
09/16/2025
A therapist told me her dream is to own a group practice for "passive income."
I had to stop her right there.
Kelly was seeing 25+ clients a week through insurance, making barely enough to cover her expenses. She figured hiring other therapists would solve her problems.
"I'll hire a few people, take a percentage of their fees, and finally have some passive income," she said.
Here's what Kelly didn't know:
Group practice isn't passive.
At all.
You're hiring people. Training them. Managing their caseloads. Handling their problems. Covering when they call in sick. Addressing any issues that arise in the course of care.
You're marketing to fill multiple therapists' schedules, not just your own. You're dealing with different personalities, work styles, and professional standards.
Then someone inevitably leaves. Taking their clients. Leaving you scrambling to cover rent.
Does that sound passive to you?
Don't get me wrong.
Group practice CAN be incredibly rewarding.
But it's not a shortcut to easy money.
The best group practice owners aren't in it for passive income.
They're in it for amplified impact. Creating jobs. Providing excellent care through a team approach.
If you're building a group practice for the right reasons, it can be amazing.
But if you think it's going to be passive income while you sit back and collect checks, you're in for a rude awakening.
Before you hire your first therapist, make sure you understand what you're really signing up for.