However they're not pocketing all the cash themselves, with an undisclosed sum from the fee to be donated to the Claire House children's hospice in Cheshire -- where McLoughlin's disabled foster sister Rosie is cared for.
Unlike selling packaged software for a lump sum or upgrade fee every year or two, when you sell a service month-to-month or year-to-year you have to keep delivering and reminding your customers that they are happy with the services you are providing.
Some health insurance plans will reimburse you a preset sum towards your gym membership fee if you log a certain number of visits in a six-month period.
This could become an advantage as Medicare moves away from the existing fee-for-service system toward paying hospitals a flat sum, or "bundle, " for each patient with a given condition.