How many additional patients would make marketing worth it?
Start with the cost. See how many additional patients would cover it. Then explore what a stronger month could leave in your practice. No business degree required.
Start here: choose your membership
US$ scenario
Scope varies by membership. Advertising and setup are separate. See the managed services
Tier examples are editable assumptions, not forecasts. Apply an example to replace acquisition inputs; patient value and care costs stay yours.
- —People inquire
- —Appointments booked
- —People attend
- —New patients start care
More life lived.
What could marketing look like for your practice?
Adjust the costs and patient value. See your break-even point, then explore the return. Not sure where to start? Try a cautious month first.
Illustrative example, not a forecast. We’ve loaded Pacemaker with a US$1,000 ad budget so you can see how the math works. Change every assumption to fit your practice.
First, cover
the marketing.
Enter valid assumptions to see your business case.
Rounded up to whole patients. Uses every ongoing marketing cost entered.
At — additional patients per month:
and ongoing marketing, before overhead & tax
Paid in full at care start; the full estimated care cost is allocated upfront. One-time setup is excluded. Any eligible first-month credit stays in the detailed projection, not this ongoing-month threshold. Patient volume is your assumption—not a result promised by PowerSURGE.
Detailed math, planning & saved scenarios
Practice math
The main business case includes all ongoing marketing costs.
| By this date | 90 days | 6 months | 1 year |
|---|---|---|---|
| Payments collected | — | — | — |
| Full care cost allocated | — | — | — |
| Practice net contribution | — | — | — |
| Practice ROI | — | — | — |
| Patients to cover modeled costs | — | — | — |
Coverage assumes patients arrive along your chosen monthly growth pattern.
Inputs and calculation
Inputs and assumptions
See the bigger picture over timeAn inquiry is a person who contacts your practice. We divide your ad budget by this amount to estimate inquiries. You can also enter your inquiry count directly.
One-time paid-media credit only. Gross ad budget and lead assumptions do not increase. No reduction to service fees.
Advertising is separate from your membership. Example ad budgets are not included advertising or recommended minimums. The same booking, attendance and care-start assumptions apply to every membership.
Use your own estimates. This example assumes payment in full at care start.
Editable estimate of additional patients beginning care each month.
Paid in full at care start. Care costs are an editable assumption.
— modeled care starts from — inquiries.
See the cost breakdown +
Show the math
Collected case value is paid in full at care start. Full care cost = case value × care-cost percentage, allocated upfront. Subtract ongoing marketing to estimate net contribution.
Before fixed overhead and tax. Referrals stay separate. These estimates do not establish incremental marketing impact.
Estimates, not promised results. Remaining value is not profit: fixed overhead and tax are not included. Patient fractions are averages used for planning. Understand the economics ↗
Growth assumption
Referral value · separate estimate
How many extra patients could the direct new patients above introduce during this period? Count only people who start care and are not already included above. Referrals from your existing patient base are not included.
Include only extra costs not entered elsewhere. These patients use the same case value and care-cost assumptions.
Choose your membership or enter custom costs to see the comparison.
| Your estimate | Without added referrals | Including your referral estimate |
|---|---|---|
| Total new patients | — | — |
| Patient payments | — | — |
| Full estimated care costs | — | — |
| Marketing investment | — | — |
| Remaining before overhead and tax | — | — |
| Potential marketing ROI | — | — |
Referrals are separate case-value estimates; their receipt timing is not established. One generation only, with no further referral chains. Actual referrals and marketing impact are not established by this estimate.
Patient planning and saved baseline
What could this mean
over a year?
Explore a different period or your own referral estimate.
Direct case value is assumed paid in full at care start; full estimated care cost is allocated upfront. Referrals stay separate. Before fixed overhead and tax.
See the month-by-month numbers
| Month | Inquiries | Starts this month | Total starts | Total value after costs |
|---|
Compare two estimates.See what a few more bookings or attended visits could change.+
What if more of that
interest became care?
