Thriving Practice with Tracy Cherpeski

In this special "snack episode" of the Thriving Practice Podcast, Miranda Dorta interviews Tracy Cherpeski about the evolution of the healthcare industry since 2010. Tracy shares insights on current challenges facing independent practices, emerging business models, and essential skills for practice owners to thrive in today's healthcare landscape. From the concerning trend of private equity acquisitions to promising signs of physicians returning to independent practice, Tracy offers her perspective on where healthcare is heading and how practice owners can adapt. Main Points: Private equity acquisition of practices and expansion of larger institutions are concerning trends affecting independent healthcare practices Early signs suggest some physicians are returning to private practice after experiencing larger institutional settings Independent single-provider practices face significant financial challenges with high operating costs Collaborative group practices with multiple providers offer a sustainable model for the future Practice owners need to embrace their CEO role and focus on strategic leadership, delegation, and resource allocation Smart investment in marketing and operations is essential for practice growth, despite some resistance A shift back toward more relational, neighborhood-based practices may be emerging Notable Quotes: "I see independent provider practices struggling a lot with an individual, just one provider. So I am seeing a little bit more of a leaning towards a group focus or multiple providers." "I see practices that maybe are successful but they're not as profitable as they could be." "Most of our clients do not think of themselves as a CEO first. But if you're a business owner, you are the CEO." "It's not how you spend your time. If you're spending your time, you're probably wasting it... It's how you invest the resource, the finite resource of your time and energy." Miranda’s Bio: Miranda Dorta, B.F.A. (she/her/hers) is the Manager of Operations and PR at Tracy Cherpeski International. A graduate of Savannah College of Art and Design with expertise in writing and creative storytelling, Miranda brings her skills in operations, public relations, and communication strategies to the Thriving Practice community. Based in the City of Oaks, she joined the team in 2021 and has been instrumental in streamlining operations while managing the company's public presence since 2022. Tracy’s Bio: Tracy Cherpeski, MBA, MA, CPSC (she/her/hers) is the Founder of Tracy Cherpeski International and Thriving Practice Community. As a Business Consultant and Executive Coach, Tracy helps healthcare practice owners scale their businesses without sacrificing wellbeing. Through strategic planning, leadership development, and mindset mastery, she empowers clients to reclaim their time and reach their potential. Based in Chapel Hill, NC, Tracy serves clients worldwide and is the Executive Producer and Host of the Thriving Practice podcast. Her guiding philosophy: Survival is not enough; life is meant to be celebrated. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode, we speak with Dr. Amir Baluch, a semi-retired anesthesiologist and founder of Blue Capital Partners, about alternative investment strategies for healthcare providers. Dr. Baluch shares insights on creating passive income streams, the importance of diversification beyond traditional stocks and bonds, and how strategic investments can "buy back time" for busy practitioners. While much of his financial advice offers valuable perspective for healthcare providers looking to reduce clinical hours and focus more on business development, we also provide important context regarding his comments on real estate investment and political policies that may contradict current research on housing affordability and economic impacts. Episode Highlights: The Power of Passive Income: How investing in alternative assets can create freedom in your schedule and reduce dependence on clinical hours Diversification Strategy: Why relying solely on traditional investments like stocks may not provide adequate returns in the coming decade Risk-Adjusted Returns: Understanding how to evaluate investments beyond just the stated return percentage Time vs. Money: Creating a strategic plan to gradually reduce clinical hours through passive income Marketing vs. Sales: The critical differences between creating awareness and converting leads Building a Sellable Practice: The importance of treating your practice like a business that could someday be sold Producer's Notes: Two topics discussed in this episode warrant additional context: Single-Family Home Investments: Institutional investor ownership of single-family homes has grown significantly, with just 32 institutional investors collectively owning 450,000 single-family homes by 2022. Research indicates non-individual investor ownership of single-family rentals increased from 17% in 2001 to 25% in 2021, with projections suggesting institutional investors could control 40% of U.S. single-family rental homes by 2030. This trend is contributing to the housing affordability crisis in many markets. Policy Impacts: Despite Dr. Baluch's enthusiasm about certain administration policies, current evidence suggests recent tariffs, immigration policies, and cuts to housing programs are adversely affecting housing affordability. Housing experts note that deportation plans could severely impact the construction industry, as immigrants make up approximately 30% of the construction labor force at a time when the National Association of Home Builders projects a need for 2.2 million new skilled construction workers. Sources: Government Accountability Office (GAO). "Rental Housing: Information on Institutional Investment in Single-Family Homes." May 2024. Joint Center for Housing Studies of Harvard University. "8 Facts About Investor Activity in the Single-Family Rental Market." 2024. MetLife Investment Management. "Housing Market Projections Report." 2023. The Washington Post. "Investors bought up a record share of homes last year." February 2022. Center for American Progress. "Americans Recognize Housing Affordability Crisis." October 2024. National Association of Home Builders. "Understanding Housing Affordability in Today's Market." July 2024. Bankrate. "How Will Tariffs And Deportations Affect Housing?" April 2025. Newsweek. "Trump Tariffs Could Slow US Housing Market in 2025." March 2025. ProPublica. "Trump Says He'll Fight for Working-Class Americans. His First Presidency Suggests He Won't." November 2024. National Low Income Housing Coalition. "Impacts of Trump Administration Executive Orders." April 2025. Notable Quotes: "If you diversify across enough asset classes, you could reduce your risk by 80% and still get the same returns." - Dr. Amir Baluch "When people don't write it down on a piece of paper, it never happens. They throw money here and there and a couple of investments. But at the end of the year, okay, how much time did that buy you back?" - Dr. Amir Baluch "Just imagine every dollar bill you have is a little soldier. You just want to put it to work out there." - Dr. Amir Baluch "If you're not measuring it, it doesn't get managed." - Dr. Amir Baluch "I think that's the key. Take your time and energy so that you can work on the business instead of being in it all the time." - Host Bio: Dr. Amir Baluch is a Wall Street Journal and international bestselling author who retired from anesthesiology in his early 40s to focus on transforming wealth management for healthcare professionals. After experiencing his father's bankruptcy and personal setbacks in 2001, he developed alternative investment strategies that have since helped numerous medical professionals achieve financial independence. As founder of Blue Capital Partners, Dr. Baluch manages over $700M in projects, specializing in creating passive income through real estate, private equity, and private credit investments. His expertise has been featured on ABC News, Business Insider, and Forbes. He's dedicated to empowering 10

In this special "snack episode" of the Thriving Practice Podcast, our Manager of Operations and PR, Miranda Dorta, turns the mic around to interview Tracy Cherpeski, examining the reality of healthcare practice leadership. This candid, unscripted conversation explores how practice owners can achieve sustainable growth without sacrificing personal well-being. Tracy shares her evidence-based approaches to sustainability, effective boundary setting, and the systems that support healthcare practice owners, offering valuable insights on achieving harmony between professional demands and personal needs. Main Points: Well-being vs. Work-Life Balance: Tracy defines well-being as the complete picture encompassing physical, mental, and spiritual health along with business health. She challenges the concept of "balance," suggesting that harmony with one's life goals is more realistic for business owners. The Importance of Slowing Down: Tracy emphasizes that the first step to protecting time and energy is slowing down to gain "crystal clarity" about personal and professional goals, which allows practice owners to prioritize effectively. Recognizing When Growth Threatens Well-being: Through reflective questioning and coaching, Tracy helps healthcare professionals recognize patterns that compromise their well-being and guides them to meaningful "aha moments" about self-care. Addressing Perfectionism and Control: Tracy normalizes the control tendencies common in healthcare entrepreneurs while helping them learn true surrender—not abdication but rather building trust in themselves and their teams. Notable Quotes: "Well-being is really the entire picture of the human being's health—physical, spiritual, and mental—as well as the business." "I just don't believe in balance... Most of us spend more of our waking hours working than we do being home. So right away we're out of balance. So