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If you've ever struggled with money, you've probably tried a number of things to turn it around or fix it, and ended up frustrated because none of them seem to work.
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Well, today I'm going to walk you through why that happens and what the real problem is and how to solve it.
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My name is Craig, and I'm the owner of Daisy Financial Coaching.
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Our team is on a mission to make your therapy practice permanently profitable.
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If you own a solo or group practice, we're here to help you build a business that creates more time, makes more money, and serves more people.
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This is the Therapy Business Podcast.
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Managing money in a practice, as you know, can be challenging.
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And so this is something that I think is really, really important when it comes to our finances is recognizing that things can we have this perception of what it should look like to manage cash flow or what those expectations are on us to actually run the practice.
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And then reality sets in that it's just not going the way we want it.
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And we we start to think, is there something wrong with me?
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Is there something wrong with how I'm approaching this?
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We try different things and none of them seem to work.
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This is something I address in chapter one of my new upcoming book, Profit First for Physical Therapists.
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If you go to pf4pt.com, you can pre-order it or sign up to be on the wait list if pre-orders are not open yet.
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As of today, they're not ready for pre-orders yet, but you can get on the wait list.
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I'll let you know when they're available.
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And we address this idea that there's this core belief inside of us that oftentimes is preventing progress with our finances.
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And so I want to walk you through what this looks like and maybe some of the things that you have tried before with your finances and why they haven't worked and then what the real solution is here.
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So, first of all, if you've dealt with the finances and you've struggled, whether that's to pay yourself what you deserve, whether that is you've struggled with debt or profitability or just making it check-to-check, you're not alone.
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Most business owners deal with this at one time or another.
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And I am not exempt from that.
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I have struggled with this financial stress and strain multiple times in the decade of running this business.
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And when we face those things, we often try certain solutions.
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And what I'll call is the more obvious ones of okay, money is a problem.
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How do I solve this?
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And one of the first thing we usually do is it's more revenue, right?
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If I'm struggling with finances, I need to just make more money.
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It's simple.
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Uh, just go out, make more money, see a few more patients, build some more invoices to to insurance or to to people who are maybe past due.
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Let's bring in some cash as quickly as we can.
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Let's generate more revenue.
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And yes, that is important.
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You can't have a business, you can't have a practice if you're not generating revenue, if you don't have sales coming in.
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And so that is part of the equation.
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But it's not the end all be all.
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Because a lot of times it's okay, if I can just hit this number of sessions uh in a given week, then I will be great.
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Or if my team can hit X number of sessions in a given week, uh, then we're perfect.
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Then we'll have enough money to run payroll, we'll have enough money to pay all the invoices.
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But the problem is as we make more, as more money comes in, we tend to spend more or expenses get higher, or maybe we just it's a band-aid.
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We generate as much revenue as we can this week or month to get by, and then the next month we're back to where we started.
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So more revenue does not always solve the core problem.
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I'm gonna revisit this to when it can.
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Uh, we're gonna circle back to this, but and just in general, trying to get more sales is not gonna be the solution.
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And yet, this is typically, like I said, what we turn to first.
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It's our natural instinct.
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Even now, when I'm stressed about money or we're down, it's how can I generate more revenue, right?
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It's how can I write the ship?
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But that just is part of the equation.
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The second mistake I see people make when the finances are tight is they sacrifice their own paycheck.
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It's you look at the bank account, it's time to pay yourself, but the business account is low, and you're worried that if you take any money out, it's gonna be even lower, and that gives you anxiety.
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So you decide, you know what, I'm gonna just skip my paycheck this time around, and so that way I can keep
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some cash in the business.
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This is once again is a band-aid fix.
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And so skipping your paycheck, not only in the mindset of prioritizing yourself, it's going against that.
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That you need to take care of yourself.
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It's the whole oxygen mask on the airplane, right?
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You put yours on first before you help somebody else.
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If you're not taking care of yourself, your business is not gonna be able to serve as many people as it can.
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It's not gonna be around very long if you're skipping your own paycheck and you're burning yourself out.
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So sacrificing your paycheck is a temporary fix.