Save your current numbers. Then change one assumption and compare. Both estimates include any eligible first-month credit. Referrals are kept in the separate comparison above.
Each click adds 10 percentage points, up to 100%. These are scenarios to explore, not promised improvements.
— new-patient starts in the modeled month.
Case value of that month’s direct patients, after care and first-month marketing costs.Before fixed overhead + tax.
| Your numbers | Baseline | Scenario |
|---|---|---|
| New-patient starts | — | — |
| Remaining before overhead and tax | — | — |
| Potential first-month investment ROI | — | — |
| Cost per new-patient start | — | — |
Change a rate or cost above to compare scenarios.
Plan for your new-patient goal.Choose a new-patient target. See the path to it.+
Start with where
you want to go.
What would a stronger month look like? Work backwards from your new-patient target using the rates you entered above.
Add a target to see the path. Required activity uses your current conversion rates.
This works backwards through your direct-patient estimates, without referrals. It does not assume more advertising automatically creates more inquiries. Allow additional capacity for referred patients and ongoing visits.Optional perspective Compare with stocks, gold & real estate +
A practice is an operating business, not a passive investment. This comparison is a separate perspective—not the reason to hire an agency. Risk, liquidity and the work required are different.
Your growth. In perspective.
Compressed scale · actual ROI percentages
Equal vertical gaps do not mean equal returns.
Ongoing costs only. One-time setup excluded.
Example: paid in full per new patient, less care and marketing costs.
This saved example uses 6 months. Choose 90 days or 1 year to update it.
Practice only in CAD.
Choose your membership to see the picture.
Choose a membership or enter custom costs to calculate your scenario.
Before overhead and tax. Illustrative returns, not guarantees.
ROI, side by side.
| Your scenario | 90 days | 6 months | 1 year |
|---|---|---|---|
| Same cash contributed | — | — | — |
| Your practice | — | — | — |
| S&P 500 fund · IVV | — | — | — |
| Gold fund · GLD | — | — | — |
| U.S. real-estate stocks · IYR | — | — | — |
Paid in full at care start. Full estimated care cost allocated upfront.
ROI = net gain ÷ cash contributed; not annualized. Before fixed overhead and tax. Referrals excluded.
Comparison assumptions
Each alternative receives the same net marketing cash at the start of each month. Eligible credit reduces month one once. Practice case value is collected in full at care start; the full estimated case-care cost is allocated upfront, not necessarily paid or delivered then.
No automatic reinvestment of practice surplus.
| Fund proxy | Annual rate used |
|---|---|
| S&P 500 · IVV | 15.30% |
| Gold · GLD | 11.74% |
| U.S. real-estate stocks · IYR | 4.67% |
Market examples use historical fund proxies: IVV for the stock market (S&P 500), GLD for gold, and IYR for listed U.S. property companies—not direct rental property. The 10-year annualized NAV returns through September 30, 2026 are applied as constant monthly rates, not actual historical paths or forecasts. Fund expenses included; distributions reinvested where applicable. All can lose value.
Practice growth requires active work; risks and liquidity differ. Excludes fixed overhead, tax, brokerage and FX costs. Not investment advice.
The graph uses one shared signed-log scale: sign(ROI) × ln(1 + |ROI|), with ROI in percentage points. The fixed 1-percentage-point scale is identical for every line and period. Positions are compressed; labels are actual percentages, not annualized returns.
More ways to explore Free campaign, patient-journey check & booking tools +
Your first campaign.
On us.
Custom work for your chiropractic practice.
$879 value. Yours free.
12 custom posts + 3 SEO/AEO articles + 1 landing page with a connected form + 3 follow-up emails
Request your kit with your name, practice, email and website. No call. No purchase.
Where does your
patient journey need work?
Find the part of the patient journey worth improving next. Choose the answer closest to your practice today.
Make the booking.
Keep the conversation moving.
If the gap is between an inquiry and a visit, work through the details. Six checks give you a prioritized fix list, editable replies and a plan for your team.