From Side Hustle to Full Clinic: Kyla Grahl on Building Show Me Therapy Services

Kyla Grahl didn't quit her hospital job and open a clinic overnight. She started with a single telepractice contract for a rural school district, a part-time hospital position, and a growing hunch that her community needed more than what was available. By March 2020, she had an LLC, a lease, and the worst possible timing to launch a brick-and-mortar private practice.

It worked out anyway.

Show Me Therapy Services in Washington, Missouri, now employs multiple SLPs, contracts with school districts, and serves a steady stream of private-pay and insurance-based clients. Kyla's path from side gig to full clinic is a case study in how small, strategic moves can build something real.

Start Before You're Ready (But Not Before You're Covered)

Kyla's clinical fellowship in Trenton, Missouri, gave her a crash course in rural healthcare reality. She was one of two SLPs in the entire county. Her supervisor was a county away. The hospital hadn't employed a speech therapist for years before she arrived. Swallow studies happened one day a week when a radiologist drove in from Kansas City.

That experience shaped how she thought about access and opportunity. When she moved back to Washington and took a full-time position at Mercy, she kept a telepractice contract on the side for a school district that couldn't find in-person help. That contract became the seed of her business.

"I had developed an LLC for that reason, and it was already established. So I was started."

When she eventually left Mercy, she already had infrastructure in place. She'd met with an accountant. She'd shifted from LLC to S-Corp. She had revenue coming in. The leap felt less like jumping and more like stepping.

School Contracts as a Financial Foundation

For anyone starting small and needing predictable income, Kyla found school contracts to be the safer bet. The guaranteed hours and steady paychecks gave her room to build her clinic caseload without financial panic.

That strategy paid off in unexpected ways. When she couldn't handle all the direct therapy herself, she subcontracted another SLP to cover the school work. That contractor eventually became a regular employee. Today, Kyla has two nearly full-time therapists working just for one school district, plus additional contracts with private schools.

The private school model is especially interesting. Parents at private schools already understand paying for extras. Kyla's therapists go in during the school day, and parents pay per session directly. It works for kids who don't qualify for school-district services and parents who don't want to wait through the qualification process.

The Hiring Puzzle Every Small Practice Owner Faces

Kyla names the tension every growing practice hits: you can't hire without a caseload, and you can't build a caseload without someone to serve the kids. It's the chicken-and-egg problem of therapy clinic software dashboards everywhere.

Her solution has been organic growth and relationships. Her first hire was a friend from grad school. Her second was a former graduate intern. She added OT and PT when those therapists reached out to her directly. Most of her team started as independent contractors with their own liability insurance, keeping the paperwork light on her end.

"I've had a lot of either SLPs or SLP students reach out to me saying, hey, if you ever have any openings let me know. And that's actually how I added OT and PT to the clinic."

She hasn't crossed the benefits bridge yet. So far, she's been fortunate that the people she's hired are in life situations where hourly contract work fits. But she knows that conversation is coming, and she approaches it the same way she approaches everything else: one scary thing at a time, then it's done.

Insurance Credentialing: The Fight Nobody Warns You About

Kyla is in-network with two insurance companies, Anthem and United Healthcare. She applied to two others and got rejected. Their reason: too many providers in the area. That shocked her, because there aren't many providers in her area. The insurance companies were likely counting the entire St. Louis metro.

This is a common and frustrating problem. Kyla mentioned that even former providers who've closed their doors stay on insurance panels, inflating the count. Fighting that designation takes time most small private practice owners don't have.

She weighed going private-pay only but decided the insurance route made more sense for her long-term vision. Private pay works well for a solo clinician. But if you want to hire, grow a team, and take on a larger caseload while stepping into more admin work, insurance opens the door to volume.

"I looked at it as if I want to be the only clinician, private pay would be enough. The insurance route lets me hire people, have a larger caseload, and do some of the admin stuff rather than direct treatment."

