Live controls — drag or tap to update all calculations
Price / member
$160/mo
solo Avg: $140/member
Solo ($160/mo) 50%
2-person ($130/mo) 25%
3+ person ($110/mo) 25%
41% owner $0 /mo
16% owner $0 /mo
Sales & MPM $0 /mo
Growth 20/mo
Churn 20%/yr
Steady state: 1,200 pts
Active members
Prepared for

Compensation Calculator

This calculator models your earnings as the Sales Representative & Member Portfolio Manager (S&MPM) at Maxfield Medical DPC — commission, draw, milestone bonuses, and retention bonuses across the first 10 years of the practice.

Pick a scenario
Three preset growth scenarios let you see how your earnings change with different ramp rates. Conservative (15 patients/month), Realistic (20/month), or Strong (25/month). Switch any time.
Move the Active Members counter
The − / + buttons and slider at the bottom of your screen control panel size. Every number updates instantly — commission earned, draw paid, balance owed, milestones hit.
Adjust pricing & mix
Tap Price & mix in the bottom bar to model different family-tier ratios. Commission scales proportionally with the practice's blended average price per member.
Pick a scenario

Realistic is the recommended starting point. You can fine-tune the growth slider in the bottom bar at any time.

Event 1 (E1) — $187,446 SBA loan to open Maxfield Medical DPC: pre-open overhead, draw support, and legal fees.
Event 2 (E2) — $300,000 buildout of a dedicated clinical space, triggered at 600 patients. The buttons below control how much of E2 you borrow vs. save from operations.

Select a financing mode — all numbers update instantly.


Revenue snapshot

Gross revenue vs. costs at the current panel size. Net income is what remains after all roles and overhead are paid.

Significant milestones — quick reference

Key patient thresholds where something changes — a role advances, a cost triggers, or a bonus is earned. Status updates live with the slider. Entries marked live are calculated dynamically from your growth and churn settings — they shift as you adjust those assumptions.

Overhead detail

Monthly breakdown of every fixed operating cost. Items marked auto activate automatically at certain patient thresholds.

MA hourly wage
$22.00/hr
Not yet active — triggers at 200 patients
Expansion trigger
600 patients
Not yet active — triggers at 600 patients
Inputs
Fixed costs — always active
Malpractice — Physician #1 + Medical Director + APP #1 ($1,500/mo)$1,500/mo
Hint EMR platform$400/mo
Marketing budget / month$3,000/mo
SBA loan payment$0/mo
Set by financing summary above — select a financing option to update this value.
Insurance — additional policies
The MMG professional liability $6k/yr$500/mo
General liability $350/yr$29/mo
Umbrella policy $660/yr$55/mo
Personal property $1,200/yr · triggers at expansion$0/mo
Cyber liability $4k/yr$333/mo
Medical supplies & labs
Medical supplies & consumables$500/mo
Lab fees $5 pppm · semi-annual panel; remainder pass-through$5/pt
Dedicated MA auto-triggers at 200 patients
MA hourly wage (FTE at 500+ patients)$22.00/hr
Expansion space triggers at 600 patients
Expansion trigger (patients)600 patients
Monthly rent$4,000/mo
Utilities$650/mo
Weekly medical cleaning service$800/mo
APP Compensation ↗ View Comp Agreement

APPs are paid on a full-panel flat rate — when a threshold is crossed, the new rate applies to the APP's entire panel retroactively. APP #2 is hired automatically when APP #1 reaches 650 patients.

Tier 1
0 – 199 patients
$25 pppm
Full panel at this rate
Tier 2
200 – 499 patients
$30 pppm
Full panel at this rate
Tier 3 · Cap
500 – 750 patients
$35 pppm
Cap: $26,250/mo at 750 pts

Medical Director Compensation ↗ View Comp Agreement

The Medical Director is compensated on a variable pppm rate during ramp, converting to a flat salary once the practice reaches scale.

Variable phase
0 – 499 patients
$10 pppm
Grows with panel — max $4,990/mo
Salary phase
500+ patients
$5,000/mo
Fixed regardless of panel size
Sales Compensation
Sales Rep & MPM — 0–599 patients  |  Director of Sales & MPM — 600+ patients
Settings

Commission + Draw — $20 pppm at default $140 blended avg price (scales proportionally with actual avg). Draw fills gap to $5,000/mo ceiling, reaches $0 at ~250 patients. Draw period: 18 months total (6 pre-open + 12 post-enrollment).

