Run a smarter clinic.
Without hiring more staff.
TOSC is your fractional operations partner. We find the leaks in your back office — scheduling gaps, buried faxes, lost referrals, staff doing ten jobs — and build the systems that fix them permanently.
You didn’t go into healthcare to fight your back office
Schedule Holes
$50K–$270K/year in empty slots. Your waitlist has patients. Your schedule has gaps. Nothing connects them.
Fax & Referral Chaos
20–50 faxes/day. One unsorted queue. Referrals sent by fax with zero tracking.
Manual Everything
Your MOA is the automation. Sticky notes, memory, and spreadsheets run your back office.
Tool Sprawl
10+ tools that don’t talk to each other. Your team copy-pastes between them.
TOSC finds these leaks — then builds the fix.
We diagnose the problem. Then we build the fix.
Operational Assessment
We map your workflows end-to-end. Where is time being lost? Where is money leaking? What tools are redundant?
AI-Powered Automation
We build the specific workflows that close YOUR gaps. Not off-the-shelf. Configured for your clinic, your EMR, your team.
Ongoing Optimization
We stay. Monthly reviews. Proactive alerts. Your fractional COO with clinical operations experience.
We don’t just optimize. We help you grow.
Beyond day-to-day operations, we help clinics design new service lines, plan expansions, and build the programs that attract referrals and talent.
New Service Lines
Adding mental health counselling, geriatric care, or a walk-in stream? We design the intake workflows, billing model, and referral pathways before you launch.
Clinic Expansion
Opening a second location or joining a PCN? We build the operational framework — standardized workflows, cross-location dashboards, and team coordination.
Programs & Partnerships
Developing a fellowship, mentorship, or training program? We structure the delivery model, documentation systems, and outcome tracking.
Assess. Build. Adopt. Optimize.
We don’t just advise — we implement and make sure your team actually uses it.
Assess
Build
Adopt
Optimize
Every workflow touches patient-adjacent data. We build PIPA compliance, audit logging, and Canadian data hosting into the foundation — not as an afterthought.
Two practices, one operational backbone
Physician clinics and allied health clinics run on different billing codes, different forms, and different EMRs — but the operational leaks are the same shape. We fit both.
Recover billing revenue. Tame the back office.
MSP fee-code leakage, FPSC incentive capture, schedule gap recovery, and a fractional COO for clinics that outgrew their MOA. From solo FM to multi-clinic PCNs.
Stop writing insurer reports by hand.
AI-drafted ICBC and WSBC progress reports with PHI-safe workflows. Built for physio, chiro, RMT, and kin clinics in BC. Private AI — your patient's data stays in your browser.
Not sure where you fit? Book a 30-minute discovery call and we’ll tell you straight.
Ready to stop running your back office on sticky notes?
Book a free 30-minute call. We’ll find your highest-impact opportunity and show you what’s possible.