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 reads your full numbers and replies within 48 hours. Nothing is saved from this check.

“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 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, for a fixed $4,500. Retainers after that from $899/mo.
client seats with Nate
clients at most on the plans with Nate on the call. The faces here do the work.
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.
Six weeks to find the leaks and fix them.
Every engagement starts with the same fixed-fee sprint. You see what we found before you decide anything else.
The 6-Week Cost Savings Sprint
One fixed fee. Everything we build is yours, whether or not you stay on after.
- 2
Weeks 1 and 2
Numbers straight
Books caught up, systems connected, your first scorecard.
- 4
Weeks 3 and 4
Leaks and risks found
All seven places: payroll, product cost, pricing, vendor contracts, card fees, software, and compliance against your state's rules.
- 6
Weeks 5 and 6
Savings locked in
We renegotiate and cancel with you, and show you every dollar.
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.
Fixed fee, one time
$4,500
Yours to keep
- The savings report
- Your compliance check
- Your first scorecard
- 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
Book the sprintAfter every close, you get this scorecard.
You get your first one in week two 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.
Keep what the sprint found, and keep growing.
Every plan includes your books and the scorecard. The difference is how much we do with you.
Keep
Most owners start hereClarity
$1,899/mo
You want a plan, and someone accountable for it.
Fractional CFOs for medspas often start around $2,500 a month, before any bookkeeping.
5 of 8 seats open
- Books kept and closed every month
- Scorecard after every close, and the live dashboard
- A text every two weeks with your numbers checked
- Time with Nate1 hour a month, plus a quarterly review
- Fixes done with you1 a month
- Your planWritten monthly: what to do next, and how
- Cash forecastUpdated every quarter
- Written steps and staff trainingNot included
- Marketing checked against what it brings backAdvice
- How you reach usNate's direct line
Highlighted rows are what this plan adds.
Every plan includes the books and the scorecard. The difference is how much we do with you.
Know
Foundation
$899/mo
You want clean numbers and someone watching them.
A medspa bookkeeper alone runs $500 to $600 a month. This adds the scorecard and the watching.
6 of 8 seats open
Keep
Most owners start hereClarity
$1,899/mo
You want a plan, and someone accountable for it.
Fractional CFOs for medspas often start around $2,500 a month, before any bookkeeping.
5 of 8 seats open
Step back
Growth
$3,799/mo
You want the business side done with you, so you can step out of the treatment room.
Less than one salaried manager, and nobody to manage.
3 of 5 seats open
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
The sprint takes the place of a kick-off fee. Three months minimum, month to month after that. We do not promise specific results; we show you the numbers and work the plan with you.
When 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.
- Now he runs every Benchmark engagement himself.
$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.