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  • Success isn’t built on comfort—it’s forged through discipline and intentionality. In this episode, we dive into the importance of setting recurring commitments that push you to grow, whether it’s scheduling tough conversations with employees, addressing challenges you’ve been avoiding, or building resilience through personal habits—like working out in a cold garage at 6 AM. By consistently doing hard things, we train our minds and bodies to handle the bigger obstacles that come our way. Learn how setting these intentional challenges can transform your leadership, mindset, and overall success.

    Visit stoicbrands.com for more details and information.

  • In this episode of The Business of Mental Health, I dive into the power of networking with no expectations—just genuine connection. I’ll share how a simple meeting with a high school acquaintance, now a mental health coordinator, turned into a major school contract, multiple new introductions, and real business growth.

    We’ll explore:

    The mindset shift from “What can I get?” to “How can I connect?” How one conversation can create a ripple effect of opportunities Strategies for building relationships that lead to unexpected wins

    If you’re looking to grow your business, fill schedules, and create meaningful partnerships, this episode is for you.

    🔗 Let’s talk about how one connection can change everything!

    Visit stoicbrands.com to learn more about us.

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  • In this episode of The Business of Mental Health, we dive into the reality of running a behavioral health practice—where resilience isn’t just a virtue, it’s a necessity. From navigating cash flow challenges and billing roadblocks to overcoming credentialing delays and unexpected staff turnover, I share the real behind-the-scenes struggles of Stoic Health and Wellness.

    What happens when your trusted clinical director leaves and takes therapists with them? How do you manage when Medicaid credentialing grinds revenue to a halt? And most importantly—how do you keep pushing forward when everything feels like it’s falling apart?

    Join me as I break down the key lessons learned in the trenches of running a mental health business, the mindset shifts that kept me moving, and why Stoic’s mission remains stronger than ever. Whether you're a business owner, therapist, or entrepreneur, this episode is packed with practical insights on persistence, adaptation, and long-term success.

    🔹 Overcoming cash flow struggles
    🔹 Managing therapist turnover and retention
    🔹 Credentialing delays and how to work around them
    🔹 Staying focused on your mission despite setbacks

    If you've ever felt like quitting, this episode is for you. Tune in and let’s talk about resilience in the face of adversity.

    🎧 Listen now at stoicbrands.com or on your favorite podcast platform.

  • Turning Challenges into Growth: Expanding Stoic into Lexington

    In this episode of The Business of Mental Health, I share how a challenge with our virtual therapy model led to an unexpected opportunity to expand Stoic Health and Wellness into Lexington, KY. What started as a struggle to make virtual sessions work for kids turned into a contract with Fayette County Public Schools—Kentucky’s second-largest school district—allowing us to bring in-person behavioral health services to more students.

    I’ll take you through the real-time problem-solving, the pivot that made this expansion possible, and how setbacks in business can often lead to new growth opportunities. If you’re building a mental health practice (or any service-based business), this episode is packed with insights on adaptability, market expansion, and leveraging challenges to fuel growth.

    Tune in to hear the full story! 🎧

    Visit stoicbrands.com to learn more about us.

  • In-person meetings hold significant value, even in a virtual world, because they create deeper human connections, foster trust, and enhance collaboration. Face-to-face interactions allow for non-verbal communication, stronger emotional bonds, and a sense of belonging to the company culture. This is particularly important when navigating challenges, building long-term commitment, and ensuring alignment with your company’s mission.

    Key Benefits of In-Person Meetings in a Virtual Business

    Strengthens Trust & Buy-In – Employees feel more connected to leadership and the company's mission when they engage in person. Enhances Communication – Body language, tone, and informal conversations improve understanding and reduce miscommunication. Boosts Engagement & Morale – In-person interactions create a sense of belonging and shared purpose, reducing isolation. Facilitates Problem-Solving – Difficult conversations, brainstorming, and decision-making are more effective when done face-to-face. Builds Loyalty & Retention – Employees who feel personally connected to leadership and colleagues are less likely to leave.

    Creative Ways to Increase In-Person Touches in a Mostly Virtual Business

    Quarterly Offsite Retreats – Host leadership and team-building retreats where employees work together in person for 1-3 days, mixing strategy sessions with social activities. Local Meetups & Regional Hubs – Organize casual meetups at coffee shops, co-working spaces, or community centers for employees in the same city. Annual Company Conference – Bring everyone together once a year for a large-scale event with keynotes, team-building exercises, and a celebration of company milestones. In-Person Onboarding for Key Roles – Fly in new employees for a 1-2 day onboarding experience with leadership and core team members. Client or Partner Visits – Pair business travel with opportunities to meet employees in person when visiting different cities. Hybrid Work Flexibility – Offer optional coworking days where employees can work together in a shared space. Pop-Up Offices – Rent a temporary workspace in different cities where team members can work together for a few days each month. Community Service Projects – Organize in-person volunteer days where employees can work together for a cause while strengthening relationships. Casual Social Gatherings – Host informal happy hours, dinners, or team lunches for employees who live near each other. Workcation Incentives – Provide employees with the opportunity to work from a company-designated destination for a week, encouraging collaboration. Leadership Roadshows – Have executives travel periodically to meet different teams in person, allowing direct engagement. Mastermind Sessions & Peer Groups – Create in-person mastermind or skill-sharing sessions to help employees collaborate on professional development. Company Milestone Celebrations – Celebrate major wins with in-person events, such as hitting revenue goals, anniversaries, or significant expansions.

