One plan review. Then a quarter at a time.
A one-time plan review gets the audit and the written assessment. From there, the work is priced as a share of your practice's annual revenue, billed quarterly. No hourly meters. No multi-year contracts.
Plan review
Stack & workflow audit. Written assessment. Build proposal.
- Review of the plan you build
- Stack and workflow audit on the floor
- Written assessment: priorities, sequencing, risks
- Quarterly rate proposed and locked in writing
- Yours to keep — whether or not the work continues with us
Ongoing build
Quarterly cycles, your plan drives the work.
- A small senior team on your work
- Integrations, automation, reporting, infrastructure
- Inside your stack, under your accounts
- Quarterly review against your plan
- Exit terms set per-practice — no boilerplate
Aligned incentives. Predictable cadence. No surprise bills.
The model is built around two things: we only do well when the practice does well, and you always know what the next invoice will be.
Tied to your outcomes, not our hours.
A share of revenue means we're paid more if your practice grows and less if it shrinks. That keeps every decision pointed at the same direction — yours.
Quarterly, not yearly.
One quarter is a long enough window to ship meaningful work and a short enough window that either side can step away cleanly. Annual lock-in is a vendor convenience; quarterly is the right rhythm for an operations partner.
No published rate.
A $400k solo practice and a $5M multi-location group have very different needs. The rate is set during the plan review, in writing, and it's the rate for the duration. No bait-and-switch, no shelf price you'd have to negotiate against.
What "annual revenue" means.
Service revenue and recurring program revenue count. Product resale (med-grade skincare etc.) is excluded — it's working capital, not operating revenue. The definition is in the plan review contract; no surprises later.
What the rev-share actually buys.
The quarterly fee covers everything below. There's no a-la-carte menu, no "this is extra," no premium tier. If the work is in scope, it's in the quarter.
A small senior team
The same operators and engineers in the room every quarter. No bait-and-switch with junior consultants.
Build and maintenance
New systems built against your plan, plus ongoing care of what we've already shipped. No "you'll pay extra for fixes."
Quarterly review
A scheduled checkpoint each quarter: what was built, what changed in the business, what drives next quarter.
Tactical on-call
Operational fires, integration breakage, vendor escalations. Inside our hours, inside our scope, no incident-rate billing.
Stack hygiene
The systems we built keep running — updates, security patches, vendor changes, scheduled audits. Not your problem to remember.
The plan stays current
Your business plan is a living document. We bring deltas to every review so the next quarter's priorities are honest.
The plan first. The rate after.
Build the plan. We review it as a paid plan review. The rate lands in writing. Then we work, one quarter at a time.