Private Practice Profit Margins: What's Healthy (and What's a Red Flag) Gretchen Roberts TPOT 420

Running a private practice usually means you did not set out to become a numbers person. You are trained to help people, not to read profit and loss statements or stress about tax projections. But the reality is this. If you own a practice, you are running a business. In this episode, I sit down with Gretchen Roberts of Red Bike Advisors to talk about the financial side of private practice in a way that feels practical and doable. We unpack how to use your financial reports as a management tool, what healthy profit margins actually look like, and the payroll mistakes that can quietly drain your profit. We also talk about cash flow and why it is what truly keeps the doors open, especially during the ups and downs that come with business ownership. Since we are in tax season, we cover common tax mistakes, why taxes should not be a once-a-year event, and how to avoid those painful surprises at filing time. If you have ever avoided looking at your numbers or felt unsure about what they are telling you, this conversation will help you think more like a business owner. Your practice needs financial clarity to stay sustainable. And you deserve a business that supports you, not one that burns you out. Resources Mentioned In This Episode Use the promo code "GORDON" to get 2 months of Therapy Notes free Consulting with Gordon The PsychCraft Network Profit First for Therapists Workbook Meet Gretchen Roberts I'm Gretchen Roberts , CEO of Red Bike Advisors , a national tax, accounting, and advisory firm serving healthcare practices, dental practices, and scaling service businesses that need a truly strategic financial partner. Since 2009, we've helped hundreds of practice owners, including dentists, medical practice owners, chiropractors, physical therapists, veterinarians, and alternative medicine practitioners, simplify their finances, optimize profitability, reduce tax burdens, and build businesses that generate real and lasting wealth. Our mission is to help practice owners move from financial stress to becoming Financially Retired by Design by building a business that funds your life, freedom, and future. As a business owner myself, I bring an operator's mindset that blends real-world experience with deep expertise in practice finance, tax strategy, profitability optimization, and exit readiness. At Red Bike Advisors , we provide year-round partnership to healthcare practices generating one to fifteen million dollars in revenue. Our services include proactive accounting, strategic tax planning, financial advisory, and tax-focused wealth building that eliminates financial guesswork and supports long-term growth and exit readiness. Website LinkedIn

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Private Practice Profit Margins: What's Healthy (and What's a Red Flag) Gretchen Roberts TPOT 420 is an episode from The Practice of Therapy Podcast by Gordon Brewer, MEd, LMFT.

This episode is 39:28 long.

This episode was published on Feb 16, 2026.

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