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Blog
Straight talk on the business
behind the practice
Sustainable growth strategies for private practice owners who are done with burnout.
Contrarian Takes
Contrarian Takes
7
min read
The Practice Down the Road Isn't Your Competition
Trying to treat everyone is why you are exhausted, and treating every other clinic as a threat is why everyone stays small. Here is the referral flywheel, how to choose a niche, and how to know when you are truly ready to grow.
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Sustainability
Sustainability
7
min read
If Your Practice Can't Pay You, It Isn't a Business Yet
If the revenue comes in and the owner takes home the crumbs, you have built a very expensive job with your name on the door. Here is how to make your own pay a line in the budget instead of an afterthought.
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Sustainability
Sustainability
8
min read
The Six Areas That Decide Whether Your Practice Survives
You went to school for one of the six areas that decide whether a practice survives. Here are all six, the failure mode of each, and how to find the weakest link that is quietly capping your growth.
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Systems & Operations
Systems & Operations
9
min read
Before You Make Your First Hire: 1099 vs. W-2, Pay Models, and Getting It Right
The message we get more than almost any other, usually in a panic: I classified my therapists as 1099 to save money, did I mess up? Here is how to classify your first hire correctly and choose a pay model your numbers can actually sustain.
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Mindset & Identity
Mindset & Identity
8
min read
The Three Businesses Hiding Inside Your Practice
Starting, growing, and scaling are three different businesses, and the advice for one will quietly sabotage another. Here is how to name the stage you are actually in and the single move that matters most right now.
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Systems & Operations
Systems & Operations
7
min read
You May Not Be Losing Clients Where You Think
Most practices are not failing to attract clients. They are losing them in the middle, at a handoff nobody built a system for. Here is the seven stage map of your client journey that shows exactly where your practice leaks, and the one place to fix first.
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Systems & Operations
Systems & Operations
4
min read
Word of Mouth Is a Secret, Not a Strategy
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Systems & Operations
Systems & Operations
4
min read
The Repetitive Work Quietly Eating Your Evenings
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Systems & Operations
Systems & Operations
5
min read
Great Clinical Work Isn't the Whole Experience, it's the Middle of It
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Systems & Operations
Systems & Operations
5
min read
If It Only Lives in Your Head, It Isn't a Business Yet
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Systems & Operations
Systems & Operations
min read
You Became an HR Department Overnight, and Nobody Warned You
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Sustainability
Sustainability
6
min read
Your Numbers Are Trying to Tell You Something
Financial confidence isn't about loving spreadsheets, it's about learning to read the story your numbers are telling. Here's how to lead your practice from data instead of fear.
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Story & Learning Moments
Story & Learning Moments
min read
Clinician to CEO: What your degree never prepared you for
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Systems & Operations
Systems & Operations
8
min read
The Boring Backend Work Nobody Wants to Do (That Actually Creates Freedom)
Six hours writing a cancellation policy. Eighteen months of freedom. That's the trade nobody talks about. Here's why the invisible operational work matters more than the glamorous stuff.
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Mindset & Identity
Mindset & Identity
7
min read
Clinician Brain vs. CEO Brain: Learning to Switch
Running a private practice means becoming two completely different people. Here's how to stop context-switching a hundred times a day and give each brain the space it needs.
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Contrarian Takes
Contrarian Takes
8
min read
Compound Growth Is Boring, Do It Anyway
The shiny object gets the headline. The boring foundation makes it possible. Here's why the practice owner who spends an hour a week making their backend slightly better will absolutely crush the one who's constantly chasing the next big thing.
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