
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.
Yout 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. Their projections have helped me avoid overreaching and given me the clarity to move forward when the time is right.”
Yvonne Campbell, Founder of ZoeRVA Health
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
We’re not promising a silver bullet.
But we’ve helped dozens of businesses stop flying blind.
Medical services businesses we’ve helped:
Make better decisions faster
“With Ballast, KidMed has a true business partner. The value we have received has surpassed the cost many times over.”
“Ballast does what they do best, which allows us to concentrate on what we do best—taking care of the medical needs of sick and injured kids.”
dr jeff bennett, managing partner of kidmed

Financial accountability = more reliable growth & success.
Client results:
REVENUE GROWTH:
High growth Tech / SAAS Business
2.5x
revenue growth
over 3 years
Multi-Location Health Practice
COST SAVINGS:
saved in annual
supplies costs
~$250K
PROGRAM GROWTH:
Non-Profit Organization
3x
program & participant growth over 2 years
TURNAROUND:
Transportation + Logistics Business
From -$1.8m in
annual losses to
$2.4m
in annual earnings
in 3 years
SCALING OF SALES ORGANIZATION:
revenue growth within first 18 months
70%
Professional Services + Product Organization
“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
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
No forms, no pressure — just a chaT with a member of Our team