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PODCAST

Thriving Practice with Tracy Cherpeski

Tracy Cherpeski

Top 5% globally ranked podcast for healthcare practice owners. Prevent burnout, grow profitably. 215+ episodes, 51 countries. Welcome to Thriving Practice - the business podcast that proves independent physicians, dentists, therapists, and healthcare practice owners can build profitable, efficient practices while actually enjoying their lives. By the Numbers: 215+ episodes featuring top-tier practice owners and healthcare business experts Global Top 5% ranking on Listen Notes among all podcasts 51

business entrepreneurship

All Episodes

12:08

Time Off Isn't Time Off If Every Decision Still Runs...

Thriving Practice with Tracy Cherpeski ·

2026/10/09

Ask a practice owner when they last took two weeks off without checking in once, and you'll usually get a long pause. In this SNACK episode, Miranda Dorta puts Tracy Cherpeski in the interview seat to talk about what it takes to step away from your practice, with the holidays close enough to make it urgent. A 2024 JAMA Network Open study found that about 70% of the physicians surveyed worked on vacation, and fewer than half had full inbox coverage. Tracy explains why the inbox is only the visible

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18:21

Don’t Wait, But Don’t Rush: A Year-End Order of...

Thriving Practice with Tracy Cherpeski ·

2026/10/07

Exhausted practice owners tend to wait for the holiday break to plan next year, or rush a purchase just to feel like they moved something. Both come from the same place, and both cost more than they seem to. In this solo episode, Tracy Cherpeski shares a year-end order of operations built on one idea: don’t wait, but don’t rush. You’ll hear five steps you can start in November: know your numbers, name whether you have a people, systems, or tool problem, clean up the process before you automate it,

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37:42

Some People Own a Business. Some People Own a Job....

Thriving Practice with Tracy Cherpeski ·

2026/09/30

What's the most important financial document a practice owner will ever have? It's not a mutual fund, a will, or a trust — according to this episode's guest, it's a written financial plan. Tracy Cherpeski sits down with Mike Milligan, founder of One Oak Financial, a B Corp certified firm that works with high-income earners, especially physicians and practice owners. Mike spent his early career on Wall Street before building a firm around impact over profit. In this conversation, he draws a sharp

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7:32

Is Your Practice Really HIPAA Compliant? A Real Talk...

Thriving Practice with Tracy Cherpeski ·

2026/09/25

Ninety-eight percent of small practices believe they're HIPAA compliant. Far fewer actually are — and that gap tends to sit quietly until an audit, a complaint, or a breach forces it open. In this SNACK episode, Miranda Dorta turns the mic on Tracy Cherpeski for an unscripted conversation about the compliance question providers ask quietly after everything else has been covered: how do I actually know if I'm in compliance? They talk through why so many providers wait until something goes wrong,

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37:48

The Wheels Fall Off at Every Stage: Lessons From...

Thriving Practice with Tracy Cherpeski ·

2026/09/23

What does it actually take to go from one struggling clinic to 24 locations? In this episode, Tracy Cherpeski talks with Corey Malnikof, founder of Palmer Care Group, about the real story behind scaling a multi-location healthcare practice — starting with the month he nearly lost everything before he found the systems that changed his trajectory. Corey shares the financial test he uses with every practice owner who asks about opening a second location, the stages of growth where "the wheels fall

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36:51

Brand Before You Market: What Independent Practices...

Thriving Practice with Tracy Cherpeski ·

2026/09/16

What if your biggest marketing problem isn't actually a marketing problem? In this episode, Tracy Cherpeski sits down with Ashley Gay — founder of Digital Ash Agency and a fierce champion of the independent practitioner — to talk about why branding is the foundation every growth strategy has to be built on. Ashley brings a perspective that's both professional and deeply personal: as the spouse of a surgeon, she's watched the burnout and disillusionment that comes when physicians work incredibly

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11:37

Nobody Wants to Be the Bad Guy: What No-Shows Really...

Thriving Practice with Tracy Cherpeski ·

2026/09/11

Every independent practice has a cancellation policy. The question is whether it exists anywhere besides the new-patient paperwork. In this SNACK episode, Miranda Dorta puts Tracy Cherpeski in the interview seat to talk about what no-shows really cost a practice, and why the gap between the policy on paper and the policy in practice is a systems problem, not a patient problem. Tracy breaks down the full cost of a single missed appointment (it is a lot more than the lost visit), the difference

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38:33

Building a Private Practice You Actually Want:...

Thriving Practice with Tracy Cherpeski ·

2026/09/09

Burned out after two decades in psychiatric hospitals, Dr. Daniela Rizzo faced a choice during COVID: keep going, or build something different. She chose to build. In this episode, Tracy Cherpeski talks with Daniela about leaving the hospital model to create a thriving private practice that runs on her terms—fewer patients, extended 60–90 minute intakes, and a clinical environment that feels as much like a spa as a doctor's office. Daniela shares the step-by-step journey of starting a practice:

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12:21

Crush Q4 Smarter: The Pre-Purchase Inspection for...

Thriving Practice with Tracy Cherpeski ·

2026/09/02

Everyone says "finish strong in Q4." Yes, we want that for you. But what if the practice owners actually crushing their fourth quarter are not the ones panicking into September? What if they are the ones who did something counterintuitive in August? In this episode, Tracy Cherpeski introduces the pre-purchase inspection framework: before you buy a house, you check the foundation. So why would not you do that with your practice before you build Q4? She walks through the three layers that need to be

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11:38

Stop, Hand Off, or Automate: The Framework Practice...

