Pros, Cons & Challenges of a Cash-Based Practice episode artwork

EPISODE · Apr 3, 2025 · 41 MIN

Pros, Cons & Challenges of a Cash-Based Practice

from Pelvic PT Rising · host Nicole Cozean, PT, DPT, WCS & Jesse Cozean

Thinking about going cash-based—or already there but questioning it? Let’s break it all down.In this episode, we’re talking through the pros and cons of being in a cash-based practice. We break it down into three major categories:✅ Clinical – The biggest win. You get to treat patients how you actually want—no insurance companies dictating your plan of care or cutting off treatment early. You’re in control, not a profit-focused third party.✅ Financial – Cash-based practices have way higher profit margins. You can charge what you're worth (not what insurance allows), and you don’t need a massive patient volume just to stay afloat.✅ Lifestyle – Fewer patients. More time. More flexibility. When your margins are higher and your schedule is your own, you get to live more life.BUT—it comes with a catch. You’ve got to get patients in the door. That means marketing, messaging, and selling your value. That’s the deal.🎧 Tune in to hear what makes cash-based worth it (and where you need to step up to make it work).Business Accelerator Program - Next Cohort in July!If you're looking to take your business to the next level this year, make sure to sign up for the Business Accelerator Program!  Next cohort starting in July, it's our six-month coaching intensive to fill the schedule, create great systems and build clinical excellence in your practice.  All the details and application at www.pelvicptrising.com/accelerator!About UsNicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health.   PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016.  It grew quickly into one of the largest cash-based physical therapy practices in the country.Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes.  Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them! Get in Touch!Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email ([email protected]).Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!

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Thinking about going cash-based—or already there but questioning it? Let’s break it all down. In this episode, we’re talking through the pros and cons of being in a cash-based practice. We break it down into three major categories: ✅ Clinical – The biggest win. You get to treat patients how you actually want—no insurance companies dictating your plan of care or cutting off treatment early. You’re in control, not a profit-focused third party. ✅ Financial – Cash-based practices have way higher ...

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Pros, Cons & Challenges of a Cash-Based Practice

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