She also made a smart pricing adjustment. Early on, she charged the same rate for evaluations and treatment sessions. Families expected treatment to cost less, so the flat rate was actually a turnoff. Bumping the eval fee slightly and keeping sessions lower made the pricing feel right to families and better reflected the work involved.

The Implementer Model and What Comes Next

Kyla flagged something specific to Missouri that has broader implications. Some rural districts use an "implementer model" where teachers with no speech background deliver speech minutes under distant SLP supervision. It exists because districts can't find SLPs to hire. Missouri is phasing it out, which will create significant demand for contract speech therapy providers.

That's both a workforce challenge and a business opportunity. Kyla is positioning Show Me Therapy Services to fill that gap. She's also letting her team specialize. Her newest hire has a strong interest in AAC and autism. Another therapist focuses on school-age speech and language. Kyla herself is leaning into oral myofunctional therapy and early language, the zero-to-three population she loves.

Her marketing is simple and effective: Facebook. She posts early language content that resonates with parents checking milestones, and the referrals follow. Local pediatricians are sending kids her way after 18-month checkups. The community need is doing most of the marketing work for her.

Her advice for anyone thinking about starting? Get over the imposter syndrome. Every person who built a practice before you figured it out one step at a time. You will too.

"I certainly don't think I did anything special. I just took it step by step. And I really had to give myself grace on perfectionism."

Running a growing practice means more admin, more paperwork, and less margin for error. ClinicNote is a HIPAA-compliant EMR built for private practices and university clinics. Scheduling, documentation, and billing in one place, so you can focus on the families and the team you're building. See how ClinicNote works.

Transcript

Kadie: You are listening to Clinic Chats. Clinic Chats is a multidisciplinary therapy podcast that was created for students, professionals, clinic directors, and supervisors. Clinic Chats is bridging the gap between graduate programs and professionals, sharing personal journeys of the smallest of private practice startups, large and expanded practices, as well as university clinic triumphs and tribulations. We hope you'll find our podcast informative and helpful in your career endeavors. Clinic Chats is sponsored by ClinicNote, an electronic medical record company for private practice and university clinics. ClinicNote was designed to make scheduling, documentation, report writing, and billing effective, efficient, and HIPAA compliant.

Kadie: Today on the podcast, I have Kyla Grahl, and she's the owner of Show Me Therapy Services in Washington, Missouri. Hi Kyla. How are you?

Kyla: I'm good. How are you?

Kadie: I'm doing well. So Kyla and I went to school together to be SLPs, and I recently found out that you have your own business now. So can you walk me through a little bit about what you did right out of school, and then what led you to start your own business?

Kyla: Yeah. I graduated from University of Missouri in 2015, and I did my clinical fellowship in Trenton, Missouri through the St. Luke's Hospital System. They were super rural, so they actually hadn't been able to find a speech therapist for several years when I got there. So I was kind of rebuilding the program. They had to find creative ways to keep me busy, because there was a lot of convincing doctors that speech was necessary. So the caseload started really, really slowly.

Kyla: So that was awesome for me, because they contracted me out to a home health company, to a school district, and then because I wasn't there all the time, I was also doing first steps on the side, assisted living, nursing home. So I just got to do a whole bunch in that first year. So I was there about 15 months, and then I just decided I wanted to move back home.

Kyla: So I moved back to Washington, and I worked for Mercy in inpatient and outpatient kids and adults for a couple of years. And then last spring is when I decided to fully go out on my own. I had been doing a little bit of private telepractice on the side, but then last March, great time to start a business, I opened up my own practice.

Kadie: Oh, wow. Okay, so really great timing there that you had.

Kyla: It worked out okay. It could have been a lot worse, but we were already set up to do telepractice because I had been doing that for a rural school district that didn't have access to in-person care. So that actually worked to my advantage because some of the other people that had been going to other clinics came over to me during the pandemic because they knew that I had the telepractice ability. So it worked out okay.