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It's gonna get you by, it's going to help you get through maybe this payroll period, but then the problem is still there, and you're gonna circle back to it in a few weeks or next month, and the same thing is gonna be present there.
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Or maybe you have a good month, and so you get through that, and then the following month it's back down, right?
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So it's this survival game of being reactive, reacting to how are we doing?
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Oops, I'm gonna sacrifice my own paycheck.
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That is one of the most common mistakes we see.
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It's one of the most number one things when I ask people uh on every consultation when I meet a business owner or a practice owner, it's uh, how much are you paying yourself?
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Uh, is it enough to cover your expenses?
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And are you paying yourself consistently and regularly?
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Meaning, have you do you skip a paycheck?
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Does it fluctuate based on what you're earning or how much money is in the bank?
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Is it you're just pulling out money whenever you need, regardless of what day of the week it is?
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So there's multiple withdrawals throughout the month.
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Going through those, it's really, really important that you pay yourself the same amount on the same rhythm, and it's consistent and reliable.
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Just like if you were working for somebody else, you would expect the same thing.
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You would expect on payday your paycheck to be in your account, and you would expect it to be on the same day and of the exact amount that you were expecting it to be.
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And so you should expect that from your own practice as well.
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The third thing that we can try or that we fall into the trap of is borrowing, getting into debt.
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When money's tight, we tap into a line of credit, we rack up the credit card.
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There's a number of ways this presents itself.
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And just like the paycheck thing, it's typically reactive.
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Rarely do people go out and open a credit card to just run up the balance, right?
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It the idea is I'm gonna use this to plug the hole, uh, to pay this invoice, and then you know, next week when that insurance reimbursement comes in, I'll pay off the credit card balance.
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All good intentions, and then slowly that debt creeps up, or slowly that line of credit balance just creeps up and creeps up.
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So borrowing is just plugging the hole again.
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It's a band-aid fix.
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We it doesn't offer long-term solutions, so it can get you through and get you through as long as it can until those credit cards are tapped out and until that line of credit is maxed out, and then you're back where you were, but actually in a worse position because now you are net negative when it comes to how much cash you have.
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You don't have you know a few thousand sitting in the bank.
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You might have a few thousand sitting in the bank and then negative over here in your debt, and so you're in a worse position than you were before.
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And that's just because we're band-aiding uh something that is that needs stitches, right?
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It's continuing to just lose blood, getting all grossome over here.
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It's it's October when I'm recording this.
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It's the Halloween.
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So if you stick a band-aid on it, it's not gonna heal, right?
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It's gonna continue to be a problem, and eventually you're gonna reach a point where it's do or die, you gotta you gotta address the real core issue.
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So borrowing rarely ever is the solution.
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Typically, when I say when it comes to debt, and while I say most of the time, avoid it at all costs as much as you possibly can.
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Not having any debt is ideal.
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The best lens to look at it through is proactive versus reactive.
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Am I going into this at a time where it's not fear-based?
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It's I'm not borrowing because I'm afraid of not making payroll or I'm afraid of not being able to pay my rent.
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Uh, or am I proactively borrowing money to purchase a piece of equipment that I've done research on and made sure that there's uh an actual route to ROI on that?
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Um, those are two different approaches.
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I'm not even
saying that borrowing money to rent a piece of equipment is what I would recommend, but the perspective is two different things: reacting and just throwing things on a credit card or tapping into a line of credit because you're stressed out, versus proactive where you've put a lot of thought into it.
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Maybe uh you've used that piece of equipment in your practice for a few months, uh, saw the viability of it before deciding to invest in it and borrow to buy it.
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Different approaches, going at it with eyes open versus just reacting to what's happening.
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These among many other things we do, but these are the three most common ways that we try and solve financial problems.
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We try to increase revenue, and that that's always the funniest one because it's like that seems so obvious.
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Yes, increase revenue, but that's the number one thing we try to do.
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We sacrifice our paycheck, we borrow money.
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This all seems obvious, and they're all not wrong solutions.
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They can get you through, they can solve today's problem.
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But what's the real core problem behind all of this?
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There's a book called What's Your Problem by Thomas Waddell Weddelsborg, and he talks about this the elevator problem.
