Skip to content

What you actually made Illustrative figures · real arithmetic

You were busy all month.
This is what is left.

Most clinic software shows you the first number and stops there. Watch what happens to it on the way to your own account.

  1. Patients paid you $18,420.00
  2. the card company takes − $573.78
  3. What actually arrived $17,846.22
  4. your doctors take − $10,707.73
  5. What the clinic keeps $7,138.49
  6. wages and bills take − $4,627.50
  7. Yours $2,510.99

One clinic, one month. Every block above is as wide as that figure is large, measured against what patients paid — floored only where the number itself needs the room. The one at the bottom is the one you live on.

See it on your own numbers How doctor payouts settle

What you owe Same clinic · same month

Nobody sat down and
worked this out.

Every payment split itself the moment it settled — the doctor’s part and yours. Both halves have been adding up all month, while you were seeing patients.

  1. Dr Amelia Chen 74 visits $4,982.40
  2. Dr Priya Raman 53 visits $3,614.85
  3. Dr Marco Silva 32 visits $2,110.48

And the rate cannot move underneath you. The percentage a doctor is on is written onto every payment the moment it settles, along with the dollars it produced. Raise someone’s rate in March and February does not change by a cent — you pay what was agreed at the time. Which is the only version anybody can argue with a straight face.

Ready on the first

$10,707.73

Three transfers. One hundred and fifty-nine visits behind them, and not one of them added up by hand.

Who didn’t come One Tuesday · same clinic

Three people didn’t come.
You still opened the door.

What it costs you is never the appointment. It is the hour nobody else could have, because the slot was already spoken for.

  1. 09:00
  2. 09:30
  3. 10:00
  4. 10:30
  5. 11:00 nobody came$84.00
  6. 11:30
  7. 12:00
  8. 12:30
  9. 13:00
  10. 13:30 nobody came$112.50
  11. 14:00
  12. 14:30
  13. 15:00
  14. 15:30 nobody came$84.00
  15. 16:00
  16. 16:30

This month

11

didn’t come

22

cancelled

$1,318.50 was on the slots nobody came to. The cancelled ones went straight back on the board, where somebody else could still take them.

Counted the same way every month, per doctor and per day, so a bad week is visible while it is still a week.

Missing once is not a pattern.

A patient who has been in four times and missed once divides out at one in four. Qlynic scores them at about one in twelve, because four visits is not evidence of anything. Two hundred visits and fourteen misses, and the score is exactly what the record says — a long history speaks for itself and needs no help.

A cancellation made with more than a day’s notice does not count against anybody at all. It was given back in time for somebody else to have it. And last month weighs more than last spring, because people change and a score that never forgets is not a fair one.

Six months of behaviour · weighted for how recent it is · nobody condemned by one bad Tuesday

Where the work comes from Same clinic · same month

Your clinic has a shape.
It is not the one in your head.

Ask any owner which day is madness and which service pays the bills. Then count them. The answer is usually close, and usually not quite right.

  1. 31 Mon
  2. 42 Tue
  3. 35 Wed
  4. 34 Thu
  5. 28 Fri

Tuesday.

And inside Tuesday, ten in the morning — worked out in the clinic’s own time zone rather than the server’s, so it stays right through the clock change. Which is the difference between an hour you can staff to and an hour that quietly moves twice a year.

Seen most often

Follow-up consult

74 visits · $4,110.00

$55.54 a visit

Brings in the most

Full assessment

48 visits · $6,240.00

$130.00 a visit

Twenty-six fewer appointments, two thousand more dollars. The service you see most is rarely the service carrying the clinic — and you cannot act on that until somebody counts both.

Taking it out of the building The last thing the page does

Reading it is one thing.
Taking a copy is another.

Looking at your own numbers is your job, and nothing here follows you around while you do it. Carrying them out of the building is a different act — and that one gets written down.

Bow Valley Family Practice Revenue report · November
Patients paid
$18,420.00
The card company
− $573.78
The doctors’ share
− $10,707.73
The clinic keeps
$7,138.49
Wages and bills
− $4,627.50
Profit
$2,510.99

One page, landscape, and it prints the same way every month.

Written the moment it was made

09:12 revenue.exported A. Whitfield November · 1 Nov → 30 Nov · gross $18,420.00 · 214 KB PDF

Not a copy of the report — a note that one was taken, by whom, of what, and how big it was. If it ever matters who walked out with the year, the answer is already sitting there.

  • The money Revenue needs its own key
  • The payouts What doctors are owed needs a different one
  • The patterns Days, hours and no-shows, a third again

Three separate keys, so the person who can see which Tuesday is busiest is not, by that fact alone, the person who can see what everybody earns. You decide who holds which — and you find out afterwards either way.

See it on your own numbers How doctor payouts settle