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  • Physicians and Hospitals don’t get what they deserve….they get what is negotiated!

    We analyze, negotiate, and advocate for Win-Win outcomes on behalf of Physician groups and Hospitals.

    We use a data-centric approach by incorporating benchmarks for Fair Market Value and Commercial Reasonableness to stay compliant with evolving State and Federal rules and regulations, including Stark, Antikickback Statute, False Claims Act, etc.

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Our Team

Our company provides the guidance, expertise, and the resources necessary to transform each practice to be able to meet and exceed their goals in addition to the Hospital's goals even when the two have competing priorities its possible to find common ground. We love helping physicians and hospitals accelerate their collective financial and operational success.

Why Negotiate

As health care becomes increasingly complex, it must engage in a transformation that aligns with what drives physician performance in order to stay ahead of the curve. Many of our clients have reported having better working relationships and communication after going through these negotiations with Physicians and Hospital Leadership. Many Physicians are reluctant to negotiate their contact for several reasons: they don't have time, they are worried they will appear too concerned about compensation, they don't have a strong understanding of the salary surveys or industry benchmarks needed to leverage fair exchange, etc. As we work with Physicians, we advocate for the role they play – not only in healing humanity, but in generating business. While they create jobs for their staff, they make it possible for patients to get access to quality healthcare (not just with them but through a vast network of specialty providers). The average Physician generates more than $1.5 million in direct or ancillary income for the hospital in which they practice or are affiliated.  It's important for them to have a great working relationship with the hospitals served. The same is true for Hospitals.  Several reasons for them to be reluctant to negotiate a physician or physician groups includes:  they also don't have time to negotiate and if it gets out that they are negotiating with one physician or group, they feel that might impact other groups wishing to negotiate their contracts, that potentially the relationship can sour if the parties cannot come to an agreement on both salary and performance measures, or simply they just don't want to “rock the boat.”

Our Advantage

Our CEO, Amber Brake, has a unique advantage having negotiated hundreds of physician contracts in her 24 years General Counsel experience with hospitals and health systems and on behalf of Physicians and Physician groups both as Hospital General Counsel and as a Physician Practice Administrator. She was and is in the following leadership roles:

  • Hospital CEO, COO, I-CFO, VP Ancillary Services
  • General Counsel, Senior Corporate Counsel
  • Chief Compliance Officer, Regulatory Affairs Leader, and Privacy Officer
  • Risk Management, Quality and Performance Improvement
  • Executive Director of a State Medical Board
  • Assistant Professor Health Care Finance & Strategic Management


  • Stellar services

    I didn't hire an attorney my first job out of residency and that was a big mistake.  This time around every detail in finding the right job according to my parameters was carried out so professionally.  It was night and day from the last time. Plus, the terms of the agreement were many times bett... Read On

  • Truly a pleasure

    While maintaining my current practice and looking for the right opportunity, I encountered The Brake Group. It was truly a pleasure to work with them, I was able to negotiate a more than fair agreement, make sure the contract details were clear, and in a location that was greatly desirable. Their... Read On

  • Fantastic team

    My anesthesia group had been unhappy with our Professional Services Agreement with the two hospitals we cover for years.  Turnover among Hospital Administrators was constant.  Each one promising to “look into” whether we were being paid fairly.  The typical response was, “Not now.  We've got othe... Read On


Let us facilitate bridging the gap between a Hospitals and a Physician group(s). We’re able to leverage each parties unique strengths and services, while highlighting the most relevant data to negotiate financially and operationally so that each party is more effective and efficient than before the negotiation. Compensation tied to productivity is important to avoid any audits that may appear the Hospital is reimbursing its physicians or its groups in excess of Fair Market Value and Commercial Reasonableness as these rules and regulations can have serious implications, up to and revocation of a providers license. So in many ways these negotiations help protect both parties.

No Obligation Consultation