Dear Dangerously in Love with Finance,
It feels like I’m living in a Jay-Z verse, “Instead of treated, we get tricked. Instead of kisses, we get kicked.” That lyric feels like my daily soundtrack. I’m running a team of six therapists plus admin staff, and we’re fully booked. That lyric feels like my daily soundtrack.
I’m juggling late insurance reimbursements, an ever-growing stack of vendor bills, and therapists asking about bonuses I want to give, but can’t figure out how to afford.
It’s like I’m running a machine that never shuts off and still eats cash like a monster. We’ve got a full caseload, but I couldn’t tell you what our break-even point is. I don’t even know if we’re actually profitable, just that we’re busy.
I didn’t build this practice to become a glorified bill-payer. But lately? Every month feels like a financial treadmill: running hard, going nowhere, and barely keeping up.
And just when I think I’ve got a handle on it, I realize the support I do have isn’t enough. I have a bookkeeper. She’s polite and sends me monthly financial reports. Her bookkeeping for therapy practices motto is not doing it for me anymore. There’s no strategy. No direction. No one is asking the hard questions or helping me figure out if we can hire another therapist, move into a bigger space, or finally increase my own paycheck.
So, I gotta ask: Is it really this hard for everyone? Or am I just doing this whole business thing without the right backup?
Regards,
— Tired of Hustling Backwards
Dear Tired of Hustling Backwards,
You’re not doing business wrong. You’ve just outgrown the financial tools you’re using.
You’re running a legitimate mental health business, not a side hustle. And yeah, it’s that hard when you’re trying to do this without financial management built for therapy practices.
You’ve built a team, signed a lease, hired admin support, and created a practice with impact. But when the back end lacks structure, it feels unstable. From the outside, things look fine. Behind the scenes? You’re holding it together with duct tape and hope.
You’ve outgrown “just bookkeeping.” Your bookkeeper tracks what already happened. That’s useful, but it doesn’t help you decide whether to hire, expand, or finally pay yourself what you’re worth. You need someone thinking ahead, not just recording the past.
What you’re describing is the exact gap a fractional CFO for group therapy practices fills. Not another expense, a strategic partner who knows the mental health industry and helps you make confident financial decisions about hiring, pricing, and growth instead of crossing your fingers every time.
Let’s talk cash flow, because that’s what’s bleeding you dry. Insurance reimbursements lag by weeks or months, but payroll hits like clockwork. That mismatch is crushing you. CFO services for mental health providers focus on cash flow management: building rolling 12-month forecasts that show exactly what’s coming in, what’s going out, and when the crunches hit. You stop patching holes and start getting ahead of them.
But numbers aren’t the only thing taking a hit here, it’s you. You’re running the practice, managing staff, and still seeing clients. But your paycheck? Whatever’s left over. That’s not sustainable, and it’s not fair. You’re not just a therapist anymore, you’re the CEO of a growing practice. Financial management for group therapy practices makes sure your compensation is built into the plan, not treated as an afterthought.
Scaling isn’t about hustling harder. It’s about building the right infrastructure. Whether you’re planning to hire, raise rates, or take a long vacation, fractional CFO services for therapy practices give you the roadmap and support to grow without panic.
Most owners I know started seeing real clarity, and relief, within 30 to 60 days of bringing on CFO support. That’s when the treadmill finally slows down, and you can move forward with purpose instead of exhaustion.
You didn’t build this practice to stay stuck. You built it to grow.
Now let’s make sure the money part actually supports that.
Lots of Love, Coffee and Chocolate,
Dangerously in Love with Finance and the HBoF Family
🍃 Mindful Thoughts
Your practice isn’t just a business, it’s an extension of the care you give every day. And care requires fuel. Leadership isn’t about running faster on the treadmill; it’s about stepping off and asking: where am I actually going? Money isn’t the enemy. It’s what makes your mission sustainable. So treat yourself with the same structure and support you’d give a client: clear boundaries, realistic plans, and room to grow without burning out.
If you feel like you’re hustling backwards, booking clients but barely breaking even, let’s talk. You can’t build a legacy on a financial treadmill. Our Fractional CFO services for group practices are designed to bridge the gap between “just bookkeeping” and true financial strategy, ensuring your business serves you, not just your bills.
Book a CFO Consultation for Your Practice today. Let’s stop the guessing game and start building wealth.
Follow Us Online
Stay connected and get more exclusive content on:
Instagram: @healthybodiesoffinance
Facebook: https://www.facebook.com/healthybodiesoffinance
LinkedIn: https://www.linkedin.com/in/lozellemathai/
TikTok: @healthybodiesoffinance
Setting Your Mental Health Practice Up for Success
When we start a business, it is a labor of love. It is an area where we feel passionate and want to …
Bank Balance Bookkeeping is Killing Your Med Spa Profits (Here’s Why)
Dear Dangerously in Love with Finance, Being the owner of a booming medical aesthetic spa, I check m…
This article is designed to provide information only and should not be considered legal or tax advice. Because of the complexity of the law and the variables in your own personal tax and accounting situation, you can’t rely on our advice specifically related to your unique circumstances. In order to get the best tax savings and legal advice available to you, you should consult with your own accountant, attorney or advisor regarding your particular facts and circumstances. Healthy Bodies of Finance is an accounting firm that specializes in working with health and wellness providers. We provide monthly accounting & bookkeeping services and financial education. For more information on our specialized services for health and wellness providers please contact us at info@healthybodiesoffinance.com