are we in harmony with what we want out of life and the business that we want?" "The most important piece of the puzzle is to slow down... It's really important to slow down so that we can get really clear. And this is the key to everything—crystal clarity." "Physicians in particular are trained like never to let anybody see them sweat... It takes a while to sort of crack that facade and allow their real deep humanity to come out." "When we put it back on them to look at themselves and to trust themselves, it changes the responsibility... They double down then on the responsibility to ensure that their team has what they need so that they can take their hands off of it." "Most of the time, the desire to control ends up being the Achilles heel... when they recognize that it's probably the cause of a lot of their challenges and energy drains, it becomes a little bit easier to let go." Miranda’s Bio: Miranda Dorta, B.F.A. (she/her/hers) is the Manager of Operations and PR at Tracy Cherpeski International. A graduate of Savannah College of Art and Design with expertise in writing and creative storytelling, Miranda brings her skills in operations, public relations, and communication strategies to the Thriving Practice community. Based in the City of Oaks, she joined the team in 2021 and has been instrumental in streamlining operations while managing the company's public presence since 2022. Tracy’s Bio: Tracy Cherpeski, MBA, MA, CPSC (she/her/hers) is the Founder of Tracy Cherpeski International and Thriving Practice Community. As a Business Consultant and Executive Coach, Tracy helps healthcare practice owners scale their businesses without sacrificing wellbeing. Through strategic planning, leadership development, and mindset mastery, she empowers clients to reclaim their time and reach their potential. Based in Chapel Hill, NC, Tracy serves clients worldwide and is the Executive Producer and Host of the Thriving Practice podcast. Her guiding philosophy: Survival is not enough; life is meant to be celebrated. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode of the Thriving Practice Podcast, host Tracy Cherpeski interviews Joanna Sapir, a business strategist who specializes in helping wellness practitioners build thriving practices without burning out. Airing during Stress Awareness Month, this conversation explores Joanna's revolutionary approach of "stop selling sessions, start creating programs" that helps practitioners create more predictable business models while delivering better outcomes for clients. Drawing from her own burnout experience as a practice owner, Joanna shares practical strategies for designing effective programs and treatment plans that benefit both practitioners and their clients. Key Highlights The Burnout Reality: How Joanna's emergency room visit within her first year of business became a wake-up call to reimagine how wellness practices can operate Paradigm Shift: The fundamental difference between selling individual sessions versus creating comprehensive healing journeys Business Benefits: How programs eliminate the financial impact of no-shows and create predictable, sustainable revenue Client Outcomes: Why structured programs lead to better compliance, deeper healing, and more satisfied clients Implementation Framework: Practical steps for designing programs that align with your modality and client needs Transition Strategies: How to introduce programs to existing clients without disrupting relationships Sales Process: Creating authentic enrollment conversations that align with healing values Topics Covered The profound difference between "packages" (discounted sessions) and true treatment programs Front-end and back-end program structures for different practitioner types How programs provide essential "guardrails" that keep clients on track with their health goals Why selling sessions creates unpredictable income and client progress The iterative approach to refining your programs over time Creating systems that allow practitioners to "just show up and do their best work" How program-based practices can scale more effectively Featured Examples Joanna shares two detailed program models: Physical Practitioner Model: A body worker's 6/9/12-week assessment-based treatment plans for pain relief and injury recovery Therapeutic Practitioner Model: A nervous system specialist's six-month cohort-based program for disordered eating with group and individual components Resources Mentioned Free Systems Guide: Three essential business systems for wellness practitioners: Lead generation system Lead capture system Sales process system Last week's solo episode on physician wellness and burnout prevention Joanna's comprehensive business development programs for wellness practitioners Episode Quotes "Stop selling sessions and start creating programs and treatment plans." - Joanna Sapir "When you have the systems and structures in place, you get to just show up and do your best work with the client." - Joanna Sapir "If you don't have a business that's making money that's sustaining you sufficiently, you have an incredibly expensive hobby." - Tracy Cherpeski "It's not necessarily about there being some people who are committed and some who aren't. It's actually about the boundaries you put in place, the guardrails that keep people in the lane." - Joanna Sapir "You can have a beautifully authentic, meaningful, connected sales process that enrolls your patients or your clients in these programs... it's a win-win-win all around." - Joanna Sapir Bio: Joanna Sapir is a business strategist who helps wellness practitioners build thriving practices without burning out. Joanna specializes in helping practitioners move from the unpredictable cycle of selling individual sessions to creating comprehensive programs and treatment plans that provide better client outcomes while creating sustainable, predictable income. Her clients include acupuncturists, bodyworkers, movement specialists, and practitioners who combine multiple healing modalities. Through her work, Joanna helps wellness professionals properly price and package their services, develop steady predictable income, clarify their unique vision and voice, and create systems that allow their businesses to run smoothly without constant hands-on management. Her ultimate goal is to help practitioners create the freedom and fulfillment that attracted them to healing work in the first place, while building businesses that truly support their desired lifestyle. Based in Central Mexico (as of this recording), Joanna continues to expand her impact by helping practitioners worldwide transform their approach to business and client care. Find Joanna: Website Link to free resource https://joannasapir.com/lp/systems/ LinkedIn Facebook Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

Episode Overview In this special solo episode for Stress Awareness Month, host Tracy Cherpeski shares insights from the Sonoma-Mendocino Lake County Healthcare Expo and Conference on physician wellness and burnout. Drawing from her 15+ years of consulting experience with healthcare practices, Tracy discusses how the unique challenges faced by independent practitioners affect both personal wellbeing and business success. Key Highlights The Burnout Crisis: 63% of physicians report at least one symptom of burnout according to Mayo Clinic research Double Impact: Practice owners face both clinical stress and business ownership pressures Strengths Becoming Weaknesses: How the qualities that make great healthcare providers (service orientation, high standards, problem-solving abilities) can undermine personal wellbeing Business Consequences: How unmanaged stress directly impacts practice revenue, staff retention, patient experience, and clinical decision-making Practical Solutions: Stress management strategies specifically designed for independent practitioners and small practice owners Topics Covered The unique stress patterns observed in healthcare practitioners vs. other professionals How to recognize early warning signs of burnout in yourself and colleagues The measurable business costs of practitioner stress Practical interventions that serve both wellbeing and business optimization Why institutional wellness approaches often fail independent practitioners Featured Framework Tracy's coaching approach for practice owners includes: Eight-area life assessment to identify imbalances "Threshold interventions" - small changes at critical junctures of the day Environmental modifications to reduce stress triggers Intentional calendaring and boundary-setting Integration of wellbeing strategies with business optimization Resources Mentioned Free Burnout Prevention Guide: Available at PracticeSuccess.co/resources (scroll to bottom of page), WHO's official burnout definition and 12-stage progression model Episode Quotes "In healthcare, your most important business asset isn't your equipment, your location, or even your patient list—it's you. And when you're operating from a place of chronic stress, every business metric eventually suffers." "Addressing practitioner stress isn't just a wellness nicety—it's a business imperative with measurable ROI. When practice owners invest in their wellbeing, they're making one of the most significant business investments possible." "We take the approach of building one's business around the life they want to live, not the other way around." Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this essential episode, we dive deep into the Profit First methodology and its game-changing impact on medical practices. Susanne Mariga, fractional CFO and co-author of "Profit First for Minority Business Enterprises," shares how implementing a simple five-bank-account system can create intentional profitability while improving patient care. This conversation addresses the critical gap in business education for medical professionals and offers practical solutions for building sustainable, profitable practices. Key Points: The traditional accounting equation (revenue - expenses = profit) often leads to practice owners working for free How the Profit First system creates intentional profitability through designated bank accounts Why profitable practices deliver better patient care and attract top talent The importance of building business value for eventual sale or retirement Practical steps for implementing Profit First, starting with small, manageable changes How automated banking systems can help enforce profitability The connection between practice profitability and work-life balance Resource Highlight: "Profit First for Minority Business Enterprises" by Susanne Mariga and Mike Michalowicz Each book purchase supports girls' education in Zimbabwe through Hope Worldwide Includes specific strategies for implementing Profit First Features tax strategy and pricing guidance for business owners Susanne’s Bio: Susanne Mariga is a CPA and Fractional CFO specializing in high net worth tax strategies for 7 and 8 figure entrepreneurs using the Profit First System. Susanne is the CEO of The Mariga Group which is a Goldman Sachs 10,000 Small Business, the 2021 Profit First Professional Firm Of The Year, and a recipient of the 2011 Houston Minority Supplier Development E-10 Award. Susanne has been featured in the Houston Business Journal, MBE Magazine, and in a variety of other media outlets. She is the author of Kirkus reviewed and Publisher’s Weekly’s Editor’s Pick, Profit First For Minority Business Enterprises which was written in collaboration with Mike Michalowicz, under the Profit First brand. She is the host of the Profit Talk Podcast. Before founding her own firm, Susanne worked at Arthur Andersen LLP, as well as one of the Big 4 firms, KPMG. Combining her industry knowledge with her own experience of growing a small business has allowed Susanne to help her clients design unique, profit-first based business plans that ensure success and long-term financial stability. As a Certified Profit First Professional (PFP) at the Mastery Level, she is passionate about helping entrepreneurs maximize their revenue, grow their business, and save dollars through sound tax strategies. Find Susanne: Profit First for Minority Business Enterprises Company Website LinkedIn Susanne’s Website Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this special "snack episode" of the Thriving Practice Podcast, Miranda Dorta turns the tables and interviews Tracy Cherpeski about the human side of group leadership. This candid, unscripted conversation explores Tracy's insights on facilitation, psychological safety, and the subtle dynamics that shape group interactions. Tracy shares personal stories and practical wisdom gained from years of experience working with healthcare providers and corporate clients. Episode Highlights: Tracy shares a humbling learning moment from her earlier facilitator days when a communication mishap taught her to prioritize understanding her audience over sticking to her agenda The importance of improv techniques as Tracy's most valuable facilitation tool for creating authentic learning moments How psychological safety feels in the body - the absence of tension and the presence of ease Creating "the least restrictive learning environment" as a cornerstone of effective facilitation Tracy's excitement about the growing emphasis on psychological safety and wellness in professional settings post-COVID Notable Quotes: "Don't be afraid to pause the agenda in order to really understand the people that are your audience." "I think it's really important to come in as a facilitator with the intention of creating the least restrictive learning environment. If we're here to learn, then we need to set the tone for the learning." Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode, we dive into the world of financial clarity and confidence with Virtual CFO Danielle Hendon. From her unexpected journey from opera singer to CPA, to her mission of transforming business owners' relationship with their numbers, Danielle shares valuable insights about what it really means to be in command (not just in control) of your business finances. Key Episode Highlights: - What a fractional CFO does and why it matters for practice owners - The critical difference between being "in control" vs "in command" of your business - Why understanding your numbers is about more than just tracking expenses - How to move from financial anxiety to confidence in your decision-making - Common challenges highly credentialed professionals face when running a business - The importance of having data-backed decisions for business growth - Simple ways to start understanding the story your numbers are telling - Why splitting up your revenue streams can transform your financial clarity - How proper financial support can help prevent burnout Memorable Quote: "Your time is going to make you so much more money in your zone of genius than trying to figure this piece out." Key Takeaway: A budget isn't meant to restrict you - it's a roadmap that guides you toward your business goals. Understanding your numbers doesn't mean giving up control; it means gaining the confidence to make better decisions for your practice's future. Danielle’s Bio: Here's a concise professional bio: Danielle is a CPA and Virtual CFO who helps small business owners maximize their profits and personal income. With over a decade of corporate finance experience, she founded 4 Corners CFO after witnessing firsthand how financial expertise could make or break a business. She translates complex financial concepts into actionable strategies, enabling entrepreneurs to make data-driven decisions, establish sustainable growth, and pay themselves appropriately. Through her Breakthrough, Focused, and Comprehensive CFO services, she provides scalable financial guidance - from foundational support for emerging six-figure businesses to full-service accounting and strategic planning for established entrepreneurs. Her mission is helping business owners move from burnout to abundance by understanding and intentionally growing their profits. Find Danielle: Website LinkedIn Facebook Instagram Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this special "snack episode" of the Thriving Practice podcast, host Miranda Dorta interviews Tracy Cherpeski about her journey in building a mission-driven company. Tracy shares her unexpected path into coaching, beginning as a necessity during a major life transition with young children, and evolving into a focused healthcare provider coaching practice. The conversation reveals how her initial desire for career flexibility transformed into a larger vision of creating systemic change in healthcare, while offering insights into leading a mission-driven organization. Key Points: Tracy's journey into coaching was unexpected, transitioning from international work and consulting after a major life change The company's evolution from a general coaching practice to a specialized healthcare provider focus The importance of staying committed to your mission, even when it feels "weird" (which Tracy notes comes from the word "supernatural") How the company's vision expanded from seeking work-life flexibility to creating systemic change in healthcare The value of remaining deeply connected to client work while maintaining professional boundaries The importance of fostering team creativity and allowing new perspectives to shape the company's growth Notable Quote: "Self disclosure - if you ever want to learn what you're really made of, start a business." - Tracy Cherpeski Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

Many healthcare providers are excellent clinicians but weren't trained in business fundamentals. In this episode, physical therapy practice consultant Michael Silva shares insights from his journey from frustrated employee to successful practice owner to helping others build sustainable private practices. Drawing from over 25 years of experience, Michael emphasizes how exceptional patient experience and solid business systems create practices worth preserving. Key Takeaways: - Why focusing on hospitality over basic customer service creates lasting patient relationships - The importance of standardized systems and processes for sustainable growth - How to build a practice that's sellable versus one dependent on the owner - Creative exit strategies that keep private practices private - Practical tips for creating positive patient experiences, including the 10/5 rule for patient greetings - Why word-of-mouth marketing through exceptional service beats paid advertising - The value of investing in experienced business guidance early in practice development Notable Quotes: "Business is business. Your clinical way of doing things can be what sets you apart, but if you don't have systems, you're not going to have an efficient business." "Everyone walks into our office with a 'help me' sign on their head - you're here for them." Michael’s Bio: Michael Silva is a healthcare business consultant and founder of the RUNstrong® program, leveraging over 25 years of physical therapy and practice management experience. After building FOUNDATIONperformance Sports Medicine from a basement office to a three-location practice with 24 employees, he successfully sold to Performance Physical Therapy (now Highbar) in 2021. Drawing from his experience as both practice owner and acquirer, Michael now helps healthcare providers across North America build, grow, and exit their practices successfully. He's a sought-after speaker on topics ranging from running injuries and rehabilitation to creating ideal client experiences in private practice. Find Michael: Michael’s Website Company Website LinkedIn Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode, we sit down with Lizette Peña, CPA and fractional CFO at Ascent CFO Solutions, to explore how fractional CFO services can help healthcare practices thrive. With over 30 years of experience, Lizette shares valuable