Bookkeeping and Practice Advisory To Grow Your Healthcare Practice
| CHIROPRACTORS | PHYSIOTHERAPISTS | PSYCHOLOGISTS |
Financial & EMR Data Integration = Greater Practice Management Intelligence
Not ready to schedule an introductory meeting with Gary?
Ask a question at hello@elevatemppractice.ca
High-Value Problems ELEVATE Solves for Practice Owners:
- We trade on 3 currencies: more time, less effort, more money.
- Financial clarity-monthIy profit and loss statements.
- Operational clarity-labour spend + schedule efficiency.
- Practitioner clarity-productivity and performance.
Bookkeeping & Practice Advisory Services for Your Healthcare Practice
Bookkeeping
Let’s start by getting your financial foundation in order. We clean-up and catch-up your bookkeeping using either QuickBooks or Xero Online software.
We make sure you have the best data possible to manage cash flow, grow net income and stay onside with CRA.
Operational and Practitioner Reporting
With your financial (bookkeeping) foundation in place, ELEVATE offers data-rich, monthly reporting on your practice’s performance (Operations/Practitioner).
Practice Advisory
With your financial and reporting foundations set, ELEVATE delivers tactical insights for practice top-line and bottom-line growth.
FAQ
Getting started is easy! You can contact us or book a consultation to set up an introductory call. During this first chat, we’ll ask key questions to understand your specific business goals and current operations. This is also your time to ask us anything about our services.
After the introductory call, we’ll send you an Engagement Letter/Agreement that formally outlines the services we will provide, ensuring it perfectly aligns with your vision. This process also ensures all necessary confidentiality requirements are met for both ELEVATE and your practice.
Getting started is easy! You can contact us or book a consultation to set up an introductory call. During this first chat, we’ll ask key questions to understand your specific business goals and current operations. This is also your time to ask us anything about our services.
After the introductory call, we’ll send you an Engagement Letter/Agreement that formally outlines the services we will provide, ensuring it perfectly aligns with your vision. This process also ensures all necessary confidentiality requirements are met for both ELEVATE and your practice.
Once you decide to move forward with ELEVATE, we’ll schedule a dedicated onboarding call with you and any team members you’d like to include. In this meeting, we will:
- Ask any necessary follow-up questions about your current bookkeeping setup.
- Provide a clear, simple list of access requirements. This typically includes permissions for your accounting platform (e.g., QuickBooks, Xero) and your practice management system (e.g., Jane, Clinicmaster).
Providing this access allows us to begin gathering all the required financial and operational information efficiently, enabling us to start supporting your bookkeeping services right away.
If your primary goal with ELEVATE is to grow your practice or sell the business, our first meeting will include gathering information about how your business operates. This can include understanding your:
- Most recent financial performance.
- Revenue streams.
- Staffing complement.
- Current KPI’s used to run the business, and more.
You may have already completed our Practice Valuation Calculator, which would lead us into some more details about your business. This allows us to value your existing business, as well as identify opportunities for growth.
We know physiotherapy and chiropractic practices inside and out. Our team hasn’t just managed books; we’ve managed healthcare practices, clinic networks, and clinical teams for decades. We understand what you are experiencing and what it truly takes to succeed.
Our difference is defined by our specialized knowledge:
- Strategic Insight: We understand the importance of reviewing your financial operations frequently to uncover growth opportunities sooner.
- Operational Expertise: We know how to find efficiency in labor costs, resolve AR balances, and drive intakes, pairing this operational knowledge with your financial data.
- Industry Network: We can refer you to other industry-specific services tailored to healthcare, such as marketing, recruiting, and talent development.
Putting all of this together is how we differentiate ourselves from a standard service provider.
We believe in constant contact and strategic partnership. While our team provides financial updates at least monthly—focusing on the key metrics your physiotherapy or chiropractic practice needs—we are often in touch more frequently in the initial stages. We do this to clarify questions, query specific transactions, and gather any required documentation in a way that is convenient for your time.
