Fractional practice administration for small physical therapy and healthcare practices. Bookkeeping, financial reporting, and clinical KPI tracking — without the overhead of a full-time hire.
Get in touchPractice owners are clinicians first. The bookkeeping, the reporting, the tracking — it all needs to happen, but none of it is why you went to PT school. The back office wins by default, not by choice, and the strategic work keeps getting pushed to next week.
Chart & Ledger exists to resolve that tension. We understand healthcare practices from the inside — the payer mix, the productivity metrics, the operational rhythms — and we genuinely love the work you don't have time for.
Monthly close, reconciliation, financial statements, and cash flow monitoring.
Visit volume, payer mix, productivity, cancellation rates, and monthly owner dashboards.
License tracking, vendor management, HR support, and strategic prep for your CPA.
Ready to get your back office off your plate?
No commitment. Just a conversation about your practice. Let's talkChart & Ledger was founded by a licensed physical therapist and practice owner who discovered he loved running the business more than treating patients. After years of owning and operating a private practice, that experience now serves the owners who are still in it.
Licensed PT with real practice ownership experience
MBA with deep financial and operational fluency
Genuinely invested in the success of each practice we serve
Tell us a little about your practice and we'll be in touch.