LeNae Goolsby | Fractional COO & Wellness Author

LeNae Goolsby, JD

Tell Me What's Broken

LeNae Goolsby, JD

Tell Me What's Broken

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

I'm LeNae Goolsby, JD. I co-founded and run a practice in Metairie — so I've made payroll and rebuilt a front desk at 11pm. I give independent physicians the operating systems to keep more of what they earn, and a practice that runs without them.

Tell me what's broken
As Featured 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.
The three places a busy practice leaks time and money — and what it takes to close each one.
Operating Visibility
Know what's happening before it shows up in the bank account. Provider utilization, no-show rate, rebooking, consult-to-case — a weekly scorecard where every number has a name next to it.
Capacity & Conversion
The two biggest leaks in a busy practice: schedules that don't fill and consultations that don't convert. Rebooking at checkout, a front desk that follows a script, and follow-up that someone actually owns.
Operational Systems
Build a practice that runs without you. Documented SOPs, an accountable team, and an org chart that survives your vacation.
How this works and your investment.
You should be able to determine if this makes financial sense for you
without booking a call, which is why I've provided pricing below.

1
Operations Audit- $5500
Three weeks. About four hours of your time.
I go through the operating side of your practice: how full your providers' schedules actually are, what happens between a patient walking in and a patient booking the next visit, how many
consultations turn into cases, who owns what, and whether any of it works when you're not there.
You get a prioritized plan someone can execute on Monday.
If the audit says there's nothing meaningful here, I'll tell you that in writing and we're done.
I'd rather lose the engagement than sell you one you don't need.
2
The 90-Day Build - $4000/Month
Audit fee credited in full against your first 90 days.
We fix the top three findings in priority order, fastest visible win first. Usually that's rebooking at checkout, which costs nothing and moves in weeks.
3
Fractional COO Retainer - $4,000/Month, 12 Month Term
Ongoing operating leadership. A bi-monthly operating call, a monthly scorecard review, a quarterly working session, and an annual re-audit. I run the operating rhythm so you can run medicine.
I take three retainer clients at a time. Two seats are open right now.
Where seven-figure practices quietly lose money.

$250k - 1.8M
in revenue per physician reported by practices running identical staffing. Same inputs, sevenfold spread.
13 Hours
a Week
of physician and staff time consumed by prior authorizations alone. 40% of practices employ someone whose job is chasing it. (AMA, 2025 Survey of 1000 physicians)
15% Never. 41% Yearly.
Got it — your checklist is opening now. If it doesn't, check your email.
Find your profit leaks in 15 minutes.
The Practice Profit Leak Checklist — the same 24-point walkthrough I use to find where a seven-figure practice is quietly losing money and hours.
No fluff. Just the questions your operation should already be answering.
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Tell me what's broken.
I'll tell you what I'd do about it.
Twenty-five minutes on the phone. You talk, I listen, and I ask questions. At the end, I'll tell you what I'd fix first, in what order, and roughly what I think it's worth.
No deck, nothing to install. If I don't think I can help you, I'll say that instead. I take three retainer clients at a time; two seats are open right now.
Tell Me What's Broken