How To Know If Your Clinic Is Profitable or Just Busy: Key Financial Ratios
That’s when you really have to ask yourself, “Is my clinic profitable or just busy?” Worse, you can overlook the fact that you suffer from low margins, high costs, and denials that eat into your revenue. In fact, it’s projected that hospitals will face the largest revenue losses ($31.9 billion) and an increase in the burden of uncompensated care ($6.3 billion) in 2026, according to Urban Institute.
Let’s examine clinic profitability closely, including its significance and the key financial metrics used to measure it.
Importance of profitability in healthcare
The reality is that a full patient schedule does not guarantee a healthy bottom line. In fact, research shows that high patient volumes, when coupled with excessive workloads, can compromise both efficiency and patient safety. An increase in clinical errors often leads to a higher rate of claim denials that hurt your cash flow and revenue cycle.
In short, being busy does not always mean you have sufficient revenue. The inevitable consequence is little to no profit, which means you can’t afford the vital investments that define quality care, such as recruiting top talent, providing better training, or acquiring new technology.
That is why true sustainability requires proactively mastering your clinic’s profitability. Doing so allows you to:
How to measure profitability in clinics
Now, before we dive into the key measures of profitability, let’s align what this means for healthcare practices.
Generally speaking, profitability involves income and expenses in a practice. It is “a measurement of efficiency,” not an absolute number, that is designed to determine the scope of a company’s profit compared to the size of the business and ultimately its success or failure.
To evaluate the viability of a practice, start with these key ratios:
Keep in mind these essential components of profitability:
Gross revenue: all amounts received from visits, procedures, imaging/lab tests, and other services.
Fixed costs: rent, payroll, utilities, internet, cleaning services, and other recurring expenses.
Variable costs: disposable supplies, commissions, outsourced tests or services.
Capital expenditures (CapEx): equipment purchases, renovations, systems.
Taxes and payroll burdens: taxes, fees, contributions, and ancillary obligations.
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Sources:
Bai, G., Rajgopal, S., Srivastava, A., & Zhao, R. (2022). Profitability and risk-return comparison across health care industries, evidence from publicly traded companies 2010–2019. PLOS ONE, 17(11), e0275245. https://doi.org/10.1371/journal.pone.0275245
Batanda, I. (2024). Prevalence of burnout among healthcare professionals: a survey at fort portal regional referral hospital. Npj Mental Health Research, 3(1), 1–10. |
https://doi.org/10.1038/s44184-024-00061-2
Blavin, F., Buettgens, M., & Simpson, M. (2025, March 3). Health Care Providers Would Experience Significant Revenue Losses and Uncompensated Care Increases in the Face of Reduced Federal Support for Medicaid Expansion. Urban Institute.
https://www.urban.org/research/publication/health-care-providers-would-experience-significant-revenue-losses-and-uncompensated-care-increases-in-the-face-of-reduced-federal-support-for-medicaid-expansion
Healthcare Claim Denials: How to Avoid Common Medical Coding Errors – AGS Health. (2022, May 11).
https://www.agshealth.com/blog/healthcare-claim-denials-how-to-avoid-common-medical-coding-errors/
Definitive Healthcare. (2024, March 18). A look at hospital operating margins in the United States. Definitive Healthcare.
https://www.definitivehc.com/resources/healthcare-insights/hospital-operating-margins-united-states
Horton, M. (2024, November 11). The Difference Between Profitability and Profit. Investopedia. |
https://www.investopedia.com/ask/answers/012715/what-difference-between-profitability-and-profit.asp
Sarath. (2025, August 8). Return on Assets by Industry: 2025 Performance Data. Eqvista.
https://eqvista.com/roa-by-industry/
