PRACTICE CASH FLOW

Cash flow for a physician-owned practice

Medical practice cash flow management is the timing problem under a busy clinic. Collections, payroll, and supplies rarely land in the same week, and a full schedule does not guarantee cash in the account.

THE PROBLEM

The practice is busy, and the operating account is still tight.

Patient visits post as revenue before the cash arrives. Payroll and supplies do not wait for the payer. A slow month, a new hire, or a larger supply order can use cash the profit-and-loss statement still calls available.

Owners feel this as surprise, not as a forecast. The books explain last month. They do not yet say what the next eight or thirteen weeks require.

WHAT WE DO

A short-horizon view of practice cash.

We connect the close to a cash view: what is expected in from collections, what must go out for payroll and supplies, and what is left for a hire or a slow stretch. This is operating cash for the practice. It is not a loan package, and it is not personal cash-flow planning for the physician.

CASH

What the cash view includes

Collections timing

Revenue on the books versus cash that has actually arrived, so a strong month is not spent twice.

Payroll and supplies

The two outflows that most often collide with a slow collection week.

A short forecast

Weeks, not a five-year model — enough to see a crunch before it hits the operating account.

Room for a decision

Whether a hire or a slow month fits the cash you have, not the revenue you hope to bill.

A monthly rhythm

The cash conversation happens with the close, not after the account is already short.

DELIVERABLES

What you receive

Cash position

What is available after the obligations already on the calendar.

Timing map

Collections, payroll, and supplies on one timeline.

Near-term forecast

A rolling look at the next stretch of operating cash.

FAQ

Common questions

If we are profitable, why is cash tight?

Profit records work that has been done. Cash records what has been collected and what has been paid. In a medical practice those clocks are different, especially when payroll is weekly and collections lag.

Do you collect from payers for us?

No. We treat collections as an input to cash flow. Billing and follow-up stay with your biller or billing staff.

How far ahead do you forecast practice cash?

Usually a short rolling window, often around thirteen weeks, adjusted to how lumpy your collections are. The point is the next decision, not a decorative annual spreadsheet.

Is this only for practices that are short on cash?

No. Practices that want to hire or open space need the same picture before they commit, even when the account looks comfortable today.

See the cash the schedule does not show.

Tell us how collections, payroll, and supplies move today. We will say whether a cash view belongs with the monthly books.