TEST: Make Room for Growth

One of the things I've seen lately, working with my practice owners who have teams...think at minimum 5 clinicians, is how much HR issues impact our finances.

For most practices, payroll is 50% of the budget.

Sometimes more (which can be a problem).

And when payroll is that big, you can't afford NOT to be clear about what you will or won't pay for.

PTO policies that aren't enforced.

Unclear language around how much is paid for admin time vs clinical time.

Paying the same rate for supervision hours for Part-time and full-time employees.

Reimbursements that don’t have a cap.

It adds up fast.

Being generous without structure doesn’t make you a better leader.

It just blows your margin.

And then you are confused about why cash feels tight or why profit keeps disappearing.

This isn’t about being strict.

It’s about having boundaries.

Because when payroll is your biggest expense, HR decisions aren’t neutral.

They’re financial decisions, whether you call them that or not.