insights on managing the business side of medicine while keeping focus on patient care. Key Discussion Points: The role of a fractional CFO and how it differs from a full-time CFO Why healthcare practices specifically benefit from fractional CFO services Essential KPIs every practice owner should monitor Smart strategies for cash flow management The importance of understanding your practice's payer mix How to balance clinical excellence with business acumen Key Takeaways: Practices can access high-level financial expertise without the full-time executive cost Regular weekly check-ins with a fractional CFO help maintain strategic focus Understanding cancellation and no-show rates is crucial for revenue optimization Strategic vendor payment timing can significantly improve cash flow Data visualization tools can make financial metrics more accessible and actionable Important Metrics to Track: Cancellation and no-show rates Payer mix (Medicare, Medicaid, private insurance, self-pay) Claims denial rates Days to payment Cash flow and burn rate Lizette’s Bio: Lizette Peña, CPA (she/her) brings over three decades of finance and accounting expertise to her role as a Fractional CFO at Ascent CFO Solutions. Based in Colorado, she partners with mission-driven healthcare organizations to optimize their financial strategies and growth. Driven by her belief in business as a force for good, Lizette serves on the Board of Directors for Kachuwa Impact Fund and advises Intercambio Uniting Communities, combining her financial acumen with her commitment to positive social impact. Find Lizette: Website LinkedIn Instagram Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

Did you know that the moment you opened your practice, you became a CEO? It's true - yet no one ever prepares healthcare providers for this crucial role. In this episode, Tracy explores the powerful mindset shift that occurs when practitioners embrace their identity not just as skilled healthcare providers, but as chief executives of thriving healthcare businesses. Through real stories from practice owners and practical insights from business research, discover how thinking like a CEO can transform both your practice and your relationship with it. Learn why this mindset shift isn't just about better operations today - it's about building lasting value for tomorrow. Episode Highlights: The hidden transition every healthcare provider makes when opening a practice - from practitioner to CEO Why excellent clinical skills alone won't guarantee business success Three critical shifts that helped one physician cut working hours by 30% while increasing revenue Practical examples of what "CEO time" looks like in a healthcare practice The overlooked aspect of practice ownership: building a valuable, salable business How strategic delegation and systems creation can free you to lead rather than just manage Why connecting with other practice owners is crucial for leadership growth Key Insights: Working IN your practice vs. ON your practice: understanding the crucial difference The importance of dedicated CEO time for strategic planning and business development How proper systems and delegation can create a practice that's both more profitable and more enjoyable Why building a salable practice matters, even if you're not planning to sell The power of surrounding yourself with other forward-thinking healthcare leaders Free Resource Mentioned: Download our Practice Owner Energy Audit to identify where your time and energy are going now, and where you might need to make adjustments as you step into your CEO role. What's Next: Join us in the Thriving Practice Community, a new global network for ambitious healthcare practice owners who want to elevate their leadership and business mastery. Learn more at ThrivingPracticeCommunity.com about becoming a founding member of this vibrant community. Tracy’s Bio: Tracy Cherpeski, MBA, MA, CPSC, is a business consultant and executive coach specializing in healthcare practice leadership. With a background in operations and a passion for growth, she helps practice owners optimize their businesses while mastering leadership and mindset. Through her coaching and consulting programs, Tracy empowers healthcare leaders to build exceptional practices without sacrifice. Based in Chapel Hill, NC, she's committed to helping practices thrive. Connect With Us: Download your Practice Owner Energy Audit Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this candid "snack episode," Miranda Dorta turns the tables and interviews Tracy Cherpeski about transformative moments in her coaching practice. Through unscripted conversations, Tracy shares powerful insights about working with healthcare providers, revealing how vulnerability, cultural awareness, and thoughtful leadership shape successful medical practices. From emergency room physicians transitioning to private practice to international healthcare providers navigating different systems, Tracy's experiences illuminate the common threads that connect all practice owners. Memorable Quote: "We slow down to speed up, we slow down to scale up. And so in those first four to six weeks of our work together, you're probably not gonna like me very much because I'm not going to allow you to move at the speed of light... If we're moving too fast, we miss the details, we miss the scenery, we miss the opportunities." - Tracy Cherpeski Episode Highlights: - The breakthrough moment with an ER physician-turned-practice owner who finally expressed his business uncertainties, highlighting the importance of creating safe spaces for healthcare providers to be vulnerable - How working with an Australian physician practicing in Norway challenged Tracy to abandon her usual framework and develop a more culturally responsive approach to coaching - The consistent pattern Tracy observes across practices: "tough nuts with big hearts" - highly credentialed professionals deeply committed to providing excellent patient care - The value of "slowing down to speed up" in the first 4-6 weeks of client work, allowing practice owners to spot opportunities they might miss when rushing toward goals - Tracy's insights on leadership versus management, and helping practice owners find the delicate balance between control and guidance Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode of Thriving Practice, we welcome back Kyle Kiser, co-founder of ArriveHealth, to discuss the company's remarkable growth and its innovative solutions in healthcare technology. Since our last conversation a little over a year ago, ArriveHealth has doubled its revenue, a testament to the value of their real-time benefit network. Kyle shares how their technology is streamlining the prescription process by providing real-time, patient-specific cost information at the point of care. We explore how this system not only helps patients access more affordable medications but also streamlines the often cumbersome prior authorization process, reducing turnaround times from days to hours. Kyle shares insights on how their solution benefits multiple stakeholders in the healthcare ecosystem, from providers and patients to health plans and pharmacy benefit managers. Join us for an enlightening discussion on the future of digital prescribing, medication management, and how technology is being leveraged to enhance trust between patients and providers. Key Points: ArriveHealth's core offering: Real-time benefit network for e-prescribing workflows Company growth: Doubled in size from a revenue perspective in the past year How ArriveHealth's technology works: - Provides real-time, patient-specific cost information at the point of prescribing - Suggests lower-cost alternatives for medications and pharmacies - Streamlines the prior authorization process Benefits for various stakeholders: - Providers: Reduced administrative burden, improved workflow efficiency - Patients: Lower medication costs, improved adherence, better healthcare experience - Pharmacists: Cleaner scripts, fewer callbacks - Insurance companies/PBMs: Cost savings, reduced administrative work Integration with major EMR systems (Epic, Cerner, Athena, eClinicalWorks) Partnership with GoodRx for additional cost-saving options Success metrics: Switch rates more than twice the industry average Future developments: - Automating downstream processes (e.g., prior authorizations) - AI-driven adherence tool for patient-provider communication ArriveHealth's mission: Reintroducing consumer choice in healthcare and leveraging trust between patients and providers Quotes: "We measure success by how often they accept that. And we're seeing switch rates that are more than twice the industry average." - Kyle Kiser on measuring the impact of ArriveHealth's recommendations "The most powerful leverage point to solve problems in healthcare is the trust that exists between patients and providers." - Kyle Kiser on the importance of trust in healthcare Kyle’s Bio: Kyle is Chief Executive officer at Arrive Health, the leader in delivering real-time cost and coverage data to decision-making workflows. In his role, he focuses on helping providers and care teams improve patient access, affordability, and outcomes while reducing administrative burden. By partnering with health systems, health plans, IT vendors, and pharmacy benefit managers, Arrive health enables transparency and better patient care nationwide. Since 2013, Klye has helped grow the company from a vision to a reality, and has been at the forefront of some of the most transformational initiatives in healthcare. In particular, he has focused on projects that enable informed decision-making. His focus on interoperability has allowed partners to improve provider workflows and reduce medication costs for millions of patients. Kyle has helped develop incentive strategies for a country’s most innovative employers and led product launches with the nation’s largest payers. Prior to Arrive Health, he was a senior leader at Welltok, Catapult Health, and Principal Wellness Company. Find Kyle: Arrive Health Website LinkedIn Connect With Us: Thriving Practice Community Be a Guest on the Show Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page

