What does it really take to scale - and exit - an ABA organization? In this fireside chat, Ethan Schwarzbach speaks with Ben Wessels, former owner and operator of Early Autism Services, about the realities of growth: systems that break, leadership decisions that compound, and why financial clarity becomes non-negotiable as complexity rises. A must-listen for ABA owners thinking beyond today’s problems. 

Together, Ben and Ethan unpack: 

• Why most ABA organizations struggle as they grow - and where things quietly break 

• The trade-offs operators don’t realize they’re making early on 

• How leadership, systems, and financial visibility evolve at scale 

• What operators should think about long before an exit is on the table

Connect with Flychain:LinkedIn (Ethan Schwarzbach): https://www.linkedin.com/in/ethan-schwarzbach-baa09571/Website (Flychain): https://www.flychain.us/

Email: [email protected]

Connect with Arohana Support Services:LinkedIn: https://www.linkedin.com/in/benjamin-wessels-17ba437b/ 

Website: https://www.arohanasupport.com/

Medicaid is the lifeblood of many ABA practices, but thriving on thin margins takes more than just managing claims and chasing reimbursements. It takes disciplined operations, smart financial insight, and a people-first culture that can weather uncertainty. In this episode, Ethan Schwarzbach (CEO, Flychain) sits down with Charlene Kurth (COO, Office Puzzle) to explore what it really takes for ABA practices to build sustainable, mission-driven businesses in today’s Medicaid landscape. They discuss the intersection of operational discipline, financial strategy, and culture - and how leaders can find balance between heart and business.

We talked about:

• Aligning mission and margin to build sustainable ABA practices.

• Designing operations around Medicaid rules to prevent denials and cash delays.

• Turning small operational fixes into major efficiency gains.

• Using data the same way clinicians use behavioral insights—to drive business results.

• Culture as the real growth engine: empowering teams through trust and transparency.

• Leadership lessons on empathy, authenticity, and leading by example.

• Seeing caregivers and clinicians as business assets, not expenses.

• How early investment in systems and financial visibility fuels long-term growth.

Connect with Flychain:LinkedIn (Ethan Schwarzbach): https://www.linkedin.com/in/ethan-schwarzbach-baa09571/Website (Flychain): https://www.flychain.us/

Email: [email protected]

Connect with Office Puzzle:LinkedIn: https://www.linkedin.com/in/charlenekurth 

Website: https://www.officepuzzle.com

In this episode of The Flychain Reaction, Flychain CEO Ethan Schwarzbach sits down with Nathan Lee, CEO of Camber Health, to talk about what it really takes for healthcare providers - especially ABA practices - to build financial resilience. Together, they share real stories from the field, unpack the most common medical billing and revenue cycle management pitfalls, and offer practical advice providers can use to strengthen their financial foundation. From navigating major industry disruptions like the Change Healthcare outage to preparing for unexpected payer delays, Ethan and Nathan break down how Flychain and Camber Health partner to help providers weather storms and thrive long-term. Whether you’re looking to tighten up your revenue cycle, avoid costly mistakes, or make sure your practice is ready for the next disruption, this conversation is packed with insights you won’t want to miss.

We talked about: 

• Building financial resilience for healthcare providers

• How Flychain and Camber stabilized clinics in crisis

• Using data and automation to improve insurance payments

• Lessons from the Change Healthcare cyberattack

• TRICARE disruptions and the need for anomaly detection

• Why proactive financial planning prevents payroll issues

• Clinicians adopting a business-owner mindset

Connect with Flychain:LinkedIn (Ethan Schwarzbach): https://www.linkedin.com/in/ethan-schwarzbach-baa09571 Website (Flychain): https://www.flychain.us/

Email: [email protected] 

Connect with Nathan Lee:LinkedIn: https://www.linkedin.com/in/nathanlee-145 

Website: https://www.camber.health/ 

Email: [email protected]

In this episode of The Flychain Reaction, we sit down with Emily Isbell, Founder of 24/7 Solutions and a leading voice in home care growth and operations. Emily scaled her organization to seven locations and over one million hours of care per year, and now she helps other home care owners do the same. 

We covered:

• The systems that keep a home care business running smoothly

• How to hire and manage top talent in a competitive market

• Metrics and KPIs you should track for sustainable growth

• Leadership strategies that let you step back without losing control

If you’re running or scaling a home care business, this episode is packed with real-world insights from someone who’s done it.

