About James D. Keil, MBA, FACHE, FACMPE

About the Author: James Keil, MBA, FACHE, FACMPE, is a healthcare executive with 25+ years of experience leading organizations in for-profit, non-profit, and publicly held environments. He has driven growth as a former CEO of multiple medical groups and has expertise in Clinical Integration, Leading vs. Managing, and EMR Implementations. James is passionate about advancing healthcare administration and advocating for physicians. He holds an MBA and Bachelor's degree, and is a Fellow of The American College of Medical Practice Executives and The American College of Healthcare Executives. Read Full Bio

Why Veterinarians Hit a Friction Point in Their Practice

2026-08-26T10:36:28-07:00By |

So you made the decision to grow your veterinary practice. While so many work for the big corporate practices and so many decide to play it small, you decided for the betterment of your family and your community it was time to grow. Unfortunately, this growth has been anything but smooth and now you spend your days worried about losing staff, customers, and getting bogged down in the minutia [...]

Own The Exit: Grow, then sell your practice and keep its soul intact

2026-07-23T08:08:22-07:00By |

So, you’re trying to scale and build and grow a practice you can sell later, but don’t know who to sell to? One of the things I hate seeing is mature veterinary businesses closing their doors because they couldn’t sell it or were not aware of all the available options. Why not make it something desirable to buy! You can look around your hospital and not know where to [...]

Plugging the Profit Leak: Smarter Veterinary Inventory Management

2026-07-23T08:07:26-07:00By |

Effective inventory management in the veterinary practice is crucial for maintaining operational efficiency and financial health. Understanding the inventory lifecycle, from forecasting to consumption and reordering, allows practices to optimize their processes, reduce costs, and improve strategic pricing. This article explores key aspects of inventory management and strategies for plugging the profit leak. The Inventory Cycle Forecasting and Planning: How many times have you told yourself you could really tighten [...]

Unveiling the Stealthy Threat: Recognizing and Addressing Staff Disengagement in Veterinary Practices

2026-07-23T08:07:32-07:00By |

One of the most significant challenges veterinary practices face is staff disengagement, which can lead to mass resignations. This issue can be difficult to detect because it often develops gradually and may not be apparent until it reaches a critical point. This article will examine the causes and consequences of staff disengagement and explore practical strategies for preventing it. Understanding Staff Disengagement Staff disengagement refers to a state where employees [...]

Unlocking Profit Potential: Delegate and Watch Your Profits Soar

2026-07-23T08:07:37-07:00By |

Struggling with lower profits despite working more hours is a common problem and too often veterinarians are spending too much time on administrative duties and not enough time on patient care. The first step in correcting this is identifying tasks that could be delegated to the team. By empowering the team to handle these tasks, it is possible to free up time to focus on patient care, resulting in a [...]

The Silent Drain: Understanding and Addressing Client Leakage in Veterinary Practices

2026-07-23T08:07:42-07:00By |

Client leakage, the phenomenon of existing clients not returning for their pet's care, poses a substantial threat to the financial health and sustainability of veterinary practices. Client leakage is a major drag on profits, despite being a problem that is easy to fix. While veterinarians often find themselves caught up in the day-to-day demands of running a practice, ignoring client retention can significantly affect their financial well-being and the quality [...]

The Power of Insight: Utilizing KPIs and Dashboards in Veterinary Practices

2026-07-23T08:07:46-07:00By |

In today's data-driven world, the ability to gather, analyze, and act upon information is crucial for success in any industry. This is especially true for veterinary practices, where the well-being of animals and the satisfaction of their owners is paramount. By harnessing the power of data, veterinary professionals can gain valuable insights into all aspects of their practice, from financial health to operational efficiency and client satisfaction. Traditionally, veterinary practices [...]

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