Before You Dive In
I built this tool from our first conversation — your dream of 100 patients, bi-weekly visits, a subscription model like Netflix. The $18,000/month number you described is built into everything the tool tests.
This is not a financial plan and it is not a schedule. It is a thinking tool — a way to see what changes when you pull different levers on the model. The goal before Tuesday is not to find the right answer. It is to start forming your own reactions to what the numbers show you.
One important thing the tool does not know yet: your actual overhead costs — malpractice insurance, payment processing, taxes, legal and compliance, marketing. Those are real costs that will come out of whatever revenue the model shows. Do not treat any revenue figure as take-home income. Even "revenue after coverage" only subtracts modeled backup provider coverage — it does not yet subtract full overhead, taxes, insurance, legal/compliance, or payment processing.
Start Here — In This Order
Open the link in Chrome, Safari, or Edge. Then work through these three preset buttons in order. Each one takes about two minutes to look at.
1
30 hrs/week — stated preference
This is the version closest to what you described wanting. Look at the gross revenue figure and the "Hours to meet $18k requirement." Notice the gap between where this model sits and where it needs to be.
Your starting point
2
$18k requirement · balanced model
This is the version that actually hits $18,000/month before backup coverage costs. It adds 30 minutes per day, increases the weekly model from 30 hours to 32.5 hours, and raises the subscription price to $250/month. Ask yourself: does $250/month feel right for what you are providing?
The target to react to
3
40 hr week · $18k+ requirement
This version works a full 40-hour week and lowers the price to $210/month. It carries more patients at a lower price per patient. Notice how the tradeoffs feel compared to the balanced model.
The full-time comparison
The Four Numbers That Matter Most
When you look at each preset, focus on these four cards first. Everything else in the tool supports these.
Gross revenue
Monthly revenue before any backup provider costs. This is the ceiling the model produces at this configuration.
Revenue after coverage
This is the number after modeled backup provider coverage is subtracted. It is more conservative than gross revenue, but it is still not take-home income.
Hours this model uses
Total hours consumed by the model — patient care, admin per visit, and buffer time held open for urgent needs. Ask: does this feel sustainable week after week?
Hours to meet $18k requirement
How many weekly hours this model would actually need to hit $18,000 after coverage at the current price. The gap between this and "hours this model uses" is the conversation.
The One Slider to Pay Attention to First
Once you have looked at the three presets, go back to the 30-hour preferred model and try moving just the subscription price slider. You will see the revenue number change in real time.
At $180/month — the number you mentioned — the 30-hour model does not hit $18,000. The balanced model reaches $18,000 by increasing the subscription price to $250/month and increasing the workweek to 32.5 hours before backup coverage costs. The question worth sitting with is whether $250 reflects the value of what you are offering and what the right patient can afford to pay for it.
That is the most important thing to sit with before Tuesday.
What This Tool Does Not Know Yet
Be careful about drawing firm conclusions from the numbers until we layer these in together.
Not yet modeled
- Malpractice insurance for a private telehealth practice
- Payment processing fees, which can vary by platform
- Self-employment taxes and business entity costs
- Legal and compliance (BAAs, business formation, state telehealth rules)
- Marketing and referral network development
- Whether any patients will need weekly rather than bi-weekly visits
- Failed payments, refunds, or subscription cancellations
If you have a chance before Tuesday, even a rough sense of what your monthly overhead might look like will help us take the next step together — turning the model into something grounded in your real numbers.
Bring These Back on Tuesday
If any of these questions come up while you are exploring, they are good ones to bring to Tuesday. No prep needed — just whatever reactions you have.
At $180/month, the model falls short of $18k in every 30-hour scenario. What price actually feels right for what you are providing — and does the model confirm that?
The 40-hour model carries 88 patients at $210/month. Does more patients at lower price feel better or worse than fewer patients at higher price?
What does your overhead actually look like? Malpractice, taxes, and other operating costs — even a rough estimate helps us know what revenue the model really needs to produce.
You mentioned knowing someone who could cover for you. What would a realistic day rate be for them? Even a rough number helps the coverage section of the model mean something.