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What Your Practice Keeps

Twenty years of work. Millions in collections. A balance sheet that looks the same as it did in year three. This is the series that explains why, and what to do about it.

How much does your practice earn?

You can answer that.
Most physicians can answer it to the dollar.

Now answer this one: how much does your practice keep?

Twenty years of work.
Millions in collections.
A balance sheet that looks the same as it did in year three.

That’s the problem this series solves.


Most physicians can tell you their practice’s revenue to the dollar. Almost no one can tell you what landed on the balance sheet. For most independent practices, the answer is nothing, twenty years of work, millions in collections, and a balance sheet that looks the same as it did in year three.

Enterprises such as manufacturers and commercial real estate owners figured this out forty years ago: same dollars, different classification.

Expenses become assets.
Distributions become retained capital.

The dollars stay, compound, and build something that survives the day you stop working. That is the only difference between a health system and an independent practice.

This series is the translation. We will send videos, articles, research papers, and more to teach you how to build an integrated balance sheet and the tools to compete with any health system in the country.


The Series

Each video stands on its own. Watch them in order if you want the full picture. Watch them out of order if a specific topic matches where you are.

Video 1: What Your Practice Keeps (this one)
Video 2: The Health Benefits Captive
Video 3: The Casualty Captive
Video 4: The Professional Liability Captive
Video 5: Direct-to-Employer Contracting
Video 6: Building Your Own Network
Video 7: Forward Pricing on Medical Treatments.

Subscribe to The Rojas Report and you’ll get each video the day it drops. The math at the end of the series is the integrated balance sheet, all seven items stacked. One balance sheet that lets independent practices stay independent.

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