Operators, not consultants.
Keystone Practice is the business side of running a group practice. Made by people who ran one.
Where this comes from
We built and ran the operations of a real group mental-health practice. It grew fast: new clinicians, new comp models, growing expenses, a stack of monthly subscriptions. And it all turned into a mess of spreadsheets. Somewhere in that mess were the questions we most needed answered: is this clinician profitable? Is our comp model right? Where are the gaps keeping us from making money? We couldn’t get a straight answer to any of them.
So we built our way out. Drawing on a background in software and business intelligence, we put systems together piece by piece. First just to understand the chaos, then to spend less time in it, until we could model a growth decision and see how long it would take to pay off. Keystone is that work, packaged so another owner can run it in about fifteen minutes. The moment it clicked: a clinician profitability calculation that used to swallow our evenings became something we could re-run in minutes. And we started seeing the money problems coming, instead of finding them a year too late.
We keep the team anonymous for now, by choice. The people behind it still run their own practice, so we keep a low profile while we get going. You can check the math behind every number yourself, and that matters more than our names.
A few opinions
- A group practice runs on per-clinician economics, not a blended P&L.
- The point isn’t the dashboard. It’s that you stop getting surprised by your own practice.
- Numbers should be honest about their assumptions. Show the math, or don’t show the number.
- This is decision support, not a verdict on anyone. The owner makes the call.
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