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So, what happens in this analogy is there's a big office building, and the landlord of the building is getting constant complaints from the tenants and the different businesses that the elevators are too slow, that they say it takes way too long to get from their floor to the bottom, and vice versa.
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So immediately they they get their board together and they start trying to approach this problem and come up with solutions.
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And some of the most obvious ones are well, let's get a mechanic out here to uh try and speed it up, whether that is improve the motors, whether that is to improve uh the cables or the different uh pieces and components of the elevator to make it go faster, right?
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They said it's too slow.
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How can we make it go faster?
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Then one person decides, let's let's change our perspective of this.
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The problem they're stating is the elevators are too slow.
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But what's the problem deeper than that?
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What's what's behind that?
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And that's they don't like waiting for the elevator, right?
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It's not necessarily that they're so slow, yes, that's a that's how it's surfacing, but behind that is they don't like to wait for it.
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So what they did is instead of before hiring somebody to come out and just overhaul the whole elevator system, which would have shut it down for weeks and caused even more pain points in the short term, they did one small simple tweak.
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And that is on every floor next to the elevator doors, they put up a mirror.
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And magically, people stopped complaining about the elevators, and that's because it gave them something to do, something that fascinates them more than anything else, and that is to just look at themselves in a mirror.
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Funny enough, setting them outside of every single elevator, people would just look at themselves in the mirror.
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It gave them something to preoccupy their mind, and it didn't feel like they were waiting as long.
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And so the complaint stopped.
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Mirrors at every floor is a lot cheaper than overhauling the entire elevator system.
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And they still solved the problem of people were now not worried about waiting anymore.
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They didn't feel like they were too slow because it was gone.
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They they had solved it.
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And so I want us to approach this differently with your finances in the same way.
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You're facing a cash flow crunch, right?
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As simple as the money in our bank account is too low.
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So, what is the real problem behind that?
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Well, it could be a number of things, but what we've found is that the real issue is most of us try and overcomplicate this whole money management thing, that we think it needs to be more complicated than it is, much like the board trying to uh approach the problem by overhauling the whole system.
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That's how we're approaching this money thing is we think it needs to be complicated when in reality it doesn't.
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It shouldn't be this thing that goes way over our heads, it shouldn't require an accounting degree just to run the finances in your practice.
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I say that time and time again.
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We should not need to be accountants in order to be a successful practice owner.
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And yet that's what it feels like.
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And when you talk to any gurus or accountants or CPAs, they tell you, you know, the importance of cash flow and the importance of EBITDA and having uh a strong bottom line and all these things that probably go over most people's heads.
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And that's because you are good at what you do.
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You are a fantastic therapist, you're a fantastic physical therapist, you're fantastic at your craft.
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And the my managing the money side is a part that maybe no one has ever taught you.
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And so our default is to solve it by doing those obvious things of increase the revenue, sacrifice our paychecks, borrow money.
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How can we the bank account is low, how can I get some more cash into that bank account?
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Or how can I prevent myself from taking more cash out of that bank account?
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So let's address the real problem, and it's that you don't have a simple money system, and that's okay.
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And that's something to lean on.
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You don't have a a strategy plan, you don't have a system in your practice that will make sure you always have the cash, that will make sure that you're always paid, that will make sure all these things are happening when they're supposed to happen.
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Most practices we found have an accounting system of some kind.
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This is with your bookkeeping, whether you track it in QuickBooks or whether you track it on a spreadsheet.
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This is just your your track record of what you spent in your practice, how much you earned in your practice.
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And it's on a sheet.
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You can print the documents, the accounting documents, look at your profit loss statement to see how you stand.
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All of those are a rearview mirror look.
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What most practices don't have is what I was just talking about is that money management system.
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It's this system that is baked into your business so you know where you stand today.
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You can make money decisions for today and this week and this month, that you always have a pulse on where the finances are.
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It's your windshield.
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It's it's you looking in real time of where your practice is and where it's going up ahead.
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So money management system is the core problem, and that's what we need to fix.
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Now, we're big believers in the profit first system being your money management system, and that is having multiple bank accounts for each line item.
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It's just like the envelope system, but for your for your business.
