When Your Financials Start Lying to You

Your P&L says you're losing money. But your practice is busier than ever.

Sound familiar?

This isn't a growth problem—
it's a visibility problem.

The Hidden Cost of Cash-Basis Accounting in Medical Services

If you're running a primary care clinic, urgent care center, or behavioral health practice, you're likely experiencing this:

→ Rent and Other Expenses Hit Now.

→ Payroll hits in one or two weeks from now.

→ Payments For Service and treatment land months later.

That delay isn't just frustrating—it creates a mismatch that distorts your numbers, erodes trust in your financials, and makes it impossible to confidently grow.

This tension between revenue and expenses isn’t a spreadsheet error.
It’s a systems failure.

And this problem gets worse and worse as you grow.

Growth does not solve this problem, it exacerbates it.

You cannot outrun this problem.

  • “Before Ballast, I felt like I was flying in the dark, making important decisions with fuzzy data. Now, I’m more confident in my numbers and the consequences of each option on the table.” 

    Yvonne Campbell, Founder of ZoeRVA Health

  • “With Ballast, KidMed has a true business partner. The value we have received has surpassed the cost many times over. Now we can concentrate on what we do best—taking care of the medical needs of sick and injured kids.”

    Dr Jeff Bennett, Managing Partner of KidMed

  • “Honestly, we wouldn't be in business today if not for Ballast. Making the switch and building this relationship has been vital.”

    Blake Wehman, MHA, Founder of Remission Medical

What Accrual-Based Accounting Actually Unlocks

Switching to accrual isn’t about cleaner books.
It’s about seeing reality—clearly and in time to act.

→ Understand true profitability per service line


→ Track revenue and RVUs with confidence


→ Plan cash needs before they hit your account

Ballast helps medical practices make the shift—simplifying accruals, aligning data, and building systems that fit the way healthcare gets paid.

practices we’ve helped:

Make better decisions faster

Client results:

Extensive Direct Experience with The complexities of
Medical Services practices

Efficient REVENUE GROWTH and Scaling:

Multi-Location,
Multi-Entity
Health Practice

24%

average annual growth, all organically funded with retained earnings

Massive Improvements in Earnings:

Multi-Location
Health Practice

5.29x

earnings growth from year prior to working with Ballast to just 4 years later

Direct COST
SAVINGS:

Multi-Location
Health Practice

~$250K 

saved in annual
supplies costs due to renegotiated purchasing agreements

EHR Integrations:

Extensive experience managing the financial end of EHR implementations and migrations, having lead and executed

5+
Migrations across
9+ locations

Cash to Accrual Migrations

Extensive experience migrating medical services practices from cash-basis to accrual- basis accounting, having managed

8+ Conversions
Across
25+ Locations

Let’s make the invisible, visible

If you’re stuck in the fog of growth, we get it.

Our job is to help you clear it.

Reach out to schedule a conversation.