
Thriving Practice with Tracy Cherpeski
140 episodes — Page 1 of 3
Time Off Isn't Time Off If Every Decision Still Runs Through You – A Special SNACK Episode, EP 287
Don’t Wait, But Don’t Rush: A Year-End Order of Operations for Practice Owners, EP 286
Some People Own a Business. Some People Own a Job. Featuring Mike Milligan, EP 285
Is Your Practice Really HIPAA Compliant? A Real Talk – a Special SNACK Episode, EP 284
The Wheels Fall Off at Every Stage: Lessons From Scaling to 24 Practices Featuring Dr. Corey Malnikof, EP 283
Brand Before You Market: What Independent Practices Get Backward About Growth Featuring Ashley Gay, EP 282
Nobody Wants to Be the Bad Guy: What No-Shows Really Cost Your Practice – A Special SNACK Episode, EP 281
Building a Private Practice You Actually Want: Psychiatry, Aesthetics & Longevity Featuring Dr. Daniela Rizzo, EP 280
Crush Q4 Smarter: The Pre-Purchase Inspection for 2027, EP 279
Stop, Hand Off, or Automate: The Framework Practice Owners Actually Need – A Special SNACK Episode, EP 278
The Hidden Cost of Chaos: How One Question Can Fix Your Healthcare Operations Featuring Srikar (Sam) Yeruva, EP 277
[REPLAY] From Pajama Charting to Month-Long Vacations: Practice Management Software That Actually Understands Healthcare Featuring Damien Adler, EP 276
From Idea to Live: How to Plan an Event Your Practice Actually Enjoys, a special SNACK Episode, EP 275
Stop Overpaying Taxes: A Tax Strategist Reveals the Strategies Doctors Are Missing Featuring Rachel Michaelov, EP 274
Infrastructure for Readiness: The Missing Foundation of Sustainable Practice Growth, EP 273
Before You Buy AI: The Smarter Way to Cut Admin Burden and Grow Your Practice Featuring Clark Van Oyen, EP 272
Why Practice Growth Isn't a Straight Line (And What To Do When It Cycles Back) - A Special SNACK Episode, EP 271
Don’t Wait for the Audit: Three Compliance Gaps Hiding in Your Practice, Featuring Dr. Natasha Guess, EP 270
30 Seconds to Connect: What Healthcare Practices Get Wrong About Patient Communication Featuring Danny Bobrow, EP 269
Two Websites, One Brand: What Our Site Merger Taught Us – A Special Snack Episode, EP 268
“I Take What I Get” — And Other Costly Myths About Your Payer Contracts Featuring Brett Spark, EP 267
Still Doing It Yourself? What That's Really Costing Your Practice, EP 266
“I Don’t Want to Burden Them”: The Real Reason Practice Owners Go It Alone – A Special SNACK Episode, EP 265
Whoever Answers the Phone Wins: The Hidden Cost of Missed Calls Featuring Erika Sanchez, EP 264
Is Your Practice a Sellable Asset? Luisa Alberto on Cash Flow, Sustainability, and Building to Exit, EP 263
The One-Lever Method: Tracy Cherpeski on Course Correcting Your Practice Without Chaos – A Special SNACK Episode, EP 262
Market Yourself, Not Your Practice: Ginger Allen on Personal Branding for Physician Growth, EP 261
The Alchemy of Change: What Burnout Is Really Telling You About Your Practice, EP 260
From Pajama Charting to Month-Long Vacations: Practice Management Software That Actually Understands Healthcare Featuring Damien Adler, EP 259
The Grip Problem: What White-Knuckling Your Practice Is Really Costing You – A Special Snack Episode, EP 258
Stop Giving Away Your Energy: Phil Johnson on the Real ROI of Emotional Intelligence, EP 257
Keep the Main Thing the Main Thing: Dr. Peter Kevorkian on Purpose-Driven Practice and Burnout Prevention, EP 256
What Med School Never Taught You About Running a Practice—And How to Close the Gap – A Special Snack Episode, EP 255
The Diagnostic Eye: Reading Your Practice's Recurring Problems, EP 254
You May Be the Bottleneck: What a Telehealth Entrepreneur Wants Every Practice Owner to Know Featuring Paulina Riedler, EP 253
The Ick Factor: Why Practice Owners Avoid Fee Conversations — And What It's Costing Them – A Special Snack Episode, EP 252
If You Don’t Ask, You Don’t Know: A GP’s Case for Making Menopause Care a Practice Priority Featuring Dr. Danielle Hunte, EP 251
18 Years in the Insurance System, Then She Built Something Better: Dr. Samantha Mekrut on DPC and Women’s Midlife Health, EP 250
The Real Burnout Prevention Framework for Independent Practice Owners – A Special Snack Episode, EP 249
Fork in the River: Leadership, Loneliness, and What Healthcare Can Learn from the Rise and Fall of Company Towns Featuring Lisa Prior, EP 248
S9 Ep 247From the Weeds to the Horizon: The Altitude Shift That Sharpens Every Decision and Protects You from Burnout, EP 247
