Three ways to work with Stonaluxe. Most practices start with the Quick Win Install — a focused two-week engagement that delivers one working solution. The deeper engagements are available for practices ready to do more.
A focused two-week engagement that identifies and fixes one operational bottleneck. Fixed scope, fixed price, fully installed by handoff. Designed to deliver measurable time savings before the first invoice is due.
Practices with a clear operational pain point and an owner ready to make a decision. Most commonly applied to patient intake, follow-up coordination, scheduling workflows, or compliance documentation.
Software your team has to learn from scratch. EHR migrations. Anything requiring direct PHI handling outside existing systems.
A comprehensive operational reset. We review your entire administrative operation, identify the highest-impact bottlenecks, and install two to four working systems over six to eight weeks. This is the engagement for practices that know they need more than one fix — and want it done right the first time.
Practices ready to fix multiple bottlenecks at once. Owners who want a substantial intervention, not a series of small projects. Practices where staff burnout or admin turnover has reached a point where incremental fixes won't be enough.
Six to eight weeks of focused work, two to four installed systems, and a comprehensive diagnostic that touches every part of your operation. A single prevented admin turnover saves the practice $15,000–$40,000. The engagement typically pays for itself within twelve months on reclaimed capacity alone.
Ongoing operations support for practices that have completed an Install — or that prefer a relationship over project-based work. You get the operations brain you can't afford to hire full-time, on a month-to-month basis with no long contracts.
Practices that have completed an Install and want continuity. Practices that prefer a long-term operational partner over project-based work. Owners who want a single person responsible for operational decisions without the cost of a full-time COO.
A full-time medical practice manager runs $72,000–$90,000 in base salary nationally, with loaded cost (benefits, taxes, recruitment) reaching $90,000–$125,000+ annually — often higher in the Northeast. Fractional COO retainers in healthcare typically start at $5,000/month and routinely reach $15,000–$25,000/month for ongoing operational leadership.
The Stonaluxe Retainer sits at $1,500–$3,500/month — between $18,000 and $42,000 annually — for proven, productized operational support designed specifically for small medical practices. Even at the top of the range, that's less than half the cost of a single mid-level office manager hire, and a fraction of typical fractional COO engagements.
You get installed systems that already work, ongoing maintenance from someone who knows your operation, and a single accountable point of contact — all without the cost, benefits, or recruitment risk of a full-time hire. The range ($1,500–$3,500) accounts for practice size and scope: a single-provider practice with one installed system sits at the lower end; a multi-provider practice with multiple active systems and more frequent decisions sits higher. Final pricing is determined during the scoping conversation.
Pricing is fixed and transparent. No retainer minimums on Quick Win or Full Install. No hidden fees. No software your team has to learn from scratch. What you see is what you pay.