Skip to content
About Lucro

Built by Healthcare Operators.Obsessed With Practice Performance.

Lucro exists to end guesswork for healthcare practice owners. We are not an accounting firm and not a generic dashboard — we are performance intelligence built for one industry.

The Founders

The People Behind the Platform

Lucro was founded by two people who understand, firsthand, what it takes to build and scale a successful practice.

Dr. Josiah Fitzsimmons

Dr. Josiah Fitzsimmons

CEO & Co-Founder

Josiah did not study practice growth in theory — he lived it. Four months out of school, he had secured more than 400 prepaid appointments before his chiropractic clinic opened its doors. His first year generated over $1.2 million in revenue. By year four that number had reached $5.5 million, all within 1,800 square feet.

That experience taught him what no textbook does: the practices that thrive are the ones that understand their numbers and act on them decisively.

Adam Rundle

Adam Rundle

CFO & Co-Founder

Adam brings the corporate finance discipline that gives Lucro its analytical edge. What began as a two-person operation became a team of more than 50 financial experts within six years.

He has navigated the financial complexity of $100 million companies and helped startups reach eight- and nine-figure milestones. His work has never stopped at reporting — it changes how a business is run.

Our Values

What We Believe In

How we work is a direct reflection of who we are. These five principles are not language on a wall — they govern every client conversation, every report, and every decision we make.

Communication

You should never be confused about your own numbers. We say what they mean and what to do next.

Excellence

Good enough is not a standard. We hold our work to the level our clients' decisions require.

Teamwork & Accountability

Honesty, respect, and commitments kept — the foundation of every client relationship.

Take Initiative

We bring you the opportunity or the risk before it becomes a problem. We do not wait to be asked.

Constantly Growing

Healthcare changes and your practice changes. Our guidance stays current with both.

Our Mission

Helping Practices Grow on Evidence, Not Instinct

We specialize in one thing: helping healthcare owners see the whole practice — money, patients, marketing, team — in one place, and decide confidently from it.

500+

healthcare practices on Lucro

$50M+

in monthly practice revenue tracked

98%

customer retention

Behind every number is a team that cares about the practices it serves. Start on the software and run it yourself — or add our Premium team, who handle the books, month-end and tax, and know your numbers as well as you do.

Work With Us

Ready to Work With a Team as Invested in Your Practice as You Are?

Pick a plan and see your own practice differently in minutes. If you would rather talk it through first, we are happy to.

Or book a free strategy call