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    • Mackey Net Solutions
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    • Press Release 2.0
    • The Three-Legged Stool
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    • Traditional Membership? You’re Losing Money
    • The Revenue Leakage Nobody’s Talking About
    • Cerbo Is the EHR. FxMedSupport Built the Nervous System
    • Bidirectional Calendar Sync Should Be a Baseline
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Demo
FxMedSupport · Built on Cerbo

Will your practice actually support the life you want to live?

The Functional Membership Practice Patient Growth Simulator turns that question into real numbers. Model your practice exactly as it is today, take a baseline snapshot, then change a few things and watch what happens — before you ever risk it in real life.

Not circles on a whiteboard. Not gold-silver-bronze guesswork. A working simulation of your membership practice.

5yr
Projection horizon
2
Models — membership & appointment
∞
Staff, programs & scenarios
0%
Guesswork required
A growth & revenue forecasting tool by FxMedSupport — the DreamMakers for Cerbo providers.
Functional Membership Practice Patient Growth Simulator
Zoomed-out view of the simulator dashboard showing a full five-year projection built from a practice's real numbers
The whole picture. Run projections up to five years out — built entirely on your real-life practice numbers, not assumptions.
The problem with packages

Most membership models are built on a whiteboard.

Gold, Silver, Bronze. Three tidy boxes drawn before a single patient walks in the door. The trouble is that real patients don’t fit tidy boxes — and the math underneath was never tested.

One patient has one set of labs. Another has ten. Bill them the same, and one of them is quietly destroying your margin.

Functional and integrative practices need a model built around the patient — their illness, their complexity, their resource load — not a price sheet designed in a vacuum. And they need to know the financial picture before they commit, not after.

Whiteboard guessing
× Generic packages set before you know the patient
× Simple patients overcharged, complex patients underpriced
× Pricing changes are a leap of faith
× No idea what next year actually looks like
The Simulator
✓ Tiers assigned by clinical acuity, after discovery
✓ Every patient priced to the resources they actually use
✓ Test a pricing change, see the delta, then decide
✓ Five years of projection on real operational logic
The core philosophy

Start by learning the patient. Then build the membership around them.

Every new patient begins in a discovery phase — the Learn the Patient tier. It’s the onboarding and evaluation window where you order labs, build the treatment plan, and understand exactly how much support this patient will need. Only then do they graduate into a long-term care tier that fits their real clinical complexity.

Discovery phase · 3–4 months
Learn the Patient
The onboarding and discovery period — intensive evaluation, labs, and treatment planning. The highest-cost phase, and the foundation for everything that follows.
$1,000/mo
Patients graduate by clinical acuity ↓
Highest acuity
Tier 1
High-touch support, frequent provider engagement, extensive care coordination for your most complex patients.
$750/mo
Moderate acuity
Tier 2
Steady, structured care for patients with moderate complexity and ongoing support needs.
$575/mo
Lower acuity
Tier 3
Lighter-touch membership for stable patients who need less frequent clinical engagement.
$400/mo
Long-term continuity
Maintenance
Low-support continuity care — stable patients, follow-up maintenance, and the long tail of a healthy practice.
$150/mo

Example pricing shown. Graduating patients don’t all land in the sickest tier — you set the new-patient mix (for instance 32% → Tier 1, 53% → Tier 2, the rest spread across Tier 3 and Maintenance), and the simulator validates every patient count balances before it will run a projection.

What the simulator models

Every operational variable that decides whether the practice works.

The simulator doesn’t run on abstract assumptions. It runs on the real levers you pull every month — and shows you exactly where each one lands.

01

Patient progression

Current active patients, pending discovery patients, and graduation percentages into each care tier — tracked month over month as your practice grows.

02

Discovery appointments & conversion

Set how many discovery appointments you can book each month and your conversion rate. The model turns that into new-patient growth.

e.g. 6 appts/mo × 80% conversion
03

MRR, ARR & Net Position

Monthly Recurring Revenue, Annual Run Rate, revenue after payroll and overhead, and the owner profit that’s actually left over.

04

Capacity & pricing optimization

Define your desired full-practice size. As you approach capacity, the simulator shows why entry pricing should rise — and by how much.

110 active → 750 desired = 15% to full
05

Market size assumptions

Geographic market, virtual audience, and social-media growth. Model a local practice of 50,000 or a virtual reach of 100,000+.

06

Average revenue per patient

What each patient is actually worth, your revenue efficiency, and whether the financial picture is genuinely sustainable.

