is PIVOT for?
PIVOT is for surgeons & practice owners who:
. are transitioning from mobile surgery
. transition from associate to practice owner
. want to optimize an existing practice
. want a better quality of life
. are interested in building a more efficient, profitable, & intentionally designed practice
. are simply considering any of the above.
Who is PIVOT NOT for?
PIVOT is NOT for surgeons & practice owners who:
. are satisfied with the status quo
. are not interested in retiring comfortably
. have no interest in practice design & efficiency
. don’t care about the financial side of their practice
. expect quick fixes & refuse change
1. BUILD EQUITY
Financial Freedom
As an associate or a mobile surgeon, you will have nothing to sell when you retire.
Building a brick-and-mortar surgical practice creates long-term equity, not just personal production income
2. CLINICAL CONTROL
Surgical Excellence
Create a surgical environment designed around your standards, preferences, workflow, and patient experience.
No more steamy OR, useless Sx lights, or dead time!
This is complete surgical bliss!
3. TIME & PROFIT
Operational growth
Improve case flow, reduce inefficiencies, and create a more sustainable surgical model for your practice, your team, and your life.
Increase your quality of life & time freedom.
OUR SERVICES
COMMUNITY
A free, curated, private community of veterinary surgeons interested in practice ownership, operational efficiency, & high-performance surgical practice design (www.facebook.com/groups/1493499459090051).
You can ask & answer questions in a supportive, altruistic, non-judgemental forum.
COACHING
Personalized coaching for surgeons seeking greater clarity around practice ownership, operational design, workflow efficiency, & long-term strategy.
Designed to help you avoid costly mistakes and make more confident decisions.
This information doesn’t exist anywhere else…
There is no reason to reinvent the wheel & make the same mistakes others have made!
RETREAT
An exclusive small-group retreat designed for surgeons who want dedicated time to think strategically about practice design, ownership, efficiency, & long-term goals.
A mastermind in an exotic location to rethink, design, & elevate your Sx practice.
It is an exclusive, immersive experience based on 5 core tenets: nature, gastronomy, community, adventure, & relaxation.
TESTIMONIALS
Real feedback from actual surgeons navigating ownership, transition, and practice optimization.
A sURGEON iN TX
“There are so many variables that go into starting any business. Getting coaching early on from someone who has already made costly mistakes is invaluable. Learning how to be cost-effective, reduce overhead and still provide excellent surgical care is critical. The coaching fee more than pays for itself.”
A sURGEON iN IL
"I loved the coaching. By sharing his experience, Phil helped me save time and effort in a variety of ways. One of the reasons I decided to invest in this coaching was to make sure I would be well-prepared to have all bases covered ahead of time. He indeed revealed some nuggets and unexpected regulatory technicalities I was not aware of. Phil acted as a welcome "sounding board", confirmed my expectations and had the answers I was looking for while discussing some of the aspects I was worried about. This was a wise decision for me."
A sURGEON iN CA
“Phil has been a trusted consultant throughout the build of our surgery center. He is highly responsive, easy to work with, and very straightforward, always honest and clear in his feedback, even when it is not the easy answer. His advice is practical and grounded in real experience, which has been incredibly helpful. What really sets him apart is that he is genuinely invested in our success, professionally, personally, and from a business standpoint, and that comes through in every interaction. I would strongly recommend him to anyone looking for thoughtful, experienced guidance.”
MORE TESTIMONIALS
A sURGEON iN CA
“Phil has been an extremely reliable consultant during our Surgery Center buildout.
Everything from guidance on the structure of his surgical center’s business model formation, building design with virtual tours of his locations, day to day operations guidance, staffing management, inventory advice & management, & consultation/surgical flow recommendations.
Phil is forthcoming, candid, and practical about his approach to running a surgical center, and is quick to respond when we needed advice.
He will pick up a phone call whether he is on the road, or in the clinic. He’ll even set time aside after hours to make it work for us on our California clock.
Phil has been a great consultation partner!”
A PRACTICE OWNER iN MO
“As a business owner, when I'm seeking help or asking for a referral, I always ask, "Would I work with them again?" To me, there is no bigger vote of support.
So when I'm asked about working with Phil... my answer is wholeheartedly ”yes”. I would absolutely work with him again.
His attention to detail and accessibility are second to none. His knowledge of vet med and the business intricacies involved in setting up a surgical practice are unparalleled.
I would not only work with Phil again, I also look forward to growing our current working relationship.”
MORE KUDOS
“I can’t thank you enough for your time and informative comments.”
“It was very helpful! I have learned so much from Phil. Your support has given me increased confidence, which has been instrumental.“
“I am very pleased with how the Coaching is going. It is the best thing that happened to me in a long time.”
FREE RESOURCES
DOWNLOAD THE PIVOT BLUEPRINT
DOWNLOAD tHE PIVOT SELF-ASSESSMENT
Your Strategic Roadmap
Master the 5 pillars of a high-performing practice.
Learn how to optimize your facility layout, design a seamless patient flow, & build a scalable business model that moves beyond "busy" and toward true profitability.
Find Your Blind Spots.
Where is your practice leaving efficiency or profit on the table?
This questionnaire evaluates your business across 5 categories.
Get your "PIVOT Score" and identify exactly where to focus your energy.
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Start with 3 practical tools designed to help surgeons evaluate their current practice model, identify inefficiencies, and explore whether a high-performance B & M surgical practice is the right next step for you
EXPLORE THE PIVOT PRACTICE MODEL CALCULATOR
Real Math for Real Growth.
Stop guessing your value.
Plug in your fees & surgical days to instantly visualize your annual revenue and estimated profit.
This interactive Excel tool helps you find the "sweet spot" between your clinical workload & your income goals.