Private Practice Elevation with Daniel Fava
Aug 31, 2026 · 36 min · 15 segments
Your practice is making money. Your bank account doesn't seem to know it. If that sounds familiar, this one's for you. A lot of practice owners hit a point where the numbers say "profitable" but the…
Emily BowieGuestDaniel FavaHostSo let's you know, when someone comes to you and they say, I'm making good money in my practice, but there's really not enough.
Where do we kind of start with this conversation of being profitable but still broke? What's usually going on?

So meaning, have they been maintaining their bookkeeping on a monthly basis? Yes.

So normally, and this is extremely normal, people just don't do their books until they have to do their taxes.

And when you do that, you find yourself having to kind of grapple with the decisions you made five or six months ago.

Do what you do best and let someone else do your books because accounting is not super intuitive.

But bookkeeping is a lot more strategic in how you set up your chart of accounts, what the numbers mean, all of that.

So then you get good numbers so you can make good decisions because then that also leads into like the first kind of cash leak that I see almost everybody have and it's in their pricing.
And just I'm thinking through sort of my history and my business, like it probably took me a good six years before I got a bookkeeper.
It helps you have somebody number one, you know, setting up those categories for you know, how you for your expenses, and write offs and all that, but also to having somebody who 100%.

Yeah, I feel like that is, you know, awareness always helps with just making better choices in general.

And I think having someone do your books, have them get them to you by like the 10th or the 15th.

You then can make the decisions you need to change if, you know, you're going in the wrong trajectory.
So let's you know, when someone comes to you and they say, I'm making good money in my practice, but there's really not enough.
Where do we kind of start with this conversation of being profitable but still broke? What's usually going on?

So meaning, have they been maintaining their bookkeeping on a monthly basis? Yes.

So normally, and this is extremely normal, people just don't do their books until they have to do their taxes.

And when you do that, you find yourself having to kind of grapple with the decisions you made five or six months ago.

Do what you do best and let someone else do your books because accounting is not super intuitive.

But bookkeeping is a lot more strategic in how you set up your chart of accounts, what the numbers mean, all of that.

So then you get good numbers so you can make good decisions because then that also leads into like the first kind of cash leak that I see almost everybody have and it's in their pricing.
And just I'm thinking through sort of my history and my business, like it probably took me a good six years before I got a bookkeeper.
It helps you have somebody number one, you know, setting up those categories for you know, how you for your expenses, and write offs and all that, but also to having somebody who 100%.

Yeah, I feel like that is, you know, awareness always helps with just making better choices in general.

And I think having someone do your books, have them get them to you by like the 10th or the 15th.

You then can make the decisions you need to change if, you know, you're going in the wrong trajectory.
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