In this episode of Thriving Practice, Tracy sits down with Carrie Cook, a seasoned profit strategist who's transforming the financial landscape for healthcare entrepreneurs. With a unique background spanning 30 years in medicine and an MBA in finance, Carrie brings a wealth of knowledge to the table. She dives deep into the often-overlooked realm of profit strategy in healthcare practices, offering invaluable insights on how providers can build financially robust businesses without compromising their commitment to patient care. From the critical importance of paying yourself a market-based wage to the transformative power of separating personal and business finances, Carrie unravels the complexities of financial management in healthcare. She shares a remarkable success story, practical advice on changing financial behaviors, and introduces her 44% profit strategy that's revolutionizing how healthcare professionals approach their finances. Whether you're a solo practitioner or running a growing practice, this episode is packed with actionable strategies to help you not just survive, but thrive financially while staying true to your mission of care. Key Topics Discussed: Carrie's background: 30 years in medicine to MBA in finance The importance of profit strategy in healthcare practices Paying yourself a market-based wage Separating personal and business finances The 44% profit strategy breakdown Success story: Helping a functional medicine doctor increase revenue from $800k to $1.5M Changing financial behaviors and mindsets The three foundations of business: finance, marketing, and operations Addressing the fear of letting go and delegating tasks The importance of putting yourself first as a business owner Key Takeaways: A profit strategy should include contingency funds, reinvestments, taxes, savings, and retirement Aim for at least 12% profit margin, with a goal of reaching 44% Commingling personal and business funds can hinder business growth Changing financial behaviors is simple but not easy - consistency is key Working with a profit strategist can provide accountability and reinforce positive financial habits Quotes: "If you're not 4% in revenue annually, you're treading water. We need you at least to be at 12% if you're a service provider." - Carrie Cook "If you put yourself first, you have such a capability of taking care of your business after that." - Carrie Cook If you're ready to revive your practice's financials and create a thriving, profitable business, reach out to Carrie Cook through her website or email. Carrie’s Bio: Carrie Cook is the founder of a vibrant trio of small business focused on money and women owned business. She is dedicated to supporting and empowering female business owners in her community. With a passion for fostering connections and helping women maximize both their personal and professional lives, Carrie offers practical insights on financial growth, money mindset shifts, and intentional financial wellbeing. Her work is rooted in the belief that success flourishes when women support one another, share knowledge, and pursue continuous improvement. Whether through inspiring presentations, insightful workshops, or one-on-one guidance, Carrie is committed to helping others make meaningful financial strides in their journey toward a balanced, fulfilling life. Find Carrie: Website Email: [email protected] Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

Does your team spend hours on repetitive tasks that drain their energy and pull them away from patient care? Software development expert William Velasco reveals how the right technology solutions can transform your practice operations without losing the human touch. With nearly two decades of experience helping businesses maximize efficiency, William shares practical insights on how practices can use smart systems to enhance both team satisfaction and patient experience. In this value-packed conversation, we explore: - Why many healthcare professionals get stuck doing repetitive, error-prone tasks that waste their talents - How to identify opportunities for automation in your practice without compromising care quality - The surprising truth about apps and why most practices don't actually need expensive native applications - Real-world examples of how practices have transformed their operations with smart technology - Why collaborative implementation is crucial for successful technology adoption - The importance of choosing solutions that grow with your practice - How self-service technology can improve patient engagement while reducing administrative burden - Key considerations for selecting technology partners who prioritize your practice's success Key Takeaways: - Technology solutions should enable your team to work at their highest level, not replace human interaction - The most successful implementations involve input from all team members, not just leadership - Systems should be designed around your specific workflow, not forced to fit generic templates - Practice owners need mental bandwidth for creativity and growth – automated systems can help create that space Notable Quote: "It's not only a really bad use of talent, but in some circumstances it becomes demoralizing and you find that a team member doesn't really have that joy for working anymore." - William Velasco William’s Bio: William is a visionary leader and the driving force behind Opencentric, a software company dedicated to empowering businesses to achieve sustainable growth through tailored digital solutions. With nearly 17 years of experience as its founder, he has been instrumental in crafting systems that streamline operations, eliminate inefficiencies, and allow teams to focus on what they do best.Under William's leadership, Opencentric has delivered impactful projects for high-profile clients, including HM Treasury, The British Council, and The International Baccalaureate, spanning diverse sectors such as government, education and finance. William is passionate about creating solutions that not only enhance operational efficiency but also empower teams to thrive by removing the burden of administrative overhead. His mission is clear: to build systems that foster innovation, productivity, and lasting success for organisations worldwide. Find William: Website LinkedIn Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode, we dive deep into the world of functional medicine with Dr. Cima, a chiropractor and functional medicine expert with decades of experience. Dr. Cima shares his journey and insights on becoming a "doctor of the future." Key Topics: The three pillars of health: chemical, physical, and mental-emotional Understanding functional medicine and its holistic approach to wellness The importance of proper nutrition, especially protein intake Simple, actionable steps for improving overall health The concept of "listening to the doctor within" Rethinking traditional approaches to common health issues The role of blood chemistry analysis in functional medicine Balancing hormones and the neuroendocrine axis The impact of the diet industry on health perceptions Highlights: - Dr. Cima explains how functional medicine differs from traditional allopathic approaches - Practical advice on increasing protein intake and its benefits - The importance of having a purpose in life for mental and emotional well-being - Insights on how blood chemistry analysis can reveal health trends before they become problems - Discussion on the misconceptions about fat in diets and its importance for health Quotable Moments: - "Taking care of your health doesn't take time. It gives you a ton of time." - Dr. Cima - "The closest you could ever get to God is to bring health to one's fellow man." - Socrates (paraphrased by Dr. Cima) Action Steps for Better Health: Increase protein intake (consult with a healthcare provider for personalized advice) Develop a basic stretching routine Consider getting regular massage work Reflect on and develop your life's purpose Listen to your body's needs ("the doctor within") For Healthcare Providers: - Consider incorporating functional medicine principles into your practice - Explore blood chemistry analysis for a more comprehensive view of patient health - Educate patients on the importance of nutrition and lifestyle in overall health Dr. Cima's Bio: Dr. James Cima is a pioneering chiropractor whose journey into holistic healthcare began with his own healing experience. After suffering from debilitating back pain in his youth, he discovered the transformative power of chiropractic care. This personal experience, combined with his passion for healthcare, led him to pursue his education at Cornell University followed by New York Chiropractic College, where he graduated with honors. Inspired by Thomas Edison's vision of the future of medicine, Dr. Cima has dedicated over four decades to developing comprehensive wellness programs that focus on nutrition, body mechanics, and disease prevention. As an accomplished author and educator, he has trained numerous healthcare professionals and written extensively on holistic health approaches. His expertise spans multiple disciplines, including nutrition, exercise physiology, and neuroendocrinology. Today, Dr. Cima practices alongside his children, Dr. James Paul Cima and Dr. Natalie DeJesse, continuing his mission to promote optimal health through natural methods. A certified Titleist Performance Institute professional, he also helps golfers improve their game by optimizing their body mechanics. When not serving patients or advancing healthcare education, he enjoys spending time with his four children and eight grandchildren. Find Dr. Cima: Website LinkedIn Facebook Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this snack episode of the Thriving