Beyond standard bookkeeping, we leverage our decades of industry experience and your unique financial data to provide actionable operational recommendations. This could include:
- Clinical: Identifying clinician occupancy targets and improvement flags.
- Financial: Operational cost-saving ideas and strategies to resolve outstanding Accounts Receivable (AR).
- Growth: Pinpointing gaps that are preventing new intakes, or evaluating your current marketing approach.
In short, our dual goal is to help your practice find more profits and save you time.
Yes, absolutely. We have experience working seamlessly with a wide range of practice management systems, including Clinicmaster, Jane, Juvonno, Cliniko, Practice Perfect, and many more.
We manage the entire process to ensure a smooth transition that minimizes the time required from you. Our dedicated bookkeeping team proactively communicates with you and your existing accounting firm or bookkeeper to coordinate the handover of all necessary financial records and access.
There is no prescribed time to begin using ELEVATE’s services. Whenever you feel your practice could benefit from specialized practice management, operations support, or clinic-specific bookkeeping, we are here to help. We work with everyone from individual startup clinics to large, multi-site healthcare organizations.
Understanding your goal is our first step. We customize a solution that helps you get there, whatever your vision:
- Do you want to grow the practice to sell it for a premium price one day?
- Do you want to focus more on direct patient care but need support for time-consuming operational tasks?
- Do you simply want your practice to grow, provide amazing care, and ensure there is money left over to sustain your lifestyle?
We build a customized path to your success.
At ELEVATE, we are focused on providing a return on your investment. Based on our experience, we are able to provide recommendations that reduce some of your current costs almost instantly and significantly within three months—all without compromising your patient care, team members, or clinician experience. This is paired with the time savings and growth of your bottom line, which has been consistently shown to more than offset the cost of our services.
If you are thinking about selling your practice one day, starting with ELEVATE is the best way to position yourself for the highest purchase price.
Most buyers and acquisition groups will look at 2 to 3 years of consistently clean financials to build out a “normalized EBITDA” (a key profitability metric) for your business. A multiplier is then applied to that EBITDA to establish a purchase price. By using ELEVATE’s services sooner, you can:
- Find and document efficiencies in your operations.
- Grow your top and bottom line.
- Show this consistency for an extended period of time.
This directly enhances your normalized EBITDA and shows strength to a potential buyer, significantly increasing your practice’s overall value and resulting sale price. Please feel free to book a free consultation if you’d like to learn more about this process.
By reviewing your financials and operations, our experienced industry experts can provide recommendations that will reduce your overhead and expenses without compromising client or clinician experience.
We are able to benchmark your clinic against industry standards and use our deep knowledge of physiotherapy and chiropractic operations to share actionable opportunities. Additionally, we leverage our industry partners to help you:
- Recruit top clinicians.
- Implement marketing strategies specific to driving new intakes.
- Support lower-cost supply management.
Taken together, we can help you take your clinic out of the red and into the green. Because you took the entrepreneurial risk to start something great, you deserve to see the reward.
Growth Consultancy Services
Our goal is to increase your profitability while exploring every opportunity for our growth and advisory services to be cost neutral.
Practice Exit - Planning to Sell
Converting practice valuation into personal wealth. Learn more about Practice Exit >
Practice Launch - Get Your Practice Started Right
All-in-one startup services for new practices. Learn more about Practice Launch >
One-to-One Coaching - Supporting Your Growth From Day 1
Empowering students and new practitioners. Learn more about One-to-one Coaching >
Move forward with clarity
50% of practices fail within the first 5 years. Let’s chart a different path for yours.
- Get clear answers to complex questions.
- Back up business decisions with data and experience.
- Paint a clearer picture of what your future holds.
- Gain certainty so you can lead your practice with confidence.
- Focus on outcomes that deliver success, not simply revenue
- Put financial output over tax savings
- Maximize efficiencies in operations and labour
- Grow your working capital.
- Spend less time with clients and more time working on your business.
