Running a profitable medical practice requires more than clinical excellence—it demands financial clarity that most healthcare providers were never trained to achieve. Many practice owners find themselves caught in a frustrating paradox: their accountant tells them they're profitable, yet their bank account tells a different story. 

Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment 

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In this episode, Tracy sits down with Sean Healy and Keith Campagna from Accounted For LLC to explore the critical difference between cash flow and profitability. Sean and Keith have spent seven years developing a comprehensive approach that goes beyond traditional bookkeeping to include insight extraction and strategic coaching specifically designed for private practice owners. 

You'll learn why hope isn't a strategy (but your gut instincts are usually right), how to quantify your actual profit needs based on your specific goals, and why asking for help is one of the most strategic moves a practice owner can make. Keith shares a powerful client story about finally sleeping better after gaining financial clarity—a reminder that understanding your numbers impacts far more than just your bottom line. 

Whether you're struggling with cash flow management, trying to make sense of your practice finances, or simply want to build a thriving practice without constant financial stress, this conversation offers practical frameworks you can implement immediately. 

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More than half of healthcare practice owners report burnout, and the traditional response—working harder, seeing more patients, adding more services—keeps them trapped in a cycle that never delivers the freedom they imagined. In this SNACK episode, Miranda Dorta interviews Tracy about the 10x practice owner mindset and why sustainable practice growth requires subtraction, not addition. 

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Tracy breaks down the core problem keeping practice owners stuck: the belief that they're responsible for doing everything, even when they have capable teams. She introduces constraint-based thinking with a powerful question: "If I could only show up two or three days a week, would the practice continue to grow?" For most practice owners, the answer is no—and that reveals exactly where the mindset shift needs to happen. 

In this episode, you'll discover: 

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Dr. Kenneth Pierce didn't just fill a geographic gap when he opened Veterinary Vision Center in underserved Shreveport, Louisiana—he identified a nationwide crisis. The shortage of veterinary specialists means general practitioners often lack access to expert guidance for complex cases, leading to stressed veterinarians, suboptimal patient outcomes, and frustrated pet owners facing long drives and high costs. 

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His solution, Vespecon, offers unlimited virtual face-to-face consultations with specialists across all veterinary fields through a membership model. This empowers general practitioners to deliver specialist-level care locally while building confidence and strengthening client trust. 

In this episode, we explore how Vespecon's model creates wins across the board: veterinarians gain knowledge and confidence, pet owners save money while getting better outcomes, and specialists extend their reach and impact. Dr. Pierce also discusses the business advisory services Vespecon now offers—recognizing that practice owners need support beyond clinical knowledge to truly thrive. 

Whether you're in veterinary medicine or any healthcare specialty, this conversation offers insights about leveraging technology to bridge access gaps, the importance of asking for expert support, and how comprehensive practice support prevents burnout while improving care delivery. 

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Dr. Shelina Jaffer's physician burnout journey is textbook—until it isn't. This London-based GP normalized stress and physical symptoms for months before a moment of emotional darkness forced recognition: this was advanced burnout. Her recovery story and the creation of HavenWithin offers a roadmap for healthcare professionals seeking sustainable wellbeing. 

Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment 

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Shelina shares the classic burnout progression many physicians experience: taking work everywhere, dismissing new health issues as "just stress," and pushing through until the body demands attention. Her immediate physical improvement after changing roles highlights how directly occupational factors impact health. But full recovery took three years—a timeline that challenges quick-fix wellness approaches. 

Today, Shelina works with organizations and universities through experiential programs focused on respect, trust, and reconnecting with inner wisdom. One university student's feedback captures the impact: "You taught me to be bold." This episode explores why organizational culture matters more than wellness perks, how limiting beliefs hold professionals back, and why the shift toward human-centered healthcare is accelerating globally. 

Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment 

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In this candid SNACK episode, Miranda turns the microphone around and interviews Tracy about her recent speaking tour across California. Tracy spoke at multiple events with the Santa Clara County Medical Association and Fresno Madera Medical Society, teaching burnout prevention at the CME level—and what she learned surprised even her. 

You'll hear about the practice owners who started their own practices after burning out in large integrated systems, the generational divide that's causing friction in healthcare workplaces, and a surprising discovery: residents in California can unionize, but attending physicians cannot. 

Tracy also shares her perspective on why burnout prevention programs often miss the mark by putting the onus on individual physicians when burnout is, by definition, a workplace problem. Plus, she poses a provocative question she asked a room full of employed physicians: What would happen if 50% of you walked out? 

This episode offers fresh insights on systemic healthcare challenges, the commodification of healthcare, and what Tracy is learning as she builds the Thriving Practice Community. 

Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment 

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If you're a healthcare practice owner who made New Year's resolutions this January, only to watch them crumble by February, you're not alone—and more importantly, you're not failing. After nearly 16 years of coaching highly credentialed business owners, Tracy Cherpeski has seen the same pattern: resolutions fail not because practice owners lack discipline, but because resolutions themselves are fundamentally flawed for creating sustainable change. 

In this episode, Tracy breaks down why traditional resolutions set practice owners up for failure and offers a strategic alternative that actually works. You'll discover the real science behind habit formation (it's not 21 days), understand how your nervous system responds to change, and learn the three-pillar framework successful practice owners use to create lasting improvements.  

Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment 

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Key topics include: the 66-day reality of habit formation, why willpower fails but systems sustain, four critical mindset shifts for sustainable change, how your personal approach to change mirrors your practice leadership, and practical questions to ask instead of making traditional resolutions. 

Whether you're struggling with boundaries, delegation, or exhaustion despite working harder than ever, this episode provides strategic thinking tools to make 2026 different. 

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The end of the year brings more than holiday obligations for healthcare practice owners—it often brings exhaustion that ripples through your entire practice. When you're running on empty, your team feels it, and suddenly everyone's pretending their way through December while practice culture slowly fractures. 

In this episode, Tracy reflects on meaningful wins from 2025—including CME accreditation, partnerships with medical associations, and the Joy of Medicine Retreat—while addressing the reality of seasonal stress in healthcare practices. She shares the story of Dr. Cheri's OBGYN practice, where one honest team huddle revealed that everyone was drowning separately, each convinced they were the only one struggling. 

Tracy explores why most January goals fail by mid-February and what actually works instead: smaller, repeatable systems that fit into how you already operate. She introduces the Energy Audit Workbook for tracking what depletes versus restores you, and discusses why rest is foundation, not reward. 

Looking ahead to 2026, Tracy shares two opportunities to build sustainable practice growth: the Community Open House on January 13th and the Future Proofing Healthcare Leadership Roundtable on January 27th. 

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Are you seeing more patients than ever but wondering where all the money is going? You might be caught in the revenue trap. 

In this candid SNACK episode, Miranda turns the mic on Tracy to explore why practice growth doesn't always translate to better profit margins or more freedom. Many healthcare practice owners are busier than ever—maybe even adding providers or locations—but when they look at their actual take-home numbers, something doesn't add up. 

Tracy shares a real client story about how being "too busy" to look at the books led to a simple system glitch costing thousands per month. She also breaks down what practice owners need to audit before considering expansion, why trading time for dollars has a ceiling, and how to know if growth is actually serving your goals. 

Whether you're considering adding another provider, opening a second location, or just trying to understand why you're working harder but not seeing the financial rewards, this episode will help you think differently about practice profitability. 

Is your practice growth-ready? See Where Your Practice Stands: Take our Practice Growth Readiness Assessment 

Read the full show notes, memorable quotes, and key takeaways. 

Key topics include: 

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Are you concerned about NIH funding for your research? Dr. Meg Bouvier, founder of Bouvier Grant Group, shares encouraging news: despite proposed cuts, Congress has protected NIH's nearly $50 billion budget with strong bipartisan support. 

In this episode, Dr. Meg Bouvier explains how researchers can adapt their grant applications by reframing language to emphasize disease burden reduction and cost savings—without changing their core research direction. With nearly four decades of experience, including working as a staff writer for Francis Collins, she dispels myths about "forbidden terms" and offers practical strategies for navigating today's funding climate. 

We also explore Meg's journey building a successful consulting business by hiring the right team. Her director of operations handles everything except Meg's zone of genius—allowing her to focus entirely on training researchers and analyzing grants. This principle applies whether you're pursuing funding or building a medical practice: stay at the top of your licensure and delegate everything else. 

Key topics covered: NIH budget reality check, grant application strategies, team building, research development resources, adapting to funding climate changes, and balancing business ownership with meaningful work. 

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Healthcare unions are gaining momentum in hospitals and health systems, and if you're a private practice owner, this shift creates a significant opportunity for you. With 25% of physicians in hospital-led organizations actively considering leaving, experienced doctors are looking for alternatives to systems that have burned them out—and many are turning their attention to private practice. 

In this SNACK episode, Tracy and Miranda explore what's really driving the unionization movement (inhumane expectations in large systems where physicians lack the protections nurses and residents receive), why younger physicians initially choose employment over ownership, and most importantly—how practice owners can position themselves to attract this wave of talented physicians seeking autonomy. 

Tracy shares specific strategies for making your practice attractive to seasoned providers: tiered partnership models, profit-sharing arrangements, and creating genuine autonomy rather than just another employed position. This conversation goes beyond basic hiring advice—it's about understanding the pain points driving physicians away from hospital systems and showing them what's possible in your practice. 

If you're thinking about expanding, bringing on a partner, or scaling your practice, this episode will shift how you think about recruitment and growth. 

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