Practice Podcast, Manager of Operations and PR, Miranda Dorta, turns the microphone around to interview our host, Tracy Cherpeski about the critical topic of private equity in healthcare. Through an unscripted and authentic conversation, Tracy shares valuable insights about the impact of private equity ownership on healthcare delivery, from small family practices to large specialty groups. Drawing from her extensive experience supporting healthcare providers, Tracy breaks down the fundamental differences between private equity and traditional practice ownership models, while offering practical strategies for independent practices to remain competitive in today's evolving healthcare landscape. Memorable Quote: "As a business person, my mantra is if you're not making money, you have an incredibly expensive hobby. So you have to switch hats and be a business strategist and be the CEO." - Tracy Cherpeski Episode Highlights: - Understanding private equity's basic business model in healthcare and how it differs from traditional medical practice ownership - Key strategies for independent medical practices to remain competitive without selling to private equity firms - Alternative ownership models, including cooperative structures and multi-owner practices - The implications of private equity's growth from $5 billion in 2000 to $100 billion by 2018 in healthcare investments - Discussion of the challenges and risks associated with private equity ownership in healthcare delivery - Insights into balancing profitability with quality patient care Looking for a deeper dive into private equity in healthcare? Check out Episode 131 for Tracy's comprehensive analysis of this topic. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode of Thriving Practice, host Tracy dives into the world of digital marketing for healthcare and wellness practices with web design expert Samantha Mabe, founder of Lemon and the Sea. Samantha shares her wealth of knowledge on creating effective, patient-attracting websites specifically tailored for health practitioners. From the crucial elements of a professional medical website to the nuances of healthcare SEO, this episode is packed with actionable insights. Discover why your website is more than just an online brochure - it's your practice's digital front door and often the first point of contact for potential patients. Learn how to optimize your site for both search engines and user experience, ensuring it not only attracts visitors but converts them into patients. Whether you're building your first website or looking to revamp your existing online presence, Samantha's expert advice will help you create a digital strategy that aligns with your practice goals and resonates with your target audience. This episode is a must-listen for any healthcare or wellness provider looking to thrive in the digital age. Key Topics Covered: - The importance of a professional website for healthcare and wellness practices - Website accessibility and its legal implications - SEO strategies for healthcare providers - Mobile optimization for medical websites - Balancing aesthetics with functionality in web design Key Takeaways: Your website is your digital front office - it needs to make a great first impression. Start any website refresh by clearly defining your main goal (e.g., booking appointments, growing email list). Ensure your website is accessible to all potential clients. Check how your website looks on different devices, especially mobile. SEO is crucial for helping the right clients find you online. Memorable Quotes: "Do not put your practice name as the headline on your website because very few people are actually searching for the name of your practice." - Samantha Mabe "We want to make sure that the user journey... makes sense for people and that they're following to the end point you want them to get to." - Samantha Mabe Resources Mentioned: - Page Speed Insights (Google's free tool for website analysis) Thank you for listening to Thriving Practice. If you enjoyed this episode, please rate, review, and subscribe on your favorite podcast platform. Samantha’s Bio: Samantha Mabe is a creative director and website designer specializing in custom Squarespace and Kajabi websites for healthcare professionals and wellness entrepreneurs. Through her signature One-Week Website Design process, she helps practitioners like naturopathic doctors, chiropractors, and therapists transform their online presence into powerful marketing tools. A Pittsburgh native with a background in design and architecture, Samantha now calls Richmond, Virginia home, where she balances her creative work with family time alongside her husband and child. Find Samantha: Website LinkedIn Instagram Facebook TikTok Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice

Dr. Rob Scranton introduces us to the concept of Infinite Banking, a 200-year-old strategy that could revolutionize how practitioners approach wealth building and financial security. Learn how you can become your own banker, recapture expenses, and create a stable financial future. Key Points Discussed: Introduction to the Infinite Banking Concept (IBC) The benefits of creating your own banking system How to recapture expenses for major purchases like cars or practice equipment The historical success of this method among wealthy families Comparing IBC to traditional banking and investment strategies The importance of practitioners being in two businesses: their practice and banking How IBC can provide financial stability and growth Highlights: Dr. Rob explains the concept of Infinite Banking Discussion on the legal aspects and history of whole life insurance policies How practitioners can benefit from creating their own banking system The importance of financial education and support in implementing IBC Memorable Quotes: "I believe everybody should be in two businesses: whatever it is that they do on a daily basis to pay their bills... and I believe they should also be in the banking business." - Dr. Rob Scranton "Nobody ever lost money in a whole life insurance contract in the history of this industry." - Dr. Rob Scranton Visit YourFinancialIQ.org to register for Dr. Rob's free masterclass and learn more about how you can implement the Infinite Banking Concept in your financial strategy. Dr. Scranton’s Bio: Dr. Robert Scranton is a former financial executive who teaches people how to use their current debts and expenses to grow their wealth outside of the traditional approaches. With his experience in accounting and finance, as well as his experience as the former chief financial architect of a cutting-edge financial firm, Dr. Robert has been able to help people all over the United States take advantage of the Infinite Banking Concept. He hopes to teach people how to recapture, reuse and recycle their own money over and over again so it stays inside of their family, instead of making other people rich. Find Dr. Rob: Website TikTok Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode, we dive deep into the world of medical coding and revenue cycle management with Sherry Elliott, founder of Elliott Health Information Professionals (EHIP). Sherry shares invaluable insights about how proper medical coding impacts healthcare providers, patients, and the broader healthcare system. Key Topics Discussed: - The importance of professional medical coding vs. provider-done coding - How incorrect coding can lead to significant revenue loss for healthcare practices - The ripple effects of proper coding on healthcare research and policy - Success stories of helping healthcare providers optimize their revenue - The broader impact of coding on healthcare accessibility and quality Key Highlights: Sherry explains how providers often unknowingly leave money on the table by doing their own coding Discussion of a case study where millions in revenue were being lost due to incorrect coding A success story of helping a pain management practice recover $60,000 in denied claims How medical coding data contributed to COVID-19 research and treatment approvals The importance of accurate coding for future healthcare policy and reimbursement rates Notable Quotes: "Getting paid doesn't mean you're doing it correctly." - Sherry Elliott "The viability of the organization matters not only to you, the provider, but to your whole patient population." - Sherry Elliott Action Steps for Listeners: Review your current coding practices Consider professional coding support for your practice Download the free Top 10 Coding Errors guide Book a consultation call through the website to discuss potential revenue optimization Sherry's Bio: Sherry Elliott is the founder of Elliott Health Information Professionals (EHIP), specializing in medical coding, revenue cycle management, and healthcare compliance. With over 17 years of experience, including work as a CMS contractor, she helps healthcare providers optimize their revenue while maintaining regulatory compliance. Sherry's expertise has contributed to major healthcare research, including published studies on COVID-19 treatments. Her company provides comprehensive coding, auditing, and educational services to healthcare organizations across the country, helping them maximize reimbursement while improving operational efficiency. Find Sherry: Website LinkedIn Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In an era where DEI initiatives are under unprecedented attack, healthcare stands at a critical crossroads. This episode cuts through the political noise to expose a stark reality: dismantling DEI programs in healthcare settings isn't just about politics – it's about survival. Drawing from extensive research and real-world data, we explore how implicit bias directly impacts medical decisions, treatment options, and ultimately, patient survival rates. From cancer treatment disparities to maternal mortality rates, the evidence is clear and devastating. We'll examine why current political pushback against DEI programs