Build a more profitable practice that does not depend on you for everything
Low cash flow, team drama, weak accountability, and owner burnout are not random problems.
​They are signs your practice needs a stronger structure.
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The IVMS System helps independent practices improve cash flow, create team buy-in, strengthen accountability, and reduce owner dependence.​Built for real clinic life.
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Built by a multi-site veterinary practice owner for independent small animal practices with 1 to 10 DVMs.
Pick Your Pain Point
This is what owner dependence
looks like
Your practice may be busy. Your team may care. Your revenue may even look healthy.
But behind the scenes, things still feel harder than they should.
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Cash flow feels tight even when revenue is strong.
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The team waits for the owner to make the final call.
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Accountability feels personal instead of structural.
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Culture changes depending on who is working that day.
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Meetings happen, but follow-through is weak.
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The owner is still the glue holding everything together.
That is exhausting. It is also fixable.
Most practices do not have a motivation problem
They have a structural problem.
Your team cannot be accountable without clear ownership.
Your cash flow cannot improve without a real budget.
Your culture cannot scale if it only lives in the owner’s head.
Your practice cannot run without you until the system is stronger than your effort.
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That is where IVMS comes in.
What IVMS Installs
The IVMS System gives your practice the structure to run with less chaos, better numbers, and less owner dependence.
The goal is not to make the owner work harder.
It is to make the practice easier to lead.
IVMS installs the structure your team needs to make better decisions, own their roles, and keep the business moving without everything landing back on you.
Clear direction
Your team knows where the practice is going and what matters most.
Better accountability
Roles, expectations, and ownership become easier to manage.
Stronger team buy-in
The team understands the why behind the plan.
Cleaner financial control
You build a budget that supports cash flow and better decisions.
Better meeting rhythm
Meetings create action, follow through, and clarity.
Less owner dependence
The practice relies less on you for every decision.
The IVMS System
The IVMS System helps independent practices build the structure needed to run with less chaos,
better numbers, stronger leadership, and more team ownership.
This is not generic business theory.
It is a practical operating system built inside real veterinary hospitals by a current multi-site practice owner.
MyPracticeHQ
Everything your leadership team needs in one place.
MyPracticeHQ brings together your meetings, scorecards, calculators, resources, and community so your team can stay aligned, accountable, and moving in the same direction.
Built for independent practices
IVMS is designed for:
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Independent private practices.
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General small animal clinics.
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Practices with 1 to 10 DVMs.
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Practices grossing 1 million to 15 million per year.
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Owners who want better cash flow, a stronger culture, and less dependence on themselves.
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Leadership teams that are ready to do the work, not just talk about change.
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This is not built for owners looking for a magic wand.
It is built for owners who want a practical structure their team can actually use.
Your Guide
Built by someone who actually owns veterinary practices
I am Rhys Giannarelli, a multi-site practice owner and practice advisor based in Vancouver, Canada.
I built IVMS because independent practice owners are often expected to lead teams, manage culture, understand numbers, fix cash flow, build systems, and still somehow be available for every decision.
That is not sustainable.
IVMS gives owners the structure, tools, meeting rhythm, and financial planning they need to work on the business, not just in it.
24 years in business. 11 years as a practice owner. Built for actual practice life.
What practice owners say
Real feedback from veterinary leaders who have used IVMS to build stronger structure, better meetings, and more team ownership.
“IVMS has been one of the best decisions we have made for our practice. The tools, accountability, and honest coaching strengthened our culture, improved our leadership, and created systems that actually last.”
Kurstin B
"Expectations were exceeded from day one. The mix of humor and real industry knowledge made the workshop engaging and incredibly useful for our whole team."
Dr. Carley S
"Our multi hospital business saw real change after working with IVMS. The tools were practical, the culture shift was immediate, and the sessions were fun and easy to apply."
Dr. Rachael DG
"Our practice finally broke old habits and gained real momentum. The systems and exercises were simple to follow, and the guidance felt genuine because it came from someone who has been in our shoes."
Dr. Jamie MW
Rhys taught me how to be successful! Implementing systems, setting up a leadership team, making my vision clear, and teaching us how to have purposeful meetings were all part of the template. He will walk along side of you every step of the way and be your biggest fan."
Dr. Brian A
"The workshop delivered clear, practical solutions that were easy to apply. Having a fellow practice owner guide us made the advice relatable and tailored to our realities."
Dr. Carmen C
Define where the practice is going, what matters this quarter, which numbers matter, and how the team will stay aligned.
Outcome
Your team knows the plan and the priorities.
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1. Vision and Strategy
Clarify roles, define expectations, benchmark core values, and create hiring, onboarding, and review systems that support the culture you actually want.
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Outcome
Accountability becomes clearer and less personal.
2. Right People, Right Seats
Build a meeting rhythm that creates ownership, clear actions, follow through, and better communication across the team.​​
Outcome
Meetings stop draining time and start moving the practice forward.
