From 2 Clients on the Side to Ready to Hire — Then She Decided She Didn't Want To with Bianca Gizzi Fusco
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How did Bianca’s early career experiences lead her to start a private speech‑language practice?
Starting a private practice isn't what it used to be. Today's clinicians are starting private practices much quicker, easier, and cheaper than before. And they aren't guessing their way through it or getting stuck in analysis paralysis, they're following a tried and true roadmap in order to save time, money, and frustration. There is no reason to reinvent the wheel or struggle to figure out how to start a private practice on your own. We've helped thousands of SLPs and OTs through this process and now we want to help you too. For a limited time, I'm offering a free copy of our private practice roadmap, specifically for SLPs and OTs who are curious about private practice and want to see what the journey looks like.
To download your free copy, please visit startyourprivatepractice dot com backslash roadmap to sign up. Now on to the episode Hey there, future and current private practice owners. Before we get to today's guest, I want to talk to you about two numbers that almost every clinician collapses into one, and because of that, it causes a lot of problems. The first number is your capacity. This refers to how many clients you can physically see in the days that you have available. That one is math. The second number is how many clients you actually want to see. And that one is it. Math at all. That one is a choice. And it's one that almost nobody makes on purpose. Here's why. In a traditional job, you never had that second number, right?
Somebody handed you a caseload and you served it. Whether it was 60 or 100 or more kids, whatever that number was, you worked past your capacity because that is just how it works. So when you finally open your own private practice, the only setting that you've ever known. Is see as many clients as you can. But now you're in control. So you get to set the benchmarks. You can start with a goal, like I want 10. Then you get to 10 and you say, okay, I want 20. And then once you get to 20, you could set a new goal, say, I want 30. And then you have a wait list. Because for many people, having a wait list means that you've made it. And every single one of those numbers feels like the finish line right up. Until you cross it.
But here's the part that I really need you to hear. And this is for people who already have a private practice too. Nobody tells you that that second number is allowed to go down. You often hear people talk about private practice as if it only has one gear, right? More clients, more hires, more square footage, more revenue forever. So when a season arrives where you genuinely want less, because maybe you have a new baby or a A parent who needs you, or your own health issues, or honestly, you're just tired. You need to reevaluate that capacity number because sometimes that number changes and it's supposed to. That is at the whole heart of the lifestyle private practice model, which is just one of the models that we teach inside of private practice school.
In this model, your life goes on the calendar before a single client does. And your life is not the same every year. Some years it might need more room than others. So the private practice that fit you three years ago is not automatically the private practice that fits you now. And adjusting isn't a step backward. But here's the truth. You can't do this on a feeling, right? You have to run the numbers. Because having a smaller practice still has to pay you. That is what we help you figure out inside of private practice school, especially with our numbers made simple calculators that actually run the Numbers for you so you can see things like what you need to average per session financially and how many sessions or days you need to actually work in order to pay yourself well.
Once you know those two numbers, saying things like I want to see fewer clients stops being a guilty thought and starts being a business decision. And sometimes the answer isn't fewer clients at all. Sometimes it's the same life, but with higher rates or a better Payer mix or an income that doesn't require you in the room.
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Chapters
8 chapters
1
How did Bianca’s early career experiences lead her to start a private speech‑language practice?
0:00–3:54
2
What triggered Bianca’s decision to leave the public school system and pursue private practice?
3:54–8:40
3
How did Bianca use a step‑wise approach to grow her caseload without quitting her day job?
8:40–12:20
4
Why did Bianca pause hiring even after reaching her client‑number benchmarks?
12:20–15:51
5
How does a cancellation list work as an alternative to hiring staff?
15:51–20:05
6
What types of clients and services does BG Speech Therapy focus on?
20:05–23:21
7
How is Bianca balancing her practice with family life and future growth plans?
23:21–27:45
8
What advice does Bianca give to clinicians who are on the fence about starting a private practice?
27:45–32:01
Speakers
1 identifiedMore from Private Practice Success Stories
She Spent 5 Years Too Scared to Start - Now She Has a 4-Room Clinic with Tiffany Fairdosi
She Started With Two Clients on the Side - Now She Has Nine SLPs and a Clinic with Samantha Taylor
She Told Her Dad She’d Never Start a Private Practice - Now She Has a Successful Clinic and Growing Team with Sarah Landry
She Started at 26 With One Referral - Now She Has a Downtown Office and a 3-Year School Contract with Becca Vilsaint
She Didn't Hate Her Job BUT She Left to Start a Private Practice Anyway with Heather Danielkiewicz
She Needed Mondays and Fridays Off — So She Built a Practice That Gave Her Both with Megan Jimeno