For nurse practitioners · Ontario
Keep your job. Add a panel. $20 per patient per month, printed on the patient's receipt. A share of the company if it's sold. You write the protocol. We do everything that isn't clinical.
What this is
Basal is a virtual weight-management clinic for Ontario. Patients pay $29 a month. We don't sell medication, so there's no markup to protect — which is how more than two-thirds of every dollar can go to the nurse practitioner who does the work.
It's on the receipt. Every patient, every month, sees your line. We think you've spent enough of your career being invisible.
You already know the numbers
National NP survey, reported by Global News, April 2025. Ontario NP average wage $69.94/hr (Indeed, 1,600 reported salaries, 14 September 2026). On April 1, 2026 the Ontario Health Minister confirmed there are no plans for NP fee-for-service billing codes.
Run your numbers
Most of our clinicians will keep their full-time role and carry a Basal panel alongside it: an asynchronous review, a dose decision, a prescription. Drag the slider to see what a panel pays.
Assumes $20 per active patient per month + $50 per initial assessment, with about 12% of your panel being new each month. We don't publish an hourly rate, because we'd be guessing. We have never run a real panel, and a minutes-per-review figure we invented is worth nothing to you. So here is the arithmetic instead, and you can use your own estimate: at $20 a review, four an hour is $80 and six an hour is $120. At $50 an initial, two an hour is $100. The Ontario NP average is $69.94/h (Indeed, September 2026); Felix pays $50–53/h (Glassdoor). Jane records how long every chart is open, so once there are real numbers we will publish those and the rates move to fit the work.
Illustrative, and it models the Clinical Lead's 3%. That role is filled. A clinician joining now shares in a separate pool, set out in their own agreement. A contractual transaction bonus, not shares — your accountant will like that. Paid only if a sale happens while you're still contracting with Basal. The stated goal of this company is to be acquired; the Montreal clinic Livewell was bought by Hims & Hers in December 2025, about two and a half years after it launched.
The offer
Paid per patient on your panel — one documented monthly review each, the way Alberta pays NPs per rostered patient rather than per fifteen-minute unit. Patients who stay are patients you're paid for. Plus $50 for every initial assessment — paid whether you prescribe or decline. Plus $1,000 on signature for writing the protocol, before a single patient exists. Paid on the 1st and 15th, automatically. You never invoice.
Borrowed from Alberta's NP Primary Care Program
Your line is the first line of the receipt every patient receives. More than two-thirds of every dollar goes to the clinician — $20 of $29. We think that's the right ratio and we think patients should see it.
Borrowed from Costco: low overhead, high wages, in public
If Basal is sold, the clinicians who built it share in what it sells for. It is a written bonus in your contract, not shares, so your accountant stays happy. The founding Clinical Lead's share was 3%, with a one-year cliff and monthly vesting over three years, and that role is filled. Clinicians joining now share in a separate pool: its size and how it is divided are written into your own agreement, so you see the number before you sign anything.
Borrowed from how startups treat a founding engineer
We hand you a fully drafted clinical rulebook — who qualifies, how doses come up, when to hold, when to stop. You edit it and you sign it, and it has no clinical force at all until you do. While you hold the role, nobody but you may change a word of its clinical content; we may propose amendments and may never make them. The day you leave you are released from it entirely — we won't have you carrying professional accountability for a clinic you've left — and you are credited as its author on every version that follows. We pay $1,000 on signature for that work. The company never overrides a clinical decision and never sets an approval target. That's in the contract too.
Borrowed from how the College already thinks
Your name and CNO number are on the site, the receipt and everything we publish. If you'd like to be the face of the videos and the price reports, that's yours to take. If you'd rather stay quiet, that's fine too — the option is the point.
Borrowed from the creator economy
Also: RNAO membership, which includes the professional liability protection CNO requires, reimbursed. Controlled-substances course reimbursed if you don't have it. Open-book monthly — you see the one-page P&L.
The split
In writing
Who this fits
You have a salaried role and some spare evenings. A panel of about 225 patients is roughly $5,850 a month on top. Check your employment agreement for outside-work clauses; most allow it with disclosure.
Async work that fits around a newborn, with no shifts. Check how EI parental benefits treat earnings before you start — we'll wait.
Twenty-five years of judgment, ten hours a week, no waiting room. Your patients get the best clinician they've ever had.
Half of NPs have considered leaving. If you did, this is a way back on your terms: the medicine without the machine.
Who's behind it
I'm not a doctor and I'm not a nurse, and I think that's the right person to build this. A physician-founded clinic makes the NP a subordinate; a founder who isn't a clinician makes the NP the clinical authority — which is why you write the protocol, why I never override a decision, and why there is no approval target and never will be.
I'm building Basal because generic semaglutide made the medication cheap and the clinics didn't follow — they kept the price and hid the markup. I don't own a pharmacy and never will. That's not a slogan; it's the only reason the economics work for you and for the patient at the same time.
What I'll never ask you: to prescribe faster, to approve more, to work a shift, or to do an hour of admin. What I'll ask: that you'd send your own family to this clinic.
Pierre Blondo · Founder · Toronto
Straight talk
The Canada Health Act. As of April 2026 Ottawa treats medically necessary NP services as insured; Ontario has not acted, penalties fall on provinces from 2027, and every virtual clinic in the country — Felix, Hims, Rocky, Maple — charges for NP or physician time. Our fee is structured around the program, not the visit; a health-law opinion is budgeted for month two, and you'll see it.
The ramp. Month one is thirty to fifty patients, not four hundred. The calculator is where it goes. We'd rather you plan on the small number and be surprised.
Joining
The Clinical Lead role is filled. It carried the protocol, the title and 3% of the exit, and it was only ever going to be filled once. Clinicians joining now do so on their own terms: a share of a separate clinician pool if the company is sold, no title, and the same per-patient pay model set out above. The pool and the split are written into your agreement, so you see the number before you sign. Ask for the agreement before you apply and read it at your own pace; we send it to anyone who asks, with no obligation.
Every hour you give is a paid hour: you're paid per patient, and patients only reach you once they've paid. There is no unpaid ramp-up, no meetings, no "help us get set up." Applications reviewed as they arrive, and we move quickly. We take on as many NPs as we have patients for, and not one more.
Who this is for: a Nurse Practitioner registered with the College of Nurses of Ontario in the Extended Class — RN(EC) — in good standing, holding CNPS or equivalent professional liability protection, and comfortable prescribing GLP-1 therapy in line with Canadian obesity clinical practice guidelines. Controlled-substances education is an asset for a later service line, not a requirement now.
This is a prescriber role, so it isn’t open to RNs or RPNs in the General Class. We check the CNO register before we reply.
Apply
We check the CNO register before we reply. Your details go to the founder only.
Want it on paper first? Download the summary (PDF). And if you'd like to read the clinical protocol and the three agreements before you apply, email [email protected] and we'll send them — no application needed, no obligation.