PT Practice Bookkeeping

Episode 83: The Impact of Great Bookkeeping on Your Private Practice

Do you know the cost of doing business? If you don’t, you are the effect of what you don’t know. No, you didn’t go to finance school, but the finance lines are still the most important division in your practice. By knowing the cost of doing business we mean, the profit margins, the cost per visit, etc…

This week Jon Repka from Paro is joining us to talk about finance lines and about what you don’t know. Paro is a financial services firm that has highly vetted financial professionals in an amazon-style fashion with a specific division that works with private practice owners like yourselves.  


  • Business owners cash in and cash out without understanding the building blocks that help you get there. 
  • Step one is understanding er unit economics – profitability per service/per hour. If you don’t know this, chances are your financial systems weren’t set up correctly. 
  • Bookkeeping should also drive the front end of your strategy – the services and marketing of said services and who you market to. 
  • As a practice owner, you need to know how to slice and dice your business/profit and loss statement by each of these variables: by carrier, by service, by location – so you can see how your practice is performing. 
  • In bookkeeping – variance, P&L (profit & lost statement) and balance sheet are the three most important reports 
  • Proper tracking of the P&L is a basic rudiment to give you the raw information
  • It requires diligence to stay on top of the numbers to stay on top of the variance report to reforcast the rest of the year.
  • The biggest risk of a shared risk compensation model is not understanding how your business is evolving. 
  • If you evolve into the hybrid model, you need to have the ability to look at in-network versus out of network business and look at everything on a consolidated basis, a solid bookkeeper can do that in their sleep. 


As always, we appreciate your feedback on the podcast, if you have suggestions for topics or questions you would like answered, feel free to reach out to us directly, or if you’re interested in learning about any of our services contact us for a free, no-obligation practice assessment.

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