    By embedding these in-person touchpoints into your mostly virtual business, you can strengthen company culture, increase employee engagement, and reinforce commitment—especially when facing challenges.

    Visit treesidehealth.com or stoicbrands.com to learn more about our businesses.

  • Join host Miles Noland as he delves into the art of scaling startups by leveraging existing resources to create new business lines. Whether it's empowering leaders to spearhead their own programs or maximizing the potential of your team and infrastructure, this podcast offers actionable insights and inspiring stories.

    Miles shares his journey of transforming his behavioral health business, Stoic Health and Wellness, into a multi-faceted organization by strategically expanding into new areas like autism therapy, substance use disorder programs, and telehealth services—all while fostering leadership and innovation.

    If you’re an entrepreneur looking to grow sustainably, empower your team, and turn strengths into opportunities, this podcast is your roadmap.

    Visit treesidehealth.com and stoicbrands.com for more information.

  • Here's why I believe doubling down on Stoic, especially the autism side, might be the better path for now:

    1. Maximizing Existing Potential

    Stoic already has momentum. You've invested time, money, and effort into building its foundation, and the autism clinic has clear growth potential. Expanding something that’s already working is often more efficient and impactful than starting something new. Untapped market demand: The autism services market in your region likely has a significant unmet need, which you’re uniquely positioned to address with your current expertise and resources.

    2. Avoiding Overstretching

    Starting a telehealth business for adults is essentially launching a whole new venture, with its own marketing, recruiting, systems, and learning curves. This would dilute your energy and resources. Your entrepreneurial brain thrives on big ideas, but spreading yourself too thin risks undermining both ventures and your personal bandwidth.

    3. Leveraging Synergies

    By focusing on Stoic and expanding services within the autism sector, you build deeper expertise and credibility in a specific niche. Success here could naturally lead to additional opportunities (like telehealth) down the road but without taking your focus away now.

    4. Long-Term Strategy

    Entrepreneurship is a marathon, not a sprint. Success often comes from disciplined execution rather than chasing multiple opportunities simultaneously. Mastery in one area often leads to greater opportunities in the future.

    Practical Advice:

    Create a “later” list. Write down all the ideas you’re excited about but not ready to pursue. Revisit them after you’ve achieved your next set of goals for Stoic. Set clear milestones. Decide what success looks like for your current focus (e.g., hiring the necessary team, launching the autism clinic, achieving a revenue target). Once you reach these, reevaluate whether it’s time to branch out. Delegate and systematize. If Stoic reaches a point where operations are running smoothly and it requires less of your direct involvement, then you can consider new ventures without sacrificing the current one.

    By committing to Stoic and building it into a thriving business, you create a strong foundation for any future ventures. Resisting the urge to jump into something new now will likely pay dividends in the long run.

    Visit treesidecapital.com for more information.

  • One strong idea can be transformative when it aligns with market demand, leverages your expertise, and addresses operational bottlenecks. Here’s why this idea is powerful:

    Scalability: Virtual telehealth removes geographical constraints, allowing you to serve clients statewide or nationwide. Market Demand: Adults, particularly those with mental health needs or chronic conditions, increasingly seek virtual therapy for convenience and privacy. Attracting Private Equity: Insurance-based models are often more attractive to private equity due to predictable cash flows and larger addressable markets.

    Should You Act on It?

    Consider acting on this idea if:

    You have the infrastructure or the ability to invest in it (telehealth technology, therapist recruitment, marketing). It aligns with your long-term vision for Stoic Health and Wellness. The market in your area (and beyond) shows strong demand for adult telehealth services.

    What you should do before deciding:

    Market Research: Assess demand in your target areas (e.g., urban vs. rural). Identify what adult clients prioritize in telehealth (e.g., convenience, anonymity, cost). Competitive Analysis: Study competitors in telehealth for adults. Identify gaps or niches (e.g., mental health for professionals, therapy for older adults, etc.). Feasibility Study: Understand regulations for telehealth services in your state and others you may target.

    Key Areas to Address

    If you decide to proceed, focus on these core areas:

    1. Marketing for Adult Clients

    Target Audiences: Adults with mental health needs (e.g., anxiety, depression, stress). Specific demographics (working professionals, older adults, underserved populations). Channels: Digital advertising (Google Ads, Facebook, LinkedIn). Partnerships with primary care physicians and specialists for referrals. Content marketing (blogs, webinars, social media). Messaging: Highlight convenience, insurance acceptance, privacy, and therapist quality. Offer first-session incentives or discounted rates for consultations.

    2. Technology

    Telehealth Platform: Choose a HIPAA-compliant platform like SimplePractice, TheraNest, or Doxy.me. Ease of Use: Prioritize platforms that are user-friendly for both therapists and clients. Scalability: Ensure the platform can handle increased therapist and client loads.

    3. Hiring, Recruiting, and Staffing

    Therapists: Target therapists with licenses that allow for telehealth across multiple states. Highlight flexibility, competitive compensation, and growth opportunities in your offer. Recruiting Strategies: Leverage job boards, social media, and professional associations. Use direct outreach and networking to identify experienced therapists. Retention: Create a supportive work environment, including telehealth training and opportunities for professional development.