poses an immediate threat to patient care, and why healthcare providers – especially private practice owners – have both an opportunity and obligation to stand against this dangerous trend. This isn't just another conversation about diversity – it's about preventing needless deaths and ensuring every patient receives the care they deserve. Episode Overview This episode explores the profound impact of implicit bias in healthcare settings and provides evidence-based insights into why maintaining and strengthening DEI initiatives is crucial for patient survival and care quality. Key Points Discussed The scientific foundation of implicit bias and its early development Real-world impacts of healthcare disparities on patient outcomes Why dismantling DEI programs directly threatens patient care Evidence-based solutions for addressing healthcare inequities Specific actions private practice owners can take to create more equitable healthcare environments Important Statistics Highlighted Implicit bias development begins in children as young as 3-5 years old Over 4.5 million Implicit Association Tests conducted between 1998-2006 demonstrated the pervasiveness of implicit bias Black women face higher mortality rates after breast cancer diagnosis Non-white patients consistently receive fewer interventions Black men are less likely to receive chemotherapy and radiation for prostate cancer Resources Mentioned National Institutes of Health definition of implicit bias Transformative Learning Theory Prejudice habit-breaking approach research MLK's 1966 speech to the Medical Committee for Human Rights Action Steps for Different Audiences For Private Practice Owners: Examine hiring practices and intake procedures Assess marketing materials for inclusive representation Review physical space accessibility and welcoming atmosphere Evaluate sliding scale fee structures For Healthcare Providers: Stand up for equity initiatives Document disparities Advocate for patients Examine personal biases For Patients: Know your rights Document experiences Share stories Support equity-focused healthcare providers Resources for Taking Action Anti-Oppression Leadership Academy https://nadifantastic.com/ Black Women’s Maternal Health https://nationalpartnership.org/report/black-womens-maternal-health/ Mandated Implicit Bias Training for Health Professionals—A Step Toward Equity in Health Care https://jamanetwork.com/journals/jama-health-forum/fullarticle/2795358 National Institutes of Health Implicit Bias Training Diversity Science Teach-Back Method https://www.ahrq.gov/patient-safety/reports/engage/interventions/teachback.html Quote of the Episode "Of all forms of inequity, injustice in health care is the most shocking and inhuman." Martin Luther King Jr., 1966 Share This Episode If you found this episode valuable, please share it with your colleagues and healthcare networks. The more we spread awareness about these crucial issues, the more impact we can have on creating equitable healthcare systems. Connect With Us Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this intimate snack episode, Miranda Dorta interviews Tracy Cherpeski about the profound connections between parenthood, leadership, and building lasting organizations. This unscripted conversation offers a candid glimpse into how Tracy approaches both parenting and business leadership. Key moments from their conversation: - Tracy emphasizes that while she sees parallels between parenting and leadership, this doesn't mean infantilizing team members. Instead, she views her role as a guide who shows what's possible while allowing for growth through trial and error - She discusses the challenge of balancing control with letting go, acknowledging that true organizational growth often happens when leaders step back - Tracy shares a powerful insight about asking "just because I could, should I?" - drawing parallels between delegating in business and allowing children to develop independence - She reflects on making ripples of positive impact that extend beyond her immediate influence when discussing legacy - In a touching moment, Tracy becomes emotional discussing what she hopes others learn from her: the power of humility, authenticity, and standing firm despite fear and shame - The conversation concludes with Tracy expressing pride and gratitude for her role as a parent to both her children and step-children, whom she considers a privilege to support Memorable Quotes: "The way I view my role as a parent is as a guide... to show what's possible and then allow for that to open up and trial and error, grow forward." - Tracy Cherpeski on leadership philosophy "We grow better when I let go. That doesn't in any way mean that I'm abdicating my responsibility for the success of our company, for the success of our clients, and for the success of our members." - Tracy Cherpeski "When we take a stand for something, we can do almost anything... even in the face of fear, even in the face of a lot of unknown." - Tracy Cherpeski Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

A Conversation with Dr. Ben Reinking - The Developing Doctor In this episode, we explore the world of physician coaching with Dr. Ben Reinking, pediatric cardiologist and founder of The Developing Doctor. Key highlights include: Dr. Reinking's personal journey from burnout to discovering the power of coaching The importance of developing "soft skills" like communication and leadership for physicians How small changes can have a big impact on combating burnout and finding joy in medicine The value of finding trusted colleagues to connect with authentically about work challenges Transitioning from a performance mindset to a growth mindset in medical careers Creating a coaching business as a side venture while maintaining clinical practice The benefits of coaching for both coach and client in the medical field Recognizing early signs of burnout and the importance of self-care for physicians Practical tips for physicians looking to explore coaching or make positive changes This conversation offers valuable insights for physicians looking to enhance their careers, combat burnout, and explore new avenues within medicine. Dr. Reinking's approach emphasizes the power of small changes and developing often-overlooked skills to create more fulfilling medical careers. Dr. Reinking’s Bio: Dr. Ben Reinking is a board-certified general pediatrician and pediatric cardiologist with over 20 years of experience in academic medicine. His expertise includes interpreting echocardiograms and caring for children with complex congenital heart disease. Dr. Reinking has held leadership roles such as medical director and program director, and has a passion for patient care and teaching. After experiencing burnout due to increased workload, Dr. Reinking discovered the transformative power of coaching. This experience helped him align with his values, leverage his strengths, and enhance his communication skills. Recognizing coaching's potential to address developmental gaps in medical education, he now shares these valuable insights with students, residents, fellows, and physicians. Find Dr. Ben Reinking: Website The Developing Doctor LinkedIn Dr. Reinking LinkedIn Instagram YouTube Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode, Tracy talks with Dan Romance about his unique approach to helping healthcare professionals design prosperity across all areas of their lives. Dan shares insights on balancing personal and professional success, making incremental improvements, and planning for a fulfilling future. Key Topics Discussed: The concept of "prosperity design" and its holistic approach to success The five key areas of life: self, family, business, finances, and future The importance of incremental improvements in achieving goals Balancing the roles of practitioner and business owner (the "player-coach" analogy) Planning for the future beyond just retirement The impact of personal well-being on patient experience Strategies for preventing burnout and maintaining work-life balance Notable Quotes: - "If you can make a 1% improvement per week, by the end of the year, all of your goals can be met and life can be grand." - "We start today on our future." - "If the doctor is doing something in the practice that doesn't require a license to practice medicine, then he's not spending his time doing the right things." Resources Mentioned: - Prosperity Design website: www.prosperitydesign.com - Prosperity Assessment for dental professionals, medical professionals, and business owners We hope you enjoyed this episode of Thriving Practice. Don't forget to subscribe, rate, and review our podcast to help other healthcare professionals discover these valuable insights! Find Dan: Website: Email: [email protected] Phone/Text: 772-766-4637 Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

