Came here from the podcast? You're in the right place. The break-even
calculator I mentioned is right here. Free, no strings.
You already know what's wrong. You just don't know what it's costing you. I put the number on it, so the worry becomes a decision.
“I can bring him a question or business decision and work through the financial impact with much more clarity and confidence.” — Owner, multi-clinician mental health group practice
Nobody goes into this work because they wanted to run a small insurance company. But that's roughly what a group practice becomes: floating payroll between the session and the payment, splitting revenue, absorbing no-shows you didn't cause, and finding out in March that a payer quietly stopped paying you in November.
So when the money feels tight, or a client conversation goes badly, or you can't tell whether you can afford the hire you already know you need, it lands as a personal failure. It usually isn't. It's two systems that don't talk to each other. Your EHR counts sessions. Your bookkeeping counts money that already left. Nobody connects the two, so the biggest decisions in the practice get made on a feeling.
That's the gap I fill. Not more reports. A straight answer.
Not a 40-page deck. Not a dashboard you'll never open. An answer to the thing you've been turning over since February.
This is the one that keeps owners up, and it's answerable. What each clinician brings in, against what they cost once you count their pay, your supervision time, and their share of the overhead. Not to rank anybody — to find out what you can actually afford to offer, and to stop guessing at comp conversations.
What a new clinician has to bill before they cover themselves, how many months it takes to get there, and how deep the cash dip goes in the meantime. Ramp-up is the part that sinks people, and it's the part nobody models before they sign the offer letter.
A percentage off the top never shows up as a scary line item. It shows up as money that quietly never arrived. What you're paying, what's being collected against what should be, and which claims nobody chased. It's a real number, and most owners have never seen it.
When I look at a group practice's numbers, a few patterns come up again and again.
The work was done, but the money never made it into the billing process.
Your biggest payer by volume is not always your best payer by reimbursement.
New clinicians cost cash before their collections catch up.
Those are the kinds of things I look for when I review a practice.
Put in your clinicians, what you pay them, and your monthly overhead. It tells you how many sessions a week each person has to hold before your practice makes money, and what a new hire has to bill to pay for themselves.
It's the same model I build for clients. Free, no strings, no call required.
“Instead of feeling like I have to figure everything out on my own, or run the business on an instinct, I can bring him a question or business decision and work through the financial impact with much more clarity and confidence.”
Working with Rob Freels at Free Rivers CFO has been extremely helpful as I continue growing my mental health group practice. He has helped me make sense of the numbers behind important decisions involving clinician compensation, hiring, expenses, profitability, cash flow, and expansion.
Every engagement starts with a free conversation. Nothing here requires a long-term contract.
For practices that primarily need reliable reporting and help understanding the month.
For group practices making decisions about hiring, compensation, cash, and payer mix.
For larger or more complex practices.
Most of my healthcare work has been inside physician practices, revenue cycle, and the financial side of running multi-provider businesses. Today I work directly with a multi-clinician mental health group on the same questions on this page: clinician economics, hiring, cash flow, and where money gets stuck.
Thirty minutes, free, no pitch. Bring whatever numbers you have, or none at all. By the end you'll have: