For group practice owners with 3+ clinicians
Run your
growing practice with financial confidence,
not guesswork.
Bookkeeping, financial advisory, and tax support for owners of growing group practices, so you always know where the money stands, your team is paid well, and paying yourself properly stops feeling like a someday thing.
Run your growing practice with financial confidence, not guesswork.
We work with growing group practices
Our clients run mental and behavioral health practices with three or more clinicians, most between mid-six figures and seven figures in revenue. At that size, the decisions get bigger: clinician pay, hiring timing, the balance of insurance and private pay, a payroll that's now your biggest expense. And most owners are facing all of it with no financial support beyond a tax preparer.
Where most growing practices get stuck
You have a CPA — but you only hear from them at tax time. The filings get done, and no one helps you use the numbers to actually run the practice.
You gave Profit First for Therapists a real shot, but keeping the allocations current became one more job, and it still couldn't tell you what to focus on next. Our honest take on Profit First →
Your clinicians' calendars are fuller than ever, and your bank account doesn't reflect how hard your practice is working.
You keep meaning to review your numbers, but it slides off the list. And honestly? No one's ever shown you how to read a financial statement, so even when you do sit down with the numbers, you can't tell whether your practice is doing well or quietly slipping.
Big decisions — raises, health benefits, a new hire — still come down to gut feel. Imagine seeing the effect on your profit and your own paycheck before you commit.
If you caught yourself nodding, you're exactly the kind of practice we partner with. Start with a free Clarity Review.
Why growing practices choose Focal Point
Become a stronger CEO
You'll understand your P&L, not just receive it. When your bookkeeper explains why profit didn't move even though revenue did, hiring and pay decisions stop being guesses.
Numbers that help you expand
Can you afford clinician number five? What happens if you drop that insurance panel? We model the decision before you make it, using your numbers, not generic advice from a Facebook thread.
Growth that supports your life
Burnout runs high in this field, and it isn't fixed by boundaries alone. A sustainable practice needs a business model where the numbers actually work: margins that hold as you add clinicians, and an owner who's paid properly. That's what we build with you.
A relationship, not a robot
Relationships change outcomes. You've built your whole practice on that, and so have we — the same dedicated team every time, people who genuinely care whether you succeed. That kind of accountability is what turns financial goals into things that actually happen.
Why growing practices choose Focal Point
“Focal Point has helped take my business to the next level. I love being able to plan quarterly goals and have my finances explained to me in a simple way. Emily is phenomenal and has helped me increase my own confidence with running my business from a financial standpoint.”
Ashley Braund, LPC-S; ADDC
Motivated Minds
“I used to lose hours untangling reconciliation mistakes in QuickBooks, never fully confident my Profit First numbers were correct. After more than a year working with Focal Point, everything is laid out clearly. I’m finally learning to read my own financial reports and see where my money is coming and going — and there’s a real plan for my next steps, based on numbers instead of guesswork.”
Heather Plinovich, Ph.D., HSPP
Anxiety & OCD Behavioral Health Center
“My very first advisory session with Emily gave me something I’ve been missing — a clear picture of my business. We connected the numbers to my goals, my family, and the kind of business I want to build. I left feeling hopeful, with a realistic plan and clear priorities.”
Jenna Z. Berendzen, DNP, PMHNP-BC, FNP-C
The Nightingale Center
What we do — and what it does for your practice
Bookkeeping
HIPAA-compliant books, reconciled weekly to monthly depending on your package. The outcome: reports you can actually trust when it's time to decide something.
Strategic advisory
Regular video reviews and planning sessions (monthly to quarterly by package) where we translate your numbers into decisions: hiring, pay, pricing, insurance vs. private pay.
Tax
Filings, estimates, and year-end deduction maximization, with a video walkthrough so you understand what you owe and why.
Payroll
Clinician payroll through Gusto, run by the same team that keeps your books — so S-corp pay, benefits, and filings always line up.
Your decisions, modeled with your numbers
Every package gives you access to a forecast of what a decision really looks like in your numbers — questions like "How should I structure clinician compensation as I grow?" answered before you make the decision, not after.
Let's see what
your numbers are
really telling you
Start with a free Clarity Review: answer seven quick questions about your practice (estimates are fine, and it takes about ten minutes) and a real person — not an algorithm — builds your report on the 7 Key Numbers we track for every practice we work with. It arrives within 3–5 business days. You'll see:
What's strong and what needs attention, in words that actually make sense
The seven numbers that tell you if growth is actually working, compared across two years
What to focus on first
You'll also get a short personal video from me, walking through your report and pointing out what I'd look at first — real data you can use, whether or not we ever work together.
Your 7 Key Numbers — sample report
Prefer to talk first?
Book a free 45-minute call. You'll leave knowing the key gaps in your current setup, what's blocking your goals, and clear next steps, whether or not we work together.
HIPAA compliant. We handle your books, accounting, and financial data with the same care you give your clients, fully compliant as your Business Associate. Your EHR (like SimplePractice) and QuickBooks stay completely separate, so client information never touches the books.
Resources for practice owners
