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You aren't actually making $150/hr...

by Genevieve Zizzo
Apr 01, 2026
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Hey there Healers!

 

Last month I was talking all about numbers in practice and I decided this month to take it one step further...

We’re talking about real numbers.

Not theories.
Not ā€œone day I’ll figure this out.ā€

Actual numbers—what you’re making, what you’re keeping, and what that could turn into over time.

Because the truth is… a lot of you have reached out in March...

 

You've said things like:

"I'm never going to be able to retire..."

"If I want to make more money I'm gonna have to find another job..."

 "I don't think there's any hope for me..."

 

But the thing is most practitioners are far more capable of building wealth than they realize.


They just haven’t actually seen their numbers yet.


Let’s start with something simple—but a little confronting:

You might be charging $150 an hour…
…but that doesn’t mean you’re making $150 an hour.


Here’s what your real take-home actually looks like:

Revenue – expenses – taxes = what you keep

So for most practitioners, that includes:

šŸ£Rent or clinic split

šŸ’»Software (Jane, payment processing, booking systems)

šŸ‘©šŸ»ā€šŸ’¼Courses, CEUs, mentoring

šŸ–‡ļøSupplies

šŸ“„Admin time (charting, emails, rescheduling)

🧾And then taxes (roughly ~30% for many people)


And when you actually run that math…

That $150/hour often becomes something closer to $50–$70/hour take-home.

Sometimes less....


And before you panic—hang tight.

This is very normal.

Most people, even outside of healthcare, talk about their income in gross numbers—not what they actually keep after taxes and expenses.

But if you don’t know what you actually take home…

It can start to feel really frustrating.

Like:
ā€œHow am I charging this much and still not getting ahead?ā€


And this is the moment where things start to click.

Because when you see your numbers clearly, it’s not a personal failure.

It’s just math.


In osteopathy, we’d never treat what we haven’t properly assessed.

We wouldn’t guess.
We wouldn’t assume.

We’d get clear on what’s actually happening in the body first.

Your finances are no different.


So instead of trying to fix anything right now, just notice this:

šŸ‘‰ What’s actually left over at the end of your month?

Not what you billed.
Not what came into your account.

What you actually kept.


Over the next few weeks, I’m going to show you what even small, consistent changes in these numbers can turn into over time—

(and I promise… it’s more powerful than you think).


And if you’re ready to go deeper into this,

This is exactly what we’re doing inside the Wellthy Practice Retreat (April 25–26).

We’re taking something that usually feels overwhelming and abstract…
and turning it into something clear, grounded, and actually doable in your real life and practice.


For now—just start with awareness.

No judgment.
No spiraling.

Just clarity.


With you in it,


šŸ’›GeneviĆØve

 

The Wellthy Practice Retreat

 

April 25–26 | online

Two days.
A collection of experts.
Designed for practitioners like you!

We’re talking about:
 šŸ§® Financial literacy without gatekeeping
 šŸ“ˆ Practical ways to increase profitability
 šŸ“±Technology that protects your time
 šŸ’“ Investing from a heart-centered place
 šŸ§  Building systems that support your nervous system

This isn’t about becoming a finance bro.
It’s about becoming sovereign in your own practice.

And if you’re on this list, you get $50 off with the code WELLTHYOSTEO
Because financial clarity shouldn’t feel exclusive.
It should feel empowering.

 

 

RESERVE MY SPOT NOW! 

 

 

 

 

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