Pros, Cons & Challenges of a Cash-Based Practice

Thinking about going cash-based—or already there but questioning it? Let’s break it all down.

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Pelvic PT Rising: The pelvic health tools to make you a better clinician and/or a more successful business owner. We want every single pelvic health practitioner to be more confident and successful in your practice and career!

• Clinical Courses: Game-changing online courses to make you more confident, challenge your thinking and improve patient outcomes

• Business Resources: Helping 500+ pelvic health practitioners confidently start, grow and build their dream business!

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In this episode, we’re talking through the pros and cons of being in a cash-based practice. We break it down into three major categories:

✅ Clinical – The biggest win. You get to treat patients how you actually want—no insurance companies dictating your plan of care or cutting off treatment early. You’re in control, not a profit-focused third party.

✅ Financial – Cash-based practices have way higher profit margins. You can charge what you're worth (not what insurance allows), and you don’t need a massive patient volume just to stay afloat.

✅ Lifestyle – Fewer patients. More time. More flexibility. When your margins are higher and your schedule is your own, you get to live more life.

BUT—it comes with a catch. You’ve got to get patients in the door. That means marketing, messaging, and selling your value. That’s the deal.

🎧 Tune in to hear what makes cash-based worth it (and where you need to step up to make it work).

Business Accelerator Program

If you're looking to grow as a business owner and meet your business goals faster, make sure to join us for the next cohort of the Business Accelerator Program! You can find all the details and submit an application at www.pelvicptrising.com/accelerator

We've now had more than 350+ business owners through the program - check out all the results and apply now to reserve a spot!

Learn more about pelvic health with our Clinical Courses

All of the Rising clinical courses are designed to:

• Challenge the way you think

• Make you more confident in your clinical practice.  

• Allow you to go-at-your-own pace (all online!)

• Let you go back to your work: you'll have lifetime access to the lectures and handouts.  Check out all the clinical courses we offer (www.pelvicptrising.com/clinical).

Curious about private practice? Check out our Business Resources

• We've now helped more than 200 cash-based pelvic health practices start and grow.  

• We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way!  

• See all the business resources we offer (www.pelvicptrising.com/business), tailored specifically to pelvic health!

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Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.