The money side of running a practice.

Why your P&L can't tell you if a clinician is making money

Your P&L shows whether the practice made money, not whether each clinician does. Here's the per-clinician number it hides, and how to find it.

What a clinician actually costs you

Pay is only half of it. Payroll taxes, benefits, supervision, and admin time decide whether a clinician makes money. How to run the real number.

Three ways to pay a clinician (and how to pick)

Three ways to pay a clinician, and how to pick. The right model depends on their rate, how full their schedule is, and the behavior the plan rewards. A plain-English guide for owners.

The one number every practice owner should know, and how to find it

Most practice owners track revenue and some sense of expenses. Few can name the single number that tells them whether the practice is actually working for them. This is how to find it.

Why your books don't show you whether each clinician is profitable

Standard bookkeeping adds everyone together. The per-clinician number, the one that tells you whether each seat is actually earning its place, is never in your P&L, your EHR, or your accounting software. Here is what it misses and how to find it.

Owner pay is not profit, and treating them as one number costs you

When the money you take home and the money the practice earns are the same line, you can't tell a healthy practice from one that's quietly underpaying you. Lesson 2 separates the two.

Your real rate is lower than the number on your fee schedule

The fee you charge and the rate you actually earn per scheduled hour are two different numbers. The gap is no-shows, cancellations, and late reschedules. Lesson 3 shows you the real one.

Fully-loaded net per clinician: the number that decides who you build around

In a group practice, the number that drives almost every staffing decision is what each clinician nets after their full cost. Lesson 4 shows you how to find it.

Cash runway: how long your practice can keep its promises

Profit is whether the practice earns. Runway is how long it can keep paying people if the money stopped tomorrow. They're different numbers, and the second one is the one that keeps owners up at night. Lesson 5.