PT Accounting

Your therapists are seeing patients all day. Where is the margin?

PT practices run on thin margins. We track the numbers that actually move them: therapist productivity, payer profitability, and per-location performance.

Take the Free Financial Assessment →

A 4-minute test your accountant hopes you skip.

At a glance

Investment$3,000–$4,000/mo
Contract1-year, billed monthly
Setup$3,000–$9,000 onboarding
IncludesMonthly P&L, therapist productivity reports, payer analysis

Is This Right for You?

This service is for physical therapy practice owners who recognize these problems:

Your therapists are seeing 10+ patients a day but your margins are razor-thin and you cannot figure out why
Staff costs eat more than half your revenue and you have no way to tell which therapists are profitable
You opened a second clinic and your accountant just lumps everything together in one P&L
Workers comp payments trickle in months late and your books never look accurate because of it
You are paying for PTAs and aides but have no idea if the revenue they generate covers their cost

Need strategic financial leadership? Our Fractional CFO service for physical therapy practices may be a better fit.

What's Included

How We Work With Physical Therapy Practices

PT-specific accounting that goes beyond reconciliation.

01

Therapist Productivity & Cost Analysis

  • •Revenue per therapist per day/week/month
  • •PTA vs PT revenue generation comparison
  • •Staff cost as percentage of revenue by role
  • •Overtime and contract labor cost tracking
02

Payer-Specific Profitability

  • •Revenue per visit by payer type
  • •Workers comp collection timeline tracking
  • •Medicare vs commercial reimbursement comparison
03

Multi-Clinic Financial Separation

  • •Location-level P&L with shared cost allocation
  • •Per-clinic break-even analysis
  • •Referral source tracking by location
  • •Lease and occupancy cost benchmarking
04

Operational Expense Management

  • •Equipment maintenance and replacement reserves
  • •Continuing education cost tracking per provider
  • •Marketing spend and patient acquisition cost by channel

Results

What Physical Therapy Practices Experience

MetricTypical Outcome
Revenue recovered$223,000 from productivity improvements and billing corrections
AR reduction$142,000 collected from aged workers comp claims
Location 3 turnaroundFrom -$4,200/mo to +$2,800/mo in 5 months

Case Study

See The System In Action

6-therapist PT practice, three locations, mix of orthopedic and sports rehab. Revenue grew 22% over two years after adding a third location, but profit actually declined. The owner was working more and earning less.

What we found:

  • •Two therapists were averaging 7.5 visits per day against a target of 10, costing $198K in unrealized revenue annually
  • •Workers comp claims were sitting an average of 97 days in AR. $142K was collectible but had not been followed up on
  • •The third location was running at 58% capacity but carrying full staffing costs, losing $4,200 per month
  • •The practice was not billing for re-evaluations, leaving an estimated $38K per year uncollected

The results

$223,000 from productivity improvements and billing corrections

Revenue recovered

$142,000 collected from aged workers comp claims

AR reduction

From -$4,200/mo to +$2,800/mo in 5 months

Location 3 turnaround

“I thought I had a revenue problem. Turns out I had a visibility problem — I just could not see where the money was stuck.”

— Practice Owner, Mid-Atlantic

Common Questions About Accounting for Physical Therapy Practices

Don't pay for reports. Pay for progress.

Take the 4-minute financial assessment—and find out if your books are helping or hurting your physical therapy practice.

Take the Free Financial Assessment →

The test your accountant hopes you skip.