CO1 Intelligence

Know what is actually happening inside your clinic — without living in spreadsheets.

Your payroll, billings, diary and contracts, rebuilt into one management view. What each clinician actually earns you, what the award is doing to that, where the profit really sits, and what has to change so it still works.

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A short questionnaire, then pick a time. Your own numbers first — no pitch.

Operator Dashboard cockpit: revenue, EBITDA, owner billings concentration and the ranked actions
The cockpit. One screen, one ledger: revenue, margin, and the number most owners have never seen — how much of the business is still them.
Invited to speakAustralian Physiotherapy AssociationAustralian Orthotic Prosthetic AssociationPhysio Symposium

The problem

Most clinic owners are running the business on a ratio they have never calculated.

Wages are the largest line in an allied health clinic and the least examined. Award interpretation moves it. Pay structure moves it. So does every hiring decision made without a model.

The numbers exist. They sit in the payroll export, the billings report and the diary — three systems that rarely meet, in formats built for lodgement, not management. So the owner runs on feel, and feel is what the business outgrows somewhere past a million dollars.

Every owner we meet can name their revenue. Very few can say what their clinicians cost as a share of what they bill. That is the number that decides whether you can afford the pay rise.

We rebuild your clinician cost-to-billings ratio from your own payroll and billings exports. On the practices we have done it for, the answers were nowhere near each other — which is why an industry average would have told you very little.

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How it works

Your exports go in. A management view comes out. Then we work on what it shows.

  1. Your clinic, built into the system. Payroll, billings, diary and contracts uploaded in your first 30 days. Every historical figure is rebuilt from your own exports and reconciled line by line, so it can be traced back to a line in your own records. Nothing is taken from an industry average, and anything projected forward is labelled as a projection.
  2. The truth: what each clinician actually earns you. Billings against true cost — wages, super, leave, the lot — per person, to the dollar. Diary booked against diary available. Rooms full against rooms free.
  3. The risk: what the award does to that. Every arrangement held against the Health Professionals Award as it moves — the 1 October 2026 reclassification and the staged increases to 2030. Every rate is located to its clause and operative date, and where a classification turns on judgment about duties, qualifications or employment status, the question is flagged for a decision rather than guessed.
  4. The lever: what has to change so it still works. Pricing, pay structure, service mix, utilisation, owner dependence — modelled forward, ranked, and worked through on a weekly call.
THE PROGRAM

Operator

The group program for owner-led clinics at $1M–$3M. Weekly numbers call, monthly module, 12-month ring.

YOUR SURFACE

Operator Dashboard

The build on your own clinic. What you log into. Live, not a periodic PDF.

UNDERNEATH

CO1 Intelligence

The award canon, the engine and the pipelines that make the dashboard reproducible. Ours, so you never have to maintain it.

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What it looks like

The Operator Dashboard, screen by screen.

These are from our demonstration clinic — a single-site practice at about $1.2M with eight billing clinicians. The clinic and every person in it are invented; the arithmetic is the real engine. Your build runs on your own data.

Clinician profitability table: billings, true cost including super, wage percentage and gross profit per person
Every diary, priced. Billings against true cost — wages, super, leave, the lot — per person, to the dollar. And every diary measured: booked against available.
Award register: every employment arrangement held against the award floor and its trajectory to 2030
Every arrangement held against the award floor as it moves. The chart shows the year each pay line is overtaken, and what it costs.
Room occupancy heatmap by hour and day
Where growth physically fits. When every room is full at midday, the next hire has nowhere to sit — the ceiling is the building, not the roster.
Value bridge: earnings today versus the same earnings with owner dependence reduced
The value bridge. The same earnings, two very different numbers — and the biggest thing separating them is how much of the business depends on the owner.
Scenario simulator: owner clinical days, utilisation, pricing and their effect on profit and value
The levers you actually control. Move owner clinical days, utilisation or price and watch the modelled margin and value move with them.
Ranked action register: findings by severity, each linked to the page that proves it
So here is what we would do, in order. Every finding ranked, every move with a window and an expected effect, each linking back to the screen that argued it.
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Every screen above is built on your clinic's own data in the first 30 days.

Built to be checked

Every number is rebuilt from your own records, so every number can be traced.

A lot of reporting asks you to trust it. This is built the other way: every historical figure is a lookup or arithmetic on your own exports, reconciled line by line, and every award rate carries the clause and the operative date it came from. If a number is wrong, you can find where — and so can we.

That is also why the findings are specific. In one 40-person allied health group, not one employment contract stated an award classification level. In another practice, 16 of 36 paid staff had no contract on file, carrying 15.3% of the wage bill. One practice was compliant in June and 73 cents an hour short in July — nothing they did changed. The floor moved.

217clinic owners have come through our programs and community
14 yrsin allied health private practice, Australia and the UK
1 Oct 2026the award reclassification lands, with staged increases to 30 June 2030
To the clauseevery award rate located to its clause and operative date

The number underneath the pricing conversation

The Australian Physiotherapy Association publishes sustainable-rate guidance — independent modelling of what an hour of physiotherapy costs to deliver sustainably, indexed August 2026. It is guidance, not a fee, and the APA does not set or recommend fees. The dashboard shows where your own fees sit against it.

Service tierGuidance, per hour
Standard physiotherapy service$273
Extensive experience$314
APA titled or equivalent$327
APA specialist$382

Source: Australian Physiotherapy Association, Sustainable Hourly Rate Guidance, indexed August 2026. Award dates: Fair Work Commission Full Bench decision [2026] FWCFB 123 (PDF). Every dated change to the award is on our Health Professionals Award page.

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What happens on the call

A short application, then a working session on your own numbers. Here is what we'll cover.

  1. Where the wage bill actually sits. Your clinician cost-to-billings ratio, and whether it is the number you thought it was.
  2. What 1 October does to your people. Which bands move, when, and roughly what it costs on your headcount — not an industry average.
  3. Where the diary is leaking. Booked against available, room by room, and the billings sitting in the gap.
  4. How much of the business is still you. Owner billings as a share of revenue, and what that does to what the clinic is worth.
  5. Whether this is the right fit. Operator, Enterprise, or something smaller first. You get a straight answer either way.

What it is not

It is not a sales call with a slide deck. You bring a payroll export and a billings report; we work through what they say. If Operator is not the right fit, you leave with the number anyway and a straight answer about what would fit better.

Shane reads every application. Not every applicant gets a call — the questionnaire is how we make sure the hour is worth both our time.

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Takes about three minutes. Nothing to look up.

Where it runs

Three stages. One system.

Which stage you are at is a question of size and complexity. How much support you want on top of it is a separate question.

People

Under $1M. Build a better-run clinic — monthly masterclasses and the full profitability curriculum. The dashboard build starts at Operator.

Explore People →
Operator

$1M–$3M. Get control of the business, then build for growth. Runs on CO1 Intelligence.

Explore Operator →
Enterprise

$3M+. Build the organisation to operate at scale. CO1 Intelligence plus bespoke advisory and implementation.

Explore Enterprise →

Advisory is the support layer, not a stage — one-to-one work on the decisions the system surfaces, on top of Operator or Enterprise.

See your own numbers first.

Apply, pick a time, and bring a payroll export. Everything else we build.

Apply for a call with Shane

Prefer to read first? The Anti-Fragile Clinic Playbook is free at cultureofone.com.au/playbook.