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I See More Than
Numbers

I would be lying if I said I did not love numbers, but what draws me to accounting and finance is the story those numbers tell about your health and wellness practice. Revenue tells me one part of the story, while cash flow can tell me something very different about what the practice is producing and what it can support.

After more than 20 years in accounting and financial leadership, I have learned to look beyond the total at the bottom of a financial statement. I want to understand what created the number and the role it plays in the practice’s financial story.

My two accounting degrees and MBA gave me a strong technical foundation for understanding financial statements and the activity behind them. Becoming a Certified Fraud Examiner (CFE) added another layer to how I examine what sits behind the numbers.

I am also a doctoral candidate in Leadership & Organizational Innovation. My doctoral studies have expanded how I think about the leadership decisions inside a practice and how those decisions eventually show up in its financials.

When I look at an established health and wellness practice generating $1 million or more in annual revenue, I begin to see the cast.

I would be lying if I said I did not love numbers, but what draws me to accounting and finance is the story those numbers tell about your health and wellness practice. Revenue tells me one part of the story, while cash flow can tell me something very different about what the practice is producing and what it can support.

After more than 20 years in accounting and financial leadership, I have learned to look beyond the total at the bottom of a financial statement. I want to understand what created the number and the role it plays in the practice’s financial story.

My two accounting degrees and MBA gave me a strong technical foundation for understanding financial statements and the activity behind them.

One service may be the main character after generating the largest share of revenue, while another may look like a supporting actor until its service margin reveals how much it contributes to profitability.

Then, there is the service everyone assumes is the star. Provider compensation or the cost of delivering that service can change its role once I examine its service margin.

Multi-location practices add another storyline. The location with the most revenue may look like the lead, yet another can produce the stronger margin once I examine location-level profitability. A smaller location can become the unexpected supporting actor. The same service can also play a different role from one location to another when provider compensation or the cost of delivering care changes. Consolidated financial statements give me the practice-wide story, while location-level financial reporting lets me see what is happening inside each location.

This is what I have come to love about finance: finding the story beneath the total and understanding whether the financial results support what everyone believes about the practice. Service profitability, cash flow, and the economics behind growth can reveal a very different cast from the one revenue introduces.

Becoming a Certified Fraud Examiner (CFE) added another layer to how I examine what sits behind the numbers.

I am also a doctoral candidate in Leadership & Organizational Innovation. My doctoral studies have expanded how I think about the leadership decisions inside a practice and how those decisions eventually show up in its financials.

When I look at an established health and wellness practice generating $1 million or more in annual revenue, I begin to see the cast. One service may be the main character after generating the largest share of revenue, while another may look like a supporting actor until its service margin reveals how much it contributes to profitability.

Then, there is the service everyone assumes is the star. Provider compensation or the cost of delivering that service can change its role once I examine its service margin. 

Multi-location practices add another storyline. The location with the most revenue may look like the lead, yet another can produce the stronger margin once I examine location-level profitability. A smaller location can become the unexpected supporting actor. The same service can also play a different role from one location to another when provider compensation or the cost of delivering care changes. Consolidated financial statements give me the practice-wide story, while location-level financial reporting lets me see what is happening inside each location.

This is what I have come to love about finance: finding the story beneath the total and understanding whether the financial results support what everyone believes about the practice. Service profitability, cash flow, and the economics behind growth can reveal a very different cast from the one revenue introduces.

When the Story
Takes a Plot Twist

My years in accounting taught me to ask what created the number, and becoming a Certified Fraud Examiner taught me to pay attention when the process behind it tells a different story.

In a growing health and wellness practice, the plot twist can show up in how money moves through the business or in financial authority the owner didn't realize had become concentrated. Revenue may begin in the practice management system, pass through a payment processor, and appear later in the accounting records. Payroll has another path, and growth can put more distance between the owner and financial activity they once saw firsthand.

My CFE perspective helps me notice when the accounting records do not match the activity behind them. I also look at whether management review provides enough visibility to identify unusual transactions or financial activity. I pay attention when internal controls have not kept pace with the practice's size or complexity, or when changes in financial responsibilities have made segregation of duties more difficult.

Those observations are not accusations of fraud or embezzlement. They tell me where fraud risk or an opportunity for financial misuse deserves a closer look.

The CFO in me wants to understand what is producing the financial return the owner expected from growth. The CFE in me also wants to know whether the financial structure is protecting what the owner has built. For a $1 million health and wellness practice, including a multi-location practice, I see those as parts of the same financial story.

A leaf with a pear on it.

I Want You to Understand
the Story Too

My background as an educator shapes the experience I want you to have when we review your financials. I do not want to speak accounting and ask you to accept my interpretation of your practice; I want you to understand what the financial reporting is showing you and how it connects to the decisions you are considering.

You understand the clinical story of your practice, the people you serve, and the vision you have for where the business is going. My role is to help you understand the financial story developing beside your clinical one, including which members of the cast are carrying more of the practice than you realized and which are playing a different role than you expected.

The numbers may confirm what you have been feeling about your practice or introduce a plot twist you did not see coming. Either way, I want you to understand the story before you decide what happens in the next chapter.

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