About

Langdon Comee

Healthcare operator, former CEO and acting COO of a large cash-pay mental health facility.

$9M+Annual revenue at the facility I led, grown from under $1M

4Locations, including a 12,000 sq ft flagship I helped build out

38Providers supported across the network

15Years leading behavioral health operations

Run the practice like a great hotel.

Based in: Ponte Vedra Beach, Florida
Works with: Practices across the U.S.; on site in Jacksonville, Ponte Vedra and St. Augustine
Focus: Behavioral health, ADHD specialty, aesthetics, wellness and weight-loss practices

I have spent about fifteen years running behavioral health operations, and before that I worked in hospitality, where the standard is that every guest is noticed and every detail is handled.

Hospitality first

My career started in fine dining, luxury hotels, and catering. I worked in four-star hotels, James Beard Award-winning restaurants and the Kennedy Center Honors. Hospitality taught me to build the guest experience as a set of repeatable steps, staff for the busiest hour, and watch the margin on every plate. It was the best possible training in running a tight operation without ever losing sight of the customer. I bring that same client-first thinking to every recommendation I make.

14 years running private practices

I’ve spent 14 years in operations, management and private practice. For ten of them I helped build one of the larger cash-pay mental health practices in the country.

From practice manager to CEO

I started as a practice manager and became CEO. There was no COO, so I ran operations as well. I handled everything a growing practice runs into:

Facility build-outs
Provider recruiting
Payer contracting and credentialing
Revenue cycle
Compliance
Scheduling and intake
Building a management team that could run the sites day to day

I have spent 14 years learning the art of operations so you can focus on what you do best.

Why fractional

Most owner-led practices do not need a full-time COO forever. They need one for the stretch where growth outpaces the systems. PracticeCOO exists to fill that seat for 90 days, leave the practice with managers and processes that work, and stay on only if it makes sense.

I also founded PsyCare+, a national directory and marketing platform for wellness and behavioral health providers, so I see the patient-acquisition side of the business every day.

Talk with Langdon

Results

Two engagements that show the range: a fractional COO engagement with a cash-pay aesthetics and wellness practice, and a decade building a multi-site mental health facility.

Fractional COO · 2026–present

Cash-pay medical aesthetics & wellness practice

Type: Owner-led, APRN-run medical aesthetics and wellness
Region: Northeast Florida
Engagement: Assessment, growth plan and 90-day operating plan

A growing two-location practice with strong clinical work and an owner carrying the whole operation. The engagement started with a diagnostic scorecard and a SWOT, then moved into a 90-day operating plan and a one-year roadmap.

Strategy and market

Practice Health Assessment, diagnostic scorecard, SWOT and a strategic growth plan with a one-year roadmap
Competitive analysis of 16 med spas across Jacksonville, Ponte Vedra, Durbin Park and Jacksonville Beach, covering pricing and services
Consolidated two locations into one site, with patient and staff communications to keep patients through the move

New income streams

Tiered patient membership programs with 6- and 12-month terms and a founder tier for existing clients
A medical weight-loss program at one flat monthly price, benchmarked against national telehealth brands
Treatment packages, maintenance memberships and service landing pages for new treatments

Software and systems

Evaluated EMR platforms and led the migration from Elation to Aesthetic Record on a 10-week implementation roadmap
Configured services, injectable inventory and lot tracking, online booking rules, deposits, memberships and integrated payments
Set up CRM and marketing automation for lead follow-up and patient email campaigns
Moved business email to Google Workspace under a HIPAA BAA and planned the phone number port

Policies and compliance

Deposit and cancellation policies benchmarked against local competitors
Good Faith Estimates under the No Surprises Act, informed consents, intake forms and a patient policy agreement
Patient-facing treatment guides, portal copy and re-engagement emails

Client name withheld. Outcomes will be added as the engagement completes.

CEO & acting COO · ~10 years

Cash-pay large mental health facility

Type: Cash-pay mental health facility
Scope: Practice manager to CEO, also running operations with no COO in place
Footprint: One small office to four locations

<$1M → $9M+Annual revenue

959%Growth over ten years

26%Compounded annual growth

The Chesapeake Center grew from a single small office to a large specialized mental health facility, with 959% growth over ten years and 26% compounded annual growth. The growth came from operations: recruiting and keeping providers, building the intake and scheduling engine, managing the revenue cycle, and expansion into four locations.

Responsibilities

Ran day-to-day operations across all four locations as CEO, with no separate COO in place
Recruited, onboarded and retained a team of 38 providers and 10 support staff
Designed the roles, hiring process and management structure for the clinical and support teams
Built the intake, scheduling and waitlist engine that kept provider calendars full
Led the revenue cycle: billing, collections and payer operations, including credentialing
Owned compliance, licensing and documentation standards across every site
Planned and built out a 12,000 sq ft flagship and three satellite offices of 2,000–3,000 sq ft
Opened each new location without disrupting the ones already running
Managed vendors, systems and the budget for a practice growing from under $1M to more than $9M

Ready to talk?

A 30-minute call is enough to tell whether an assessment makes sense.

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