    4. Offer Content for Staff

    Clear compensation plans (base salary + session-based incentives). 401(k), health insurance, or other benefits. Professional growth opportunities, such as certifications in telehealth.

    5. Operations and Insurance

    Credentialing: Ensure therapists are credentialed with the insurance providers you’ll work with. Insurance Contracts: Build relationships with insurers for streamlined billing and competitive reimbursement rates. Billing: Use telehealth-friendly billing software for ease and efficiency.

    Challenges to Anticipate

    Therapist Training: Not all therapists are comfortable with telehealth; ensure proper onboarding. Client Acquisition: Marketing to a new demographic requires trial and adjustment. Insurance Navigation: Stay updated on reimbursement policies for telehealth, which vary by insurer and state.

    Steps to Test the Idea

    1. Pilot Program:

    Start with a small group of therapists offering telehealth to adults in a defined area. Gather feedback from both therapists and clients.

    2. Measure Success:

    Track metrics like client acquisition cost, therapist utilization, and client retention rates.

    3. Iterate and Expand:

    Based on the pilot’s success, refine the approach and scale incrementally.

    Visit stoicbrands.com to learn more about our business.

  • Building trust and becoming an integrated, valued member of a school community as a case manager or behavior therapist requires consistent relationship-building, collaboration, and demonstrating a genuine investment in the school’s mission. Here are several strategies:

    1. Be a Visible Presence:

    Frequent, Positive Interactions: Make a point to be seen in hallways, the teachers’ lounge, and during school events. Offering a friendly greeting or a quick, supportive comment creates a positive association over time. Attend Staff Meetings and School Functions: Participating regularly in staff meetings, workshops, parent nights, and school assemblies shows that you’re invested in the school community, not just in your client caseload.

    2. Listen First, Advise Second:

    Hear Teachers’ Perspectives: Before proposing solutions, ask staff about their challenges and what has worked for them in the past. Show that you value their expertise. Validate Concerns: Even if you can’t solve a problem immediately, acknowledging their concerns and expressing empathy builds trust and rapport.

    3. Collaborate with Key Players:

    Co-Plan Interventions with Educators: Work with teachers and counselors to design behavior plans or classroom strategies together. When others have a say in your interventions, they’re more invested and trusting of your recommendations. Offer Classroom Support: Volunteer to assist during challenging classroom times, help with behavior data collection, or share quick, actionable tips. Being hands-on fosters a team spirit.

    4. Communicate Clearly and Consistently:

    Regular Check-Ins: Establish a predictable communication routine—weekly progress emails or short face-to-face debriefs can help keep everyone informed and involved. Use Accessible Language: When explaining behavior plans, strategies, or assessments, break down jargon so that everyone—teachers, administrators, and families—understands and feels included in the process.

    5. Demonstrate Competence and Reliability:

    Follow Through on Promises: If you commit to observing a class, collecting data, or delivering a resource, do so promptly. Consistency over time builds credibility. Show Evidence of Impact: Share data that highlights improvements in student behavior or social-emotional functioning. When staff see tangible results tied to your efforts, trust grows organically.

    6. Honor the School’s Culture and Values:

    Respect Established Routines and Systems: Adapt your approach to fit within the school’s existing framework rather than trying to overhaul it from the start. Reflect the School’s Mission in Your Work: If the school emphasizes inclusivity, restorative practices, or positive reinforcement, ensure your methods align with these values. Staff will trust you more when they see shared philosophies.

    7. Be Approachable and Supportive:

    Open-Door Policy: Encourage staff to reach out with questions or concerns. Respond promptly and helpfully. Celebrate Successes: Recognize teachers’ and students’ improvements, no matter how small. A culture of positive feedback makes you a welcome collaborator.

    Visit stoicbrands.com to learn more about our business.

  • 1. Christmas Party: Free Food & Drinks

    Current Approach: Hosting a party with free food and drinks is an excellent way to build camaraderie and foster team spirit. Enhancements: Include a recognition element, such as awards or shoutouts for specific contributions (e.g., "Most Patient with Clients," "Team Spirit Award"). Plan a fun activity, like a trivia game, Secret Santa, or a raffle with small prizes (e.g., gift cards, movie tickets, or wellness items like massage vouchers). Make it family-friendly if feasible, so employees with families feel included.

    2. Bonuses: $100 Cash and a Card

    Current Approach: A $100 cash bonus and a personal card are appreciated, especially in a smaller behavioral health business. Enhancements: Consider a tiered system if feasible. For example: Full-time employees: $100+ Part-time employees: $50-$75 Add a handwritten, personal note in the card from you or a manager. Even a short, specific acknowledgment (e.g., "Thank you for your dedication to the kids we serve this year") can make the gesture more meaningful. If $100 cash feels low, consider alternatives like a $100 gift card to a popular local store or online retailer.

    3. Additional Suggestions

    Wellness Gifts: Give employees something practical or stress-relieving, like a small self-care kit (candles, tea, a stress ball, or a cozy blanket). This aligns well with the behavioral health theme. Extra Time Off: If your business can accommodate it, offer an extra day or half-day off during the holiday season as a bonus. This is often more appreciated than cash. Team Donation: Make a small charitable donation in your team’s name to a cause related to your business, such as youth mental health, and announce it at the party.

    4. Long-Term Planning for Bonuses

    Set Clear Expectations: In the future, consider tying bonuses to company performance, tenure, or individual contributions. For example: Base bonuses on overall company revenue or profit (a percentage). Offer additional incentives like a small increase each year for loyal employees. Ask for Feedback: After the event, ask employees for input on what they enjoyed or what they'd like for future celebrations. This ensures you're meeting their expectations.

    Your plan sounds solid and is in line with industry norms for a business of your size. The enhancements listed above can help make the gesture even more memorable while reinforcing your company culture.

    Visit stoicbrands.com to learn more about our business.

  • 1. Rebuild Trust and Morale

    Communication: Host a team meeting to acknowledge the challenges, reiterate your commitment to the team, and share your vision for moving forward. Transparency: Share plans for stabilizing cash flow and improving operations, so your current staff understands the path forward. Retention Strategies: Implement non-monetary benefits like flexible scheduling, professional development opportunities, or wellness programs to make Stoic a desirable workplace.

    2. Adapt Pay Structures

    Since pay structure issues contributed to past turnover, consider alternative approaches:

    Base Pay + Bonus: Provide a modest base salary with bonuses tied to productivity. Stipends for Unavailable Clients: Offer partial compensation during low-billing periods to stabilize therapist income. Year-Round Support: Collaborate with schools or community centers to arrange summer programs or other activities that generate billable opportunities during off-seasons.

    3. Strengthen Recruitment Efforts

    To attract qualified therapists:

    Leverage Your Case Management Program: Highlight your strong case management program as a selling point—it’s an indication of strong support for therapists’ workloads. Expand Intern Recruitment: Work closely with NKU and other local universities to bring in graduate-level interns who may transition into full-time roles. Recruit Passive Candidates: Use LinkedIn or a recruiter to target professionals who may not be actively job-seeking but could be open to a conversation.

    4. Secure Cash Flow

    Bridge Financing: Tap into a line of credit to manage the cash flow challenges caused by credentialing delays and operational changes. Improved Billing Processes: Ensure billing is being done as quickly and efficiently as possible once credentialing approvals come through. Negotiation with Insurers: If feasible, work with insurance providers to expedite processing times or resolve credentialing bottlenecks.

    5. Protect Against Future Risks

    Non-Compete Clauses: Ensure that future clinical directors and key hires sign enforceable non-compete agreements. Frequent Check-Ins: Regularly engage with staff to address concerns before they escalate. Exit Interviews: Conduct interviews with departing therapists to understand root causes of turnover and identify opportunities for improvement.
  • Yes, there is a time for growth and a time for stabilization in business. Both phases are crucial, and knowing when to focus on each depends on internal readiness, external opportunities, and the overall health of your operations. Here’s how to approach the decision:

    1. Indicators You Should Focus on Stabilization

    Internal Readiness

    Operational Gaps: Processes are inefficient or chaotic, making scaling risky. Leadership Overload: Key leaders are stretched too thin, impacting strategic thinking and morale. Financial Strain: Cash flow is tight, debt levels are concerning, or reserves are insufficient to weather uncertainties. Turnover Issues: High employee turnover or morale problems suggest cultural or structural weaknesses.

    External Constraints

    Market Challenges: Industry conditions (e.g., regulatory hurdles in Stoic or high interest rates for Treeside) make expansion less viable. Client Saturation: You're struggling to meet the needs of your current clients or properties effectively.

    Strategic Need

    Foundation Building: You’re integrating a recent acquisition (like Stoic) or reorganizing for efficiency. Quality Focus: You want to deepen relationships, improve services, or enhance the value of current assets.

    2. Indicators It’s Time for Growth

    Internal Readiness

    Operational Efficiency: Processes are smooth, scalable, and supported by a strong team. Surplus Resources: Cash flow is robust, with healthy reserves and a manageable debt load. Strong Leadership: Leaders have capacity for strategic expansion and operational oversight.

    External Opportunity

    Market Trends: Conditions favor growth, such as dropping interest rates for Treeside or increasing demand for Stoic’s services. Competitive Advantage: You’ve identified a niche, underserved market, or strategic acquisition opportunity.

    Strategic Vision

    Scalable Model: The business is ready to replicate its success in new markets or with additional services. Growth Goals: Expansion aligns with long-term goals and reinforces the mission.

    How to Decide When to Pivot Between Growth and Stabilization

    1. Assess Your Business Health

    Conduct a SWOT analysis (Strengths, Weaknesses, Opportunities, Threats) for Stoic and Treeside to identify readiness. Use KPIs (e.g., cash flow, team turnover, process efficiency) to gauge operational stability.

    2. Revisit Your Strategic Plan

    Does growth now serve your 3-5 year vision? Are there risks in delaying growth (e.g., missed market opportunities)?

    3. Look for Inflection Points

    For Stoic: Once the credentialing process stabilizes and your foundation (team, processes) is solid, it might be time to scale services to more schools or regions. For Treeside: If dropping interest rates align with your operational readiness, it signals time to consider acquisitions.

    4. Leverage Testing and Piloting

    Before fully committing to growth, test small expansions or service offerings. For Stoic, this could mean adding one new school district; for Treeside, acquiring a smaller property.