Tracy and guest Jenni Tarma dive deep into how healthcare providers can better support patients with osteoporosis through comprehensive, evidence-based care that goes beyond traditional pharmaceutical approaches. Jenni shares how her company, Kaari Prehab, is transforming osteoporosis treatment through digitally-delivered strength training programs that achieve remarkable adherence rates. We explore why the standard advice of "gentle exercise" isn't enough, how to empower rather than restrict patients, and why strength training is crucial for women's health as they age. This episode is particularly valuable for healthcare providers working with women in their 40s, 50s, and beyond who want to offer more comprehensive support for their patients' bone health and overall wellbeing. Episode Highlights: - The meaning behind Kaari Prehab's name ("Kaari" is Finnish for "arc") - How the pandemic transformed their in-person training model into a highly effective digital program - Why traditional "gentle exercise" advice isn't sufficient for maintaining bone density and muscle mass - The importance of proper loading and strength training for women over 50 - How Kaari Prehab achieves 80% program adherence through coaching and community support - The treatment gap in osteoporosis care and why exercise options are often overlooked - Partnership work with the Bone Health and Osteoporosis Foundation and International Osteoporosis Foundation Key Insights: - Exercise is a crucial but often missing component in osteoporosis treatment - The two-year wait between DEXA scans makes it crucial to provide ongoing support and feedback - Digital delivery can actually increase program compliance compared to traditional in-person training - Many active women (including endurance athletes) may still be at risk due to insufficient bone-loading exercise For Healthcare Providers: - How to discuss osteoporosis with patients in an empowering rather than limiting way - Resources available for determining patient suitability for strength training programs - The importance of comprehensive care combining medical treatment with exercise - Recent Medicare billing code changes supporting more personalized, preventative care Notable Quote: "An osteoporosis diagnosis is not the end of anything. It's a call to action and a reality check... there are absolutely things you can do to take control of the situation." - Jenni Tarma Jenni’s Bio: Jenni Tarma is the founder and CEO of Kaari Prehab, a company providing specialized strength training services for people with osteoporosis and osteopenia. With multiple advanced certifications in anatomy, physiology, and biomechanics, she has spent over a decade coaching everyone from elite athletes to weekend warriors. A senior teacher in the Yoga Medicine 500hr program where she mentors new yoga teachers and creates continuing education courses, Jenni is also a prolific writer whose work has appeared in publications like Yoga Journal, Healthline, Weight Watchers, and Thrive Global, and she has self-published an ebook on hamstring tendon injuries. Find Jenni: Website Jenni’s LinkedIn Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this solo episode, Tracy explores the critical mindset shifts healthcare providers need to make to transform their practices from survival mode to thriving businesses. She introduces the concept of the "practitioner's paradox" - where the very mindset that makes someone an excellent healthcare provider can actually hinder their success as a business owner. Through real-world examples and practical frameworks, Tracy explains how practitioners can transition from working in their business to working on their business, without sacrificing the quality of patient care. Key Concepts: The Practitioner's Paradox: How clinical excellence mindset can limit business growth The hidden costs of burnout on business decision-making The Owner's Mindset Shift: Moving from "how can I do this better?" to "how can this be done better without me?" Practical Tools Introduced: The Energy Audit: A simple weekly tracking system marking activities as energizing (+) or draining (-) The Owner's Hour: Dedicated time for high-level strategic thinking Imperfect Delegation: Learning to accept 80% perfect execution from team members Case Study Highlight: The episode features "Sarah," a neuropsychologist struggling with perfectionism and overwhelming workload, illustrating how mindset shifts can transform both practice management and quality of life. Key Takeaways: Success in healthcare practice has less to do with clinical expertise than business mindset Burnout is not the inevitable price of success The most profitable practices are often led by owners who maintain work-life balance Delegation and systems thinking are crucial for sustainable practice growth Moving from "working harder" to "working smarter" requires intentional mindset shifts Download Your Energy Audit here. Tracy’s Bio: Tracy Cherpeski, MBA, MA, CPSC, is an executive coach and leadership development expert. Her mission is to unlock the potential for success in every individual and organization she works with. With a background in operations and a passion for driving growth, she approaches each engagement with professionalism and a keen eye for optimizing structures, processes, and productivity to boost profitability. Tracy's coaching, consulting, and training programs are designed to provide a holistic experience, integrating leadership development, executive coaching, and mindset mastery. Her expertise has been sought after by small business owners, industry groups, networking organizations, government agencies, and corporations alike. Originally hailing from the Pacific Northwest, Tracy now calls Chapel Hill, North Carolina, her home. Wherever she goes, her commitment to helping people and organizations reach their full potential remains unwavering. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this unique "snack" episode, we're turning the tables as Miranda Dorta, Operations and PR Manager, interviews Tracy Cherpeski about her experiences hosting the Thriving Practice Podcast. This candid conversation offers listeners an intimate look at the stories and moments that have shaped our community. Episode Highlights: Tracy shares one of her most memorable interviews with Kara Hartl, an optometrist who served remote communities in Alaska. The touching story of how Troy Medical came to be—named after a patient who inspired an innovative hybrid telehealth model—showcases the profound impact healthcare providers can have in underserved areas. The conversation explores how these interviews have challenged Tracy's assumptions, particularly about healthcare accessibility. She reflects on the privilege of having readily available telehealth options, while many Americans lack basic internet access or smartphones—a stark reminder of the healthcare disparities that still exist in the United States. Tracy reveals a surprising interview moment with Sam Heller, a fractional CFO, whose passion and heart-centered approach to numbers completely defied her expectations. This led to an enlightening discussion about how business ownership transcends mere number-crunching to embrace mindset and clarity of vision. Common Threads: Throughout our many episodes, two unexpected themes have consistently emerged: The widespread frustration with the current insurance system Concerns about private equity in healthcare and its impact on practice owners and patients Behind the Scenes: As we approach our 200th episode milestone and near 6,000 downloads, Tracy shares insights into her interviewing style. She emphasizes the importance of allowing conversations to venture "into the weeds," where some of the most valuable insights often emerge. Her signature closing question—"Is there anything we didn't talk about that you want to make sure our listeners hear?"—has led to countless golden nuggets of wisdom. The episode concludes with Tracy expressing deep gratitude to the podcast's guests who volunteer their time and expertise, maintaining the show's commitment to being a free, accessible resource for all. Connect with us: Visit thrivingpracticecommunity.com to schedule a consultation with Tracy. This special snack episode offers an authentic glimpse into our podcast's mission of supporting healthcare providers while building meaningful connections within our community. Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram

In this episode of Thriving Practice, host Tracy sits down with Robin Massey, founder of SkipTheBox. Robin shares her expertise on how healthcare providers can expand their practices into the digital realm, creating additional revenue streams through online courses, self-published books, and virtual workshops. This insightful conversation offers practical strategies for leveraging your medical expertise in the online space, with a focus on starting small, testing ideas, and overcoming technical challenges. - Introduction to Robin Massey and SkipTheBox (00:09) - The importance of creating additional revenue streams for healthcare providers (00:30) - Strategies for self-publishing books in the healthcare field (10:51) - Benefits of self-publishing vs. traditional publishing - Key steps in the self-publishing process - Importance of professional editing and cover design - Developing online courses for healthcare professionals (19:45) - Starting with a small-scale test run using simple tools - Gradually scaling up based on audience response - Addressing potential liability concerns - Creating virtual workshops as a low-risk entry point (22:26) - The value of starting small and gathering data before major investments (23:21) - Overcoming tech overwhelm and the importance of outsourcing (29:06) - Robin's advice on long-term thinking for online business growth (30:33) - Where to find Robin and SkipTheBox online (27:27) Key Takeaways: - Start with simple tools like Google Docs to outline your ideas - Test your concepts with your existing patient base before major investments - Consider outsourcing technical aspects to focus on content creation - Remember: "It's not one day, it's day one" when starting your online journey For more tips on growing your healthcare practice, subscribe to Thriving Practice and leave us a review on your favorite podcast platform! Robin's Bio: Robin Massey is the Founder of Skip the Box LLC, supporting business owners in health and wellness fields who are looking to build out online programs and services. With over 15 years of experience in behind-the-scenes support, she loves helping folks get out of the details, on top of their workload, and into their zone of genius. Because who wants to live with their hair always on fire? Project management, execution, and “how can we simplify this?” are Robin’s jam, and it delights her to help business owners get out of the weeds so they can focus on the important things that will increase their impact and revenue. Find Robin: Website Instagram LinkedIn Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy’s LinkedIn Business LinkedIn Page Thriving Practice Community Instagram