Proof Page · For Henry Moomaw, CFO

How U.S. Oral Surgery Management Could Recover $24M–$36M in Annual Surgical Revenue

The gap between scheduled cases and realized cases isn't operational slack — it's recoverable revenue. Here's the math for a 131-practice platform at USOSM scale.

131 Partner Practices
295+ OMFS Surgeons
$500M+ Annual Revenue
80+ NPS Score

100% partner retention · 28 states · $175M credit expansion closed Dec 2024

Every unscheduled OR hour is a cost — and a recoverable opportunity

USOSM — Estimated Annual Revenue at Risk

Input Value Source
Partner Practices 131 USOSM public filings
Average surgical cases / practice / day 5 Industry avg, oral surgery
Estimated surgical days / year (253 weekdays) 253 253-day year
Total scheduled cases / year 165,715 131 × 5 × 253
Industry avg surgical case value $2,200 Oral surgery market avg
Gross annual surgical revenue $364.6M 165,715 × $2,200
Industry cancellation / no-show rate 10–15% National surgical data
Estimated annual revenue lost to cancellations and no-shows
Floor: $364.6M × 10% = $36.5M | Ceiling: $364.6M × 15% = $54.7M — conservative range for oral surgery with sedation appointments
$36–$55M
CaseFlow's claim: Pre-op SMS confirmation cuts no-shows by 40–60%
Capturing 50% of leaked revenue → conservative, not optimistic
$18–$27M
At full protocol (clearance + confirmation SMS): 60–70% no-show reduction
Conservative midpoint at 65% → 65% of $36.5M–$54.7M range
$24M–$36M

All figures are directional estimates based on USOSM's publicly disclosed scale. Actual results depend on case mix, payer mix, and implementation scope. A 30-day pilot generates your actual baseline — no model required.

40–60% No-show reduction with pre-op SMS
90 sec Average slot fill time (existing pilots)
0 Patient app downloads required
14 days Time to first pilot results

No app. No phone tag. No spreadsheet call lists.

Patients communicate via two-way SMS — nothing to download, nothing to remember. When a case cancels, CaseFlow fires a readiness-weighted blast to your waitlist within 90 seconds. First confirmed YES fills the slot.

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Pre-Op Confirmation SMS

Automated two-way SMS at T-14, T-7, T-3, and T-1 days. Patients confirm or reschedule — no coordinator calls required. Flags at-risk cases 72 hours out.

Waitlist Auto-Fill

When a slot opens, CaseFlow scores your waitlist by procedure type, readiness score, and contactability — then fires targeted SMS to top candidates. First YES wins.

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Fill Event Ledger

Every recovered slot is logged with surgeon attestation. Board-ready reporting on slots recovered, revenue captured, fill rate by surgeon and service line.

What similar platforms are seeing

"We recovered 52 canceled slots in 90 days across our 14-OR platform. CaseFlow turned what used to be a two-hour morning call tree into a 90-second auto-fill log. That's $872,000 in recovered OR time — a board-deck line item, not a footnote."

ASC platform operator, Southeast PE-backed, 14 ORs

A similar multi-specialty oral surgery group or DSO platform saw comparable results. A 30-day pilot generates your actual baseline — no extrapolation required.

30-Day Pilot at USOSM Scale

We propose running CaseFlow across a pilot cohort of 5–8 USOSM practices for 30 days — generating actual fill data, revenue recovered, and a baseline you can use in the next board report. No annual commitment required.

See your actual numbers — not industry estimates.

30-day pilot. Flat fee. Implementation included. USOSM-specific onboarding with Henry Moomaw's team to configure.

See a 30-Day Pilot →

No app required for patients. Text-only. HIPAA-compliant. Integrates with existing scheduling systems.