Representative Engagement
Revenue was up. Profit wasn't moving. The numbers were hiding why.
Profit wasn't moving.
Seven busy clinics, strong top line, tightening cash. Leadership assumed it was a growth-stage cost curve. It wasn't.
Fractional CFO
Multi-location aesthetics / med-spa
~$16M revenue · 7 locations
Within the first engagement cycle
Representative engagement. Results are based on the specific facts, implementation, and market conditions of the engagement. Infiniti Metrix provides expert analysis and recommendations, not financial guarantees.
"We're growing everywhere — so why does cash feel tighter every month?"
The group was opening locations, marketing was aggressive, and every clinic looked busy. On the surface, a success story. But cash kept tightening, and no one could say which locations or which services were actually funding the business versus quietly draining it.
Accurate reports, disconnected story
Each clinic's P&L was correct in isolation. The marketing platform was correct. The booking system was correct. But spend, margin, and patient value had never been connected into one picture — so the real economics of each location and each service stayed invisible at the leadership level.
The intro offer was losing money at every location — and two clinics were being carried by the rest.
A discounted "intro package" designed to win new patients was running at negative contribution margin across all seven locations once true delivery cost was counted. Separately, the two newest clinics were absorbing more than 60% of total ad spend while the mature clinics quietly subsidized them. The growth that looked healthy was the mature locations paying for the new ones — and an intro offer pulling everyone down.
The Work
Connected ad spend, booking, service delivery cost, and retention into one contribution view per location and per service
Recalculated true contribution margin on every offer, including the discounted intro package
Reallocated ad spend away from the two clinics consuming it without return
Reset the intro offer to a structure that wins patients without negative contribution
Built a monthly one-page profit picture leadership could actually steer by
Negative
contribution on the intro offer — surfaced
60%+
contribution on the intro offer — surfaced
whole-group profit picture, monthly
1 view
From busy-but-tightening to clear and steerable
Leadership stopped reading seven disconnected stories and started steering one. The loss-making offer was restructured, spend moved to where it returned, and the mature clinics stopped silently funding the new ones.
The ability to grow on purpose
The group could keep expanding — but now with a clear view of which locations and offers actually fund growth, and which need fixing before they scale. Expansion became a decision, not a hope.
What did Infiniti Metrix find as a fractional CFO in this case?
A discounted "intro package" designed to win new patients was running at negative contribution margin across all seven locations once true delivery cost was counted. Separately, the two newest clinics were absorbing more than 60% of total ad spend while the mature clinics quietly subsidized them. The growth that looked healthy was the mature locations paying for the new ones — and an intro offer pulling everyone down.
Is this a guaranteed result for a fractional CFO engagement?
No. This is a representative engagement. The pattern, method, and decisions are real; specific figures are illustrative of a typical outcome. Results vary based on individual business factors, implementation, and market conditions.
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