WP156 | Choosing the Right Structure for your Group Practice - Live Consulting with Brittany Osborne, MA, LPC

Have you ever wondered what the right structure for your group practice should be?

Should you hire employees or contractors? Or could a collective model be the best fit for your vision?

In this week’s episode, I sit down for a live consulting session with Brittany Osborne, MA, LPC, to explore these questions and help her map out the next phase of her practice. Brittany is a therapist in Marietta, Georgia, who specializes in helping kids, teens, and adults navigate ADHD, anxiety, and OCD. After years of balancing motherhood and solo private practice, she’s ready to expand her impact by building a team that offers comprehensive, compassionate care for families.

Together, we talk through what that could look like—from choosing the right structure to setting up systems for supervision and collaboration that align with her long-term goals.

Starting with Vision and Purpose

What I loved most about this conversation is how Brittany’s “why” came through so clearly. She shared how her youngest daughter’s food allergy diagnosis opened her eyes to what it feels like to find comfort, clarity, and care through a specialized clinic. That experience became a model for what she wants to offer in her own practice—a place where families facing ADHD, anxiety, or OCD can feel seen, guided, and supported.

As I reminded Brittany, holding on to that why is crucial when building a group practice. Growing a team is one of the hardest and most rewarding things you’ll ever do. Your mission keeps you grounded when the logistics get complicated.

1099 vs. W2: Finding the Right Fit

One of the biggest questions I hear from practice owners is whether to hire independent contractors (1099s) or employees (W2s). Each model comes with its own pros and cons, and the right fit depends on your goals, level of oversight, and desired culture.

Here’s how I explained it to Brittany:

  • The 1099 Model works well when you’re bringing in specialists—like an OT or a coach—who operate independently, manage their own schedules, and use their own systems. It’s less oversight for you, but you also have less control and team cohesion.

  • The W2 Model is ideal when you want to shape your practice culture, oversee quality of care, and provide benefits. It allows for a stronger sense of community and long-term stability within your team.

I also shared from my own experience: when I shifted my group from 1099s to W2 employees, it completely transformed the culture. We became more connected, turnover dropped, and our profit margins actually improved. It gave me the chance to build the kind of supportive workplace I wished I’d had earlier in my career.

The Collective Model

Brittany was also intrigued by the idea of a collective—a space where multiple practitioners share an office, cross-refer, and collaborate while running their own independent businesses. I’ve seen this model work beautifully, especially when you have a mix of modalities or when you’re not ready to take on the full responsibility of employing others.

A collective can offer flexibility and connection without the administrative complexity of payroll and benefits. However, I explained that it’s most financially viable if you own your building or combine it with a group practice component. It’s a great way to start building community while keeping your structure simple.

Key Takeaways from Our Conversation

As we talked, a few big takeaways emerged—insights I believe will help anyone considering a group practice:

  • Lay a strong foundation. Make sure your business structure, name, and systems can grow with you.

  • If you’re going to change something, do it early. Adjust before your team grows—it’s much easier.

  • Hire a clinical supervisor early. Especially if you plan to bring on associates; it lightens your load and ensures quality care.

  • Plan for four to five therapists. That’s the sweet spot where you’ll start seeing real financial and time freedom.

  • Culture is everything. Structure matters—but community, connection, and shared purpose are what keep great people around.

The Value of Community

Brittany has been part of the Wise Practice Membership, and I loved hearing how the community has supported her. She shared that having one trusted place to turn for business guidance and faith-based encouragement has been invaluable.

And that’s exactly why I created the Wise Practice Membership—to give faith-based practice owners a place where they can learn, grow, and connect without feeling alone. Inside the community, you’ll find live trainings, expert Q&As, accountability groups, and practical tools to help you grow your practice with confidence.

If you’ve been thinking about joining, now is the perfect time! From November 12–14, you can try your first month for just $0.89. That’s less than a dollar to see how transformative it can be to have a community walking alongside you as you grow.

Brittany Osborne’s Resources

Instagram

Website

Links and Resources

Looking for support and connection: Join the Wise Practice Community

Learn More about Wise Practice Consulting

Connect with Wise Practice on Instagram

Connect with Whitney Owens on Facebook

Check the podcasts on the PsychCraft Network

Previous
Previous

WP157 | How to Know When You're Ready to Go Out on Your Own - Live Consulting with Amanda Zuccaro, Licensed Professional Counselor

Next
Next

WP155 | Should You Hire Family In Your Counseling Practice? Lessons for Faith-Based Owners - Podcast Takeover with Amy Dover