The financial viability of an ABA provider depends strongly on BTs and the provision of direct service. Generally, supervisory services are at or below gross margin breakeven. While the delivery of direct services are at positive gross margins. Accordingly, having a wide base (direct to supervisory services ratio) to a supervisory pyramid is essential to a financially healthy operation

1. It's All About The Bass
Rohit Verma, rohit@bixpli.com Lani Fritts, lani@bixpli.com

2. The Mighty BT
propping up the organization
As go direct services, so goes the company

3. A typical supervisory pyramid

4. Direct service impact on financial health
Supervisors BTs

5. The pyramid model at work
-4.6% 27.2% 35.4% 39.2%
Supervisory services on their
own are at or around break even
Clinically, the BACB recommends
around a 5x ratio of direct to
supervisory service hours
Additionally, direct services give
the supervisory pyramid
financial viability
At 4x - 6x, gross margins for the
pyramid should be close to 40%

6. So ...
... Have a big bass and be content

7. But, what is a skinny lad/y to do ... diagnostic process map
Small
Base
BT Capacity
Constraints
Operational
Constraints
Client
Constraints
Inquiry Flow
Process Efficiency
Applicant Flow
Process Efficiency
Conversion
Selection Criteria
Training, Support
Conversion
New BTs
BT Turnover
Utilization
Cancellations
Balanced Hours
Structure, Economics

8. The small print ...
Median BT billable %: 75% - 80%
Median supervisor hours: 80 - 90 hours a month
Median direct service reimbursement per hours: $55 - $60
Median supervisory reimbursement per hour: $80 - $90
Median BT base wage per hour: $17.50 - $20.00
Median supervisory base salary per month: $6K - $7K
Calculated ratio of direct to supervisory hours delivered (based on median): 4.0
Median BT benefits load: 20%
Median supervisory benefits load: 30%
Bass = base
Calculations based on median Key Performance Indicators of March 2023
survey, with 61 respondents