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This course is designed for physicians, dentists, therapists, and other healthcare professionals who want to better understand the business aspects of private practice. Whether you're starting a practice, currently running one, or thinking about making the leap from employment to ownership, this program gives you practical, real-world financial guidance built specifically for healthcare providers.
You'll learn how to think like a business owner, evaluate which entity structure makes sense for your situation, track the seven financial metrics that matter, calculate your monthly break-even point, and steer clear of the most common (and expensive) mistakes providers make.
Refael Hizami, CPA provides bookkeeping and advisory services to healthcare professionals who are building and growing their private practices. Refael helps physicians, dentists, therapists, and other providers establish strong financial foundations through proper entity selection, financial system setup, break-even analysis, and ongoing bookkeeping support.
His focus is simple: helping providers gain clarity around their numbers, improve cash flow, and build profitable, sustainable practices with confidence.
Contact Information: [email protected] | (845) 499-4854
TOPIC 1: The Mindshift from Doctor to Business Owner
Medical expertise ≠ Business expertise (and that's okay)
Your clinical time has a dollar value—protect it
Pay yourself first (not last)
Revenue ≠ Profit ≠ Cash
TOPIC 2: Choosing the Right Business Entity
Sole Proprietorship (avoid—no liability protection)
Professional LLC/PLLC (standard starting point)
S-Corporation election (where tax savings happen—$10K+ annually)
C-Corporation (rarely right for medical practices)
Entity impacts taxes, liability, and exit planning
TOPIC 3: What Actually Matters Financially - The 7 Numbers Every Doctor Must Track:
Profit & Loss (P&L) - Revenue - Expenses = Profit
Cash Flow - Actual money in/out (not just on paper)
Accounts Receivable Aging - Money owed but not paid
Break-Even Number - Minimum monthly revenue to survive
Provider Utilization Rate - How full is your schedule
True Cost Per Employee
Net Collection Rate - How much you actually collect
TOPIC 4: How to Calculate Your Monthly Break-Even
Step 1: Fixed expenses (rent, insurance, tech, licenses)
Step 2: Variable expenses (staff, supplies, billing)
Step 3: Owner compensation (salary, benefits, taxes)
Step 4: Total = Break-Even
Step 5: Convert to patient visits needed
Reality check: Is this sustainable?
TOPIC 5: The Biggest Financial Mistakes Medical Practices Make
Mixing personal/business finances → impossible to track profitability
No tracking until tax time → miss opportunities, cash flow crisis
Accepting every insurance → low reimbursement kills profit
Underpricing cash-pay → should be 2-3x insurance rates
Over-investing in office too early → unnecessary fixed costs
No cash reserves → one delayed payment = crisis
Ignoring the numbers → can't manage what you don't measure
Not planning for taxes → 35-55% tax hit without strategy
Poor A/R management → leaving $30K-50K on the table annually