Kadie: So how did you begin? Once you decided, I'm going to open up this private practice, what were some of the initial steps that you took?

Kyla: I have helped several people recently try to start, and the first thing I say to do, and I know you're in all these groups too, was to join some Facebook groups with other people that were doing the same thing. That was probably by far the most helpful thing I did because any question I had, I could search and someone else had pretty much already asked it, or of course I could add something.

Kyla: I started with that, started with just a couple of kids on the side. I was part-time at my other job, so I had some free time to just start advertising on Facebook for people that I knew. So maybe I got about four or five kids that I was just seeing after work or on my days off. And then that kind of helped me just have some time to get the legal things in place, and then before I started my lease for the actual physical clinic.

Kadie: Ah, okay. So that worked out super well to have your previous job part-time, so you could spend some time wrapping your head around developing this new private practice. So right out of the gate, did you have a website and a business name, or did your private patients come first before everything else kind of snowballed?

Kyla: So because I had already, when I was part-time at the hospital, I was also continuing one telepractice contract with the school district, and I had just gotten that one on my own. So I had developed an LLC for that reason, and it was already established, and so I was started. I didn't have the name Show Me, but I had my LLC established, so I was able to funnel the business things through that.

Kyla: But I met with an accountant right around the time I was quitting my full-time job just to say, I remember saying, I don't even know what questions that I have. I said, I know I have questions, but I don't even know what they are. Can you just tell me what I need to be doing to make this a full-time gig? And then everything came more official. He decided instead of an LLC, I should be an S-Corp, kind of the boring detail. Things like that all kind of happened, but I did get to kind of inch into it because I had that side job to begin with.

Kadie: Perfect. You had found your own part-time school contract first.

Kyla: Yes, I had that myself, and then when I had my daughter, I decided I didn't want that extra work, so I actually subcontracted that work to another SLP. So I was doing just kind of the business end of it. She was seeing the kids. And so then that transfer, now she works for the business, and I've gotten her up to, she's not totally full-time, but she's as far as she wants to be. So she works four days a week fulfilling other school contracts now, stayed with them.

Kadie: So once you were able to get that caseload with the subcontract SLP, did you begin searching out for more school contracts and kind of thinking, this is the direction I want to go?

Kyla: Yeah, that for me, for someone starting a small practice and kind of needing the reassurance that I can do this financially, the school contracts felt more like the safe bet. Which is ironic because COVID happened, and that wasn't a safe bet anymore for the remainder of the school year. School shut down. But that kind of helps me to feel like I can slowly develop my clinic caseload, which ended up exploding anyways.

Kyla: But I have, let's see. So that school has extended our contract, given us more of a caseload. So I'm going to have about two full-time therapists working just for that school district now. And then the other models we're using, we're doing parent pay speech within our private schools around here. They're being serviced by the school district, but obviously there's that gap of those kids that aren't qualifying for the school district. So my therapist goes in and sees them just pay for fee or pay per session from the parents themselves. And because it's a private school, the parents had an understanding probably going in that school doesn't have to cover if we want these services.

Kadie: So basically they're open to just having you come in during the school day and paying themselves?

Kyla: Yeah, the school was kind of open to it because they realized it was no cost to them. And yes, the parents were already kind of used to paying for that tuition and paying for the extras. And they were parents that either had tried to get services from the school district and weren't able to qualify, or parents who were kind of scared away from the process of the school district and wanted to get started right away.

Kadie: And why do you think, I currently now work for a private company in a school district, but it's in New Mexico. And it's such a rural area and decreased SLPs. But in Missouri where you're at, do you feel like there's the same problem? Or why are these schools contracting out now instead of just hiring?

