Despite high demand at its primary care clinics, Boulder Community Health (BCH) struggled with long appointment wait times. A lack of standardization, and growing physician burnout further challenged the system. BCH leaders evaluated the primary care service line and implemented process improvements such as scheduling templates and a new administrative medical assistant role to streamline clinical and operational efficiencies. Leaders also conducted ongoing trainings to boost staff competency and ensure long-term success. These strategies increased patient volume, enhanced the patient experience, and drove revenue growth while reducing expenses.