Skip to content

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

Financial, Operational and Practitioner Data – Practice Metrics Simplified Into One Monthly Report

Bookkeeping and Practice Advisory To Grow Your Healthcare Practice - Healthcare Practice Financial, Operational, and Practitioner Data Solutions - ELEVATE Practice Intelligence

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.

Practice Advisory Services FAQs

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:

  1. Ask any necessary follow-up questions about your current bookkeeping setup.
  2. 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:

  1. Most recent financial performance.
  2. Revenue streams.
  3. Staffing complement.  
  4. 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:

  1. Find and document efficiencies in your operations.
  2. Grow your top and bottom line.
  3. 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

Do You Know How Much Your Physiotherapy or Chiropractic Practice Is Worth? We Can Help

Converting practice valuation into personal wealth. Learn more about Practice Exit >

Practice Launch - Get Your Practice Started Right

How Do You Start A Practice? We Have A Proven Roadmap

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 >

Greg Uchacz
Greg Uchacz
About a year ago I was referred to Gary Thorne and ELEAVTE for the purpose of making my practice more profitable. I own a multidisciplinary practice in downtown Calgary and was looking to improve the business systems and routines and reduce my grind. The goal was for an ultimate sale of the practice, but also to be more efficient with my time and energy. I think the goal for most business owners is time freedom and financial freedom. This is what I was seeking. 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.
Joe Box
Joe Box
Gary is knowledgable and generous with his time and provided some significant insight into my business. I especially appreciated his calm, supportive demeanour.
Phil
Phil
I have worked with Gary Thorne for more than a decade. As a clinic owner for 35 years, I’ve found him to be an essential asset to improving efficiencies and driving profit. His knowledge base, professionalism and business acumen are top notch. No other consultants I have used over the years can compare. Recently Gary has helped position us for an upcoming sale, at maximum EBITDA. Thanks for your help Gary!
Jane Baer
Jane Baer
Founder, Community Neurorehab Services
Gary approached our company in a collaborative and respectful way to establish interest in selling to a qualifies buyer. His strategic planning facilitated all aspects of the sale and after the sale to ensure success in the transition. We were always impressed with his negotiation skills in resolving difficulties along the way. Gary is a capable facilitator with an easy going demeanour.
Jennifer Henker
Jennifer Henker
Co-Founder Altius Rehabilitation
As a small business owner, I had worked incredibly hard at growing our regional business to a national platform. Gary advocated for our company's acquisition, and actively participated in guiding the scaling, achieving a robust and highly successful growth trajectory, exceeding market share and revenue goals. Over the three years of working together, we found Gary to be a trustworthy, innovative, and transparent leader who wasn't afraid to take risks or make tough decisions. We crossed the finish like together and I am grateful for the shared experiences and profitable outcomes.
Tyler Smith
Tyler SmithTyler Smith Physiotherapy
I reached out to Gary about a year ago for advice on setting up a physio practice. I was only a few years into my career but decided to take the leap into business ownership. Gary gave me great insights into what it takes to run a practice, different partnership options, and whether partnering was even the right move or if going solo made more sense. His advice really helped me feel more confident in making the right decision.

Meet ELEVATE

ELEVATE Practice Intelligence provides clinic owners with monthly financial, practitioner, and operational scorecards paired with tactical growth plans. We deliver what standard practice consultants can’t: a clear path to profitability tailored specifically for chiropractors, physiotherapists, and psychologists.

Traditional advice says running a private practice means accepting financial blind spots, software overload, and grueling hours. We reject that. We are contrarians disrupting the establishment. We democratize elite operational benchmarks and financial intelligence, giving independent clinic owners the exact leverage they need to eliminate overhead, maximize EBITDA, and scale their wealth.

Gary Thorne - Practice Advisory Canada, Bookkeeping for Healthcare

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.

Unlike our competitors, we operate on an hourly consulting rate. That means NO brokerage fees when your practice sells. Elevate your wealth creation.

JOIN OUR GROWING COMMUNITY

Subscribe to the Newsletter

Exclusive tips and resources to help you break away from the pack.