Decision economics for cash-pay health clinics.

We turn patient and revenue data into clear priorities for retention, capacity, and growth.

Explore the Revenue Diagnostic

Testimonials

“This was information I could not obtain from the standard reports in my EHR system. The analysis identified patterns in new patient visits and patient retention, along with suggestions on how to stabilize my business revenue using metrics I can track weekly.”
Mike Tocco Founder, Evolve Acupuncture · Royal Oak, MI
“Luke was incredibly helpful in identifying a decline in patient retention over the past few years that has affected our bottom line.”
Jane Gregorie Founder, Acupuncture Denver
“Working with Luke has been both a pleasurable and profitable experience. He is easy to engage with, always locked-in, on-point, and able to clearly explain the meaning behind the numbers.”
Steve Drugan Founder & CEO, Urban Acupuncture Center · Columbus, OH

Mission

To help great clinicians become great operators.

Economics first

Better decisions begin with better numbers.

What a patient is worth. Where patients drop off. What an hour of provider time earns. These are the numbers that should guide your next decision, whether it's pricing, hiring, or marketing. Without them, growth can just mean filling a leaky bucket faster.

Luke Bujarski, founder of LUFT

LUFT grew out of firsthand experience operating an independent integrative clinic outside Chicago.

Luke Bujarski, Founder

The decisions they inform

  • Marketing Know what a new patient is worth before deciding what to spend acquiring one.
  • Pricing Understand service economics before changing prices or introducing packages.
  • Retention See where patients stop returning and which relationships deserve attention.
  • Operations Identify which workflows and scheduling decisions have the greatest economic impact.
  • Hiring Know when demand justifies another provider and when existing schedules need filling first.
LUFT Case Study · Acupuncture Denver

Fertility Acupuncture Practice: $80K a year hiding inside
flat revenue

Revenue held steady for three years. Underneath it, the share of new patients completing their treatment plan had fallen by a third, traced to a single operational process that stopped running. Restoring it is worth $80K a year, $250K over four years, on current patient intake.

Case Study
LUFT Case Study · Urban Acupuncture

Community Acupuncture Practice: $150–230K a year, before
any new patients

A dual-modality practice with a loyal returning base and a quiet contraction underneath it. The model found three levers: service mix, treatment completion, and pricing, worth $150–230K a year combined, sequenced so each one sets up the next.

Case Study
LUFT Case Study · Chrystal Clinic

Integrative Wellness Clinic: $42,927 in year-one
incremental revenue

A single-location practice running acupuncture, bodywork, and light-based services side by side. LUFT built the economic model, identified four opportunity gaps, and designed the operational playbook to close them: same patients, same schedule, same team, at zero incremental cost.

Case Study

Who we work with

Founder-led, independent clinics with meaningful cash-pay revenue.

Acupuncture and integrative wellness, medspas, cash-pay rehab and chiro. The vertical matters less than the shape of the business.

Cash-pay revenue

A significant share of revenue comes directly from patients. Insurance mix is welcome, and often makes the work more valuable.

Founder-led

Motivated, mission-driven founders actively involved in day-to-day operations that need more time to work on the business not in the business.

Enough complexity to matter

Multiple providers, multiple services, or multiple revenue streams. That is where the questions get hard and the answers get valuable.

US-based clinics only for now.

The engagement

Know where to act before you spend to grow.

The LUFT Revenue Diagnostic turns your clinic's appointment and revenue history into a clearer picture of what's working, what's being lost, and which decisions deserve attention first.

01

See the patterns

Understand where patients stop returning, how provider capacity is used, and which services drive your business.

02

Put numbers to the opportunity

Estimate the financial impact of retention, pricing, and capacity changes, with the assumptions made clear.

03

Know what comes next

Leave with an executive findings report and two or three priorities to guide your next decisions.

One focused engagement. Clear next steps.

A fixed-fee diagnostic, starting with a complimentary 20-minute conversation. No patient data needed for the first call.

Explore the Revenue Diagnostic

The Clinic Operator

Monthly field notes on the economics of cash-pay health.

The Operator
Memberships Work. Bolted-On Memberships Don't.
Memberships Work. Bolted-On Memberships Don't.

Memberships promise predictable revenue, and for clinics built around them they deliver it. Added to a practice that already has patients paying full price, the people who sign up are the ones already paying you the most, and the plan becomes a discount aimed squarely at your best patients.

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What the Acupuncturist Shortage Means for Multi-Practitioner Clinics
What the Acupuncturist Shortage Means for Multi-Practitioner Clinics

Acupuncture demand is climbing while the number of practitioners shrinks. For clinics with multiple acupuncturists, that shift changes the whole job: the best practitioners have never been easier to lose, and keeping them busy and loyal is now what separates the practices that last.

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The Real Cost of AI for Clinics: Knowing What to Build, and How
The Real Cost of AI for Clinics: Knowing What to Build, and How

AI didn't make custom software free for clinics. It made the code cheap and left the hard part standing: knowing what to build, and knowing how to build it without leaking patient data. Here's what actually changed, what didn't, and why the clinics that invest in the layer on top of their practice management system are the ones that pull ahead.

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How Insurance Builds Loyalty in Acupuncture Practices
How Insurance Builds Loyalty in Acupuncture Practices

In a multi-practitioner acupuncture practice we analyzed recently, patients who entered through insurance were nearly three times more likely to still be active than their cash-pay counterparts. When we looked at who lapsed, insurance-entry patients averaged four more visits before stopping.

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Second-Order Effects
Second-Order Effects

At Chrystal Clinic, when we built the economic model, we found $42,927 in year-one recoverable revenue. We broke it into five initiatives. Everything had a number, and the numbers were auditable. What we did not model was what happens next.

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The Exit Mindset
The Exit Mindset

The consolidation is underway but the majority of founders haven't begun building the economic infrastructure that will determine where they sit when it reaches them. The ones who start now have time. The ones who wait until a buyer is at the table are already negotiating from a weaker position than they need to be.

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