Kyla: There's definitely that problem in sections of Missouri. So where I did my CF was like North Central Missouri, and there's a huge problem. Even in my CF, I was maybe one of two SLPs in the whole county. My supervisor was actually a county over at a sister hospital. So we had to commute to do any kind of supervision. And like I said, I think it had been two or three years since they even had a speech therapist at their hospital. So they didn't even have anyone doing swallow studies or anything like that.

Kadie: Oh my gosh.

Kyla: And we only got to do swallow studies one day a week. We had a radiologist come in from Kansas City. It was like an hour and 45 minutes, and he did all of the radiology procedures one day a week. That's all you got.

Kyla: So it was a good first experience because I learned the realistic challenges of the rural areas. But where I'm at, I'm about an hour from St. Louis. So it's not as much of an issue. But I do know just a little bit farther out from me, they're still using the implementer model, which supposedly in Missouri is supposed to be gone after next school year. So that will increase the need quite a bit.

Kadie: Oh, and what is the implementer model?

Kyla: So these are not SLPAs. They are less certified than an SLPA. They have no speech, really, affiliation. It's people with teaching certificates, basically. And I might say this wrong. So if someone from Missouri is listening to this and thinks I'm really wrong, they can correct me. I'm relatively sure that the rule basically was if your district is posting a job for an SLP and they have proven that they are trying to fill it and they can't fill it, then they can use another teacher to fill speech minutes and that teacher is under the supervision of one SLP. So they may have one SLP serving several districts.

Kadie: Oh wow, and that is an effect for Missouri but you think that will be gone next school year?

Kyla: Yeah, they change the laws I believe. So I think it has one more year to go and then it's gone. And I don't know the logistics of getting rid of it because, you know, from my standpoint that's a little scary. You might think that some of those kids are not getting the services that they need, but then I also don't know if there's going to be enough SLPs to fill it. So I'm hoping business-wise that's a good thing for me.

Kadie: Oh yeah, exactly. And how do you find your SLPs that you have hired thus far?

Kyla: One of them is just my best friend from grad school, so that worked out well. She moved here and is in the office with me quite often. And then I actually had a graduate intern with me last semester and I've hired her to start with me in the fall as well.

Kadie: Wonderful. So now you have contracts, like you said, with two nearly full-time employees. And then is it just you seeing your private practice kids?

Kyla: I have one other SLP, so there's three SLPs working with me. One of them is just helping with my after-school hours because those are really popular and I can no longer take any more after-school kids. So she works at a school district around here and is coming one day after school. And then yeah, right now I'm about maxed out on my own caseload. So just kind of getting creative.

Kyla: My school girls are going to see some kids over the summer. It's hard. I think a big challenge for me with the private practice is when to hire because it's hard to hire without the guarantee of a caseload, but it's hard to build that caseload without the guarantee of someone to serve those kids. So yes, that's the ultimate challenge that I'm facing and trying to work through.

Kadie: Right. And I'm sure if you're hiring people like you said that you went to school with or that are younger than us, they might not necessarily be open to an hourly. Maybe they're looking for benefits and being employed. So how do you structure that in your business?

Kyla: I have not crossed the benefits bridge yet. And I think there's so many things in private practice that when I first hear them I think there's no way I could ever figure out how to do that, and then I do and it's fine. So that's my next one. I think I've been lucky enough to know the girls that have worked for me so far and knew that their situation allowed for that. You know, they're married and it was okay. But that is a bridge I'd like to tackle. I've had several of those, you know, just hiring someone in general or starting to take insurance or all those kind of things that seem scary and then I figure it out.

Kadie: Right. And what is the process for you hiring, you know, aside from benefits, for anyone listening who has to go through that paperwork for the first time?

Kyla: I've had a lot of either SLPs or SLP students reach out to me saying, hey, if you ever have any openings let me know. And that's actually how I added OT and PT to the clinic. Both of them just messaged me and said, do you want OT? PT? I was like, oh sure, let's make it work.

Kadie: Oh wow. Yeah, so it's independent contractors. You don't have to do too much as far as taxes. You know, you're looking at once a year and just tracking that, is that correct?

