Group Practice BS

Daniel

The No-BS Guide to Buying and Selling Mental Health Practices

Episodes

  1. 1d ago ·  Video

    Why Therapists Leave Group Practices | What Would Have Made Her Stay

    If you want to sell a therapy practice one day, your clinicians are a big part of what a buyer pays for. Molly Kocher left her group practice job, and her boss asked what would have kept her. "What can private practice give you that we can't?" Her answer: "More money." Molly is a licensed mental health counselor (LMHC) with her own private practice. She co-founded Private Practice Resource, which makes Excel tools that help therapists forecast income, set their rate, track expenses and track continuing education. Daniel and Molly talk about the "you won't make it in private practice" message clinicians hear, the numbers that showed her almost double her pay, and what a group practice owner could have offered her to stay. Buyers look hard at clinician retention when you're selling a group practice, so this one is for any owner who wants a team that stays through a sale. In this episode: → Why therapists are told private practice is too risky, and what her numbers actually said → "Opposite action to anxiety": looking at the money instead of avoiding it → Why the continuing education tracker outsells every other tool they make → How she built a full caseload a year before she left her clinic job → Why most groups let clients follow a departing clinician for continuity of care → The five-year plan that would have kept her at a group practice → About 60-63% of Americans in therapy go to an outpatient practice, and why demand is still high after the pandemic Thinking about selling your therapy practice one day, or want to know what it's worth before you decide? Talk to Daniel → daniel@firesidestrategic.com Chapters 00:00 Meet Molly Kocher 00:55 Why therapists need business tools 03:06 The tool therapists buy most 04:17 How she picked what to build 08:01 "Private practice is hard. You won't make it." 10:50 Demand for therapy after the pandemic 12:48 Advice before you leave for private practice 15:21 What would have kept her at a group practice 17:02 Does she miss working in a group? 18:59 Where to find Molly's tools About Molly: LMHC and co-founder of Private Practice Resource → https://privatepracticeresource.com About Daniel: Buys mental health practices and helps owners sell theirs. Former M&A lawyer. Co-founder of Fireside Strategic. About the show: Group Practice BS is for group practice owners asking one question. How do I sell my mental health practice one day so I can retire or do something else? Connect with Daniel → https://linkedin.com/in/danmking Nothing in this episode is legal, tax or financial advice. #GroupPractice #PrivatePractice #SellATherapyPractice

    Why Therapists Leave Group Practices | What Would Have Made Her Stay
  2. Oct 28 ·  Video

    What Nobody Tells You About Growing a Therapy Practice

    Plenty of good therapists end a session with "you've got the booking link." A lot of those clients never book again. "Sporadic therapy doesn't lead to particularly great results." Elana Sures owns Open Space Counselling in Vancouver and North Vancouver: two locations and 20+ therapists. She also founded Group Practice Performance, a consulting company built around her online course, the Client Retention System. Daniel and Elana talk about why clients drift after a few sessions, why the fix starts with how confident the therapist is, and what a practice owner can change in intake, the first session and team training so clients stay long enough to get better. In this episode: → Why therapists are trained to hold back, and what that does to rebooking → Clients who see therapy as a one-off, and the physical therapy comparison that changes that → What to say when a client's benefits or insurance run out → Building confidence by asking anyway, even when you're nervous → Intake forms that set up the therapy before the first session → The first three sessions, "the story underneath the story," and the 8-session minimum → Why she wouldn't sell therapy packages even if it were legal → Leading your team on retention without feeling greedy or corporate Thinking about selling your practice one day, or bringing in a partner to grow it? Talk to Daniel →  daniel@firesidestrategic.com Chapters 00:00 Meet Elana Sures 01:09 Why therapists struggle to keep clients 03:27 Clients don't know what therapy is 06:38 Therapist leadership and owning your expertise 08:24 Where confidence comes from 10:15 Your batting average will never be 1,000 11:08 Inside the Client Retention System 14:34 Intake forms built for retention 17:08 The first three sessions and the 8-session minimum 18:42 Why therapists can't sell packages 21:26 Where to find Elana About Elana: Owner of Open Space Counselling and founder of Group Practice Performance → https://grouppracticeperformance.com About Daniel: Buys mental health practices and helps owners sell -founder of Fireside Strategic. Connect with Daniel → https://linkedin.com/in/danmking Nothing in this episode is legal, tax or financial advice. #GroupPractice #PrivatePractice #ClientRetention

