The Full Schedule Illusion
Your schedule looks full. You're busy all day. So why isn't revenue growing?
Because being busy and being profitable aren't the same thing.
Leak #1: The No-Show Drain
15-20% no-show rate means for every 100 appointments, 15-20 don't show.
- ✓40 appointments/week × 15% = 6 empty slots
- ✓6 × $75 = $450/week
- ✓$23,400/year lost
Leak #2: The Rebooking Gap
Patient comes in, you say "see you next week," they say "I'll call." They don't. One week becomes three.
30% of patients skipping one visit/month:
- ✓200 patients × 30% = 60 skipped visits
- ✓60 × $75 = $4,500/month
- ✓$54,000/year lost
Leak #3: Lapsed Patients
Pull a list of patients who haven't been in for 90+ days. They're not gone because they're unhappy — nobody reached out.
50 lapsed patients who would return:
- ✓50 × 4 visits × $75 = $15,000 recovered
The Fix: Systematic Follow-Up
For no-shows: Automatic reminders at 48 hours and 2 hours before. Immediate text if they miss.
For rebooking: Book before they leave. If not, automated text 3 days later.
For lapsed patients: 30-day, 60-day, 90-day check-ins automatically.
Practice that implemented this: No-shows dropped from 18% to 8%, monthly revenue went from $38K to $51K.