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Evidence infrastructure for operators who must prove it

Replace checklist theater with a system that produces decision-grade proof.

We help growing organizations build the reporting, documentation, and operating evidence their boards, payers, auditors, and buyers actually ask for — without inventing a second job for your team. Healthcare is our specialty; proof systems are the practice.

General engagements begin with a scoped conversation or paid Evidence Review. Healthcare teams can start with the specialty path when they need a fast diagnostic.

Operators
Proof under pressure
Audit · board · growth
Specialty
Healthcare specialty
Telehealth · medical groups · multi-site
Engagement
Review → Install
Fixed scope · fixed fee
Fixed scope, fixed fee
Your systems, your data
Governed access controls
BAA when PHI is in scope
Healthcare specialty practice

Evidence infrastructure for operators who must prove it

When someone asks for the numbers — a board, a payer, an auditor, a lender, an acquirer — most organizations rebuild the answer by hand. That delay is expensive. We build the layer that makes the answer ready.

The fire drill

Documentation and KPIs live in three systems and one spreadsheet. Every request becomes a reconstruction project.

The credibility gap

Leadership knows the story. What they can prove on someone else’s timeline is thinner — and that gap gets priced.

The operating blind spot

Capacity, denials, retention, and exceptions go unseen until they show up as missed revenue or a bad review cycle.

The checklist trap

Policies and binders look complete. They don’t produce living evidence when the request arrives tomorrow morning.

Review first. Install when the gap is clear.

For most organizations, we start with a paid Evidence Review — a scoped diagnostic that tells you what you can and cannot prove, and what it would take to close the gap. If an install is the right next step, the Review fee is credited.

01
Conversation
We confirm fit: what must be proven, to whom, on what timeline, and inside which systems.
02
Evidence Review
Paid diagnostic. Exposure and gaps quantified. Clear recommendation — report-only is not the product.
03
Infrastructure Install
Fixed-scope build: instrumentation, reporting layer, and the narrative pack your stakeholders need.
04
Operate or hand off
Monthly reporting retainer — or take the build in-house. Both are successful outcomes.
Ask about an Evidence Review

Healthcare & telehealth specialty

For COO, CFO, and Chief Quality/Compliance leaders at roughly 25–250 clinician healthcare organizations, telehealth groups, and medical practices. Multi-site or multi-state. Payer-, audit-, and diligence-facing proof is the job.

Evidence Readiness Scorecard

15 questions. Five minutes. Immediate score across measurement infrastructure, audit defensibility, outcome capability, and diligence readiness — plus your three highest-exposure findings.

Take the Scorecard

90-day Evidence Infrastructure Install

Weeks 1–3 audit. Weeks 4–9 instrumentation. Weeks 10–12 narrative layer. Engagements begin at $35,000. Limited installs per quarter. The $500 Evidence Review is credited toward an install.

Book the $500 Review

01
Evidence Audit
Inventory every measure a payer, auditor, funder, or acquirer can demand — and quantify exposure in dollars.
02
Instrumentation
Pipelines from EHR and scheduling into role-based dashboards. Privacy controls built in, not bolted on.
03
Narrative Layer
Board deck, payer/funder narratives, audit binder structure, diligence-ready data package.
04
After the install
Reporting retainer and, when capacity is visible, compliant patient acquisition against measured open chairs.

Operator experience. Systems that ship. Healthcare fluency.

We have sat inside the ask

Provider-side operating roles and federally funded program reporting under real deadlines — not advice from outside the room only.

We build the plumbing

Live KPI dashboards, role-based access, and production systems in clinical settings. We ship the layer — we don’t hand a spec to a vendor and walk away.

We know the constrained category

Healthcare advertising, YMYL standards, and clinical content review are familiar ground. Marketing is available for install clients against measured capacity — not as a standalone pitch.

A fit if you are

A growing organization that must produce defensible evidence for boards, customers, regulators, payers, or acquirers — and wants a working system, not another binder.

Healthcare specialty fit: telehealth groups, medical practices, and healthcare organizations with roughly 25–250 clinicians; multi-site or multi-state; payer- and diligence-facing scrutiny.

Not a fit if you are

Looking primarily for standalone marketing, a one-page report, or DIY templates with no install. Solo practices seeking only consumer marketing are usually better served elsewhere. We’ll say so quickly.

Pierre Montalvo

Pierre Montalvo, MBA

Pierre is a COO and IT business strategist with more than 15 years operating at the intersection of systems, people, and growth. That mix — building and running technology while owning business outcomes — is why NLC treats scale as an evidence problem, not a marketing slogan.

He has sat on the provider side of the table as board president, webmaster, and social director inside organizations that had to ship real reporting under real deadlines, including federally funded Ryan White Part A and Ending the HIV Epidemic (EHE) work. He still leads CMB Visions Unlimited as board president, where he put performance benchmarks and governance discipline around mentoring programs.

That background is the vantage point behind New Level Consultants: what breaks when an organization tries to grow without proof infrastructure, and what has to be true in the stack before scale is safe.

LinkedIn Leads the firm from Miami · UF Alumni

Questions we hear first

Do you only work with healthcare?

No. We work with organizations that must prove quality, compliance, and outcomes. Healthcare — especially telehealth — is our specialty practice with a dedicated scorecard and install path.

Is this a compliance audit?

No. A compliance audit tells you where you’re out of policy. We tell you what you can and cannot prove, and then we build the thing that closes the gap.

Do you replace our EHR or BI system?

No. We build the layer between the systems you already have and the people who need answers from them.

What is the Evidence Readiness Scorecard for?

It is the specialty entry point for healthcare and telehealth organizations. General-business operators usually start with a conversation or paid Evidence Review instead.

Do you do marketing?

Yes, for install clients — compliant acquisition against measured capacity. We don’t sell it standalone.

Pick the door that fits

Growing organization that needs a proof system? Start a conversation. Healthcare operator who wants a fast diagnostic? Take the Scorecard.

Need a proof system — or the healthcare specialty scorecard?
Talk with Pierre Scorecard
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