    5. Evaluate Leadership Capacity

    Do you (and your leadership team) have bandwidth to manage growth? If not, focus on stabilization until you can delegate effectively.

    Practical Examples for Your Context

    Stoic Health and Wellness

    Stabilization Mode: Complete the credentialing process and build out reliable billing, clinical, and HR systems. Strengthen your pipeline of therapists and interns, ensuring your team can meet demand sustainably. Develop a feedback loop from schools and families to fine-tune service quality. Growth Mode: Expand services to additional school districts. Explore adding complementary programs, like family counseling or summer programs.

    Treeside Capital

    Stabilization Mode: Finish optimizing operations across the 800 pads/units, ensuring maximum efficiency. Improve NOI (Net Operating Income) and build a financial buffer for acquisitions. Growth Mode: Evaluate acquisition targets that align with your updated operating systems and team capacity. Focus on properties with immediate value-add opportunities, leveraging the stable foundation.

    Checklist for Transitioning Between Phases

    1. Stabilization to Growth

    Systems are scalable. Leadership and team have capacity. Financial position is strong. External conditions are favorable.

    Growth to Stabilization

    Rapid expansion is straining operations. Quality or morale is declining. External risks (e.g., market downturns) increase.

    Visit stoicbrands.com to learn more about our business.

  • 1. Align Employee Work with the Mission

    Since your mission focuses on resilience, gratitude, and persistence, weave these values into daily operations:

    Resilience Training: Offer workshops on handling challenges, both personal and professional, and recognize employees who demonstrate resilience in tough situations. Gratitude Culture: Start team meetings with gratitude sharing, focusing on what employees are thankful for in their work or life. Persistence Awards: Recognize employees who overcome challenges to achieve significant results, even if the journey was tough.

    2. Empower Teams with Purpose

    Autonomy in Schools: Allow therapists and interns the flexibility to adapt their methods to the specific needs of the schools and children they serve. Mission Impact Stories: Regularly share the positive outcomes of your services, like student breakthroughs, to remind employees why their work matters.

    3. Build a Tight-Knit Team

    Collaborative Projects: Organize cross-functional teams (e.g., therapists and administrative staff) to tackle creative projects, like community outreach events or school programs. Therapist Forums: Create a safe space for therapists to share insights, strategies, and successes, reinforcing camaraderie and support.

    4. Foster Professional Development

    Training for Interns: Provide structured, hands-on experience in working with youth, ensuring they feel prepared and valued. Clinical Supervision: Offer free or discounted supervision for those pursuing advanced licensure (e.g., LPCC-S), which benefits both the employee and the business.

    5. Address Credentialing and Billing Challenges Positively

    Transparent Communication: When billing or credentialing issues arise, keep employees informed and focus on collective problem-solving. Recognition During Tough Times: If delays impact revenue, publicly acknowledge the staff’s patience and emphasize your commitment to long-term stability.

    6. Celebrate Success and Build Morale

    Monthly Mission Impact Reports: Share data or anecdotes about the number of children served, schools impacted, or lives changed. Team Appreciation Days: Host informal gatherings like a picnic or catered lunch to celebrate team milestones.

    7. Offer Flexibility and Support

    Custom Schedules: Allow therapists to adjust their hours around school schedules or family needs. Wellness Days: Offer occasional mental health days off to show that you prioritize their well-being.

    8. Create a Legacy of Positivity

    Intern Alumni Network: Build a program to keep in touch with former interns, creating goodwill and possibly future hires. "Pay it Forward" Initiative: Encourage employees to volunteer in the community or within schools, reinforcing the company’s values and their own sense of purpose.

    Specific Strategies for Stoic's Setting

    Schools

    Partner with schools to host appreciation events for therapists (e.g., "Therapist Appreciation Week"). Collaborate with school staff to ensure therapists feel supported and integrated into the school community.

    Kids and Families

    Highlight feedback from families during staff meetings to reinforce how the team is making a difference. Allow employees to have creative input into programming for the children they serve.

    Measurement of Success

    Engagement Metrics: Track participation in team-building or development activities. Retention Rates: Monitor turnover to identify trends and address dissatisfaction early. Employee Feedback: Use surveys or one-on-one check-ins to gauge sentiment about the workplace and areas for improvement.

    Visit treesidecapital.com for more details

  • 1. Foster a Positive, Inclusive Culture

    Recognition and Appreciation: Regularly recognize achievements, both big and small. Employees who feel valued tend to stay longer. Inclusive Environment: Encourage a culture where all voices are heard and valued, giving employees a sense of belonging. Work-Life Balance: Allow for flexibility with work hours or remote work where possible, especially given the demands in behavioral health.

    2. Provide Growth Opportunities

    Professional Development: Offer free or discounted training, certifications, or mentorship programs. Clear Career Paths: Show employees how they can grow within Stoic Health and Wellness, including the skills needed to advance and the support provided to help them get there.

    3. Emphasize Well-Being and Purpose

    Mental Health Support: Given Stoic Health's field, providing or subsidizing mental health resources for employees would align well with your mission and attract people who value a workplace that cares about well-being. Purpose-Driven Work: Reinforce the meaningful impact employees have on children and families, especially for those motivated by making a difference.

