APTA CSM 2027: Feb 4-6, Philadelphia
CSM is where PT practice owners learn what is changing clinically. This guide, built for the 2027 meeting in Philadelphia, ensures you also understand what is changing financially. Sorso is not an exhibitor, sponsor, or speaker at this event — this is an independent prep guide for PT practice owners.
The CFO read
PT practice owners face a structural margin squeeze: reimbursement is declining while labor costs are rising. CSM is clinically excellent, but the financial conversations happen in the hallways, not the lecture halls. Come prepared with your cost-per-visit data. If any payer reimburses you below that number, you are literally paying to treat their patients.
— Stanislav Sukhinin, CFA · Founder, Sorso
Why this matters for your bottom line
Physical therapy reimbursement has declined in real terms for many years running. Practices that have not adjusted their operating model are losing margin every year even if volume stays flat.
MIPS reporting requirements and therapy threshold rules create direct financial consequences. Understanding your performance scores and their impact on reimbursement is no longer optional.
Clinical labor costs in PT have risen sharply since 2022. Practices that use PTAs effectively tend to maintain healthier margins than those relying solely on PTs.
Direct access and cash-pay PT models are growing. Understanding the financial model of these alternatives helps you evaluate whether they make sense for your market.
What to look for
Reimbursement trend analysis and strategies for maintaining margins under rate compression
PTA staffing models and their financial impact on per-visit profitability
Cash-pay and hybrid model financial frameworks with real revenue data
MIPS reporting optimization to maximize positive payment adjustments
Operational efficiency metrics: visits per therapist per day and optimal scheduling models
Financial prep checklist
Review these before you go.
Run revenue per visit and cost per visit by payer type, not blended
Map your PTA utilization ratio and the per-visit margin difference between PT and PTA
Walk through visits per therapist per day against your own trailing twelve months
Identify the payers that reimburse below your cost per visit
Audit your MIPS scores and translate them into dollars of reimbursement adjustment
Compare your operating margin against your own three-year trend to see whether it is holding or compressing
Before APTA CSM 2027, get your own numbers straight
Walk in able to check every benchmark on the slides against your own numbers. Three ways owners start with us:
Physical Therapy Accounting & CFO
Built for PT clinic economics
Visit-based margins, the 8-minute rule, payer mix, and multi-site P&L — for physical therapy owners. From $2,000/mo.
Explore your specialty →Accounting
Healthcare-specialist accounting
Books done right by people who understand clinic finance. Starts at $2,000/mo.
Explore Accounting →Free Assessment
A financial checkup before you go
Four minutes. See where your practice stands so every session is measured against your own numbers.
Take the assessment →
Founder of Sorso and a CFA charterholder. Before Sorso, Stan spent 19 years in corporate finance at institutions including UniCredit and Société Générale — managing a $450M loan portfolio and making senior partner at a major mezzanine lender by 29 — then built a fractional CFO firm exclusively for outpatient healthcare clinics.