Retention bonus
≥80 net new · $2,500
50–79 · $1,000
<50 · $0
Annual churn rate — % of patients who leave each year 20%
3% Best-in-class <5% DPC avg ~20% 40%
≤10% → $2,500 · 11–15% → $1,000 · >15% → $0
Industry benchmark: average DPC practice loses ~20% of patients annually. Employer-sponsored: 10–15%. Individual members: 15–25%.
At current panel size — 200 patients
Draw Economics — how the draw works
Commission replacing draw

The draw covers the gap between commission earned and the $5,000/mo ceiling. It runs through the practice's pre-open phase plus 12 months after first patient enrollment (~18 months total). Every dollar of commission earned directly reduces the draw paid that month. Once commission reaches $5,000/mo naturally (~250 patients at $20 pppm), the draw ceases entirely and the S&MPM is self-sustaining — whichever comes first (patient count or time limit). Cash repayment of any accumulated balance then phases in: $500/mo at 400 patients · $750/mo at 450 · $1,000/mo at 500. 50% of the remaining balance is forgiven at 600 patients (Director designation) and the full balance is forgiven at 1,000 patients. Use the tracker below to estimate the outstanding draw balance at any point in the ramp.

Draw balance tracker
Months since draw started 18 months

Annual revenue generated
$0
Gross membership revenue at current panel
Annual income — Sales Rep & MPM
$0
Commission + draw (annualized)
Milestone bonuses — one-time, no clawback
Applies to all compensation models
Year-by-Year Earnings Realistic — 20 patients/mo

Projected annual cash earnings as the practice ramps. Reflects current scenario, price/mix, and churn. Switch presets above to compare.

Year End Panel Commission Net Draw Milestone Retention Total Cash
10-Year Cumulative $0

Projection is illustrative — actual earnings will vary based on real-world enrollment pace, retention, and price-mix outcomes. Net Draw shows draw advances received (positive) or repayments made out of commission (parenthesized). 50% of draw is forgiven automatically at 600 patients; remaining draw is fully forgiven at 1,000 patients. Milestone bonuses are recognized in the year the threshold is crossed; retention bonuses are summed semi-annual payments.

Lifetime value & retention economics

The model tracks patient churn and lifetime value to determine when the practice's cumulative retained capital hits the buildout goal — at that point the auto-cap lifts and full distributions flow to owners. Adjust churn above in Settings to see how it shifts these numbers.

Commission cost per patient over their lifetime
Steady-state panel model — at current growth & churn
New patients / month (growth rate)
20/mo


Net income, distributions & owner payouts

What remains after all costs, and how much flows to owners. While the buildout reserve is being accumulated, a portion of net income is held back — distributions increase significantly once the retention goal is reached.

Monthly retention cap · auto-saves for buildout per financing plan $0/mo

Monthly and annual take-home for each owner based on their equity percentage. Distributions only flow when net income exceeds the retention cap.

Pre-tax estimates. Consult your accountant before making distribution decisions.

Summary of payroll & owner distributions

Combined view of every dollar leaving the practice — to staff, to roles, and to owners.

Person / RoleTypeMonthlyAnnual
Financing summary — total capital picture E1 + $100K buildout
Event 1 — MMDPC launch & draw coverage
Pre-open draw (6 months)$30,000
Post-open draw (months 1–20)$28,800
Overhead — pre-open (6 mo)~$38,646
Overhead gap — early post-open~$40,000
Legal fees — Tim Frye (one-time)$50,000
Exam room conversion — current office$8,000
Event 1 subtotal$195,446
Event 2 — expansion buildout at 600 patients
Physical buildout cost$300,000
Owner capital contribution−$200,000
SBA 7(a) · 10yr · 9.5%$1,294/mo
Event 2 SBA loan$100,000
SBA loan — Event 1 + Event 2 combined
Total loan amount$287,446
Loan typeSBA 7(a)
Fixed interest rate9.5%
Term10 years (120 months)
Total interest paid$269,446
Total repaid over life of loan$756,892
Monthly loan payment (fixed cost)$3,720/mo
Est. 10-yr distributions — 41% owner
Est. 10-yr distributions — 16% owner
Based on current price/mix, 20 pts/mo growth, 20% churn
10-year owner distributions — all financing options compared
Based on current price/mix · 20 pts/mo growth · 20% annual churn · 41% owner share
Total capital financed
One SBA loan covers Event 1 (launch) and Event 2 (buildout, $100K — $200K from retained capital) — $3,720/mo fixed cost included in the calculator above.
Deployed now
$195,446
@ 9.5% fixed · 10 years · $2,426/mo
Planned total
$195,446
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