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.
Clinician Utilization: The Number That Decides Whether a Practice Is Profitable
Two practices with identical rates and rent can have opposite results. The difference is almost always how full the clinicians' calendars actually are.
Credentialing Delays: The Cash Cost of a New Clinician Who Cannot Bill
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 Practice
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 Model
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 Playbook
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 It
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 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 Business
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 Group
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?
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 Earns
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 View
Every compensation model transfers risk between the practice and the clinician. The question is whether you chose the transfer on purpose.
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