Who I work with
Most Allied Health in Australia is delivered by practices small enough that the owner is still seeing clients.
Founders hiring their first clinician through to groups preparing to merge or sell, and rarely one clean question. Usually three or four things that have been sitting there a while.
Revenue is moving and the margin is not. Working out whether it is pricing, utilisation, on-costs or service mix takes time you do not have, and the answer is different for every practice.
Hiring, delegation and team structure all still route through you. The load that creates is the thing limiting what the business does next.
Salary is the number everyone quotes. Leave, superannuation, supervision, downtime and ramp-up are the numbers that decide whether the hire was worth making.
NDIS price limits held or cut while award rates rise twice this financial year. That is a scissor rather than a squeeze, and there is no mechanism connecting the two.
Before a strategy conversation I split your revenue by payer and work out how much of the business rests on any single one of them. Concentration is the risk that discipline benchmarking hides, and it is the fastest read available on how exposed a practice actually is.
Most private practices are more concentrated than they think and more diversifiable than they think, usually in the same conversation. A Physiotherapy clinic carries six payers whether it uses them or not.
Systems, workforce, growth and margin.
An hour on the problem in front of you, with the numbers open. Most owners come in this way, and many stay on a recurring session rather than moving to anything larger.
Where the work has an endpoint and you want the analysis done rather than talked through. A pricing review, a service line decision, a document you can act on.
Where the plan is set and the year is the hard part. Regular contact, and I carry the context between.
How each state and territory is delivering Thriving Kids, who can take part and how solid the evidence is.
Open, upcoming and recently closed consultations on how Allied Health is funded, regulated, paid and employed, with the date each one closes.
Model what a clinician costs you against your charge rates, and what that leaves once on-costs, leave and downtime are in the numbers. Nothing to enter but your own figures.
A checklist to work through with your P&L open, with worked examples on clinician cost, ramp-up, leave and downtime.
Where the money in a practice actually goes, what a clinician and a team leader really cost, and the structural decisions underneath both.
Pay points are gone. A therapist's minimum now comes from their qualification level and years in the profession, and day to day supervision can sit above $101,000.
If you bill close to $200 an hour, where does it go? The fully loaded cost of a clinician, the 44 week year and the margin left at the end.
Every Team Leader on a reduced caseload is revenue the rest of the team covers. The breakeven point, the supervision split and what a sustainable model looks like.
Allied Health is a service industry and clinicians generate the revenue. Here is what the maths on billable hours actually says, and why the sector avoids it.
The pros, cons, legal risks and real costs of each model, for the clinician weighing up an offer and the provider building a team that has to hold together.
Stepping back from client work is the hardest shift an owner makes. How to decide what to keep billing, build the team around it and grow without burning out.
The seven hiring mistakes that keep providers stuck in a cycle of recruiting, training and losing staff, and what to change in each one to break out of it.
Clinicians at the provider I co-founded
Annual revenue at that business
Allied Health providers I have worked with
Independent advice, no clinical services
"Trystan assisted me to refine some of my clinical and business processes, in my sole trader allied health business. He was very responsive, efficient, and pleasant to work with. He produced excellent written advice that was practical and easy to follow. Will definitely be using his services again."
Advisory is built for ambitious owners. Senior experience, booked an hour at a time.
