For group practices
Which of your clinicians actually make money?
Your P&L tells you the practice made money. It can’t tell you which clinicians did. Keystone scores each one after pay, and the answer catches many owners off guard: your top biller often isn’t your top contributor. About five minutes, rough numbers are fine.
Get your Sunday-night spreadsheet time back.
Free. No signup. The free read runs in your browser.
No patient data, everNothing clinical leaves your deviceNo integration to set up
What you see
The per-clinician numbers your EHR won’t show you
Who actually contributes
Every clinician scored after pay, fully loaded.
Model the hard calls
Comp, the next hire, owner pay: change a number and watch both sides of the ledger move before you commit.
Check the work
Built for practices your size by people who ran one. Every figure shows where it came from.
How we measure it, written out: the Keystone Standard →
Comp setup too messy for software? We ran five of the worst through the engine: the Messiness Gauntlet →
Where this fits
A layer on top, nothing to rip out.
Your EHR
Scheduling, utilization, billing.
Keystone: tells you whether each clinician is profitable after pay.
Your bookkeeper
What happened to the whole practice.
Keystone: breaks it down by clinician and points at what to do next.
A fractional CFO
Does this well, on a recurring monthly retainer.
Keystone: gives you the per-clinician read for a one-time $79.
A general AI assistant
Sees half the picture at a time — your P&L has no per-clinician revenue, your EHR has no costs.
Keystone: runs both sides against a deterministic engine, and the math never goes through an AI.
How it’s priced
Free to see the shape. $79 to make it exact.
Free Snapshot
Rough hand-entry, no signup. You see who actually makes money after pay, and what your own hour really earns.
Full Snapshot: $79 once
Your real books, exact and saved: break-even, what the practice nets, who needs a closer look. One-time, no subscription.
Less than a single hour of a fractional CFO, and yours to keep. Where it’s going next →
From the blog
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What a clinician actually costs you
Pay is only half of it. Payroll taxes, benefits, supervision, and admin time decide whether a clinician makes money. How to run the real number.
June 11, 2026
Why your P&L can't tell you if a clinician is making money
Your P&L shows whether the practice made money, not whether each clinician does. Here's the per-clinician number it hides, and how to find it.
See it on your own practice.
About five minutes. Rough numbers are fine. Free.
Running solo? Start with the solo version →