Connect with Flychain:

LinkedIn (Ethan Schwarzbach): https://www.linkedin.com/in/ethan-schwarzbach-baa09571

Website (Flychain): https://www.flychain.us/

Email: [email protected] 

Connect with Emily Isbell:

LinkedIn: https://www.linkedin.com/in/emilyisbell

Website: www.247solutions.co
Book: https://www.247solutions.co/application-for-services

Big tax changes just dropped and they could directly impact your healthcare practice’s bottom line. In this episode, we break down the One Big Beautiful Bill Act (OBBBA) and highlight the key tax code changes that matter most for small-to-medium-sized healthcare providers.  No need to sift through hundreds of pages of tax code - we’ve got you covered. Simone and Jaime Deverall from Flychain sit down with Patrick Elliott, Certified Financial Planner™ at Uprise, to cut through the complexity. He breaks down what practice owners actually need to know: which tax provisions could affect what you owe, what you keep, and how you plan for the years ahead. If you own a healthcare practice, you won’t want to miss this one.

We talked about:

• Permanent 20% QBI deduction for S-corps

• Expanded 100% bonus depreciation for equipment and growth

• Business loss rules that reduce personal tax burden

• QSBS and C-corp benefits for long-term exit planning

• Enhanced employer tax perks, including student loan repayment

• Improved access to HSAs and SALT deductions for personal tax planning

  
  

Connect with Flychain:

LinkedIn (Simone Deverall): https://www.linkedin.com/in/simone-deverall-44815414a/

LinkedIn (Jaime Deverall): https://www.linkedin.com/in/jaimedeverall

Website (Flychain): https://www.flychain.us/

Email: [email protected] 

Connect with Patrick Elliott:

LinkedIn: https://www.linkedin.com/in/patrick-elliott-cfp 

Email: [email protected]

In this episode, we sit down with Becky Reel, the founder of Reel Home Care Consulting, to unpack the 5 REEL Principles behind thriving home care agencies. From reclaiming empowered ownership to designing seamless systems, managing caregivers with compassion, and delivering standout client experiences — we explore the hard-won lessons and practical strategies that define high-performing agencies. Whether you’re just starting out or looking to scale with intention, this episode will leave you with actionable insights to grow your business with purpose — and keep quality care at the center.

We talked about:

• Importance of empowered ownership and avoiding founder burnout.
• The caregiver shortage is not new—strategies for attraction and retention.
• Delegation tactics for overwhelmed agency owners.
• Why mentorship, town halls, and career pathing boost caregiver loyalty.
• Seamless systems as the foundation for scalable operations.
• Optimizing financials: identifying redundancies, automating processes.
• Developing a growth strategy tailored to agency goals and market position.
• The power of online reputation and emotional intelligence in client relations.
• Treating caregivers as internal customers to improve culture and retention.
• How a single act of compassion led to exponential word-of-mouth growth.

Connect with Flychain:

LinkedIn (Ethan Schwarzbach): https://www.linkedin.com/in/ethan-schwarzbach-baa09571/

Website (Flychain): https://www.flychain.us/

Email: [email protected]

Connect with Reel Home Care Consulting:

LinkedIn: https://www.linkedin.com/in/rreel
Website: https://reelhomecareconsulting.com

Running a successful ABA therapy practice requires more than just delivering excellent care - it demands financial clarity, operational efficiency, a strong team, and smart leadership. In this episode of The Flychain Reaction, we sit down with ABA Business Coach founders Molly Ola Pinney and Aja Davis to break down the four essential pillars that set thriving ABA clinics apart.

🔹 Financial Clarity – Track essential KPIs, understand what resources are needed to start a business, and plan for sustainable growth.

🔹 Efficiency & Operations –  Batch tasks, streamline processes with smart automation, and develop rituals for must-do recurring tasks.

🔹 Building a Dream Team –  Hire, retain, & empower staff, treat hiring as a form of marketing, and unlock the “Hiring Flywheel.”

🔹 Smart Growth & Leadership – Master the art of knowing when to step in and when to step away.

🎧 Tune in to learn how to build an ABA therapy practice that’s financially resilient, operationally smooth, and built for long-term success!