3. Productive Meetings
Build a yearly budget, identify profit leaks, forecast staffing needs, and connect financial decisions to the goals of the practice.​​
Outcome
You have a cash flow positive budget and a clearer plan for profit.
4. Budgeting & Finance
The 4 parts of the IVMS system
The system is built around four areas every practice needs to run with less chaos and more ownership.
1
Define where the practice is going, what matters this quarter, which numbers matter, and how the team will stay aligned.
Outcome
Your team knows the plan and the priorities.
Vision and Strategy
Get the practice out of reactive mode.
2
Clarify roles, define expectations, benchmark core values, and create hiring, onboarding, and review systems that support the culture you actually want.
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Outcome
Accountability becomes clearer and less personal.
Right People, Right Seats
Turn values into real standards.
3
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Build a meeting rhythm that creates ownership, clear actions, follow through, and better communication across the team.
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Outcome
Meetings stop draining time and start moving the practice forward.
Productive Meetings​
Make meetings useful again.
4
Build a yearly budget, identify profit leaks, forecast staffing needs, and connect financial decisions to the goals of the practice.
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Outcome
You have a cash flow positive budget and a clearer plan for profit.
Budgeting and Finance
Profit on purpose.
Not ready for the full IVMS System yet?
Some owners know they need structure, but they are not ready to jump into the full Signature Workshop. That is where the 90 day implementation fits. We choose one painful area, spend one focused workshop day building the plan, then support implementation over the next 90 days so it actually gets used by the team.
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Best for:
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Owners who want to test the IVMS approach before committing to the full system
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Practices with one loud problem that needs attention now
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Teams that need a practical first win before a bigger change
​Common starting points:
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Budgeting and finance
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Meeting rhythm
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Team buy in and accountability
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Vision and strategy
If you move into the Signature Workshop within 30 days, your 90 day implementation investment is credited toward the full program.
Start smaller without starting over
There is usually more profit hiding inside the practice than owners think
Many independent practices leak profit through unclear roles, weak follow through, missed pricing opportunities, poor meeting structure, team confusion, and budgets that do not match reality.
IVMS helps practices find an average of 4 to 7 percent profit opportunity by tightening the structure behind the business.
It also helps create a cash flow positive budget for the year, so your goals are tied to real numbers instead of wishful thinking.
5-7%
Average profit opportunity found through stronger systems and financial planning
7-10%
Leadership efficiency gains when meetings, ownership, and follow through improve
10-12%
Potential annual retention savings when culture, accountability, and team alignment improve
"The fact it's made for our industry made all the difference"
Dr. McGill-Worsley
Practice Owner Ontario
"I did not realize how much
we were missing until
we started this"
Dr. Kinney
Practice Owner Ohio
"You give so much of yourself to make sure we succeed — that’s the secret sauce.”
Dr. Ashmore
Practice Owner New Jersey
The Signature Workshop
The Signature Workshop is the main way practices install the full IVMS System.
It combines full day working sessions, monthly leadership meetings, planning tools, financial structure,
team accountability, and practical templates your team can actually use.
Full IVMS System implementation.
9 full-day workshop sessions
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Monthly leadership meetings
Budgeting and financial planning tools
Chart of accounts assessment
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Quarterly planning structure
Annual planning support
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Hiring and onboarding resources
Tough conversations training
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Private IVMS owner community
Partner offers and resources
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1-year subscription. From Preventive Vet
See the value before you commit to the full path
You should be able to see whether IVMS is useful to your practice early in the process.
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If you do not see the value, you should not feel trapped.
That is why IVMS includes a clear value guarantee.
If you don’t see the value by the end of the initial workshop, you don’t pay.
Free tools to help you find the right starting point
Not every practice needs to start in the same place.
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Use these tools to identify the gap, start a useful conversation with your team, or decide what needs attention first.
Each tool solves one piece. The IVMS System helps you build the structure behind the whole practice.
Want your team to understand the business side of practice?
Cash Cow Clinic is a fast, fun veterinary business game that helps your team understand cash flow, expenses, pricing pressure, profit, and the owner's seat.The game helps your team understand the numbers. The IVMS System helps your leadership team build the structure behind them.
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Do you struggle to translate the financials to your team?
Do you wish they could walk in your shoes and feel what it is like to run a practice?
This game is for you.
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About the game:
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A fast-paced tabletop game that teaches how a veterinary clinic really runs through real-world decisions and outcomes.
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Players experience pricing pressure, payroll decisions, missed charges, scheduling issues, and cash flow challenges that practice owners face every day.
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Your team runs the clinic, makes choices, and sees the financial impact in real time. That is when understanding sticks.
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Owners, managers, CSRs, RVTs, and assistants can all play together. No business background required.
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Perfect for staff meetings, onboarding, leadership development, and culture resets. One session creates instant shared language.
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Includes video instructions and a downloadable PDF.
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Game time: approximately 90 min
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From 4-20 players