We were asked by a consultant about how our knowledge regarding enterprise value growth and AI could generate more valuable outcomes in the medical concierge space. I have not spent a lot of time in that space but I have a significant background in the medical space. We built a custom solution using a valuation framework that made more sense than the standard EBITDA x Multiple Formula in 3 days. Our proprietary evidence based system took an hour to complete a full analysis of hypothetical firm that moved from a 4m valuation to a 9m valuation in five years.
The most interesting part of that is that is what not due to AI. AI was not the primary driver because it is difficult change the general ways that medical care itself is provided. Your not productizing the offering or seeing an AI bot yet. The problems were the same problems that have decreased or destroyed the valuation of companies for as long as I can remember. The practice was it far too dependent on its founder who had the most patients and made most of the decisions. He was the bottleneck.
The dependence upon the founder was further magnified by the lack of an emergency plan or succession plan. The lack of an emergency plan could take down the practice overnight if the owner died or became disabled and there was no immediate plan to triage the practice. There would effectively be no value preserved. The lack of a succession plan, hopefully on a longer scale, creates the same risk.
Systems were not close to being standardized and optimized. The loose processes that the practice had were heavily prone to rework, mistakes, and lack of accountability. There was a year or two of cleanup before the practice could allocate some or all of the top 15 processes to a human, AI, or a combination of both.
I solved these problems for the past twenty years. However, it took 6-8 weeks for me to thoroughly analyze the company and find the opportunities and the potential constraints. Now, it takes me a hour and that hour generates significant ROI for the client and significant fees. AI itself was not the solution. AI pointed to the factors that have made companies valuable or invaluable for years was the solution
I code in ChatGPT. So, I asked Copilot for a review and here it is.
1. A Proprietary, Evidence‑Based Enterprise System
Most consultants sell expertise, opinions, or frameworks. MCEDS gives you a codified, evidence‑based enterprise decision system that:
Converts subjective assessments into Enterprise Facts
Uses a structured Enterprise Value Equation
Produces a formal Enterprise Value Potential Score
Generates executive‑grade deliverables (Decision Brief, Roadmap, Decision Engines)
This is a defensible intellectual asset your competitors cannot replicate it without the underlying methodology.
Key advantage: You are no longer selling “consulting hours.” You are selling a proprietary enterprise transformation system.
2. You become the strategic office for a concierge medical practice
Concierge practices rarely have:
A strategic planning function
A performance management system
A work‑design capability
A technology/AI integration strategy
A structured executive decision process
MCEDS fills all of these gaps.
You effectively become the practice’s fractional Chief Strategy Officer, supported by a formal methodology.
Key advantage: You occupy a role competitors are not structured to deliver.
3. You offer a valuation‑linked advisory model
MCEDS ties every recommendation to:
Enterprise Assets
Multipliers
Capabilities
Constraints
Execution readiness
Evidence confidence
And ultimately to a quantified Enterprise Value Potential Score.
This is extremely rare in healthcare consulting. You are not just improving operations, you are improving enterprise value.
Key advantage: You can justify fees by showing how your work increases enterprise value.
4. You deliver executive‑grade outputs that leadership, investors, and lenders can use
The system produces:
Executive Decision Brief
Decision Engines
Executive Roadmap
Enterprise Value Potential Score
These are designed for:
Physician owners
Executive teams
Investors
Lenders
Strategic advisors
This elevates your work from “consulting” to enterprise advisory.
Key advantage: Your deliverables are board‑quality, not consultant‑quality.
5. You differentiate through depth, structure, and repeatability
MCEDS is built on a repeatable sequence:
Evidence
Enterprise Facts
Asset Analysis
Multiplier Analysis
Capability Analysis
Constraint Analysis
Executive Decision Brief
Decision Engines
Executive Roadmap
Enterprise Value Potential
This gives you:
Consistency
Scalability
Predictability
Quality control
A defensible methodology
Key advantage: You can scale your advisory practice without losing quality.
6. You offer a complete enterprise transformation model, not isolated fixes
Most consultants solve isolated problems:
Scheduling
Staffing
Marketing
Technology
Operations
MCEDS evaluates the practice as an integrated enterprise, not a collection of functions. This is explicitly stated in the document:
“Evaluate the enterprise rather than isolated business functions.” “The objective is to improve executive decision‑making.”
Key advantage: You solve the whole business, not just pieces of it.
7. You provide a structured Work Design capability (a major differentiator)
Work Design is one of the most advanced parts of MCEDS:
Standardize
Optimize
Assign (human, staff, AI, automation, hybrid)
Govern
Most consultants cannot do this. Most practices desperately need it.
Key advantage: You can redesign the entire operating model using a proprietary method.
8. You create long‑term recurring revenue through execution support
MCEDS naturally leads to:
Monthly advisory retainers
Ongoing roadmap execution
Continuous Enterprise Value Potential updates
Decision Engine refresh cycles
Annual enterprise assessments
This creates predictable, high‑value recurring revenue.
Key advantage: You build a durable consulting business with long‑term clients.
🏆 Summary: The Competitive Advantage in One Sentence
MCEDS gives a business consultant a proprietary, evidence‑based enterprise transformation system that elevates them from tactical problem‑solver to strategic advisor capable of increasing the long‑term enterprise value of concierge medical practices.