LeNae Goolsby | Fractional COO & Wellness Author

LeNae Goolsby, JD

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LeNae Goolsby, JD

Contact

Your practice earns seven figures.
Your bank account doesn't show it.

I'm LeNae Goolsby, JD. I give private-practice physicians the financial visibility, profitability systems, and operations to keep more of what they earn — and run a practice that no longer runs them.

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As Feature In
Entrepreneur · TIME · mindbodygreen · PsychCentral
Revenue is up. So why is there nothing left?
You didn't go to medical school to become a part-time CFO, HR director, and operations manager. But that's exactly what owning a practice turned you into.
You can't see your money
Collections look healthy on paper, but you couldn't tell me your real profit margin this month.
Growth isn't paying you
You've added providers and patients, and somehow the stress grew faster than the income.
It all lives in your head
If you stepped away for two weeks, would the practice survive it?
I've sat in your chair.
With my husband, Trip Goolsby, MD, I co-founded Infinite Health Integrative Medicine Center — and rebuilt a single-physician medical oncology practice that was no longer financially viable into a thriving, multi-location integrative, age-reversal and regenerative medicine center.
Across 20+ years in healthcare and business, I've learned one thing: physicians rarely have a revenue problem. They have a visibility and systems problem.
That's exactly what a fractional COO is built to fix.
- LeNae Goolsby, JD
Three systems that turn revenue
into take-home profit.
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Financial Visibility
Know your numbers before they become a crisis. Real-time dashboards, true margin, and the few KPIs that actually predict your profit.
Practice Profitability
Keep more of every dollar you collect. Payer mix, pricing, overhead, and comp structures engineered for margin — not just volume.
Operational Systems
Build a practice that runs without you. Documented SOPs, an accountable team, and an org chart that survives your vacation.
From blind spots to a board-ready practice.
The 3 steps:

1
Profit & Operations Audit
We open the books and the workflows, and pinpoint exactly where your margin and time are leaking.
2
The 90-Day Build
We install your financial dashboard, profitability fixes, and core systems — in priority order.
3
Fractional COO Retainer
Ongoing executive leadership: I run the operating rhythm so you can run medicine."
Where seven-figure practices quietly lose money.

Up to 15%
of medical claims are denied or delayed — and nearly two-thirds are recoverable with the right systems.(MGMA, 2024)
~2 hours
of admin and EHR work for every 1 hour of direct patient care.
(AMA / Annals of Internal Medicine)
~$200
= cost per patient no-show — and practice no-show rates run ~5–7%.(MGMA DataDive)
Find your profit leaks in 15 minutes.
The Practice Profit Leak Checklist — the same point-by-point audit I use to find where a seven-figure practice is quietly losing margin.
No fluff, just the questions your numbers should already be answering.
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Stop guessing where
your money goes.
A quick fit call to see if your practice is a match for fractional COO support — and what working together would look like.
Book a Fit Call