- Chart your exit or succession plan.
- Set your business up to run with less input from you.
- Maximize the value of your business to get a better multiple.
This is Who We Do it For
Grow and Sell Your Healthcare Practice With Confidence.
No gimmicks. No false promises. And no brokerage fees. Unlike our competitors, we operate on an hourly consulting rate to ELEVATE your wealth creation.
Not ready to schedule an introductory meeting with Gary?
Ask a question at hello@elevatemppractice.ca
Meet ELEVATE
ELEVATE is the only Practice Advisory & Bookkeeping consultancy to provide practice owners with monthly financial, practitioner, and operations scorecards combined with insights and tactical plans for growth and profitability.
Our industry tells you that operating a private practice means accepting financial, practice, and practitioner blind spots, technology overload and long hours. We reject that.
We democratize practice knowledge and prove production, performance and profitability are not reserved for the big players.
We create greater access to industry benchmarks, strategic insights, and financial intelligence for every practice owner.
We are Contrarian.
We challenge The Establishment.
ELEVATE is built on a foundation of deep industry expertise combined with extensive experience in healthcare practice management, we are uniquely positioned to help practice owners leverage their battle for time, while creating a greater sense of agency over wealth creation.
Exit Advisory
Some advisors offer quick fixes or incomplete solutions. You won’t find that here at ELEVATE.
Profit over revenue
The profit opportunity cost of not partnering with ELEVATE typically ranges from $250-$400/day or $65,000 to $105,000/year.
A common and easy promise for advisors to make is 2x your revenue growth every year you’re a member.
Wealth creation
Increasing long-term shareholder equity comes in the form of increased profits paired with less debt.
Chasing revenue growth to a 7-figure target ($1M).
Attracting buyers
>95% of all practice acquisitions are valued on profits and a Cap. Rate (i.e. 5x) applied to the profit.
<5% of practice acquisitions are based on revenue and a Cap. Rate (1x) applied to revenue. We will not restrict the open market by excluding special interest buyers.
- ELEVATE Practice Intelligence
-
Other Clinic
Advisors
The real deal
Some advisors offer quick fixes or incomplete solutions. You won’t find that here at ELEVATE.
Profit over revenue
- ELEVATE Practice Intelligence
The profit opportunity cost of not partnering with ELEVATE typically ranges from $250-$400/day or $65,000 to $105,000/year.
-
Other Clinic
Advisors
A common and easy promise for advisors to make is 2x your revenue growth every year you’re a member.
Wealth creation
- ELEVATE Practice Intelligence
Increasing long-term shareholder equity comes in the form of increased profits paired with less debt.
-
Other Clinic
Advisors
Chasing revenue growth to a 7-figure target ($1M).
Attracting buyers
- ELEVATE Practice Intelligence
>95% of all practice acquisitions are valued on profits and a Cap. Rate (i.e. 5x) applied to the profit$.
-
Other Clinic
Advisors
<5% of practice acquisitions are based on revenue and a Cap. Rate (1x) applied to revenue$. We will not restrict the open market by excluding special interest buyers.
Contact us for more information
Reach out to learn more or to book a complimentary consultation call.
Not ready to schedule an introductory meeting with Gary?
Ask a question at hello@elevatemppractice.ca
Not ready to schedule an introductory meeting with Gary?
Ask a question at hello@elevatemppractice.ca
Jason Fried Founder and CEO of Basecamp.
This is Who We Do it For
I want to relay that ELEVATE and Gary Thorne provided me a knowledge and strategic approach that I had not anticipated. You think you know how to run a business; balance sheets and profit/loss statements. Yet, when a real expert like Mr. Thorne works with you, you realize that you were out of your league. You realize what truly profitable companies do. Real companies.
I urge anyone who would like to grow their practice into a legitimate business, you NEED to use true experts. Mr. Thorne and ELEVATE are exactly this in the healthcare space. Worth every penny and more."