    What Nobody Tells You About Growing a Therapy Practice
  3. Oct 19 ·  Video

    How She Built a Therapy Practice With 100+ Clinicians

    Amanda Landry never planned to run a 100-clinician practice. It grew anyway. "We hired two directors to clean it up. The numbers never changed." Amanda is the founder of Caring Therapists in Florida: 12 locations, 100+ clinicians, about 8,000 sessions a month across therapy, testing and medication management. She also runs My Private Practice Collective, an online community for therapists growing their own practices. Daniel and Amanda talk about how she went from solo therapist to CEO, the operating system that got her from 30 clinicians to 100, and why she thinks small group practices should get organized before consolidation reaches them. In this episode: → How a second location opened only to cut a one-hour commute → Walking away from her own caseload after maternity leave and stepping in as CEO → Running a group practice on EOS: KPIs, scorecards and a meeting cadence for every department → What happened when two marketing directors never moved the intake numbers → The playbook for opening new locations, and the marketing mistake to avoid in a new market → Where referrals went after the 2020 to 2025 boom → Referral partners that fit: pediatric groups, schools, police and fire departments → The goal of 25 locations, and why acquisitions are part of the plan Thinking about selling your practice one day, or bringing in a partner to grow it? Talk to Daniel →  daniel@firesidestrategic.com Chapters 00:00 Meet Amanda Landry 01:48 12 locations, 100+ clinicians, 8,000 sessions a month 03:58 Building a big practice by accident 07:02 From therapist to CEO 08:03 Running the practice on EOS 10:07 Two marketing directors, no change in the numbers 13:58 The playbook for opening new locations 16:39 Where the referrals went after 2025 18:00 Picking referral partners that match your model 22:20 90 referral sources then, 900 now 24:33 The Chamber of Commerce and local search 25:21 The next stage: 25 locations 27:06 Consolidation and acquisitions in group practice Mentioned: Traction by Gino Wickman (the EOS book) | Asana About Amanda: Founder of Caring Therapists and My Private Practice Collective →  https://www.linkedin.com/in/amandapattersonlmhc/ About Daniel: Buys mental health practices and helps owners sell theirs. Former M&A lawyer. Co-founder of Fireside Strategic. Connect with Daniel → https://linkedin.com/in/danmking Nothing in this episode is legal, tax or financial advice. #GroupPractice #PrivatePractice #ExitPlanning

  4. Oct 9 ·  Video

    The Truth About Scaling Nobody Tells Practice Owners

    A practice can have a great year and still be leaking. "You can pour a bunch into ads for marketing, and it looks really pretty on paper. And how long will that last?" Alyssa Morales is Chief of Staff at Breksey, which supports group practices with intake, marketing, analytics, coaching, billing and credentialing. Before that, she was an executive director. Daniel and Alyssa talk about the number most owners forget to track when they plan to grow and sell: churn. Of clients and of clinicians. In this episode: → Why revenue and leads don't tell you if your practice will last → Why client trust starts at the first phone call, not the first session → How one burnt-out intake team drives away clients and clinicians → What keeps clinicians from leaving for 5 or 10% more somewhere else → Automation vs the human part: why you need both Thinking about selling your practice one day, or bringing in a partner to grow it? Talk to Daniel →  daniel@firesidestrategic.com Chapters 00:00 Meet Alyssa Morales 00:56 The number most practice owners don't track 02:13 Client trust starts at the first phone call 06:46 Why therapy clients need systems that still feel human 10:36 How intake affects clinician retention 11:51 Hiring and training: the business side clinicians never learn 13:43 Why practices need clinical and business minds 16:30 The "steal a skill" question for your leadership team 18:39 Running a practice that stays relational 20:59 Automation vs the human part About Alyssa: Chief of Staff at Breksey → https://breksey.com About Daniel: Buys mental health practices and helps owners sell theirs. Former M&A lawyer. Co-founder of Fireside Strategic. Connect with Daniel → https://linkedin.com/in/danmking Nothing in this episode is legal, tax or financial advice. #GroupPractice #PrivatePractice #ExitPlanning

  5. Oct 3 ·  Video

    Most Therapists Struggle With Business

    Most practice owners plan the beginning. Almost none plan the end. Gordon Brewer has run a private practice for 20+ years. He founded Kingsport Counseling Associates in Tennessee and has hosted The Practice of Therapy podcast since 2017. He also kept his practice running while caring for his late wife through 13 years of cancer. Daniel and Gordon talk about what it takes to build a practice you can one day step away from, on your terms. In this episode: → Why clinicians get "squirrely" about money, and how that holds a practice back → How to pick the right size of group practice for the life you actually want → Retirement planning, professional wills, and what happens to your practice if you can't show up tomorrow Thinking about selling your practice one day, or bringing in a partner to grow it? Talk to Daniel →  daniel@firesidestrategic.com Chapters 00:00 Intro 01:12 Meet Gordon Brewer 04:46 Why clinicians get "squirrely" about money 14:28 How to pick the right size of group practice 21:36 Running a practice through life's hardest moments 23:09 Retirement, professional wills, and planning your exit About Gordon: Founder of Kingsport Counseling Associates and host of The Practice of Therapy podcast About Daniel: Buys mental health practices and helps owners sell theirs. Former M&A lawyer. Co-founder of Fireside Strategic. Nothing in this episode is legal, tax or financial advice. #GroupPractice #PrivatePractice #ExitPlanning

    Most Therapists Struggle With Business

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The No-BS Guide to Buying and Selling Mental Health Practices