Building Systems That Work Without You
Learn how to create processes and systems that allow your business to run smoothly even when you're not there, giving you true freedom and scalability.
Read More →Do you know your numbers? Not just revenue — the seven interconnected metrics that tell the complete story of your business health?
Most practice owners I work with know their top-line revenue. Some track expenses. Very few have a clear dashboard of the metrics that actually drive profitability and growth.
The truth is, most of us weren't taught this stuff in school. But when you understand the right metrics and how they connect to each other, running your business becomes so much clearer.
Revenue isn't just about how much money came in the door. It's about predictable, sustainable income. Track your revenue per visit, revenue per new patient, and revenue trends month-over-month. This gives you early warning signs when something's shifting in your business.
Most business owners look at expenses once a month when they review financials. By then, it's too late to course-correct. Track expenses weekly and categorize them clearly. Know your biggest expense categories and watch for creep.
For PT practices, visits are the engine. Track total visits, visits per patient episode, and visit trends week-over-week. This tells you whether you're delivering on your clinical commitments and where capacity issues might be developing.
New patients are your lifeblood. Track where they come from, your conversion rate from inquiry to first visit, and trends over time. If new patient numbers are declining, you need to know before it shows up in revenue.
Every new patient started as a lead. Track your lead sources — physician referrals, direct access, word of mouth, online. Understanding where your best patients come from tells you where to invest your relationship-building time.
Full-time equivalents measure your team capacity. Track revenue per FTE, visits per FTE, and productivity rates. This tells you whether you're optimally staffed and where you have room to grow without adding overhead.
Units measure the intensity of care delivered per visit. Track units per visit and compare to your benchmark. This metric tells you whether you're delivering appropriate care and flagging whether revenue per visit is trending the right direction.
The real power isn't in any single metric — it's in understanding how they relate to each other. Three ratios matter most: Productivity Rate (Total Visits ÷ FTEs), Service Intensity (Total Units ÷ Total Visits), and Expense Ratio (Total Expenses ÷ Revenue).
Real Example
One clinic owner I worked with was frustrated by flat revenue despite seeing more patients. When we looked at the ratios, we discovered their revenue per visit had dropped 15% over six months. They were seeing more patients but providing less intensive care. By focusing on appropriate service delivery, they increased revenue by $40,000 in 90 days without seeing a single additional patient.
Start simple. Pick three of these metrics that feel most relevant to your current challenges. Track them weekly for a month. Look for patterns and relationships. Once you're comfortable with three metrics, add the others. The goal isn't to become a data analyst — it's to develop business intuition backed by real numbers.
"Running a business without these metrics is like driving at night without headlights. You might make it to your destination, but why take the risk?"
Connecting the Dots gives you monthly clarity on performance and profitability — so you know exactly where to focus and what to fix.
Sturdy McKee is the founder of Sturdy Coaching, LLC, and creator of The 6-Hour CEO™ approach. With two decades of experience scaling and selling a six-location physical therapy practice, Sturdy helps business owners transform from being the hardest-working player in their business to becoming its confident coach and strategist.
Learn how to create processes and systems that allow your business to run smoothly even when you're not there, giving you true freedom and scalability.
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