Profit-share, not retainer — so a bad quarter is our bad quarter.
The service earns from interpretation and from nothing else — no referral fee, no facilitation commission, no treatment pathway downstream that a report could be nudged toward. That is a revenue decision before it is an ethical one, and it costs money. It is also, consistently, the first thing patients cite when they explain why they chose this service over a hospital-based second opinion.
Pontem One conceived, designed, built and now operates the platform, compensated on profit-share rather than retainer. Our revenue moves with the number of patients the service actually reaches. Every schema fix, every published article and every page-speed regression has a direct line to our own P&L — and a bad quarter is our bad quarter, not just the client's.
Profit-share needs measurable patient acquisition, end-to-end platform control, and a long horizon. Most practices have none of the three, and for them retainer or project pricing is the honest structure — we say so.
Curious whether your account could work this way?
It usually cannot, and we will tell you that in the first hour rather than the eighth month.