The Bottom Line Pharmacy Podcast: Sykes & Company, P.A.

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According to the Centers for Disease Control and Prevention (CDC), diabetes is about 17% more prevalent in rural areas than urban ones. With rural communities often facing barriers to accessing healthcare, including limited specialists and transportation. 

But what if there was a way to increase rural patient access to specialists? 

In this episode of The Bottom Line Pharmacy Podcast, Scotty Sykes, CPA, CFP® and Bonnie Bond, CPA talk with Leanna Schwend, PharmD, DCES, owner of  Yellowstone Pharmacy in Montana and founder of SugarBEAT for a powerful conversation on turning personal adversity into clinical innovation.

After being diagnosed with type 1 diabetes just before graduating pharmacy school, Leanna’s career trajectory transformed leading her to create one of the only certified diabetes education programs in a Montana retail pharmacy.
Now, she’s helping patients and other pharmacy owners bridge gaps in diabetes care, education, and revenue generation.

This episode explores:

• The story behind Leanna’s diagnosis and how it changed her mission
• Building and sustaining a certified diabetes education program
• Creating a digital support platform for patients, caregivers, and pre-diagnosis education
• Revenue options: cash-based models vs. accredited services
• And more!

More About Our Guest:

Leanna Schwend is PharmD and independent pharmacy owner who is passionate about Health and Wellness beyond the prescription. Her expertise is in value-added clinical services and leadership with special interests in Diabetes Education, Pharmacogenomics, Nutrigenomics, the Endocannabinoid system, Mental Health, and so much more! Leanna graduated with a Doctor of Pharmacy of degree from the University of Montana Skaggs School of Pharmacy in 2011. She then stepped into the role of Pharmacist in Charge and manager of her family pharmacy, Yellowstone Pharmacy of Forsyth, and became CEO/Owner in 2022.

She has successfully implemented an accredited diabetes education program through the American Association of Diabetes Care and Education Specialists, immunizations, medication synchronization, medication therapy management, and pharmacogenomics testing and consulting.

She is a Diabetes Care and Education Specialist, holds a certification in Pharmacogenomics, and is a Montana Pharmacy Association Board of Directors.

When Leanna turned 25, she was diagnosed with Type 1 diabetes. Through her own personal experiences and knowledge of living with diabetes, she is committed and devoted to educating individuals that they can do more than survive…they can THRIVE! 

In 2023, Leanna founded SugarBEAT Enterprise, in which she and her teammates aim to deliver a top-notch digital diabetes education solution that will empower individuals on their wellness journey.

Learn more about Leanna and SugarBEAT:

Leanna Schwend, PharmD, DCES LinkedIn

SugarBEAT Website

SugarBEAT Facebook

SugarBEAT Instagram

SugarBEAT LinkedIn

More resources on this topic:

Podcast - Driving Independent Pharmacy Profitability in 2025

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Check out the full episode with bonus insights

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📄 389 pages of proposed reform. Four big takeaways for pharmacy owners. Countless implications for your tax strategy.

In the world of tax legislation, 389 pages might feel “short and sweet.”

But inside Congress’s latest tax proposal are sweeping changes that could significantly reshape the financial outlook for pharmacy owners across the country.

Scotty Sykes, CPA, CFP® breaks down the most important provisions of the bill and what it could mean for your pharmacy, your team, and your long-term tax planning.

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More resources about this topic:

Podcast - Master The Margin: 2025 Tax Outlook

Webinar - Tax Cuts and Jobs Act of 2017: Pharmacy Impact and §199A

Blog – Tax-smart Depreciation on Pharmacy Buildings and Equipment

Blog – Maximize Pharmacy State and Local Tax Deductions (SALT)

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Can Culture Make or Break Your Pharmacy?

In this episode of The Bottom Line Pharmacy Podcast, Scotty Sykes, CPA, CFP® and Bonnie Bond, CPA sit down with Chris Cornelison, CEO of Solutions Rx, Best-Selling Author of the Book 'Super Culture' and Keynote Speaker to explore the one competitive advantage every pharmacy owner can fully control: Culture.

This episodes discusses:

• Creating clarity and direction through written goals
• Navigating accountability and removing bad apples the right way
• Praising what you want repeated and building a sustainable culture
• The role of emotional intelligence and daily huddles in team dynamics

If you’re ready to shift your culture and unlock your team’s potential, this is the episode for you.

More About Our Guest:

Chris Cornelison is a dynamic keynote speaker, entrepreneur, business strategist, consultant, and leadership expert. 

Known for creating high-performing teams and positive cultures, his keynotes on leadership and business provide practical tools to drive real growth. Chris is committed to making a difference in both business and life.