What if burnout isn't really about overwork — and has more to do with being stuck at the wrong altitude? Join us for our upcoming Masterclass, Prevention Paradigm: Catching Burnout Before it Catches You. https://www.tracycherpeski.com/prevention-paradigm Read the full show notes, memorable quotes, and key takeaways. In this solo episode, Tracy introduces the Altitude Shift: the skill of moving, on purpose, between zoomed-in execution and zoomed-out vision. It's the practice that sharpens your decisions, protects you from burnout, and keeps you connected to the reason you built your practice in the first place. You'll hear the story of Dr. M — a thriving solo practice owner who couldn't remember the last time she wasn't in firefighting mode. Tracy shares the two altitudes, why most bad decisions come from the wrong one, and a simple audit you can use before any significant choice. She also gets into the neuroscience of why slowing down isn't optional — and the daily practices she architects into her own life to keep the horizon in view. If you've been running on will power, feeling reactive, or sensing that you've lost the thread of what you're building — this episode is for you. Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Read the full show notes, memorable quotes, and key takeaways. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page

S9 Ep 246Is Independent Practice Worth Protecting? Tracy's Unfiltered Take on Staying Independent in 2026 – A Special Snack Episode, EP 246
With acquisition offers arriving, reimbursement cuts looming, and colleagues selling, a lot of practice owners are quietly asking: is staying independent even worth it? In this SNACK episode, Miranda Dorta sits down with Tracy Cherpeski to get her unfiltered take on that question. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Read the full show notes, memorable quotes, and key takeaways. Tracy shares her framework for helping practice owners separate burnout from a genuine readiness to sell—and why making a major life decision from a place of exhaustion or fear is never the right move. She talks about what independent ownership actually gives providers that a hospital employment contract can't, why cash reserves and a 12-month plan are non-negotiable right now, and what due diligence looks like if selling really is the right path. Tracy also opens up about the personal story behind her mission—her daughter's health journey and the independent provider who changed everything—that explains why this work is more than professional for her. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Read the full show notes, memorable quotes, and key takeaways. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page
S9 Ep 245You've Done Nothing Wrong: A DPT's Practical Guide to Fitness and Nutrition for Busy Healthcare Providers Featuring Dr. Hannah Brandt, EP 245
What if the biggest obstacle to your health isn't time or willpower—but the fact that nobody ever taught you how to take care of yourself? In this episode, Tracy Cherpeski sits down with Dr. Hannah Brandt, a doctor of physical therapy and founder of Physique Triage, who helps women in healthcare build sustainable fitness and nutrition habits without turning their lives upside down. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Read the full show notes, memorable quotes, and key takeaways. Dr. Hannah lost over 60 pounds herself—and discovered that even with a doctorate, she had to figure out healthy living the hard way. Now she helps other women in healthcare do it smarter. Her approach: find your gaps first. Assess your hydration, movement, and eating before changing anything—then make small, sustainable shifts that actually stick. In this episode, you'll hear why healthcare providers are conditioned to put themselves last, what a realistic first step really looks like, and why 'okay' and 'fine' are a lot closer to 'great' than most people realize. Read the full show notes, memorable quotes, and key takeaways. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page
S9 Ep 244Stop Being an Operator for the Insurance Company: Paul Vigario on Branding, Awareness, and Practice Growth Featuring Paul Vigario, EP 244
