Fractional CFO for Speech Therapy Practices

Insurance pays late. Sometimes very late.

Meanwhile, payroll and rent don't wait.

You know private pay is the way forward.

But how many private-pay families do you need to stay afloat?

What should you charge?

And what should those families get that insurance never covered?

One speech therapist we work with waited almost a year for Tricare to pay.

She wanted to grow.

First, she had to survive.

So we sat down and did the math together: how many private-pay patients she needed to get through.

We worked out her pricing.

We talked through what a higher standard of care should look like for private-pay families, including more support for parents at home.

Then she focused on bringing in private-pay patients, with a clear number to aim for.

She made it through.

Insurance has finally caught up.

Now she's hiring.

And she's stepping into the CEO role: fewer appointments, more time leading a business that takes care of her team and the kids they serve.

What we help you figure out

• How many private-pay patients you need to cover your costs
• What to charge private-pay families
• How to get through slow insurance payments without panic
• What you can safely pay yourself
• When you can afford another therapist

How it works

1. Schedule a free numbers review. One call. We look at two or three of your real numbers together.

2. Work through your numbers with Dan. Monthly one-on-one CFO sessions, backed by a team that keeps your books clean and your Profit Plan running. Done-With-You CFO starts at $1,000 a month.

3. Make decisions with confidence. Pricing, hiring, owner pay and growth, decided with your numbers instead of your gut.

What therapists say

"Dan's guidance has been invaluable - from helping me correctly allocate revenue for taxes and payroll to teaching me how to read P&L reports."
Justine D., Occupational Therapist

Slow payments can sink a good practice.

Not because the work isn't good.

Because the cash ran out first.

Picture this instead.

Know your number.

Price with confidence.

Give families a level of care they're happy to pay for.

Grow on purpose.

Questions

Do you work with practices that take insurance?

Yes. Most therapists we work with are hybrid: they take one or two insurance companies and do private pay for the rest. That's normal. Insurance pays slower and less predictably, so we plan your cash around both.

How is this different from my bookkeeper?

A bookkeeper records what happened. A CFO helps you decide what happens next.

Do you work with my CPA?

Yes. We work alongside any CPA. If you don't have one, we can refer you to someone we trust.