Kyla: Yeah. And my accountant does a lot of help with the W-2 process when needed. But yeah, my contractors, I have one contract at the beginning and then they get their own liability insurance. And I mean, I have to orient them to the software and just kind of procedures and things like that, but it hasn't been huge. And then just give them one 1099 at the end of the year. My accountant prepared those this year for me, but it's something you can find online and I could have done myself.

Kadie: But you have your own little one, correct? So you are juggling a lot. How much time would you say do you spend doing paperwork in the office and outside of the office? I'm sure there's things late night.

Kyla: Yeah, I really struggle to pull myself out of the momming when I'm home to get anything done. I always think I'm going to and then she always takes priority, which is fine. I've got a good balance right now. Right now I work three long days. I'm supposed to have Wednesdays and Fridays off, but sometimes I'm finding babysitters to just get caught up.

Kyla: Because that's a hurdle I need right now is I need more clinician help so that I can have more paperwork time. Because I don't even know if I can give you a good hour estimate. It needs to be more than it is, whatever it is. What can I get done in 10 minutes this time? And yeah, before bed or something like that.

Kadie: So will you be looking to take on more contracts, but it's just the juggling act of securing a contract while also securing a therapist?

Kyla: Yeah. I am right now. Honestly, I think I need to get more help just so I can have more time for marketing. I've been very lucky in things kind of falling in my lap, especially the clinic caseload. There was such a need in my area that I haven't had to work that hard to get a lot of my patients.

Kyla: But I think if I did have the time to put in some more effort, I could really grow a lot faster. Because I know there's a lot of areas I haven't even tapped into. I know the St. Louis providers are still telling people, hey, you got to drive all the way back to St. Louis twice a week for therapy. They don't have anybody out there. So I need to be educating them that I'm here. So there's a lot of room for growth if I had more time.

Kadie: So one idea, this is somewhat creative that I've decided. Because I don't think I'm at a point where I need a secretary or a front office, but what I decided to do, I know someone, she was actually a front office lady at my last job. So she quit there and has some free time. I'm hiring her on as a consultant temporarily to get me kind of set up in my office, like what forms should I have, can you make some insurance calls for me, figure some contract stuff out. So I'm just going to pay her hourly as a consultant to kind of get my policies in place. And then I think everything will take me less time once they're more organized.

Kyla: Yes, exactly. Just having those packets ready to go so whenever a new client comes in the door, just sign this, sign this. So many policies and procedures.

Kadie: So have you still kind of wrapping your head around what all of that will look like?

Kyla: Yeah, I need, yeah. I don't have the time to make the to-do list for myself. A deadline, her and I are meeting next week, that way I can force myself to figure out what it is that I even need her to do. And I'm just now, I just now got my OT and PT credentialed through insurance. And I don't know as much about billing units the way that, right. So she's going to help me. She's worked with that before and she's going to help me figure some of that out too.

Kadie: Yes. And are you in network with quite a few insurance companies or just a select few that you chose?

Kyla: Just two. There's really, other than Medicaid and TRICARE, there's really four in my area. And, yeah, you may have knowledge on this, but I actually, so I'm in with Anthem and United Healthcare. I sent applications for two others and they both responded saying we're not taking more applications, there's too many providers in your area. And that really shocked me.

Kadie: Yes, they must be counting St. Louis because there aren't providers in my area. So I don't know how to fight that or where to begin. I haven't had, well, like you said, there's no time to think about it.

Kyla: I think I got credentialed myself through Blue Cross Blue Shield. And then the rest I was like, this takes too much time. So I'm pretty sure I know probably the two that are saying that, Cigna and Aetna maybe?

Kadie: Yeah. So I ended up hiring a credentialing company. And I wasn't referred to them. I would not necessarily use whoever I used. So maybe it's worth sticking it out through the Facebook groups. But they spent, I swear I was only in business for private practice for like a year and it was taking off. And I just chose to go a different direction with my life. And of course the week that I closed my doors was the week that I finally heard back that they fought that entire year and finally they were able to prove that there was not in fact that many providers in our area.

