MVI Empowerment Hour – Hospice Turnaround – VIDEO
Benchmarking → System Solutions → TURNAROUND.
A Hospice can go from strong to struggling faster than most Leaders imagine—and it can also TURN AROUND faster than most believe possible. In this Empowerment Hour, Andrew walks through a real not-for-profit Hospice that declined from strong performance and substantial reserves to the brink of sale, then rebuilt itself into roughly 90th–95th percentile financial performance within only a few years. The lesson is not about chasing impressive numbers. QUALITY comes FIRST. Strong economics are what give an organization the strength, capability, reserves, and TIME to pursue extraordinary care without constantly operating in crisis.
Andrew opens the actual Benchmarking reports he uses as a working Hospice CFO and shows the practical playbook behind the turnaround: Benchmark FIRST, Red Circle the largest opportunities, apply Best-Known Success Patterns, build Perfect Visits with Perfect Documentation, strengthen the Clinical Leader, replace static budgets with NPR percentages, and use Compensation to create Automatic Accountability. The transformation does not come from finding one magical person. It comes from deliberately changing the Processes, Systems, incentives, and structures that dictate organizational Results.
What you’ll learn:
- Why Benchmarking is the ROAD MAP for a turnaround—and how it tells Leaders precisely where to spend their Energy and resources instead of guessing.
- How Andrew uses the Red Circle Method to identify the biggest financial deviations, prioritize the highest-value opportunities, and attack quick wins FIRST.
- The real-world turnaround of a not-for-profit Hospice that moved from deteriorating census, depleted reserves, and a near-sale to a Health System back into approximately 90th–95th percentile overall financial performance.
- Why the major levers include Perfect Visits with Perfect Documentation, extraordinary Clinical Leaders, NPR percentages instead of static budgets, and intelligent Compensation Systems.
- How Contribution Margin, Direct Labor, Patient-Related costs, Indirect costs, visit patterns, caseloads, and team/location reports reveal where individual sites and departments are actually performing.
- Why extraordinary overall Results do NOT require every individual measurement to be at the 90th percentile—the cumulative effect of many areas performing better than the herd can produce an OUTLIER organization.
- Why Andrew emphasizes fewer talented people, cross-training, streamlined Indirect functions, and System Solutions instead of continually adding people to solve operational problems.
- How Compensation teaches through every paycheck—using BOTH incentives and disincentives so Documentation, Standards, Contribution Margin, and other expectations can become Self-Regulating rather than requiring constant managerial supervision.
Who is this for?
Hospice CEOs, CFOs, Boards, Finance Leaders, Clinical Leaders, and Executives
Featuring:
Andrew Reed
Resources mentioned:
MVI Benchmarking • Red Circle Method • Team/Location Reports • Contribution Margin • NPR Model • The Perfect Visit • Perfect Documentation • System7 • Compensation Systems • 4-Day Work Week • Best-Known Success Patterns
If your Hospice needs a TURNAROUND, stop guessing where to work. Face the numbers, find the Red Circles, fix the SYSTEMS—and start moving toward the 90th percentile.

