Perspectives on CFO leadership & financial strategy.
Practical thinking on building financial clarity, protecting cash flow, and leading growth with discipline — across healthcare, SaaS, transactions, and the operating decisions in between.
Credentialing Delays: The Cash Cost of a New Clinician Who Cannot BillCredentialing Delays: The Cash Cost
A clinician who starts before they are credentialed is a salary without revenue. The delay is predictable; most practices still plan as if it is not.
Telehealth Versus In-Person: The Real Economics for a Behavioral Health PracticeTelehealth vs. In-Person: The Economics
Telehealth changed the cost structure of behavioral health. Whether it improved the margin depends on decisions most practices have not made explicitly.
Pre-Licensed Clinicians: The Economics of the Associate ModelPre-Licensed Clinician Economics
Associates look inexpensive on the payroll line. Whether they are profitable depends on three numbers most practices have not put together.
Negotiating Payer Contracts With Data: A Behavioral Health PlaybookNegotiating Payer Contracts With Data
Payers do not raise rates because a practice asks. They raise rates when a practice shows it costs them more to lose it than to pay it.
The Monthly Management Report for a Behavioral Health Group: What Belongs In ItMonthly Management Report Essentials
An income statement is not a management report. Here is what the leadership of a behavioral health group should see every month, and why.
Adding a Psychiatry and Medication Management Line: The Financial CaseAdding Psychiatry: The Financial Case
Medication management is often the most requested addition to a therapy practice. It is also the one most likely to be launched without a model.
Cost Per New Client: Measuring Intake and Marketing Like a BusinessCost Per New Client in Behavioral Health
Every practice knows its marketing spend. Very few know what a new client costs, by channel, or how long it takes to earn that cost back.
Building the Annual Budget and Clinician Hiring Plan for a Behavioral Health GroupAnnual Budget & Clinician Hiring Plan
A behavioral health budget that starts with a revenue growth percentage is a wish. One that starts with clinician capacity is a plan.
When Does a Behavioral Health Practice Need a CFO?When Does a Therapy Practice Need a CFO?
Most behavioral health groups reach the point where the numbers stop fitting in the founder's head long before anyone names it. Here are the signals.
Session-Level Economics: What a Therapy Session Actually EarnsSession-Level Economics of Therapy
Revenue per session is easy. Profit per session is the number that runs the practice — and most groups have never calculated it.
Clinician Compensation Models: The Finance ViewClinician Compensation: The Finance View
Every compensation model transfers risk between the practice and the clinician. The question is whether you chose the transfer on purpose.
Payer Mix in Behavioral Health: Why Not All Sessions Are EqualPayer Mix: Why Not All Sessions Are Equal
A practice's payer mix is its margin structure. Managing it starts with knowing what each payer actually pays after everything.
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