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Drafts the move

Keystone doesn’t just tell you which clinician is underwater — from the figures it already computed from your real books, it drafts your next move: a comp conversation, a rate-raise note, a quarter pack for your accountant. Ready to edit, in your words. No made-up numbers, and never any patient data.

Preview on a sample practice. These drafts are generated deterministically — the numbers are yours, the words are a starting point you finish.

Comp conversation — talking points

Subject: Touching base about Clinician B's arrangement

Goal of this conversation: keep Clinician B on the team while getting the arrangement to a place that
works for the practice.

What the numbers show (your figures, monthly):
  - Contribution (the revenue that's left after Clinician B's own pay): $900
  - Fully-loaded net, after their share of overhead and the other real costs: -$1,450
  - To get this arrangement to break even, the practice needs to close about $1,450/month.

Ways to close that gap (pick what fits — these are the levers, not a decision):
  - Caseload: roughly [HOURS] more clinical hours a week would lift revenue enough to cover it.
  - Comp terms: a move toward [NEW SPLIT / NEW SALARY] keeps more of each session with the practice.
  - Rate: if Clinician B's sessions are under-priced, a [$X] rate change closes part of this on its own.

How to frame it in the room:
  - Lead with the relationship — the goal is to keep Clinician B, not to corner them.
  - Share the contribution figure first; it's the honest, non-accusatory number.
  - Bring one concrete proposal, and room to adjust. [WHAT YOU'RE READY TO OFFER]

— Drafted from your Snapshot. Edit the bracketed parts; nothing here leaves your numbers.

Rate-raise notice — draft

Note to clients about an upcoming rate change

(Context for you — delete before sending):
  Your current net margin is 8%, which is thin enough that a modest rate change is one of the cleanest ways to steady the practice without changing anyone's caseload.
  A change from [$CURRENT] to [$NEW] per session, effective [DATE], is the move this draft assumes.

— — — draft of the client-facing note — — —

Dear [CLIENT NAME],

I'm writing to let you know that, beginning [DATE], my session fee will change from [$CURRENT] to
[$NEW]. I don't make this kind of adjustment often, and I've given it real thought.

My commitment to our work together is unchanged. I wanted to give you plenty of notice so there are no
surprises, and so we can talk through anything you'd like — including [SLIDING-SCALE / SUPERBILL / OTHER
OPTIONS YOU OFFER], if that would help.

Thank you for trusting me with this work. Please reach out with any questions.

Warmly,
[YOUR NAME]

— Drafted from your Snapshot. Fill in the bracketed amounts and dates; nothing here leaves your numbers.

Quarter pack — for your accountant

Practice summary — the headline numbers

Prepared from a Keystone Snapshot. These are practice-level figures only — no client or patient
information is included.

Monthly economics:
  - Revenue: $82,000
  - Net (fully loaded): $6,200  (net margin 8%)
  - Fixed overhead: $11,000

By clinician (your labels; contribution = revenue minus that clinician's pay):
  - Clinician A: contribution $5,400/mo, fully-loaded net $2,100/mo
  - Clinician B: contribution $900/mo, fully-loaded net -$1,450/mo

Questions for [ACCOUNTANT NAME]:
  - [e.g. Are we set aside enough for estimated taxes this quarter?]
  - [e.g. Anything to revisit before year-end?]

— Drafted from your Snapshot. Add your questions; nothing here leaves your numbers.