Before And After Success Stories
Transformation Of A Behavioral
Health Practice
The Challenge
Dr. Joan Bourne had launched Wonderland but was running in DIY mode, holding it together herself. Revenue, billing systems, compliance infrastructure, and financial forecasting were all weak. She wanted structure, clarity, and a long-term plan to grow.
The Outcome
Patient count doubled and revenue grew 825%, on a financial and operational platform built to sustain the growth.
- What We Built
- A full baseline operations and workflow audit across front and back office
- A twelve-month budget and revenue forecast, break-even analysis, and multi-scenario modeling
- Operational workflows for billing, scheduling, and patient intake
- HIPAA-aligned compliance infrastructure and policy templates
- A financial system overhaul: QuickBooks, chart of accounts, and a monthly reporting framework
- A hiring framework and financial modeling for her first administrative staff position
Scaling Multi-Site Clinical Operations
The Challenge
A network of 13 school-based health centers serving more than 7,000 students needed a complete quality improvement transformation through a grant-funded initiative. The work meant standardizing clinical procedures, creating a path toward NCQA certification, developing performance tracking systems, and upgrading training, all on schedule and within the grant budget.
The Outcome
Thirteen centers transformed, more than 7,000 students served, and 100% of deliverables completed on time and on budget. The foundation proved durable: roughly a decade later, the manual and model are still in use, and the organization has presented its model and evaluation results at a conference.
- What We Built
- A clinical transformation plan built on the PCMH and PCCC framework for NCQA certification
- Clinical effectiveness targets with metrics and monitoring tools
- A school-based health center Policy and Procedures Manual combining state and federal compliance, school-based regulations, and best practices
- Collaboration with data management staff to strengthen reporting and quality improvement
Turnaround and Leadership Succession
The Challenge
A $1.1 million respiratory care center faced serious operational challenges. Several product lines were underperforming, sales were held back, staff turnover was high, and positions sat vacant. Frequent management changes had lowered morale, and FDA compliance issues added pressure. Leadership needed to stabilize operations quickly and appoint a lasting manager.
The Outcome
One of the division's most challenging locations stabilized in roughly six months, with restored compliance, rebuilt morale, and a homegrown leader still running the site today.
- What We Built
- Advanced four of five product lines, including the highest oxygen growth in over 18 months, exceeding the sales target by 128%
- Recruited and filled all open positions through a period of shortage and turnover
- Mentored an internal hire into the permanent center manager role, and the location remains stable years later
- Reduced held sales by 17% against a 5% monthly goal, generating additional revenue
- Brought the office to full compliance with FDA regulations and company policy
Clinicians can start a practice on their own.
The real question is how much time, money, and stress it takes, and whether the practice can stand the test of time.
- Months spent bouncing between lawyers, accountants, billing teams, and compliance experts just to figure out what comes next
- Guessing your way through payer enrollment, coding, and pricing, only to face claim problems down the road
- Finally opening your doors, but struggling to move forward because the numbers and daily systems were never truly built
- Trying to care for patients while building a business, leaving you exhausted and pulled in every direction
- A 90-day plan led by one dedicated guide, backed by experienced advisors at every step
- A revenue cycle set up properly from the start, with systems in place to reduce denials and delays
- A strong financial and operational foundation built for growth, steady income, and long-term success
- We carry the business and operational load so you can spend more time with your patients
"Jennifer doesn't just consult, she partners. She helped me stay grounded, focused, and confident through a period of rapid change."
Dr. Joan Bourne DNP, MSW, PMHNP-BC, Founder and CEO, Wonderland Behavioral and Mental Health