Connect with Flychain:

LinkedIn (Simone Deverall): https://www.linkedin.com/in/simone-deverall-44815414a/

LinkedIn (Ethan Schwarzbach): https://www.linkedin.com/in/ethan-schwarzbach-baa09571/

Website (Flychain): https://www.flychain.us/

Email: [email protected]

Connect with ABA Business Coach:

LinkedIn (Aja Davis): https://www.linkedin.com/in/ajadavis/ 

Linkedin (Molly Ola Pinney): https://www.linkedin.com/in/mollyolapinney/

Website (ABA Business Coach): https://www.ababusinesscoach.com/

Email: [email protected]

In this episode, Ethan Schwarzbach, Co-Founder and CEO of Flychain, is joined by Justin Outslay, Founder of Cinnamon Hill, to discuss selling a medical practice. Selling a practice is one of the biggest financial decisions a healthcare business owner will make - but how do you ensure you walk away with not just the best deal, but the right deal for your future? In this episode, we break down everything you need to know before selling, from understanding your exit options to finding the right buyer and maximizing your practice’s valuation.

We’ll cover:

✅ Understanding Your Options: What Are the Paths to Selling?

✅ Finding the Right Buyer: Private Equity, Strategic Buyers, & Search Funds - Who’s the Best Fit?

✅ Valuation: How Much Is Your Practice Worth?

✅ Boosting Your Valuation: Steps to Increase Your Practice’s Worth Before Selling

✅ Learning from Experience: Common Challenges in Practice Sales and How to Avoid Them

🔊 Whether you’re thinking about selling now or just want to be prepared for the future, this episode is packed with insights you won’t want to miss.

In this episode, Ethan Schwarzbach, Co-Founder and CEO of Flychain, is joined by Rajesh Voddiraju, Founder & CEO of Stitch PEO, to discuss the top five HR and financial priorities for healthcare providers in 2025, focusing on pressing challenges like cash flow management, employee engagement, compliance, and the role of technology. By leveraging tech-forward financial and HR solutions, healthcare practices can streamline operations and remain competitive in a changing environment.

5 Key HR and Financial Priorities for 2025 include:

• Embrace Tech-Forward Solutions and Data Analytics

• Prioritize Cash Flow and Revenue Cycle Management

• Focus on Employee Engagement and Retention

• Conduct Regular Financial Valuations

• Ensure Compliance with Regulatory Standards

Download your FREE HR Assessment:⁠https://stitchpeo.com/hrassessment-flychain⁠ 

Connect with StitchPEO: 

Website: https://stitchpeo.com/contact/

Email:[email protected]

Connect with Flychain:

LinkedIn (Simone Deverall):https://www.linkedin.com/in/simone-deverall-44815414a/

LinkedIn (Ethan Schwarzbach):https://www.linkedin.com/in/ethan-schwarzbach-baa09571/

Website:https://www.flychain.us/

Email:[email protected]

In this episode, we dive into the financial and operational hurdles behavioral health providers face when transitioning their EMR, RCM, or practice management systems. Learn actionable strategies to navigate these changes smoothly and avoid cash flow disruptions. We also explore how TherapyIQ and Flychain’s combined solutions, including our Transition Financing Program, can help practices stay financially resilient during this critical process.

Perfect for practice owners and administrators preparing for or considering a system switch!

We talk about:

• Why switching an EMR, RCM, or practice management system is often compared to “an organ transplant” and the potential risks involved.
• Critical questions to ask prospective EMR, RCM, or practice management before making a switch.
• Key considerations to discuss with your current EMR, RCM, or practice management provider before transitioning.
• How TherapyIQ and Flychain collaborate to support providers during system transitions and help bridge cash flow gaps.

Download the FREE Transition Checklist here: https://www.flychain.us/navigating-financial-operational-challenges-in-system-transitions

Read our full article here: https://www.flychain.us/resources/tackling-financial-operational-challenges-in-system-transitions

Connect with Therapy IQ

LinkedIn (Nate Maingi, CEO and Co-Founder): https://www.linkedin.com/in/natemaingi/

Website (TherapyiQ): https://www.therapyiq.com/

Connect with Flychain:

LinkedIn (Simone Deverall): https://www.linkedin.com/in/simone-deverall-44815414a/

LinkedIn (Ethan Schwarzbach): https://www.linkedin.com/in/ethan-schwarzbach-baa09571/

Website (Flychain): https://www.flychain.us/

Email: [email protected]