This document is private. Prepared for Dr. Clark Pitcairn and Rachel. Please enter the access code provided.
SAINT is a systems firm for service businesses with complex acquisition. We diagnose the current situation, build the acquisition and retention systems that fit, run the infrastructure alongside your team, and hand it off when the system is mature.
Across the discovery conversations, a few things showed up clearly. You've spent two decades building a practice patients genuinely love. Reviews are exceptional. Word of mouth is real. The infrastructure underneath has done its job for twenty years.
What's shifting is the energy required to work with traditional insurance and the time it takes to be paid for it. You want to lean toward auto-accident patients because the math is cleaner, the patients arrive motivated, and Oregon's PIP structure pays reliably within thirty to sixty days.1,2
The piece you don't have yet is the connective infrastructure that turns that shift into a system. Attorney visibility. Online presence calibrated for accident patients. Workflow that doesn't pull Rachel into phone tag. The next six months build that.
"There's an opportunity to focus more on auto accident care. The economics work better, and the process is more straightforward."
"Working with traditional insurance has gotten heavier over the years. PIP patients arrive motivated and the payment timeline is reliable."
"The patients we have love being here. We want the right new patients to find their way in."
Every SAINT engagement runs the situation through five layers. For each, we name what we observe, what it means for the practice, and what we suggest.
You can be taken care of at Starbucks. It is not the same as walking into the neighborhood coffee shop and feeling connected to people who actually know you.
That frame applies to patients and attorneys alike. Reliability, real relationship, and the kind of frictionless experience that makes you the obvious choice. The chain offers reliability without the investment. Mississippi Chiropractic does both, and the system we're building removes every barrier between the right people and walking through your door. Three pipelines feed the practice, each with its own mechanism, timeline, and per-patient value.
A branded workspace for referring firms. Records, status, and updates a click away instead of a phone call away. Published 24-hour SLA. Active outreach to 20–30 Portland PI firms. The easiest referral in Portland to make and the easiest one to keep making. Highest per-patient value.
Google Local Service Ads first, then Meta and Google Search. Geo-targeted to NE Portland and surrounding corridors. Two landing pages built for accident-care intake. Fastest to revenue, broadest reach.
Structured touch points during treatment, trained front desk and clinical staff, dedicated referral cards, "refer a friend" landing page, and tracking. Activates the trust you've already built with 20 years of patients. Compounds with every visit.
Five phases run through every SAINT engagement: Discovery, Assessment, Roadmap, Execution, Training. We are at the end of Roadmap together right now. The work below is Execution, organized by workstream.
Three weeks where infrastructure gets built. Your time required: one 60-minute strategy call and a half-day capture shoot. Everything else happens in the background.
Site goes live. Ads turn on. Attorney outreach begins. First patients begin arriving through new channels.
Six weeks of data. We find what's working, redirect spend toward winners, and tune what's underperforming.
Referral pipeline materializes. New channels online. Compounding effects begin showing in the data.
Real data, six months in. We review together. Decide what the next phase looks like.
We record everything to understand what's working and what isn't. We don't make claims that the data doesn't support. Here's what we track and what counts as a win.
People who contact the practice specifically about accident care via SAINT-tracked channels: LSA, Meta, Search, attorney portal, or QR landing page. Logged with source attribution.
Percentage of qualified leads that become first-visit patients. Measures funnel health and front-desk response performance together.
Active firms, login frequency, document requests, SLA adherence. Indicator of referral pipeline health, leading indicator of referred-patient volume.
Where collected revenue traces back to. Builds the case for which channels to scale, hold, or sunset. Recorded monthly.
An Oregon private-insurance PIP patient generates approximately $3,500–$4,800 in collected revenue across treatment, paid at 100% of reasonable and necessary charges, typically within 30–60 days of submission.2,3 At that range, slightly more than one new PI patient per month covers the full monthly retainer.
The projection below uses the lower end of the industry value range and assumes patient volume materializes on the slow side, not the optimistic side. We report actuals every month. Numbers shown here are ranges, not commitments.
| Month | New PI patients | Gross to practice | SAINT + ad spend | Net |
|---|---|---|---|---|
| 01 | 0–1 | $0–$3,500 | Setup month | Investment |
| 02 | 1–2 | $3,500–$7,000 | ~$4,300 | ~break-even |
| 03 | 2–3 | $7,000–$10,500 | ~$4,300 | +$2,700–$6,200 |
| 04 | 3–5 | $10,500–$17,500 | ~$4,600 | +$5,900–$12,900 |
| 05 | 4–6 | $14,000–$21,000 | ~$4,600 | +$9,400–$16,400 |
| 06 | 5–7 | $17,500–$24,500 | ~$4,600 | +$12,900–$19,900 |
| SIX-MONTH RANGE | 15–24 patients | $52,500–$84,000 | ~$32,000 | +$20,500–$52,000 |
Ad spend included in SAINT + ad spend column (months 2–6). Attorney-represented cases in Oregon can run materially higher per patient than the modeled floor, particularly when treatment durations extend or attorney negotiations on lien rates apply. The model shows the cautious view because that's the right view for planning.
If the diagnosis lands and the roadmap matches what you want the next six months to look like, the engagement details are on the next page. Deliverables broken out, pricing line by line, the handoff conversation, everything. If you have questions first, send them and we'll work through them.