Why Hilary Chose to Treat Patients In a Cash Based Practice

Wayne Strube • January 15, 2025

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Why Cash-Based PT Works


When patients invest in you, they’re also investing in themselves. They’re more committed, motivated, and ready to get better — and that’s when real progress happens.


In traditional PT clinics, physical therapists are burned out. They’re juggling multiple patients an hour with little time to provide the care they know their patients deserve. In a cash-based model, you finally get that time. You’re able to focus on one patient at a time, deliver personalized care, and see better outcomes.


That’s what we got into this profession for — to help people and to do it well.

In cash-based PT, you get to build your practice around your ideal patients. Not every patient will be the right fit for your practice, and that’s okay. The ones who are? They’re your people, and more will come.

Most PTs who make the switch to cash-based care have spent too long in the system, watching patients struggle and therapists burn out while insurance companies dictate everything. It’s exhausting. It’s frustrating. And it’s not why we became PTs.


We became physical therapists because deep down, we want to help people. That’s hard to do when you’re seeing more than two patients an hour, stuck completing documentation that feels endless. Cash-based PT removes those barriers. It lets you focus on what you’re best at — helping patients get better, faster.

And isn’t that the point?



XO- Hilary


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