We turn visit-level revenue and labor data into a single, actionable score.
We turn visit-level revenue and labor data into a single, actionable score.
Terms & Conditions
Bramhall Consulting, LLC
Effective Date: January 2025
Welcome to the website of Bramhall Consulting, LLC (“Company,” “we,” “our,” or “us”).
By accessing or using this website, its content, tools, or downloadable materials, you agree to the following Terms & Conditions. If you do not agree, do not use this site.
1. Use of Website
You may use this website for lawful purposes only. You agree not to:
This website is intended for business users, healthcare organizations, and professionals. It is not intended for personal or consumer use.
2. Intellectual Property
All intellectual property on this website—including the Visit Value Index™ (VVI), Clinical Reliability Score™ (CRS), Predictive Coverage Model™ (PCM), VVI Calculator, prescriptive matrices, scoring systems, framework diagrams, graphics, text, downloadable tools, and all associated methodologies—is owned exclusively by Bramhall Consulting, LLC.
Unless expressly permitted in writing, you may not:
You may use the free VVI Assessment and publicly provided content for internal organizational evaluation.
For all other use cases, permission is required:
📧bramhallmichael@hotmail.com
3. No Professional-Client Relationship
Use of this website does not create a consulting, advisory, or fiduciary relationship between you and Bramhall Consulting, LLC.
A formal engagement requires a signed agreement.
4. Not Financial, Legal, or Clinical Advice
Content on this website is for informational and educational purposes only.
Bramhall Consulting, LLC does not provide:
Organizations should validate operational decisions with their internal experts.
5. Accuracy and Updates
We strive to provide accurate, current information but make no guarantees about:
We may update, modify, or remove content at any time without notice.
6. Downloadable Tools (VVI Toolkit, Templates, etc.)
By downloading any Bramhall Consulting tool, you agree:
Use of downloadable tools is at your own risk.
7. Third-Party Links
This website may link to external sites.
We are not responsible for:
…on any third-party platform.
8. Limitation of Liability
To the fullest extent permitted by law:
Bramhall Consulting, LLC is not liable for any direct, indirect, incidental, consequential, or special damages arising from your use of this website or any provided tools.
This includes, but is not limited to:
Your use of the site is at your own risk.
9. Indemnification
You agree to indemnify and hold harmless Bramhall Consulting, LLC from any claims, damages, liabilities, and expenses arising from:
10. Governing Law
These Terms & Conditions are governed by the laws of the State of Idaho, without regard to its conflict of law principles.
Any disputes arising under or relating to these Terms shall be resolved exclusively in the state or federal courts located in Idaho.
11. Changes to These Terms
We may update these Terms & Conditions periodically.
Your continued use of the website constitutes acceptance of any updated terms.
12. Contact
For questions about these Terms & Conditions, permissions, or licensing:
📧bramhallmichael@hotmail.com
© 2025 Bramhall Consulting, LLC. All rights reserved.
Bramhall Consulting, LLC develops proprietary frameworks, tools, algorithms, and methodologies that support healthcare leaders in improving operational efficiency, financial performance, and clinical reliability. The materials, branding, and systems described on this website—and in all associated documents—are the exclusive intellectual property of Bramhall Consulting, LLC.
This page outlines the rights associated with those assets and the terms under which they may be used.
Proprietary Frameworks & Protected Materials
The following systems, models, and tools are original creations of Michael Bramhall and are protected under U.S. copyright, trademark, and trade secret laws:
Proprietary Frameworks
Proprietary Tools & Deliverables
All written, graphic, and algorithmic representations of these models are protected intellectual property.
Trademark Notice
The following marks are claimed as trademarks of Bramhall Consulting, LLC:
Use of ™ indicates a claim of trademark rights under U.S. common law.
Use of ® will be added when formal registration is completed.
Permitted Use
Organizations are welcome to:
Internal, non-commercial evaluation is allowed and encouraged.
Restricted Use
The following actions require prior written permission from Bramhall Consulting, LLC:
Unauthorized use, distribution, reproduction, or derivative work creation is prohibited.
Licensing Opportunities
Bramhall Consulting offers licensing agreements for organizations that wish to:
To inquire about licensing, email:
bramhallmichael@hotmail.com
Intellectual Property Protection
All materials published or shared by Bramhall Consulting—whether via this website, digital toolkits, presentations, or consulting engagements—are protected as:
© 2025 Bramhall Consulting, LLC. All rights reserved.
Unauthorized use may result in legal action.
Questions or Permissions
For licensing, attribution guidance, usage requests, or IP-related inquiries, please contact:
Throughout my career I’ve sought better ways to understand performance, going beyond just the numbers on a financial statement to uncover what they really mean—insights into efficiency, effort, and balance.
Over the last 20 years, I’ve developed numerous staffing models, predictive tools, scorecards, and action plans. Each initiative enhanced my ability to identify where a clinic was overstaffed, underutilized, or not reaching its full potential. However, irrespective of the complexity of the system, one consistent truth emerged: the best way to grasp performance was by analyzing revenues and expenses per visit.
In 2023, I decided to advance that principle further by designing a unique model that not only measures financial results but also evaluates healthcare performance through efficiency per visit. I began creating formulas, testing sub-formulas, and weighting them to accurately reflect the drivers of performance in the field. As the logic matured, I turned to AI tools to validate and refine my approach.
By the time I completed the foundational work, I had dedicated over 100 hours collaborating with ChatGPT and pressure-testing with GROK. What began as a straightforward concept—a better way to interpret per-visit economics—transformed into a comprehensive framework.
This collaboration between human expertise and AI intelligence culminated in the Visit Value Index™ (VVI), a model that integrates Net Revenue per Visit (NRPV) and Staffing Wages & Benefits (SWB) per Visit into a single, actionable measure of operational performance.
The VVI assessment quickly evolved into a diagnostic system featuring Revenue and Labor Factors, visual scoring, and prescriptive insights, effectively bridging the longstanding gap between finance and operations.
The VVI is more than just a formula; it represents years of inquiry into performance, people, and the narratives our financial metrics convey.
Thank you for reading.
— Michael Bramhall, Founder, Bramhall Consulting, LLC
predict. perform. prosper.
A special shoutout to the team at Tribytics for bringing the VVI calculator online. You truly provide clarity amidst complexity and precision in performance! Visit this innovative and talented team at: https://www.tribytics.com/