A group practice is a portfolio of clinicians with wildly different economics, funded on a payer clock you don't control.
Mental health practice finance comes down to two structural facts. Almost all cost is clinician compensation, paid on a fixed schedule. Almost all revenue arrives on a payer-determined lag that starts only once a specific clinician is credentialed on a specific panel. Growth therefore consumes cash before it produces any, and blended reporting hides which clinicians carry the practice and which cost it money.
Looking for how we work with mental health practices rather than the underlying mechanics? Mental Health practices →
The guides.
Credentialing decides when you get paid
The credentialing gap, authorization lapses, telehealth coding, and reporting by payer rather than in aggregate.
Cash FlowPayroll is weekly. Payers are not.
Modeling a clinician hire against the credentialing gap, and paying contractors on the right basis.
ProfitabilityMargin per clinician is the entire business
Utilization, payer mix, no-show rate, and why the blended number describes nobody.
Deferred RevenueCare collected up front is an obligation
Session packages, IOP enrollment, retainers, and the unused balance question.
Finance RolesWho you actually need, and when
Bookkeeper, controller, or CFO — and why contractor classification needs a named owner.
Growth & Sale ReadinessThe most sought-after category in the market
12x to 18x behavioral health multiples, and the two issues that sink more deals than anything else.
The mental health toolset.
The checklists we actually use — what we ask for at intake, and what we check every month. Published in full, downloadable as Word files.
Book a diagnostic coaching call.
Twenty minutes. No pitch. Tell us about the practice and what’s bothering you about the numbers. We’ll tell you honestly whether we can help, what it would cost, and what we’d fix first. If we’re not right for you, we’ll say so.
Book a call