Booked solid, but payroll is still tight?
We find where your money is leaking, fix it with you, and keep it from happening again.
We look in seven places: payroll, product cost, pricing, vendor contracts, card fees, software, and compliance.
Try one now, in 10 seconds
Payroll is the biggest of the seven. Check yours.
Payroll is
37.6%
Typical range: 25 to 35% of revenue
About $4,250 a month above the typical range. That is $51,000 a year.
Nate, Abby and Randy. Tap a face to meet them. Nate reads your full numbers and replies within 48 hours. Nothing is saved from this check.
Curious what you would get? See the sample client dashboard

“His impact has been far more than his fee.”
Try one now, in 10 seconds
Payroll is the biggest of the seven. Check yours.
Payroll is
37.6%
Typical range: 25 to 35% of revenue
About $4,250 a month above the typical range. That is $51,000 a year.
Nate, Abby and Randy. Tap a face to meet them. Nate reads your full numbers and replies within 48 hours. Nothing is saved from this check.
healthcare deals advised on
of healthcare deals Nate has advised on as an investment banker at Baird and Stout.
to find what you overpay
to find what you are overpaying. One $1,000 sprint, then the plan from $2,299 a month if you continue.
places we look for leaks
places we look: payroll, product cost, pricing, vendor contracts, card fees, software, and compliance.
Two owners, in their own words.
SwipeResults shown are real and specific to these clients. Every practice is different; they are not a promise of similar outcomes.
Ten days to find the leaks.
Every engagement starts with the same ten-day sprint. One fee, no commitment past it.
The 10-Day Sprint
Ten days, one fee, no commitment past it. We get your numbers straight, find the leaks and hand you the plan. Then you decide whether to continue.
- 1
Days 1 to 3
Numbers straight
Systems connected, your bookkeeper's close reviewed, your first scorecard built.
- 2
Days 4 to 8
Leaks and risks found
All seven places: payroll, product cost, pricing, vendor contracts, card fees, software, and compliance against your state's rules. Each one with a dollar figure.
- 3
Day 10
The read and the plan
A 30-minute call: what the numbers say, the three biggest leaks, and the 90-day plan to fix them.
What finding savings has looked like