Learn more about Chris, Super Culture and Solutions Rx:

Chris Cornelison LinkedIn

Chris Cornelison Website

Solutions Rx Website

Solutions Rx Facebook

Solutions Rx Instagram

Solutions Rx LinkedIn

Solutions Rx YouTube

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More resources on this topic:

Master The Margin

Clip - How Supplements Can Grow Your Bottom Line

Podcast - Finding, Hiring, and Keeping the Best in Pharmacy

Podcast - AtriumX Review

Super Culture Templates

Super Culture Book

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Is Your Pharmacy Prepared for a Cyberattack?

In this episode of The Bottom Line Pharmacy Podcast, Scotty Sykes, CPA, CFP and Austin Murray sit down with Trenton Thiede, President of PAAS National, to unpack the rising cybersecurity threats facing independent pharmacies and what owners must do to stay compliant and protected.

We dive into everything from:

• HIPAA compliance updates
• AI risks, multi-factor authentication, and risk assessments
• The growing pressure of PBM audits and the need for strong advocacy

Click here for the transcript

More About Our Guest:

Trenton Thiede is the President of PAAS National (Pharmacy Audit Assistance Service).

Trenton started his journey working at Shopko, a community pharmacy, in 1999 for 15 years, holding positions as Pharmacy Manager and Regional Pharmacy Supervisor while completing his PharmD from UW-Madison and MBA from UW-Oshkosh.

In 2013, Trenton took over Shopko’s Long-Term Care division and helped divest it to KPH HealthCare (Kinney Drugs/HealthDirect).

There, he helped grow their business throughout the Midwest, eventually servicing 20,000 beds in just under four years. In 2018, Trenton joined PAAS and oversees the daily operations as President.

With his operations experience, Trent knows what’s involved, and at stake, with pharmacy audits; taking pride in helping independent pharmacies win against ruthless PBMs.

Learn more about Trenton and PAAS National:

Trenton Thiede LinkedIn

PAAS National Website

PAAS National Facebook

PAAS National Twitter (X)

PAAS National LinkedIn

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More resources on this topic:

Podcast – Fraud, Waste, and Abuse Audit Updates

Podcast – Pharmacy Audit Master Class: Strategies for Audit Success

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Pill bottles don’t talk...but what if they could? Now you can know exactly how (and when) patients take their meds.

That’s the power of Remote Therapeutic Monitoring!

And on this week’s episode of The Bottom Line Pharmacy Podcast, we're diving into the mechanics of Remote Therapeutic Monitoring.

Bonnie Bond, CPA, and Austin Murray sit down with Jen Whalen, Director of Clinical Operations at MedSense, and Matt Gilbert, VP of Business Transformation at RxSafe/Eyecon to explore:

- Remote Therapeutic Monitoring as a New, Billable Revenue Stream
- How real-time adherence tracking works with any packaging
- Long-term Care Layering and How MedSense Fits right in
- Reducing Workload While Increasing Patient Insight

Join the discussion with us!

Click here for the transcript.

Stay connected with Medsense and RxSafe:

Jennifer Whalen LinkedIn

Matthew Gilbert LinkedIn

Medsense Website

Medsense LinkedIn

RxSafe Website

RxSafe LinkedIn

RxSafe Instagram

RxSafe YouTube

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Scotty Sykes – CPA, CFP LinkedIn 

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More resources on this topic:

Podcast | Driving Independent Pharmacy Profitability in 2025

Podcast | Transforming Your Pharmacy: Supplements, Strip Packaging, and PBM Reform

Podcast | Tradeshow Series: AtriumX, Telehealth, Functional Medicine

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Cracking the 340B code can feel like climbing Mt. Everest…but done right, it can be an absolute game-changer for independent pharmacies. 

That’s what this week’s episode of The Bottom Line Pharmacy Podcast is all about! 

Scotty Sykes, CPA, CFP® and Kathy Blanchard team up with Draven Tell, Lead Analyst at Secure340B to break down:  

- Low Hanging Fruits With 340B Programs 
- Why Accumulators Matter and Their Impact on Your Bottom Line 
- How state legislation is pushing back against manufacturer restrictions 

Join the discussion with us!

Click here for the transcript.

Stay connected with Draven Tell and Secure340B:

Draven Tell LinkedIn

Secure 340B Website

Secure 340B Facebook

Secure 340B Twitter (X)

Secure 340B LinkedIn

Secure340B Instagram

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More resources on this topic:

Podcast | Overcoming Challenges with 340B Contracts

Podcast | Understanding 340B Contracts and Maximizing Your Pharmacy’s Benefits

Clip | The Impact of DIR Fees on 340B Pharmacies

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Are you shipping GLPs and other compounded medications out of state? You may have a tax compliance issue.  

