5 Reasons Private Practices Fail - How to Start, Grow, and Scale a Private Practice | Practice of the Practice (2024)

Although many people would love to venture into the world of private practice business, it is not an easy world. According to studies conducted by the United States Small Business Administration, the survival rate of business enterprises is not very favorable. Only about two-thirds of businesses survive for two years or more. Not only that, but the number keeps on dwindling further down as more years pass by.

Less than half of the businesses established survive for six years or more.

With these statistics in mind, it only shows how difficult running a business can be! But how difficult is it to maintain a business? What are the top ten reasons why private practices tend to fall short in their lifespan?

Opening up a private practice requires more than financial resource and guts. It entails a more detailed process and planning than one might think. Aside from being able to have the needed capital, one must have a clear and concise plan on how to start the business.

It isn’t just a simple checklist that you can complete overnight. You should know some basics:

  • Where to locate your practice?
  • Who will be your ideal clients?
  • Will you take insurance?
  • How many clinicians workers you will have?
  • How much is your workers’ salary or percentage?
  • How can you pay for the business’ bills and tax?

Many private practices fail because owners don’t start with basic business principles. Being a great clinician does not equal having a great business. As long as you are not ready and prepared, you will be easily swept away by the turbulence of challenge.

Revenues, product quality and cost-effectiveness are very important in business, but are you offering good service?

Common ways that people let down their clients are:

  • Not returning phone calls or emails quickly
  • Having a hard to navigate website
  • Having an unclean office
  • Not having additional amenities like water or coffee
  • Not having a scheduling system
  • Sloppy confidentiality

Counseling quality and cost-effectiveness can attract a lot of consumers, as quality and cost are two of the most important things that consumers look for in products or services. However, as you improve your quality, you can improve your rates. Having great revenues gives ensures that the business can keep on running.

Client satisfaction makes the private practice continue to exist. Not knowing how to really communicate to the clients on their preference and suggestions can close your doors.

When I first launched the Practice of the Practice Podcast, I did a lot of research. The only other private practice podcast at the time was the American Counseling Association. They had not posted in over four months. Thus, when I launched, right away iTunes ranked me #1 and I could say I was the #1 podcast for counselors in private practice. There was no competition!

In the business world, there is much competition awaiting everyone. The more common your business is, the lesser is your chance in winning. If there are a lot of counselors in your area, you have to set yourself apart!

So how do you tell your story as a private practice? How do you market those skills and niches?

One of the reasons that businesses fail is because the team lacks the marketing skills.

Clinicians have to clearly state the advantages of the counseling. Sometimes customers won’t know how great your practice is unless you present it through your website, social media, and traditional local media.

Many people who venture out into private practice don’t properly plan their outcomes. In my private practice consulting, I teach my clients about having one or two KPIs. A KPI is a “key performance indicator.”

A KPI is the bottom-line result of what you do well. For example, a KPI could be:

  • Total sessions in a month
  • Total gross income in a month
  • Satisfaction on a survey
  • So if you’re doing marketing well, your KPI will change. If your social media is doing what you want, your KPI will improve.

KPIs can easily get lost in the battle. It is not only in business but also in almost anything one should do.

Some private practice fail to adapt quickly to changes in the market, like custumer needs and competition. Private practices that thrive will move quickly. They will write blog posts about current topics and trendjack what is being discussed in the media. They’ll actively engage on social media and find new ways to enhance their website. Being sluggish in adapting changes can cause private practices to be left with few clients.

Avoid these pitfalls and you’ll grow a healthy, thriving private practice that will increase your influence and your income!

Joseph R. Sanok, MA, LLP, LPC, NCC

Joe Sanok is an ambitious results expert. He is a private practice business consultant and counselor that helps small businesses and counselors in private practice to increase revenue and have more fun! He helps owners with website design, vision, growth, and using their time to create income through being a private practice consultant.

Joe was frustrated with his lack of business and marketing skills when he left graduate school. He loved helping people through counseling, but felt that often people couldn’t find him. Over the past few years he has grown his skills, income, and ability to lead others, while still maintaining an active private practice in Traverse City, MI.

To link to Joe’s Google+ .

