Reconciled Solutions

Concierge doctors and DPC practice owners: you built a model designed to create freedom.

But if your revenue is going straight into one operating account and you're paying everything from the same pool, you don't have a freedom model. You have a cash flow guessing game.

This is exactly why I love Profit First for service-based practices.

https://loom.ly/ZHoK7-U

The concept is simple: pay yourself first, allocate by purpose, and constrain your spending to what's left. It removes the noise and forces your business to become leaner and more intentional, without requiring you to become a financial expert.

For DPC and concierge practices specifically, the membership revenue model is ideal for Profit First. Predictable income. Defined overhead. The math works.

The problem is usually that no one ever set it up.

If you're in concierge or DPC medicine and you've never run Profit First through your practice, I'd genuinely love to talk.

What's the biggest financial stress in your practice right now?

Financial Clarity for DPC & Concierge Practices - Reconciled Solutions You chose DPC or concierge medicine to bring humanity back into healthcare. N ow learn how to pay yourself like a doctor while doing it.

May is Mental Health Awareness Month, and here's something that doesn't get said enough in business spaces:
Running a company is hard on the person running it.

Not just the long hours or the financial uncertainty, though those are real. It's the "always on" feeling that never fully switches off. The way your brain doesn't stop doing the job even when you're technically somewhere else.

A 2023 Gallup poll found that 29% of U.S. adults have been diagnosed with depression at some point; up from under 20% a decade earlier. Business owners aren't immune to that number. In a lot of ways, we're more exposed to it.

What I've found, both personally and in the work I do alongside business owners, is that the best financial decision you can make for your business is also one of the best mental health decisions: build it so it doesn't require your constant presence to function.

When you delegate intentionally, when your systems run without you touching everything, when you can step away and trust that things won't fall apart, that's not just good business design. It's also how you protect yourself for the long haul.

If you're feeling stretched thin right now, I wrote something I'd like you to read. It covers the real warning signs, what actually helps, and why caring for yourself is part of the job description.

Link in the first comment.

What's one thing you've done, or wish you'd done sooner, to protect your own wellbeing as a business owner? I'd genuinely love to hear.

You think you know your numbers. But there's one mistake in QuickBooks Online that silently distorts everything, and most business owners don't catch it until serious damage is done.

It's not a missed invoice.
It's not a duplicate entry.

It's miscategorized transactions.

When you assign expenses to the wrong category, or lean on catch-alls like "Miscellaneous" or "Uncategorized Expense", the ripple effect is real:
→ Your Profit & Loss report lies to you
→ Your tax return has errors before your accountant even touches it
→ You think you're more (or less) profitable than you actually are
→ Your planning and decisions are built on faulty data

And here's what makes this mistake so insidious: it compounds over time. You can't always see it happening. But you will feel it eventually: at tax time, when you're trying to make a growth decision, or when you go looking for a profit that should be there and isn't.

The good news? You don't have to start over. A 60–90 day lookback for obvious errors is a solid first step. Clean up the duplicates. Fix the wrong categories. Stop letting transactions pile up in "Ask My Accountant."

Your books should be a clear window into your business, not a funhouse mirror.

Are you confident in how your transactions are categorized right now? What's one area where you've caught an error that surprised you?

I wrote about the most common categorization mistakes in QuickBooks Online, and what to do about the, in my latest blog post. Read it here: https://loom.ly/4JuW-zM