What it is

This diagnostic examines why a facility is underperforming financially without defaulting to expansion,

pricing changes, or staffing assumptions.

It is used when:

• facilities exist but underperform

• utilisation is inconsistent

• costs are normalised but unsustainable

What it diagnoses

• Revenue mix and utilisation logic

• Pricing discipline

• Cost structure and operational drag

• Governance and management incentives

What it produces

• Clear drivers of underperformance

• Practical reset options

• Near-term and medium-term improvement levers

What happens next

• Operational reset

• Commercial restructuring

• Or confirmation that expectations, not performance, are misaligned