What separates a thriving private practice from one that's perpetually stuck? According to Paul Vigario, founder of SurfCT and strategist to over 12,000 healthcare practices worldwide, it comes down to two things: attention and compliance. Getting the right patients in the door, and building systems that keep them—without the owner burning out in the process. Read the full show notes, memorable quotes, and key takeaways. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment In this episode, Tracy sits down with Paul to unpack what branding really means for independent practice owners (hint: it's not your logo), why flat revenue is actually a loss, and how awareness—not intelligence—is the true driver of business success. Paul also shares the surprising lessons his wine vineyard taught him about patience, vision, and building something that grows on its own timeline. If you've been wondering why your practice isn't growing the way you imagined—or you're ready to stop being an operator for someone else's system—this episode is for you. Read the full show notes, memorable quotes, and key takeaways. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page

S9 Ep 243Good Revenue, No Money: The Financial Clarity Gap in Healthcare Practices - A Special Snack Episode, EP 243
If you make good revenue but still feel like there's never enough money in the practice, you're not broken—you're probably just missing financial clarity. In this SNACK episode, Tracy Cherpeski and Miranda Dorta get into one of the most common and least-discussed gaps in independent healthcare: the difference between having a great accountant and having a real financial strategy. Read the full show notes, memorable quotes, and key takeaways. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Tracy talks about why even accomplished practice owners avoid their numbers (it's not laziness—it's cultural, professional, and deeply human), what to look for when revenue looks fine but money is always tight, and why she sees money as a tool rather than a moral statement. You'll also hear about the newest offering from Tracy's team: fractional CFO support for practice owners who are ready to move from financial survival mode to strategic, forward-looking growth. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Read the full show notes, memorable quotes, and key takeaways. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page
S9 Ep 242Data Over Guesswork: What a Marketing Engineer Knows About Growing Your Practice Featuring Cameron LiButti, EP 242
Most practice owners know they need to market their practice—but far fewer know how to evaluate whether it's actually working. In this episode, Tracy sits down with Cameron LiButti, founder of Bidview Marketing, who brings an engineer's precision to healthcare practice marketing strategy. Read the full show notes, memorable quotes, and key takeaways. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Cameron shares how he uses local SEO data to assess competitive landscape before recommending any budget, why results realistically take 6–12 months (and what changes that timeline), and why your front desk team is a critical piece of your marketing success—not just your operations. He also covers the costly pattern of turning marketing on and off without giving it time to work, why rural and urban practices need entirely different strategies, and how newsletters consistently hit 50%+ open rates when they lead with relationship over promotion. If you've wondered whether your marketing dollars are doing anything—or where to even start—this is an episode worth your time. Read the full show notes, memorable quotes, and key takeaways. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page
S9 Ep 241Leading From Last Place: Why Self-Neglect Is a Practice Problem, Not a Personal Failing, EP 241
You were trained to put yourself last. Not explicitly—nobody handed you a brochure. It happened through culture, through modeling, through what got rewarded in medical school and residency and every clinical environment since. And by the time you opened your own practice, you were running yourself exactly the way the system trained you to: straight into depletion. Read the full show notes, memorable quotes, and key takeaways. In this solo episode, Tracy Cherpeski names what most providers already feel but rarely say out loud: the conditioning that made you extraordinary in the clinic may also be what's driving your burnout. She breaks down why early-stage burnout looks nearly identical to excellence, what it costs the practice when the leader is operating from last place, and what genuine sustainability actually looks like in a thriving independent practice. This isn't about working less. It's about leading smarter—treating your capacity as a real variable, building structures that don't require superhuman endurance, and finding the kind of community that actually getsit. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Read the full show notes, memorable quotes, and key takeaways. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn

S9 Ep 240The 80% Rule: How Practice Owner CEOs Stop Perfecting and Start Scaling – a Special Snack Episode, EP 240
Perfectionism can feel like a strength—until it starts quietly costing you time, momentum, and peace of mind. In this SNACK episode, Tracy Cherpeski sits down with Miranda Dorta to talk about one of the most persistent challenges for practice owner CEOs: knowing when good enough actually is good enough. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Read the full show notes, memorable quotes, and key takeaways. Tracy shares her 80% rule for getting things out the door, how the Time Leadership Quadrant helps clarify what belongs on your plate (and what doesn't), and why celebrating incremental progress is often more powerful than holding out for a perfect outcome. She also draws the line between high standards—which are non-negotiable—and perfectionism, which is really just rigidity in disguise. Plus, Tracy shares a real-time story from a current client opening a second practice location: how letting go of control and trusting her lead clinician created a launch so strong they were nearly fully booked before the doors even opened. If you've ever wrestled with handing something off, sitting with a decision too long, or holding your team to a standard that's more about fear than excellence—this one's for you. Read the full show notes, memorable quotes, and key takeaways. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page
S9 Ep 239The Undoctor: Why a Psychiatrist Says Human Connection Heals More Than Any Prescription, Featuring Dr. Fred Moss, EP 239
What if the most healing thing a healthcare provider can do has nothing to do with a diagnosis or a prescription? In this episode, Tracy Cherpeski sits down with Dr. Fred Moss—a psychiatrist with 46 years in the mental health system who believes that human connection, not medication, is at the heart of all healing. Read the full show notes, memorable quotes, and key takeaways. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Dr. Fred is the founder of Welcome To Humanity, a coaching practice that helps people undiagnose, unmedicate, and step away from conventional mental health models that treat discomfort as pathology. He shares why he calls himself an “undoctor,” how diagnoses can become identity traps, and why discomfort is a feature of being human—not a sign that something is wrong with you. In this episode, you’ll hear about Dr. Fred’s journey from childhood communicator to psychiatric rebel, his work in prisons, orphanages, and homeless shelters, and why he believes anyone can practice the art of genuine healing through connection. Tracy shares a personal aha moment that will resonate with any provider who’s questioned the limits of conventional care. Read the full show notes, memorable quotes, and key takeaways. See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page
S9 Ep 238You Don’t Have a Team Problem – You Have a Leadership Identity Problem, EP 238
If you opened your practice to help people heal but spend most of your day checking, correcting, and redoing your team’s work, this episode is for you. Tracy explores why this pattern isn’t a team problem—it’s a leadership identity problem rooted in your clinical training. The same precision and thoroughness that makes you an exceptional clinician can quietly erode your team’s confidence, initiative, and desire to stay when applied to every aspect of how you manage people. Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment Read the full show notes, memorable quotes, and key takeaways. In this solo episode, Tracy walks you through three practical shifts you can implement immediately to change how your team experiences you as a leader—without upending everything you’ve built. You’ll learn the critical difference between managing micro details that genuinely need your eyes and micromanaging the people you hired to be competent professionals. Plus, Tracy shares a powerful client story about a practice owner expanding to a second location and the coaching conversation that shifted everything. Whether you’re struggling with delegation, dealing with team turnover, or realizing that your clinical instincts might be holding your practice back from its next level of growth, this episode offers a clear, compassionate path forward. Read the full show notes, memorable quotes, and key takeaways. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page