5 Reasons Private Practices Fail - How to Start, Grow, and Scale a Private Practice | Practice of the Practice (2024)

FAQs

5 Reasons Private Practices Fail - How to Start, Grow, and Scale a Private Practice | Practice of the Practice? ›

Quality of Care

You may be surprised to learn that private practices can actually provide a higher quality of care than large healthcare systems. The main reason for this is that private practice doctors have more autonomy.

Is it better to go to a private practice? ›

Quality of Care

You may be surprised to learn that private practices can actually provide a higher quality of care than large healthcare systems. The main reason for this is that private practice doctors have more autonomy.

Why are private practices important? ›

From a patient's perspective, they offer more personalized care. Because private practices are smaller and have fewer patients, doctors can spend more time with each patient and get to know them personally.

What is a good split for private practice? ›

Overall, a well-structured 70/30 split private practice ensures that revenue distribution is fair, allows for effective resource allocation and overhead costs, allows clinicians to contribute and be actively involved and participate in the growth of the practice as well as in their professional development.

What are the disadvantages of solo practice? ›

Solo practice owner

Cons: While this option offers the most freedom, it also can be the most difficult. That is because administrative burdens, high startup and overhead costs, and unpredictable work hours all fall on your shoulders.

Why are physicians leaving Private Practice? ›

“The AMA analysis shows that the shift away from independent practices is emblematic of the fiscal uncertainty and economic stress many physicians face due to statutory payment cuts in Medicare, rising practice costs, and intrusive administrative burdens,” AMA President Jesse M.

How profitable is a Private Practice? ›

The average private practice (one location) will generate between $120,000 to $780,000 per year in gross revenue with 12-20% of that being profit. The average practice today wastes money and is not efficiently run. Despite being busy, treating patients, they don't profit as much.

Are Private Practice doctors more expensive? ›

Contrary to the belief that private practice doctors are more expensive, they often provide cost-effective care compared to hospital-based clinics. Supporting private practices helps prevent the consolidation of hospital systems, reducing the potential for monopolistic practices that drive up health care costs.

Are doctors in private practice happier? ›

Despite the general happiness being more or less even, self employed doctors report greater satisfaction with their careers and life than employed doctors.

What is the greatest disadvantage of private healthcare services? ›

Private practices also have more flexibility when it comes to scheduling appointments and treatments. However, there are also some drawbacks to private practice in healthcare. One of the main drawbacks is that private practices can be more expensive for patients.

Why do therapists go into private practice? ›

Potential for Increased Income

Starting a private practice can be a lucrative decision for therapists looking to increase their income potential. One of the main reasons that therapists decide to start their own private practice is because it allows them to set their own rates and control their earnings.

How much does a doctor who owns his own practice make? ›

How much does a Private Practice Physician make in California? As of May 16, 2024, the average annual pay for a Private Practice Physician in California is $193,499 a year. Just in case you need a simple salary calculator, that works out to be approximately $93.03 an hour.

Is it better to work for a hospital or private practice? ›

Hospital medicine

Many feel this is “safer” because you do not have to worry about your paycheck each month. But most likely you will have a salary cap, which can mean earning potentially less than if you were working for a flourishing private practice.

Do doctors own their own practices? ›

A short sum could be to say only certain doctor-level certified professionals are allowed to own the medical corporation (51% or more), but other certain certified medical professionals are allowed to own up 49% but not the majority.

What are the benefits of private counseling? ›

Flexibility and Convenience

Private counseling often offers greater flexibility in terms of scheduling and session duration. You can work with your counselor to find a schedule that suits your needs, whether weekly sessions, bi-weekly meetings, or occasional check-ins.

What are limitations in Counselling? ›

Limitations may be that the counsellor does not have the expertise that is needed, the counsellor does not have a rapport with the person or that the counsellor is approaching burnout. Some counsellors have strengths and experience in an area that another's may not.

What are ethical limitations in Counselling? ›

Counsellors should also avoid working with family, friends, or people they know personally. This includes working with family members of someone they know. These ethical boundaries are in place to allow everyone a fair, unbiased therapy, where they can rely on confidentiality to express their problems freely.

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