"Healthy" financials look different for a startup, a stabilizing practice, and a mature one — and one of the more common ways owners misread their own situation is judging themselves against the wrong stage's benchmarks. Hold a young practice to a mature one's margins and you'll panic over normal ramp dynamics; hold a mature practice to a startup's, and you'll excuse problems you should fix.

This is general education for owners, not financial advice. Work with your accountant.