    4. Create a Vision for Growth and Stability

    Transparent Communication: Regularly update employees on the company’s performance, upcoming initiatives, and how their work impacts the bigger picture. Job Security: Share plans for Stoic Health’s future that build employee confidence in the company’s long-term stability.

    Communicating a Vision for Stoic Health and Wellness

    An impactful vision for Stoic Health and Wellness at Stoicbrands.com should emphasize:

    Long-Term Commitment to Client and Community Impact: Highlight your goals for expanding services and positively impacting more lives in Northern Kentucky.

    Employee Development and Career Growth: Describe Stoic as a place where team members grow professionally and personally.

    Adherence to Core Values: Reiterate Stoic’s commitment to resilience, gratitude, and persistence, not only as values for clients but as guiding principles for the workplace culture.

    A consistent, inspiring message that Stoic is a growing, dynamic company where employees can thrive and make a meaningful impact will help you attract and retain motivated, talented professionals aligned with your mission.

    Visit stoicbrands.com to learn more about our business.

  • Credentialing is critical for a behavioral health business because it directly impacts revenue. Without correct credentialing, you cannot bill insurance providers, which can lead to periods without any income. Mistakes by a credentialer can delay or even prevent billing, which can destabilize the business if you rely primarily on insurance reimbursements.

    To avoid this risk, consider these strategies:

    Quality Control & Supervision: Implement checks on the credentialing process, such as reviewing applications before submission and using project management tools to track credentialing status closely. Multiple Credentialers: Have a backup credentialer or cross-train team members in credentialing tasks so that errors or delays are less likely to halt revenue. Credentialing Management Software: These tools can reduce errors and ensure that all necessary steps are completed. Line of Credit as a Safety Net: A line of credit can be a helpful buffer in times of delayed revenue. This can cover essential expenses, such as payroll and rent, without disrupting operations. Aim to use it only during credentialing delays or other temporary revenue gaps rather than as a primary funding source.

    Using a line of credit wisely, ideally for short-term cash flow needs, can help manage the business smoothly without risking long-term debt.

    Visit treesidecapital.com/free-gift to grab yours!

  • 1. Preventing "Key Man Risk":

    Diversify Your Supervisors: Having more than one credentialed supervisor (with an LPCC-S or similar qualifications) reduces dependence on a single person. If one supervisor leaves or becomes unavailable, you have a backup. Cross-Train Staff: Make sure multiple staff members understand the credentialing and billing processes, so the departure of a single key person doesn’t derail operations. Automate the Credentialing Process: Use credentialing software to keep track of your supervisors' credentialing statuses and deadlines, which can help you be proactive about renewal and finding replacements if needed. Contractual Protections: Implement clauses in contracts with key supervisors, like non-competes and extended notice periods, to protect against sudden departures.

    2. Finding a Good Medical Credentialer:

    Look for Experience in Your Specialty: A credentialer with a deep understanding of behavioral health and Medicaid requirements in Kentucky is essential. Look for people who have worked with similar practices or can show familiarity with both commercial insurance and Medicaid credentialing. Use Professional Networks: Ask for recommendations from colleagues in the behavioral health or medical fields. LinkedIn, industry forums, or associations like the Kentucky Counseling Association may also have leads. Credentialing Firms: There are specialized credentialing companies that handle everything from initial credentialing to re-credentialing. Vet them by asking for client references, looking at their process efficiency, and inquiring about their track record in getting providers enrolled with insurances. Track Record and Reviews: Ensure they have a proven history of meeting deadlines. Request case studies or references where they handled complex situations (e.g., multiple insurances, re-credentialing issues).

    3. Evaluating Which Insurances to be In-Network With:

    Prioritize Medicaid: Since Medicaid is a significant payer in behavioral health, you should absolutely be in-network with them. In Kentucky, many of your clients will likely be Medicaid recipients, so it's essential for volume and continuity. Local Market Research: Determine which commercial insurance companies are dominant in your region. This can vary by location, so research the most common insurance plans in Northern Kentucky. Focus on Value-Based Plans: Some commercial insurers may offer better reimbursement rates or more reliable payments. Try to be in-network with companies that reimburse at higher rates, even if their patient volume might be lower. Diversify Payers: Having a mix of Medicaid and commercial insurers helps balance the lower reimbursement rates from Medicaid with the higher rates from some commercial plans. Longevity Consideration: Some commercial insurers have a history of either cutting behavioral health services or reducing reimbursements, so try to monitor the stability and growth of the insurers you work with.

    Preventing billing delays, hiring the right credentialers, and selecting the appropriate insurance networks can help you avoid the major financial risks that come with credentialing issues.

    Visit treesidecapital.com to grab your free gift

  • Improving recruitment, hiring, and retention in the behavioral health space requires a combination of strategic approaches to attract top talent and ensure they stay engaged. Here are some best practices tailored to behavioral health businesses like yours:

    Best Practices for Recruiting and Hiring Therapists

    1. Build a Strong Employer Brand:

    Highlight your mission and values: Emphasize how your organization supports the community and makes an impact. Behavioral health professionals are often driven by purpose. Showcase your company culture: Promote work-life balance, supportive leadership, and professional development opportunities. Share success stories from current employees to highlight a positive working environment. Leverage social media and online presence: Ensure your website and social media channels reflect your business’s mission, values, and work culture. A robust online presence makes a strong first impression.