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It's having instead of physical paper envelopes like maybe your your parents or your grandparents used, where they wrote on payday, they wrote, you know, groceries or restaurants or whatever on each envelope and then put cash inside of them.
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We do that with your business and we open multiple checking accounts.
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We have one for profit, so we
prioritize profit.
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Cash goes into that account, earmarked for profit.
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We have one for owner's pay, and that's your paycheck.
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So that will prevent you from sacrificing your paycheck.
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We have one for operating expenses, we have one for payroll to pay your team, and we have one for taxes.
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Having different buckets, different accounts to divide your money into when it comes in will make sure that you have a clear, actionable plan.
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It'll make sure that when you go to pay an invoice, you're not pulling from your salary or your paycheck to do it.
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You are now earmarking money just for your paycheck, you're earmarking money just for running those operating expenses.
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Now, circling back to making more money and increasing revenue, like I said, that's not a bad thing.
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And a lot of times, well, number one, that's of course what we're trying to do in most cases as you grow practice is increase revenue, right?
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You you want to make more sales if you want to grow and hire more people, et cetera, et cetera.
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But doing that alone is where the problem happens.
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When you have a money management system and you have your money organized in that way where you can keep a pulse on it, then you're ready to increase revenue.
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Then you're ready to manage it.
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And as you're increasing revenue, you're earmarking more money towards each category.
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You're able to give yourself pay raises, you're able to build up cash reserves and savings because you have these different buckets, these different envelopes, bank accounts that money is going into.
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And the only way to use money that you've earmarked for profit on an invoice is if you intentionally proactively move money out of that account.
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It's not going to just disappear.
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Versus now, when you have one checking account, you go to pay invoices, you run payroll, and then all of a sudden you're like, why don't I ever have any money left over?
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It's because you're spending your profit, you're spending your paycheck because it's all lumped in one and we can't see it happening.
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So this is going to provide that clarity.
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The real problem is that we don't have a simple system that we believe it has to be complicated, and in reality it doesn't.
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You know, a lot of CPAs who have never heard of profit first will hear it and be like, that just all these bank accounts, that sounds crazy.
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Why would that doesn't make any sense?
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But it's it's leveraging us, it's leveraging our behavior.
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It's what's the alternative to continue trying to use spreadsheets and to continue trying to take uh the industry jargon that doesn't make sense to us and trying to use, force ourselves to use something that just doesn't resonate and isn't getting us results, or to try something different that is simple, easy to understand, that at any moment we can pull up in our phone and look at our banking app and see where do I stand in operating expenses, where do I stand in owners' pay, et cetera, all the accounts.
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At any given moment, you know exactly where you are.
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And that's what a money management system does.
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Now, all of this uh is walk through in my upcoming book, Profit First for Physical Therapists.
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I highly recommend if you're a PT practice owner, um, SLP, OTs, if you're in any kind of adjacent industry, even my mental health therapists, um, this book will speak to your practices and how to implement this system.
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It's gonna walk you through the entire process.
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I try and make it fun, as fun as I can when it comes to money.
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So if you go to pf4pt.com, you will find uh a place to join the wait list.
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Like I said, as of release, we're on a wait list.
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In the next six weeks or so, we should have pre-orders open and ready to go, and we'll be releasing in early 2027.
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So go put your name on that list so that we can make sure you get a copy.
00:19:32.779 --> 00:19:39.420
And then, of course, we'll give you some good freebies and and uh just things you can start using now to make some headway in your practice.
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And then my mental health therapist, like I said, the book will you could read it, implement it in your practice as well.
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There is a book already by Julie Harris called Profit First for Therapists, and so I recommend that as well.
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It's already out there.
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So if you're in the mental health space, go get that book, check it out, because it is it's great.
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And it's gonna take this core concept and customize it just for your industries.
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All right, you're not broken, you're not, there's nothing wrong with you if you're struggling with the finances and you're not alone.
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All you need is a simple money management system, and you will find the solution to the real problem.
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Thanks for joining us on the Therapy Business Podcast.
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Be sure to subscribe, leave a review, and share it with a practice owner that you may know.
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If your practice needs help getting organized with its finances or just growing your practice, head to therapybusinesspod.com to learn how we can help.