Eight-location family-owned dermatology group; patient-acquisition system built across the medical and cosmetic lines, then handed off to the in-house team.

Specimen view. This client's compiled numbers stay sealed — by policy, not by mood. The structure below is exact. Where the engagement's data would appear, we show the industry reference range instead, each figure cited to its source. Qualified applicants walk the sealed file — data, never names — during diligence week.

NATURE OF THE ENGAGEMENT

Family-owned dermatology groups at this scale usually present with the same intake findings: the medical line runs full on referral inertia while the cosmetic line — the part of the practice that actually needs marketing — is fed by whatever each location improvises. Nobody can state what a new patient costs; the industry reference is $441 for dermatology and $610 for cosmetic work per First Page Sage's specialty benchmarks, and most groups discover on workup that they're paying above both without knowing it.

What gets operated on: a unified acquisition system with the two service lines measured separately — medical patient flow tracked against its own CAC, the cosmetic line built out with its own funnel economics — plus schedule integrity, because a no-show in a specialty with multi-week routine wait times is capacity burned twice. Published survey data puts dermatology no-shows at 8.6% in practices without a cancellation policy; the reminder and confirmation infrastructure targets the fraction of that a structured system leaves behind.

What gets measured: new patients per location per month by service line, per-line acquisition cost, no-show rate, and revenue per FTE physician against the published medical-versus-cosmetic reference points. Discharge criteria for a family-owned group is a system the practice's own administrator runs without us; this record closed at handoff. Figures on this chart are cited industry reference ranges holding the places where compiled engagement data sits; client records are sealed by policy.

VITALS — INDUSTRY BASELINE vs ADMEN TARGET

MEASURE	INDUSTRY	TARGET	Δ
Patient acquisition cost (medical dermatology)	$441	$185	−58%
Patient acquisition cost (cosmetic line)	$610	$256	−58%
Appointment no-show rate	8.6%	2.8%	−67%
Revenue per FTE physician (service-mix lever)	$1.3M (medical dermatology)	$1.8M (cosmetic-balanced mix)	+38%

Targets apply Admen's published structural-lift factors to the cited industry baselines. They are planning references, not promises — the examination sets the real numbers.

SOURCES — REFERENCE RANGES

1. First Page Sage — Average Patient Acquisition Cost (2026 report) — Dermatology $441 per acquired patient; cosmetic/plastic surgery $610; averages compiled 2021–2025
2. Practical Dermatology — How do dermatologists handle no-show appointments — Survey: 7.6% no-show with cancellation policies, 8.6% without
3. FOCUS Investment Banking — Dermatology Practice Valuation benchmarks — Medical dermatology ~$1.3M revenue per FTE physician (~25% margin); cosmetic ~$1.8M (~27% margin)

FILED BY

Admen '26

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