The Third Path for Ontario Psychotherapists: Why the Solo vs. Group Binary is Outdated

Most psychotherapists enter private practice to provide care, but quickly find themselves working unpaid overtime as a receptionist, biller, IT administrator, and bookkeeper.

When evaluating how to structure a practice in Ontario, clinicians are traditionally presented with a rigid binary:

1. The Group Practice Route: Hand over 30% to 40% of billings in exchange for administrative ease, while sacrificing brand equity, client list ownership, and practice autonomy.
2. The Pure Solo Route: Keep 100% of billings, but absorb 15 to 20 hours a week of administrative grind, software configuration, CRA tax complexity, and PHIPA compliance anxiety alone.

Neither option was built for long-term sustainability. There is, however, a straightforward alternative that bridges this gap: The Supported Practice Model.

What Is Serebro Practice Support?

Serebro Practice Support was built to handle the entire operational back office while leaving 100% of the practice ownership where it belongs; with you.

We hold zero ownership, decision-making power, or clinical authority over your business. Instead, Serebro acts as an outsourced execution team. You retain complete ownership of your brand, health records, client relationships, and clinical direction, while our team handles daily administrative workflows: intake processing, billing logistics, IT setup, and bookkeeping for a flat administrative percentage.

By delegating execution while retaining complete control, you gain the infrastructure of an established clinic while keeping the vast majority of your gross billings.

Watch the Full Info Session

We recently hosted an educational session walking through the operational mechanics, financial realities, and regulatory considerations of setting up an independent practice in Ontario.

Practice Support Information Session - August 2026

Key Takeaways for Ontario Clinicians

1. The Hidden Cost of "Pure Solo" Administration

Running an independent practice requires executing several non-clinical roles:

• Tax & Accounting Logistics: Managing dual CPP contributions (nearly 11% for self-employed individuals), quarterly CRA tax installments, and tracking the $30,000 HST threshold (which applies to taxable supplies, not exempt psychotherapy billings).
• Privacy & IT Infrastructure: Configuring PHIPA-compliant EHR systems, secure data backups, and professional workspace accounts rather than standard, unencrypted email accounts.
• Billing Execution: Managing insurer portal setups, direct billing troubleshooting, and payment processing reconciliation.

2. Clinical Independence & Regulatory Alignment

Serebro Practice Support operates strictly as an administrative provider, aligning cleanly with Ontario professional standards:

• Practice Ownership: Your practice, brand, and client relationships remain 100% yours.
• Records Custodianship: Health information custodianship remains strictly with you.
• Transparent Overhead Expense: Fees are structured purely as a business overhead expense, covering back-office software tools, administrative labor, and a premium for complete, one-stop-shop practice integration; ensuring full alignment with CRPO standards.

3. The Net Revenue Advantage

Handing over a 40% split to a group practice means sacrificing $50,000 out of every $125,000 billed. Under the Serebro supported model (where administrative support ranges from 25% to 35%), you keep significantly more net revenue while offloading the exact same administrative burden.

Explore Your Practice Numbers

If you are evaluating your practice options for late 2026 or 2027, running your specific numbers is the fastest way to gain clarity.

• Run Your Estimates
• Book an Operational Consult

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