    2. Tap into Local Networks and Schools:

    Partner with local universities, particularly those with psychology, social work, or counseling programs, to create a pipeline of candidates. Offer internships, clinical supervision, or guest lectures. Attend career fairs, both in-person and virtual, to connect directly with new graduates. Develop relationships with licensing bodies or associations (e.g., Kentucky Board of Licensed Professional Counselors) to stay connected with therapists entering the workforce.

    3. Offer Attractive Incentives:

    Competitive compensation: Make sure your pay scale is competitive with other behavioral health organizations, and consider offering signing bonuses or relocation packages if applicable. Benefits packages: Flexible work arrangements, health benefits, retirement plans, and mental health support for employees themselves can be compelling. Student loan repayment programs: Many therapists are burdened with student loans. If feasible, offering assistance with loan repayment can be a huge differentiator.

    4. Simplify the Hiring Process:

    Streamline your application and interview process to avoid losing candidates due to delays. Behavioral health professionals are often in high demand, and a quick, efficient hiring process is a competitive advantage. Use assessments or structured interviews that evaluate clinical competency and cultural fit, while also showing candidates the value they’ll gain from working with your company.

    5. Leverage Technology and Recruitment Tools:

    Use job boards specific to the behavioral health industry, such as TherapyJobs, Psychology Today, or LinkedIn’s specialized groups. Use automation tools to pre-screen applicants or match them with job criteria, allowing your recruiter to focus on high-potential candidates. Tap into passive candidates on LinkedIn by regularly engaging with them via your recruiter or direct outreach.

    Best Practices for Retention in Behavioral Health

    1. Create a Supportive Work Environment:

    Mentorship and Clinical Supervision: Offer ongoing clinical supervision and mentorship programs. This not only ensures compliance with licensing requirements but also provides your team with the professional support they need to grow. Foster a collaborative culture: Encourage teamwork, peer support, and regular check-ins to create a sense of community and reduce feelings of burnout.

    2. Professional Development and Growth Opportunities:

    Continuing education: Offer access to professional development, training, and continuing education credits (CEUs). Providing employees with opportunities to advance their careers within your organization can increase loyalty. Clear career paths: Make it clear how therapists can advance their careers within your company, such as through management positions or specialized clinical roles.

    3. Focus on Employee Well-being:

    Mental health support: Your staff is working in a demanding field. Offering mental health resources, wellness programs, and flexible schedules can go a long way in preventing burnout. Work-life balance: Offer flexible hours or telehealth opportunities for your clinicians to create a more manageable workload.

    4. Recognition and Rewards:

    Recognize employees for their hard work through employee appreciation programs, bonuses, or simply acknowledging their achievements regularly. Celebrate team successes and create an environment of positive reinforcement.

    5. Create a Feedback Loop:

    Conduct regular employee satisfaction surveys to identify areas where improvements can be made. Encourage open communication, and ensure employees feel comfortable raising concerns.

    6. Flexible Work Models:

    Offering remote or hybrid options, especially telehealth services, has become increasingly attractive to therapists, allowing them flexibility in where and when they work. Provide opportunities for clinicians to work across different client populations or modalities to keep their work interesting and varied.

    By focusing on creating a robust recruiting strategy, offering attractive compensation, and fostering a supportive and flexible work environment, your business can not only attract top talent but also retain them long-term.

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  • The analogy of business being like pushing a boulder down a hill is fitting. In the early stages, the energy and effort required to get things moving is immense—building momentum, setting up systems, hiring staff, and acquiring customers. Once the business gains momentum, the day-to-day operations can run smoother, and the business may sustain itself with less direct effort. But just like with the boulder, you still need to guide and control it as it moves to avoid it veering off course.

    Pros and Cons of Starting vs. Buying a Business:

    Starting a Business:

    Pros:

    Full control over vision and structure: You can shape the business from scratch, implementing your vision, values, and culture without constraints. Lower upfront costs: Depending on the type of business, starting from scratch might cost less in terms of upfront capital compared to buying a business. More potential for innovation: If you're entering a new or underserved market, you can be a pioneer, potentially reaping large rewards if successful.

    Cons:

    Takes time to build momentum: Establishing a customer base, brand recognition, and operational processes can take time. Higher risk of failure: New businesses face higher risks, with many not surviving the first few years due to cash flow issues, competition, or lack of market demand. More initial effort: Everything from product development, marketing, and staffing to processes needs to be built from the ground up.

    Buying an Established Business:

    Pros:

    Immediate cash flow: An established business already has customers, revenue, and operational systems in place. Proven business model: The business has already been through some trial and error, and the systems that work are likely in place. Easier access to financing: Lenders may be more willing to provide funding for an established business with proven income than for a startup.

    Cons:

    High upfront costs: Buying an established business requires significant capital or financing. Potential hidden issues: There could be problems under the surface, like outdated systems, poor management, or declining demand that you're unaware of until after the purchase. Limited flexibility: The business may already have a defined culture, customer base, and market position, which can limit your ability to innovate or reshape it quickly.