$3K+ a month in expenses cutHannah, The Skin Clinic

$4K to $7K a month kept after a vendor dealJenna, Ariava Medspa
Real results for these two practices, not a promise for yours.
One time, covers the sprint only
$1,000
No setup fee. If you continue, the plan starts on day 11, from $2,299 a month, and we build your portal and lock in the savings.
Yours to keep
- Your first scorecard
- The leak report, with dollar figures
- Your compliance check
- A 90-day plan
The compliance check covers your medical director agreement, supervision and delegation, licenses, and consent forms against your state's rules. We flag gaps for your attorney to confirm; it is not legal advice. See your state
Get startedAfter every close, you get this scorecard.
You get your first one on day ten of the sprint. After that it arrives after every close: four pages you can read in ten minutes on what the month earned, which services and providers carried it, where you stand against your goals, and what to do next.
BENCHMARK ADVISORS
Monthly performance scorecard
The month at a glance
Total revenue
$182,400
+6.1% vs last month, +14.0% vs last year
Operating margin
22.5%
+1.2 pts vs last month
New patients
96
+9.1% vs last month, target 100
Monthly membership revenue
$14,250
+14 net members added
Revenue and profitability
Swipe the table for more →
| Metric | This month | Prior month | vs last year | Target |
|---|---|---|---|---|
| Total revenue | $182,400 | $171,900 | +14.0% | $180,000 |
| Service revenue | $155,600 | $147,200 | +13.1% | $152,000 |
| Retail and product revenue | $26,800 | $24,700 | +20.4% | $25,000 |
| Treatment margin | 64.2% | 63.5% | +1.8 pts | 63.0% |
| Operating margin | 22.5% | 21.3% | +2.4 pts | 21.0% |
| Cash on hand | $148,300 | $139,500 | +24.6% | n/a |
| Money owed to you | $9,200 | $11,400 | -18.1% | < $12,000 |
| Prepaid packages and credits | $61,500 | $58,900 | +4.4% | track |
Prepaid packages and credits are a liability until redeemed: tracked as unearned, not booked as revenue at sale.
Sample practice. Every figure is illustrative.
Page 1 of 4
What the month actually earned, next to last month, last year, and the target you set.
After the sprint: your portal, the savings locked in, and the plan run with you.
One plan. The price depends on the size of your practice. Bigger practices have more providers, more payroll and more vendors to review, so the fee scales with size. Same work, more of it.
Benchmark Advisory
Your monthly fee, by practice revenue
- Up to $1M$2,299/mo
- $1M to $2M$2,899/mo
- $2M to $3M$3,899/mo
- $3M+Contact us
Same plan, same people, same work for every client. Bigger practices have more providers, more payroll and more vendors to review, so the fee scales with size. Same work, more of it.
Revenue is your trailing twelve months, total across locations.
Add-on
Bookkeeping Books kept and closed every month by Benchmark.+$899/mo
What every client gets
Every month
- Scorecard after every close, and the live dashboard
- A monthly cash flow statement
- Your bookkeeper's close reviewed before the scorecard
- A written plan: what to do next, and how
- Growth initiatives executed with you
- Time with Nate, plus a quarterly review
- A text every two weeks with your numbers checked
- Cash forecast
Your portal
- Dashboard, goals and progress, month over month
- The value tracker: what a buyer pays for, reviewed every quarter
- Lessons written for your clinic
- The 32-module training library
Your people
- A monthly 45-minute owners' group call on Zoom
- Owners-only chatComing soon
- Your bookkeeper, CPA, payroll provider and attorney coordinated
- Questions answered within a business day
Bought one at a time, the projects on our services page start at $2,500 each.
Add-on
Add a website
Custom-coded in-house, never a template, and built to turn visits into bookings. A basic build from $5,000, or the full build with local SEO and custom copy from $10,000.
See the websites we builtfrom $5,000
one time, additional
How it starts
It starts with the 10-Day Sprint, $1,000 one time, which covers the sprint only. On day 10 you have your first scorecard, the leaks with dollar figures and a 90-day plan, and you decide whether to continue. If you do, the plan starts right after, from $2,299 a month: we build your portal, lock in the savings and run the plan with you.
Bookkeeping is an add-on at $899 a month. If you already have a bookkeeper you like, keep them: we review their close every month and build your scorecard from it. If the books are not close-ready, we catch them up as a one-time project from $2,500, quoted before work starts, then keep them for $899 a month if you want us to.
The plan runs 3 months minimum, month to month after that. 12 months locks your rate. No setup fee. We do not promise specific results; we show you the numbers and work the plan with you.
Everything we do for you, in one place.
Every client gets a private portal: the scorecard month over month, this month's initiative with its weekly count, a tracker for what the practice is worth, and lessons written for your clinic. Click through the sample clinic to see it.
The monthly dashboard
The four page scorecard, month over month, with the close.
Open the sampleGoals and progress
This month's growth initiative, its weekly count, and who does what.
Open the sampleThe value tracker
What a buyer pays for, where you stand on each, and what is being built.
Open the sampleA client lesson
A fix written for one clinic, with their numbers and the decision.
Open the sampleComing soon: a monthly 45-minute owners' call on Zoom and an owners-only chat for clients, and a separate room for owners who are still deciding. Ask to be on the list.
See the sample portalWhen you are ready to sell
Want to sell your practice? We get you ready.
Buyers are buying medspas right now, and the first offer is priced for owners who walk in unprepared. We get your practice ready the way a buyer will look at it, ideally a year or two before you sell.

Nate LaBombard
Founder, Benchmark Advisors
- Advised on $750M+ of healthcare deals as an investment banker at Baird and Stout.
- Has built the data packs buyers dig through, helped write the books they read, and sat in the meetings where buyers question management.
- Nate leads every Benchmark engagement.
$750M+
of healthcare deals advised on
Swipe the four steps
Buyers pay more for
- Clean, monthly books with no surprises
- Revenue that comes back on its own: memberships and rebooking
- A team that carries the schedule without you
- Steady growth against the market
Buyers mark down
- The owner doing most of the treatments
- One injector bringing in more than a third of revenue
- Books that are late, messy, or mixed with personal spending
- Patients who only come in for a discount
Confidential. Your numbers stay with Nate.
Need something else? We probably do it.
- Brand and marketing rebuilds
- Opening a new practice or location
- Hiring and provider pay plans
- AI tools for your front desk and team
Priced to the job. Tell us what you need and we send a fixed quote.