Kadie: But if you think about it, someone like myself, I'm still on a providers list and those insurance companies don't know or care that I'm not billing and that I'm not taking patients. So that's the situation you have to fight for, but who has that time?

Kyla: Yeah, okay. I didn't really think about a credentialing company doing the fighting for you. I knew they were there for that initial, but that could definitely be worth it.

Kadie: Yeah, I mean, I don't know if it's worth it or not. It just depends if you have a lot of people coming to your door with that insurance.

Kyla: Yeah, I mean, and honestly I thought maybe I would start with just private pay only. And I did. The insurance is sort of a backup. But then once I did get credentialed easily with the two, then it's like, I mean, it was hard to say no. Even though the reimbursement rates are crap. Because I just wanted to be able, a lot of these people I knew closely and I knew that they could come more often if I could give them that help.

Kyla: And so in the end I think I looked at it as if I want to be the only clinician, I think private pay would be enough and I could sustain. Or the insurance route, hire some people to work under me and have a much larger caseload. And then kind of do some of the admin stuff rather than the direct treatment, which I kind of like. I mean, I like a mixture, but I'm not the kind of person that's going to be upset because I'm not getting enough face-to-face client time. I like the other stuff too.

Kadie: I agree. And it seems like, like you said, if you're spending an hour with a child and then 15 minutes to document, I mean, at that point, it's not worth the chunk change that these insurance companies reimburse. But if you can work it out just right to pay your employee and then have a little bit of profit just for your quick paperwork, then like you said, maybe a large number like that is worth it.

Kyla: Yeah, I think just larger scale is more what I envision, which is why I ended up going for it. And I mean, there's not a crazy amount with those two insurances. And honestly, a lot of those kids pay many ways and they're just paying out of pocket. So I don't know. I'm still one of those things on the list of things to explore is trying to get more.

Kadie: Exactly. And it's so hard when those families call and you're like, oh, great, you have insurance. Like, it's not like they're doing anything wrong. But at some point, it's just a business decision, you know?

Kyla: Yeah, and that was hard for me. I'm definitely someone who struggles with that concept of not being able to help every single one. And having, you know, there's going to be a percentage of people that call that can't afford the out-of-pocket rate, don't have those two insurances. Or there's a lot of families I know personally that are on Medicaid that I would love to see. And I just kind of have to swallow that that's my business model. And to be successful, I'm going to have to stick with it.

Kadie: Right. And is your out-of-pocket rate, I know it's such a hard question to even answer, but is there a sliding scale or however you want to call it for private pay versus insurance?

Kyla: I have not implemented a sliding scale yet. I again, like, I need to be taking, I'm going to have to listen to this so I can hear all the things I said I was going to do one day. But it's a good thing. I mean, I'm glad that I'm too busy because I am. But I don't have a sliding scale. I've got a one rate per session that everybody's paying.

Kyla: Something I recently changed, which seemed like a duh, I should have done a long time ago. Just to get people hooked, I at the beginning charged the same for an evaluation and a treatment. And I realized recently that that was almost sort of a turnoff for people. Like, oh, well, if the first one's this much, how much is the next one? They just expected it to be less. So I barely cranked up that eval because I still didn't want people to be afraid to come for that first visit. But that way, I think that sounds better than, they're seeing how much effort's going into that evaluation and then every session afterwards doesn't have the same value.

Kadie: Right, no, I think that's great. Have you had to purchase several evals for yourself or how have you put in that expense?

Kyla: I got to put some of that off because of Pearson doing the Q-global free stuff over the summer last summer. That was a lot of stuff. So yeah, I got to get a little bit of income under my belt before I made some of those purchases. So that worked out really well.