    Why Taking Action Teaches You So Much:

    Taking action is like entering the "real-world classroom." When you start or buy a business, you're not just reading about concepts or imagining challenges—you are forced to face them in a tangible, high-stakes environment. Here's why action teaches so much:

    Experiential learning: Doing something yourself solidifies knowledge in a way that theory alone can’t. You encounter real challenges, from cash flow problems to managing people, and that hands-on experience builds practical skills. Problem-solving: Starting or running a business involves constant problem-solving, and each challenge you overcome makes you more resilient and resourceful. Feedback loop: Action creates results—both successes and failures—which provide feedback that helps you improve. When you fail, you learn what doesn’t work and adjust accordingly. Builds confidence: Even if a business fails, having gone through the process of planning, executing, and navigating challenges builds confidence and capabilities that can transfer to future ventures.

    The act of taking risks and engaging in business decisions brings a unique depth of learning because you're forced to adapt, be creative, and take ownership of the outcomes. This builds a toolkit of skills that become invaluable over time.

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  • Billing is crucial in a behavioral health practice because it directly impacts your revenue cycle and, ultimately, the sustainability of your business. Here’s a breakdown of its importance, along with strategies for optimizing your practice, hiring effectively, and managing your operations for financial health.

    Importance of Billing

    Revenue Generation: Accurate billing ensures that you get paid for services rendered, which is essential for cash flow. Insurance Compliance: Proper billing helps navigate complex insurance requirements, reducing denials and delays. Financial Planning: Consistent billing practices provide reliable revenue forecasts, aiding in budgeting and planning. Client Retention: Transparent billing processes enhance client trust and satisfaction.

    Optimizing Your Practice

    Streamline Billing Processes: Use software that automates billing and tracks claims efficiently. Regular audits can identify areas for improvement. Train Staff: Ensure your team is well-trained in billing practices, coding, and handling insurance claims to minimize errors. Set Clear Policies: Establish transparent billing policies and communicate them to clients, so expectations are clear from the start.

    Hiring and Managing Staff

    Define Roles Clearly: When hiring, outline specific responsibilities to attract candidates with the right skills for your practice. Cultural Fit: Look for candidates who align with your practice’s values, as this fosters a positive work environment. Utilize a Structured Onboarding Process: Ensure new hires understand their roles, billing practices, and how they contribute to the practice’s success.

    Common Struggles in Billing

    Inconsistent Processes: Many practices struggle due to a lack of standardized billing procedures, leading to errors and delays. Staff Turnover: Frequent changes in billing staff can disrupt continuity and create gaps in knowledge. Underestimating Complexity: Not all practitioners understand the nuances of insurance billing, which can lead to costly mistakes.

    Credentialing and Recruiting

    Outsource Wisely: Consider outsourcing credentialing to specialized firms that can handle the paperwork and compliance, allowing your staff to focus on client care. Regular Performance Reviews: If you outsource tasks, ensure there are regular check-ins to monitor performance and adherence to standards. Feedback Loops: Establish communication channels with outsourced teams to provide feedback and improve processes continuously.

    Cost-Effective Outsourcing

    Research Vendors: Look for reputable companies with experience in behavioral health. Compare costs and services to find the best fit. Pilot Programs: Start with a small project to evaluate the effectiveness of an outsourcing partner before committing long-term. Leverage Technology: Utilize technology that allows for remote oversight of outsourced tasks, ensuring accountability and quality.

    Growth Strategies

    Outsourcing can be a viable way to grow your practice, especially when it allows you to focus on core services. However, it’s essential to ensure that your team is equipped to manage these partnerships effectively.

    Focus on Core Competencies: By outsourcing non-core functions like billing and credentialing, you can concentrate on delivering high-quality care. Scalability: Outsourced solutions can be scaled up or down based on your practice's needs, offering flexibility as you grow. Building a Strong Network: Collaborating with other professionals can enhance your service offerings and client base, facilitating growth.

    In summary, effective billing and credentialing are foundational to a successful behavioral health practice. By optimizing these areas, hiring strategically, and leveraging outsourcing, you can enhance your operational efficiency and ensure financial stability.

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  • Set Clear Goals and KPIs: Establish specific, measurable goals for your business. This will help you and your team stay aligned and focused. Develop a Strong Company Culture: Foster an environment where employees feel valued and heard. Encourage feedback and create opportunities for team bonding. Prioritize Financial Management: Get a handle on your finances early. Understand your cash flow, budgeting, and key financial metrics to make informed decisions. Build a Support Network: Connect with other business owners, mentors, or local business groups. They can provide guidance, share experiences, and help you navigate challenges. Invest in Training and Development: Offer resources for employee growth. This can boost morale and improve retention while enhancing the skill set of your team. Gather Customer Feedback: Reach out to customers regularly to understand their needs and pain points. This can inform your business strategy and help improve your offerings. Stay Adaptable: Be open to change. The early months can be unpredictable, so be willing to adjust your plans based on what you learn. Focus on Marketing and Branding: Start building your brand presence. Develop a marketing strategy that resonates with your target audience and helps you grow your customer base. Leverage Technology: Utilize tools and software to streamline operations and improve efficiency. This can save time and reduce errors in your processes. Take Care of Yourself: Don’t forget about your own well-being. Running a business can be overwhelming, so make sure to set aside time for self-care and reflection.

    Implementing these strategies can help you build a solid foundation for your business and create a positive work environment. Best of luck in your journey!

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