Welcome to M+ Calc
M+ Calc models Maxfield Medical DPC's financials at any panel size — compensation, overhead, owner distributions, and financing all update live as you explore.
K&M Startup Loan — $60,000 inter-company loan from Kim & Morgan, Inc. at 5% fixed, 5-year term. Payments deferred until 200 enrolled members.
SBA Buildout Loan — $300,000 SBA loan at 8% fixed, 5-year term, draws automatically at 600 enrolled members. Combined payment: $7,215/mo.
Gross revenue vs. costs at the current panel size. Net income is what remains after all roles and overhead are paid.
Key patient thresholds where something changes — a role advances, a cost triggers, or a bonus is earned. Status updates live with the slider. Entries marked live are calculated dynamically from your growth and churn settings — they shift as you adjust those assumptions.
Monthly breakdown of every fixed operating cost. Items marked auto activate automatically at certain patient thresholds.
APPs are paid on a full-panel flat rate — when a threshold is crossed, the new rate applies to the APP's entire panel retroactively. APP #2 is hired automatically when APP #1 reaches 650 patients.
Ryan Spilman, DO serves as Associate Medical Director at a flat $5 pppm on the full active patient panel — no cap, no salary phase, no toggle. Compensation scales linearly from patient one.
W2 part-time sales reps earn $20 pppm on personally attributed patients only. No draw, no milestone bonuses, no retention bonuses. Organic and unattributed patients count toward the total panel but generate no commission cost.
What remains after all costs, and how much flows to owners. While the buildout reserve is being accumulated, a portion of net income is held back — distributions increase significantly once the retention goal is reached.
Monthly and annual take-home for each owner based on their equity percentage. Distributions only flow when net income exceeds the retention cap.
Pre-tax estimates. Consult your accountant before making distribution decisions.
Distributions above reflect ownership of Maxfield Medical DPC (MMDPC), the practice modeled by this calculator. MMDPC is owned by the entity "The MMG," which has the same ownership split shown above: Morgan Garrett 51% · Tyler & Anna Gillespie 26% · Lisa Pietrangelo 21% · Jack Groh 2%.
Maxfield Medical Urgent Care (MMUC) is a separate business with different ownership unchanged from inception: Morgan 41% · Lisa 41% · Tyler & Anna 16% · Jack 2%. MMUC's financials and distributions are not represented in this calculator.
Combined view of every dollar leaving the practice — to staff, to roles, and to owners.
| Person / Role | Type | Monthly | Annual |
|---|
| Pre-open draw (6 months) | $30,000 |
| Post-open draw (months 1–20) | $28,800 |
| Overhead — pre-open (6 mo) | ~$38,646 |
| Overhead gap — early post-open | ~$40,000 |
| Legal fees — Tim Frye (one-time) | $50,000 |
| Exam room conversion — current office | $8,000 |
| Event 1 subtotal | $195,446 |
| Physical buildout cost | $300,000 |
| Owner capital contribution | −$200,000 |
| SBA 7(a) · 10yr · 9.5% | $1,294/mo |
| Event 2 SBA loan | $100,000 |
| Total loan amount | $287,446 |
| Loan type | SBA 7(a) |
| Fixed interest rate | 9.5% |
| Term | 10 years (120 months) |
| Total interest paid | $269,446 |
| Total repaid over life of loan | $756,892 |
| Monthly loan payment (fixed cost) | $3,720/mo |
| Est. 10-yr distributions — 51% owner | — |
| Est. 10-yr distributions — 26% owner | — |
| Est. 10-yr distributions — 21% owner | — |
| Based on current price/mix, 20 pts/mo growth, 20% churn |