$60,000, once. $500,000 a year, ongoing.
Before we talk about what we charge, look at what the last owner got for it. We spent a year building the earnings. He keeps them every year after that, and the fees stopped.
Year one: what went in, against what came out
Five thousand dollars a month for twelve months, covering charge capture, schedule management, and recruiting support. This is the first year only, the year we were still charging him.
The fees run flat. The earnings do not.
Both lines are running totals of real dollars. Fees climb five thousand at a time and stop at sixty. Profit sits quiet for two months while the work goes in, then breaks away. By month twelve he is adding $41,700 a month, and that is the rate he carries out of the engagement.
The shaded space between the two lines is the owner's money. By month twelve it is $240,000 wide, and it keeps widening after the fees stop.
See the monthly numbers
| Month | Profit added | Profit to date | Fees to date |
|---|---|---|---|
| 1 | $0 | $0 | $5,000 |
| 2 | $4,000 | $4,000 | $10,000 |
| 3 | $9,000 | $13,000 | $15,000 |
| 4 | $15,000 | $28,000 | $20,000 |
| 5 | $21,000 | $49,000 | $25,000 |
| 6 | $26,000 | $75,000 | $30,000 |
| 7 | $31,000 | $106,000 | $35,000 |
| 8 | $34,800 | $140,800 | $40,000 |
| 9 | $37,000 | $177,800 | $45,000 |
| 10 | $39,500 | $217,300 | $50,000 |
| 11 | $41,000 | $258,300 | $55,000 |
| 12 | $41,700 | $300,000 | $60,000 |
The fees stop. The earnings do not.
This is the part owners miss when they look at a monthly fee. We were only in there for twelve months. The $41,700 a month he was adding by the end did not leave when we did.
Year two assumes the run rate simply holds. It does not assume we grow it further, and it does not assume he adds a single new patient.
Three levers, no new patients required
Charge capture
Getting paid for work the clinic was already doing. Nothing new to sell, nothing new to build.
Schedule management
Filling the holes in the day and cutting the cancellations. Builds through the middle of the year as the habits stick.
Recruiting support
Getting therapists hired and productive. Slowest to pay off, and the piece that holds the run rate up after we leave.
Charge capture lands first, which is why the line turns in month two. Recruiting is the slowest and the reason the back half of the year runs so hard.
A real client engagement, with the figures rounded for simplicity. Twelve months at $5,000 a month covering charge capture, schedule management, and recruiting support. Profit added is measured against the trailing twelve months before the engagement started. The $500,000 is the annualized run rate reached by month 12, not the cash banked during year one, which was about $300,000.
What would the same three levers be worth in your clinic?
