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536. Paying Well Without Sinking the Ship

Published 9 months ago
Description

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Today, I walk through four compensation models that work for testing and therapy practices –  percentage split (fee-for-service), salary + production bonus, salary + profit share, and flat hourly – plus when each model makes sense. I break down the math behind forecasting (capacity, reimbursement, payroll taxes, PTO, benefits), show where owners get into trouble (overpaying early, ignoring utilization, fuzzy admin time), and share a step-by-step rollout plan with transparency practices that improve retention and engagement. You’ll leave with clear guardrails to pay people well without sinking the ship.

Main Topics

  • Why compensation causes the most stress for owners and how it became confusing (00:00)
  • Percentage split (fee-for-service): ranges, pros/cons, when it fits (02:23)
  • Salary + production bonus: structure, turnover impact, transparency keys (04:24)
  • Salary + profit share: culture/retention upside and owner transparency (06:51)
  • Flat hourly per billed hour: predictability vs. reimbursement risk (09:18)
  • Forecasting the math: eval capacity → revenue → sustainable pay (11:40)
  • Aligning pay with values: quality, timeliness, client satisfaction (16:30)
  • Pitfalls and guardrails: utilization, admin caps, COL raises, communication cadence (18:55)

Cool Things Mentioned

Featured Resources

I am honored to partner with two AMAZING companies to help improve your testing practice!

PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com.

TherapyNotes is the leading EHR system for mental health practitioners. I’ve used

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