Thriving Practice with Tracy Cherpeski ·

2026/08/28

Physicians work nearly 58 hours a week, but only 27 involve actual patient care. The rest? Administrative tasks that do not align with why they went into medicine. For practice owners, this burden is yours to own, often by accident. In this SNACK episode, Miranda Dorta and Tracy Cherpeski break down the admin burden, explore the difference between moral distress and moral injury, and share the framework that works: stop, hand off to a person, or automate. They tackle why delegation is where most

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45:13

The Hidden Cost of Chaos: How One Question Can Fix...

Thriving Practice with Tracy Cherpeski ·

2026/08/26

Your healthcare practice looks organized from the outside. But behind the scenes, samples get lost, clinicians spend time hunting for things, and departments operate like they're held together by duct tape. Sam Yeruva, founder of PYCUBE, Inc., reveals why this happens and how operational intelligence fixes it. Operational intelligence means connecting data across your workflows so you can see bottlenecks and waste in real time. Sam shares why hospitals struggle despite being well-funded, how

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47:39

[REPLAY] From Pajama Charting to Month-Long...

Thriving Practice with Tracy Cherpeski ·

2026/08/19

What if the biggest threat to your practice is not a lack of patients, but administrative burden? In this episode, Tracy Cherpeski sits down with Damien Adler, a psychologist and co-founder of Zanda Health, who solved this problem by building systems instead of hiring more staff. For 14 years, Damien ran his psychology practice while creating the infrastructure that would eventually become Zanda Health. He automated scheduling, invoicing, documentation, and patient communication - so thoroughly that

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13:13

From Idea to Live: How to Plan an Event Your Practice...

Thriving Practice with Tracy Cherpeski ·

2026/08/14

Launching an event or retreat for your practice can feel daunting—from the first spark of an idea all the way through registration going live. In this SNACK episode, Tracy Cherpeski and Miranda Dorta turn the mic around and walk through the entire event-planning process, revealing what systems they built, what they reuse versus rebuild, and the critical mistakes that taught them how to do it better. Tracy and Miranda share their operational flow, how they use data to decide whether an event idea is

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47:45

Stop Overpaying Taxes: A Tax Strategist Reveals the...

Thriving Practice with Tracy Cherpeski ·

2026/08/12

Here's a question most practice owners don't ask their accountant: Do I actually owe this much? In this episode, Tracy Cherpeski talks with Rachel Michaelov, an Enrolled Agent and tax strategist who works exclusively with high-earning healthcare professionals. Rachel is the founder of Empire Tax Advisors and Practice Wealth Partners, and she has one mission: help doctors and dentists stop overpaying their taxes. Rachel shares why most healthcare providers work with reactive CPAs instead of

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13:58

Infrastructure for Readiness: The Missing Foundation...

Thriving Practice with Tracy Cherpeski ·

2026/08/05

What if the thing blocking your practice growth isn't ambition or intelligence, but infrastructure? In this episode, Tracy Cherpeski shares what she learned at the American Association of Medical Society Executives conference—a crystallized insight about why sustainable growth depends entirely on the deliberate, measurable foundation you build before (and while) you scale. Hear how to identify your practice's specific bottlenecks, why readiness isn't a destination but a choice, and how to think

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37:40

Before You Buy AI: The Smarter Way to Cut Admin...

Thriving Practice with Tracy Cherpeski ·

2026/07/29

How much of your team's day disappears into phone calls, faxes, and data entry? In this episode, Tracy Cherpeski sits down with Clark Van Oyen, founder of Cortico Health — a company that has helped nearly 10,000healthcare professionals reduce administrative burden through smart automation and better workflow design. Clark's journey began with a single pediatric clinic drowning in 800 phone calls a day. After moving booking online, the calls all but disappeared — and the practice grew from 12

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12:42

Why Practice Growth Isn't a Straight Line (And What...

Thriving Practice with Tracy Cherpeski ·

2026/07/24

You survive a hard season of practice ownership and assume smooth waters are ahead. Then a new stage of growth arrives — a bigger team, a new location, more patients — and suddenly you're right back in the messy middle. In this SNACK episode, Miranda Dorta turns the tables on Tracy Cherpeski to ask why practice growth cycles instead of moving in a straight line. Tracy unpacks the difference between cycling back through a hard season and actually losing ground, why new growth tends to restart the

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35:22

Don’t Wait for the Audit: Three Compliance Gaps...

Thriving Practice with Tracy Cherpeski ·

2026/07/22

What if the biggest risk in your practice is the one sitting quietly in a policy binder you haven’t opened in two years? In this episode, Tracy Cherpeski talks with Dr. Natasha Guess, founder of Guess Compliance Consulting, about why healthcare compliance is an operational system — not a legal checkbox. Born and raised in Guyana, South America, Natasha saw what happens when healthcare structure is missing — and built a career helping small and mid-sized practices in the U.S. and Canada protect

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43:38

30 Seconds to Connect: What Healthcare Practices Get...

Thriving Practice with Tracy Cherpeski ·

2026/07/15

What’s the single most costly communication breakdown in your practice? Chances are it’s happening before a patient ever walks through your door. In this episode, Tracy Cherpeski sits down with Danny Bobrow, a healthcare marketing consultant who has spent more than 35 years helping dental and medical practices grow — not just by generating leads, but by helping teams turn those leads into loyal, kept appointments. Danny introduces the concept of “missed moments” — the small communication failures

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11:19

Two Websites, One Brand: What Our Site Merger Taught...

Thriving Practice with Tracy Cherpeski ·

2026/07/10

What happens when a growing practice launches a second website to give a new offering room to breathe? In this SNACK episode, Miranda Dorta turns the mic around on host Tracy Cherpeski to unpack why they built the Thriving Practice Community its own separate website, why it didn't perform the way they hoped, and why they recently merged everything back into one unified brand. Tracy and Miranda get candid about what the analytics revealed, why a standalone scrolling site struggled with SEO, and the

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