Outpatient & Sports PT

Accounting and CFO services for physical therapy practices

From single-clinic PT to multi-site groups, bookkeeping, tax strategy, payroll, and CFO insight built around how PT practices actually earn.

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CPA-led · Nationwide & fully remote · Flat monthly fees

The Problem

PT clinics live and die by cash flow and productivity

Insurance timing, visit volume, and provider productivity drive your margin. You need numbers that show you where to act.

Insurance vs cash-pay timing

Slow payer reimbursement and growing cash-pay lines need forecasting so payroll is never at risk.

Provider productivity and comp

Visits-per-clinician, utilization, and comp models, modeled so you hire and pay profitably.

Multi-site consolidation

Adding locations? We keep one set of books with per-clinic and combined views.

What You Get

Everything your practice needs behind the front desk

One integrated, CPA-led team handles the entire business side, so your energy stays on care.

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✓ Monthly bookkeeping and reconciliations
✓ Clear monthly financial statements you actually read
✓ Proactive, year-round tax strategy
✓ S-corp and reasonable-compensation analysis
✓ Full-service payroll and 1099 filings
✓ Clinician classification handled defensibly
✓ KPI dashboards and specialty benchmarking
✓ A dedicated CPA-led team, never a call center

How It Works

From messy books to a real financial partner

A proven path, built around your clinical calendar. Most practices are fully live in 30–45 days.

Assess

A free deep-dive into your books, entity, comp, and pain points.

Build

We clean up the books, set your chart of accounts, and stand up the compliance calendar.

Run

Monthly financials, payroll, and tax filings delivered like clockwork.

Grow

Quarterly strategy, benchmarking, and proactive tax planning.

The economics

What we watch in a physical therapy practice

Every specialty has a handful of numbers that decide the year. These are the ones we put in front of you monthly, with the planning ranges we work against.

Physical therapy scorecardPlanning ranges

Clinician cost as a share of revenue48–54%

Visits per clinician per day10–13

Net collection rate95%+

Days in accounts receivable28–38

Cancellation and no-show rate< 10%

Front-office cost per visit$9–$14

Operating margin12–20%

Why these three matter most

Why visits per clinician is the leverAlmost every margin problem in a PT clinic resolves to schedule density or payer mix. Fixing the schedule moves the number faster than cutting cost.
The cash-pay questionCash and hybrid services carry very different margin and sales-tax treatment from insurance visits. They belong in separate revenue lines from day one, not blended.
What we watch monthlyVisits, net collection rate, days in AR, and clinician cost — against your own prior periods first, peers second.

These are planning ranges we work against in engagements, not published survey data. Healthy figures vary by payer mix, geography, entity structure and stage — a practice outside a range is not necessarily unhealthy, it is a question worth asking. We benchmark you against your own trend first.

Questions

Physical Therapy practice FAQs

Yes. We consolidate one set of books with per-clinic and combined reporting, so you see each location and the whole picture.

We build a rolling forecast around insurance timing so payroll and rent are never at risk.

Full-service payroll, 1099s, and year-round tax planning, all under one CPA-led team.

Get Started

Ready to see your practice real numbers?

Book a free, no-pressure practice assessment. We will review your books, entity structure, and tax posture and show you exactly where we would add value. You will speak with a CPA, never a call center.

Book Your Free Assessment →See How It Works