Practice Progress — percentage to full practice
The simulator showing the desired percentage of a full practice, with active patient count tracked against total practice capacity
Watch this number, and raise your rate as it climbs. The simulator tracks your active patient count against the full practice you want — because as you approach capacity, your entry pricing should rise to match the demand.

Staffing & compensation, modeled in full

Add unlimited staff — Main Provider, Office Manager, Medical Assistant, Virtual Admin, an RN, anyone. Then pay each of them the way you actually pay them.

Base salary Hourly % of MRR Per new patient Program revenue share
Model a raise before you promise it. Give the RN a 5% raise next year and the simulator projects the full compensation impact forward — so you can show someone their real numbers, on paper.

Special programs — revenue beyond memberships

Layer in revenue streams that sit outside the membership tiers entirely. Name them, set the monthly income, and share a percentage with the staff who run them.

Women’s Hormones Program $1,200/mo
Health Coaching Club $2,000/mo
Assign the shares however the practice works — for example, the RN takes 25% of the Health Coaching Club. The simulator tracks what’s paid out and what banks back to the owner.
Dashboard — capacity tracking & special programs
The simulator dashboard showing the active patient count approaching the desired full practice, alongside special programs as alternate monthly revenue streams
Two levers in one view. The dashboard shows your active patient count closing in on a full practice — and the special programs you’ve built as alternate routes of monthly revenue, layered right on top of your membership base.
The simulation engine

Snapshot. Adjust. Re-run. Compare the delta.

This is where guessing ends. Build your practice, save it as a baseline, change one thing, and the simulator shows you precisely what that one change did — in dollars, in patients, in years.

01

Build your practice

Patient counts, tier pricing, graduation mix, discovery volume, staffing, and special programs — configured to match reality.

02

Save a baseline

Run the projection and lock it in as your reference point — the “this is us today” snapshot.

03

Change one thing

Raise the Maintenance tier. Hire a nurse. Add a program. Push discovery volume. Then reset and re-run.

04

Read the delta

Side-by-side against the baseline — every metric that moved, and by how much. The highest-leverage adjustment becomes obvious.

Before — baseline state
The simulator dashboard before any simulation has been run, showing the practice's starting baseline state
Before you run anything. The dashboard at its starting point — your practice exactly as it stands today.
After — simulation run
The simulator dashboard after a simulation has been run, showing the projected results across the practice metrics
After you run the projection. Every metric updates — revenue, patient mix, payroll, net position — so you can see precisely what the model produced.
$1.2M Projected membership revenue — example scenario

You no longer have to guess. You run true numbers.

In one example run — 8 leads a month, 80% conversion, a 300-patient target — the simulator projected past $1.2M in membership revenue, and flagged exactly where growth outran realistic capacity. Test it for 12 months or push it five years out. Either way, you see it before you live it.

Why FxMedSupport built this

Optimize. Integrate. Automate. Leverage.

The simulator exists to take the wondering out of running a functional medicine practice — and to let real data, not assumptions, drive the decisions that shape your life.

01 / OPTIMIZE

Optimize

Find the pricing, patient mix, and capacity that produce the most sustainable practice — not just the biggest one.

02 / INTEGRATE

Integrate

Built on Cerbo — the system already knows your active patients. The simulator works from where your practice truly stands today.

03 / AUTOMATE

Automate

Multi-year projections, payroll forecasting, and capacity warnings run themselves — auto-run a full year in a single click.

04 / LEVERAGE

Leverage

Use Cerbo’s data and architecture to do something Cerbo was never designed to do alone — model the future of the whole practice.

This is the 85% Awesome philosophy in practice — the simulator solves the operational modeling that the vast majority of independent functional practices actually need, without bloat and without nickel-and-diming. It doesn’t replace your judgment; it frees you to apply it at the right moment, with real numbers in front of you.
Also inside

Not every practice is membership-based — so there’s a second engine.

Alongside the membership model, the simulator includes a full Appointment Model — for fee-for-service practices where appointments carry a cost, get allocated to providers, and providers earn against the revenue they personally generate. Same forecasting power, built for the appointment-based world.

The question that started it all

Will your functional medicine program sustain the life you want to live?

Stop bending circles on a whiteboard. Put your real practice into a simulation, make the fine tweaks, and find the version of your numbers that gives you the life you’re actually working for.

The Functional Membership Practice Patient Growth Simulator — by FxMedSupport, the DreamMakers for Cerbo providers.
Cerbo is the best EHR in functional medicine. Always has been. Always will be. FxMedSupport is here to help you leverage every bit of it.
Fx FxMedSupport

The DreamMakers of Cerbo.

The official integration & development partner for Cerbo. 80+ production applications, 300+ practices, ten years of building exactly this.

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