Clinic economics

Most clinics try to grow in the wrong order.

The instinct is to chase more new patients. But across the clinics we have analyzed, somewhere between a third and half of new patients never come back for a second visit. Pouring more of them into a bucket that leaks like that is expensive and slow. LUFT runs the order in reverse: understand the business, get full value from the patients you already have, and only then go after new ones, when every one of them is finally worth what they should be.

01 Diagnose

See what your data has been trying to tell you.

We build an economic model of your clinic from your patient system data. It shows where revenue actually comes from, where it leaks, and which of your instincts about the business hold up against the numbers.

Patient lifecycle

Where patients go after visit one

Maps movement from first visit through to your most valuable long-term patients, and shows where drop-off is happening and what it costs.

Revenue composition

Understand your dependency on new patient acquisition

The Acquisition Dependency Index measures the share of revenue that requires a constant flow of new patients to sustain. It tells you whether the practice is compounding or running on a treadmill.

Service economics

Volume versus margin by service

Identifies which services drive your busiest days and which drive your profit, and whether those are the same services.

Capacity utilization

How provider time converts to revenue

Shows where your true ceiling is, which is usually nowhere near where it feels like it is.

02 Optimize

Get the full value of the patients you already have.

Most of the revenue is already inside the building. Before spending a dollar on acquisition, we extend the lifetime value of the patients who already chose you. The cheapest and highest-return growth available.

Retention

Fix the leak before adding more patients

Rebooking, follow-up, and patient communication designed around the specific drop-off point the model surfaces.

Patient journey

Reshape the path to the visits that compound

Booking flow, intake, and follow-up sequencing redesigned around the highest-value patient profile the model surfaces.

Reactivation

Reach the patients who quietly stopped coming

Patients who drifted off without ever formally lapsing are usually the largest pool of recoverable revenue in the practice, and almost nobody is watching them.

Service mix

Cut what is subsidized, double down on what carries

Menu simplification and service-level repricing based on actual revenue per provider hour, not patient volume or gut feel about what is popular.

03 Acquire

Now new patients are worth what they should be.

Once the business is understood and the leaks are closed, acquisition finally makes economic sense. The same dollar that used to buy a patient who left after one visit now buys one who stays and compounds.

Acquisition economics

Spend against a number that finally holds up

What a patient is actually worth, and what you can afford to spend to acquire one, so growth runs on math instead of hope.

Referral economics

Your best channel costs nothing

Which patients refer, what their referrals are worth, and why referred patients tend to retain better than any paid source.

Channel economics

Know which sources bring patients who stay

Separates the channels that deliver patients who retain from the ones that deliver one-and-done traffic that never compounds.

We are not an ad agency. We set the economics that make acquisition rational. You, or your marketing partner, run the campaigns against numbers that finally make sense.

Alongside all three

The decisions you only get to make once.

Some questions do not wait for a phase. A key hire, a second location, a lease renewal, a new service line. These are one-way doors, and the model exists to let you walk through them with numbers instead of instinct.

Diagnosis happens in an audit. Everything after it happens in an ongoing engagement.

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