Margin Solutions Express

Margin Solutions Express is a patented, proven-in-practice process which guarantees a zero-risk, 4 to 1 ROI.

Enterprise-Wide Margin Optimization

EXPRESS is designed specifically for for hospitals and nursing home systems with commonly occurring and recurring low operating margins and/or low days cash on hand. EXPRESS confronts and conquers the difficulties and burdens of gaining the appropriate financial and operational staff resources, as well as the critical dollars, needed to quickly and easily meet contemporary challenges and business continuation concerns. To effectively meet these challenges and concerns, Microscope’s Margin Solutions EXPRESS provides enterprise-wide margin optimization completed in a fast, low-resource, cost-effective, no risk engagement. 

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All the EXPRESS Top 40 Solutions are designed to be implemented with next to no time on your part... EXPRESS does all the work...quickly...and without interfering with the hospital’s day-to-day workflow, pattern and priorities. We estimate that the hospital should expend no more than 2 hours per month, divided among 3-4 hospital staff for the 9 months of implementation, implementing a little more than one Solution per month.


100% of the Solutions are proven-in-practice, i.e., already implemented easily, rapidly, effectively and lucratively at other small hospitals across the country. EXPRESS does all the work...ASAP...because we’ve done it before...implementing for you exactly the same Solutions we’ve already implemented at dozens of other similarly situated hospitals over the last 16 years.


There is zero financial risk with the EXPRESS service. There are no up-front fees. If EXPRESS produces no new savings/revenues, you have zero fees. Hospital may reject 40%-50% of Solutions presented to them. There are no fees for rejected Solutions. Fees are only for new countable savings and revenues shown to be facilitated by and generated by the EXPRESS service.

The Most Common Concern...

It’s too good to be true! But, the truth is…

  • 100% of our Top Solutions have already been successfully implemented at dozens of similarly situated small hospitals. Each and every Solution implemented always results in new, high value, countable savings and/or revenues.
  • Our zero-risk contracts contractually guarantee a 4 to 1 ROI from these implemented Solutions. If the Solutions didn’t work, we couldn’t offer an EXPRESS guarantee....and  EXPRESS wouldn’t have been in business for the last 16 years.
  • There is no black box. We carefully explain every Solution and help you implement each and every Solution you choose. There’s never a fee unless the Solution produces new, actual savings/revenues. If the Solutions didn’t produce new, demonstrable savings/revenues, we couldn’t be in business in 33 states.

Contact Microscope Margin Solutions Team

Richard Kunnes, MD
Managing Principal



Richard Kunnes, MD

Schedule a 15 minute meeting. 

William N. Wildridge III, CPA
CEO/Managing Partner



William N. Wildridge III, CPA