Kadie: Very nice. So now have you, which ones have you got at this point?

Kyla: We have the PLS. We got a really broad scope of kiddos too. So I probably need more tests, honestly. But I've got the PLS, the CELF, the Big CELF, Goldman-Fristoe, CTOP, TAPS, trying to think. I think that might be all. Especially with my private pay only kiddos, you can get away with some more of that informal and professional judgment type things too.

Kadie: And you had a wide variety of experience before opening your own business. So for the most part, are you taking, I don't want to say every single client, but for the most part, do you find that you're capable to take everyone?

Kyla: Yeah, pretty much. I do not do feeding under the age of one. I don't have breastfeeding bottle experience and training. That's on the to-do. But that's part of what I'm thinking as far as taking more of an administration role is to really specialize which kids I see and giving everybody else to, because the girl I just hired has a really big interest in AAC and autism. So I kind of want to let her sort of specialize because I get a ton of those referrals. You know, a girl that's more into the speech and language older kids. I'm doing some oral myofunctional training and I really like the zero to three as well, like early language.

Kadie: Absolutely. And for private practice, do you find that those are the majority coming through your door during daytime hours anyways?

Kyla: I get a lot of the zero to three because I get a lot of my clients from Facebook. And I tend, my marketing, anything I post on my work page, a lot of it is early language because I find that those moms are really into checking Facebook to learn about their kids' milestones. So I get a lot of late talkers and the pediatricians around here are pretty good about referring at 18 months. So I get a good amount of post 18-month checkup kiddos too.

Kadie: Well, I can't wait. We'll have to have you back in like another year and see how it's grown. I'm sure it'll be crazy.

Kyla: Yeah, I hope so. Definitely, I mean, it just proves that I haven't done, I certainly haven't done anything special. A lot of people have asked me, how did you have that leap of faith? And it's like, I just knew there was a need. So it wasn't like I was putting out some product that I wasn't sure people were interested in. I absolutely knew that it was needed. So it didn't take as much hard work as it could have.

Kadie: Absolutely. Well, are there any words of wisdom moving forward before we wrap things up?

Kyla: I think the thing a lot of people have asked me, just questions about getting started. I've talked to grad students and things. And I think the hardest thing to do is to get over that leap I talked about where you're like, well, there's no way I could do that. Like, I couldn't credential with insurance. I couldn't hire someone. I couldn't, you know, whatever. All of those things, it's just that imposter syndrome. And it's like, you realize all the other people did it. There's nothing wrong with you relative to your peers.

Kadie: Yes. And it's only been, oh gosh, I don't know, three years maybe since I did it. And people ask me and I'm just like, I don't know, because I didn't know what I was doing at that time. But you just walk through it one day at a time until it's done. It's funny because it's done.

Kyla: Yeah, and it's hard to give advice though when you're that far out because it's not like anyone is an expert. You just do it.

Kadie: Yeah, I certainly don't think I did anything special. I think I just took it step by step. And I really had to give myself grace on perfectionism. Because I didn't keep track of my expenses perfectly last year. And I'm sure that I messed up a couple deductions that I could have taken. And I had to just kind of say, you can't be perfect at all of them. So it's like one week I really focused on being really perfect at one thing. And then the next week I can worry about another one.

Kyla: Exactly. Well, the further you get into it, I'm sure it'll all run smoothly and you'll get to wrap your head around it all.

Kadie: Yeah, definitely feels like the growing phase still.

Kyla: Yes, well, congrats on the business and thanks for coming onto the podcast.

Kadie: Thank you so much for having me, it was fun.

Kyla: Thank you for joining me and listening to Clinic Chats, the speech therapist's private practice podcast. If you have a moment, please leave a five-star review for Clinic Chats to help other SLPs find our podcast. If you'd like to share your own personal journey through private practice, please email me at kadie at clinicnote.com. That's K-A-I-D-E at clinicnote.com. Thank you for listening.