OPTIMUS evolved from (and is a d/b/a designation of) Health Care Management Concepts, Inc., (HCMC) a healthcare management/consulting practice providing contract medical practice management and consultative services to medical group practices in New England and upstate New York since 1997. Every work group or organization has two distinct components: “what” they do and “how” they do it, each component either complimenting or compromising the other. HCMC deals predominantly with the “what,” OPTIMUS deals with the “how.” In 2002, after fifteen years of managing and leading medical group practices, Scott saw a need and an opportunity to express his facilitative leadership style in helping people and organizations development complimentary processes to achieve their goals.