From constant GLP changes to multi-state taxes, we’re coming to you post-APC Owner’s Summit to bring you the 411 on the compounding world! 

In this episode of The Bottom Line Pharmacy Podcast, Scotty Sykes, CPA, CFP® and Austin Murray share key insights from the APC Summit. 

Tune in to learn more about: 

• The growing role of wellness in patient care 
• Navigating multi-state tax complexities and IRS modernization 
• What the expiration of the Tax Cuts and Jobs Act could mean for you 

Stay up to date on new episodes by liking and subscribing! 

Click here for the transcript

Stay connected with us:  

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Scotty Sykes – CPA, CFP Twitter 

More resources about this topic:

Podcast – Compounding Comeback 

Podcast – Navigating GLP-1 Growth 

Podcast – Driving Independent Pharmacy Profitability in 2025 

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Growth Mode…Activated! ✅ 

From the show floor at the inaugural AtriumX conference, Sykes & Company Leaders Scotty Sykes, CPA, CFP and Austin Murray caught up with Todd Eury, Owner and Founder of RxPR and Pharmacy Podcast Network. 

On this special bonus episode of the Bottom Line Pharmacy Podcast we touch on: 

• Diversifying Revenue in Your Pharmacy 
• Expanding Your Long-Term Care Base  
• Real - Practical Marketing Strategies  
• And Much More 

Stay up to date on new episodes by liking and subscribing! 

Click here for the transcript

Stay connected with us:  

Facebook 

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LinkedIn 

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Scotty Sykes – CPA, CFP LinkedIn 

Scotty Sykes – CPA, CFP Twitter 

More resources about this topic:  

Podcast – AtriumX Recap 

Podcast – Embracing Long-term Care at Home Ownership 

Podcast – Long-term Care at Home Franchise 

Podcast – Getting Into Long-term Care at Home Ownership 

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Check out the full episode on our Master The Margin SubStack

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Thinking of expanding into functional medicine, telemedicine, or cash-based care models? We’ve got all of that and more in this episode!  

In this episode of the Bottom Line Pharmacy Podcast, we’re giving you the most impactful takeaways from our recent appearance at the inaugural AtriumX show in Orlando Florida!   

Scotty Sykes, CPA, CFP dives into: 

• The rise of telemedicine 
• Latest developments in 503B compounding 
• The growing relevance of functional medicine and cash-based models 
• And of course, the accounting and tax implications of these innovative areas  

Tune in to this episode packed with actionable insights to help you adapt and thrive in a rapidly changing landscape. 

Stay up to date on new episodes by liking and subscribing! 

Click here for the transcript

Stay connected with us:  

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Scotty Sykes – CPA, CFP LinkedIn 

Scotty Sykes – CPA, CFP Twitter 

More resources about this topic:  

Podcast – Infrastructure, Strategic Marketing, and Relationships 

Podcast – Driving Independent Pharmacy Profitability in 2025 

Podcast – Functional Medicine and Weight Loss Programs 

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Turning a struggling pharmacy around...it takes strategy, infrastructure, and most importantly, strong 👏 relationships 👏

That’s the focus for this week’s episode of The Bottom Line Pharmacy Podcast!

This week, Scotty Sykes, CPA, CFP® and Bonnie Bond, CPA sit down with Dr. Justin Clark, PharmD, RPh, BCSCP, and Owner of Val Vista Pharmacy in Arizona, to discuss:

• Journey from pharmacist to pharmacy owner
• The role of infrastructure and strategic marketing
• Turning a struggling pharmacy into a compounding success
• The importance of customer service and communication in building trust

Looking to take your compounding pharmacy to the next level? Schedule an Rx Assessment with us.

Stay up to date on new episodes by liking and subscribing!

Read and follow along with this episode at the transcript.

Stay connected with Dr. Justin Clark, PharmD, and Val Vista Pharmacy:

Dr, Justin Clark, PharmD LinkedIn

Val Vista Pharmacy Website

Val Vista Pharmacy Facebook

Stay connected with us:  

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Scotty Sykes – CPA, CFP LinkedIn

Scotty Sykes – CPA, CFP Twitter

Bonnie Bond – CPA LinkedIn

Bonnie Bond – CPA Twitter

More resources about this topic:  

Podcast – Making Data Work for Your Pharmacy

Podcast – Compounding Success: Navigating GLP-1 Growth, Compliance and Quality Featuring Dr. Kevin Borg, PharmD

Podcast – Driving Independent Pharmacy Profitability in 2025

Podcast – Pharmacy Insights – 2025 Tax Changes, Master The Margin, and Industry Changes