FAQ's
The simple answer is yes and so much more. It’s important to understand how complex solving for profit is vs. solving for revenue. For a typical healthcare practice, the profit ‘fix-it’ phase often lasts 12 months. In this phase, practice ownership will adopt lean principles, align with high value services and shed itself of non-essential expenses. The 12 months following the ‘fix-it’ phase is often called a ‘maintainable earnings phase.’ In this phase, the practice owner will often experience daily profit growth in the range of $250-$400/day or $65,000-$105,000/year (based on 260 working days/year). Outlined below are the two wealth creation phases for a practice owner:
- Operations: Number of years an owner continues to operate in the ‘maintainable profit phase’ (i.e. 10 yrs.) x average profit increase (i.e. $75,000/yr) = $750,000 additional profit above and beyond the profit from the ‘fix-it’ year.
- Sale of the business: A complex formula with a multitude of variables, which gets crafted into a multiple based on maintainable earnings. As a practice owner, you could easily earn an additional $500,000 on the sale of their business compared to the value of their business in the ‘fix it’ phase.
- Total wealth creation gain: $1,250,000
To look at it from another perspective, by not partnering with ELEVATE, are you ready to forgo this potential profit gain?
The simple answer is yes and so much more. It’s important to understand how complex solving for profit is vs. solving for revenue. For a typical healthcare practice, the profit ‘fix-it’ phase often lasts 12 months. In this phase, practice ownership will adopt lean principles, align with high value services and shed itself of non-essential expenses. The 12 months following the ‘fix-it’ phase is often called a ‘maintainable earnings phase.’ In this phase, the practice owner will often experience daily profit growth in the range of $250-$400/day or $65,000-$105,000/year (based on 260 working days/year). Outlined below are the two wealth creation phases for a practice owner:
- Operations: Number of years an owner continues to operate in the ‘maintainable profit phase’ (i.e. 10 yrs.) x average profit increase (i.e. $75,000/yr) = $750,000 additional profit above and beyond the profit from the ‘fix-it’ year.
- Sale of the business: A complex formula with a multitude of variables, which gets crafted into a multiple based on maintainable earnings. As a practice owner, you could easily earn an additional $500,000 on the sale of their business compared to the value of their business in the ‘fix it’ phase.
- Total wealth creation gain: $1,250,000
To look at it from another perspective, by not partnering with ELEVATE, are you ready to forgo this potential profit gain?
Revenue growth means very little if your profit isn’t healthy. We have watched practices add $500,000 in revenue with no additional dollars to the bottom line. It’s important to remember that great clinicians can grow revenue in their practices, but not all great clinicians can grow profit (this is the stuff they didn’t teach us in university!). In our experience, 90% of practices don’t face revenue challenges, they face profitability challenges. If your practice’s EBITDA is <10%, it’s essentially at a break even point. All that to say, our near-term focus always starts with sustainable profit growth. You pay either way.
Annual turnover trends in administrative positions are hovering just below 50%. It may feel like you’re paying for administrative training and development all year long. Before you make the decision to pay for ongoing training, it’s wise to explore opportunities to automate any/all transactional tasks. Lowering the cost of a transaction is imperative to the long term success of your practice.
Also, when you sell your business to a strategic buyer, chances are the buyer will have a team of centralized services (payroll, bookkeeping, HR, marketing, etc). We often suggest outsourcing functions wherever possible, rather than wasting money on training and development.
Yes, absolutely. The earlier you can start planning for your tomorrow, the faster you can achieve everything outlined in your business plan.
Yes, whether you want to sell your business, pass it onto family, or transfer day-to-day operations to someone else, we’ll help you assess your options and extract the most value. Retire knowing you’re set, or use the money to fund your next chapter.
No, absolutely not. We have no desire to make money on the sale of your business, nor would we ever limit your access to all potential strategic buyers in an open market.
Unlike our competitors, we operate on an hourly consulting rate. That means NO brokerage fees when your practice sells. Elevate your wealth creation.