Tracy Cherpeski Tracy Cherpeski

Choosing Your Village: A Timeless Guide to Building Your Support Network

By Tracy Cherpeski

I wrote this piece nearly 14 years ago, and it remains one of my most-referenced posts. As we observe National Recovery Month this September, I'm reminded that recovery isn't limited to overcoming addiction—it's about recovering from burnout, toxic relationships, and the patterns that keep us small. In our hyper-connected yet often lonely world, the need for intentional community has never been more critical.

Photo by John Cameron on Unsplash

Originally published December 2011 | Updated September 2025

A Note from Tracy, September 2025:

I wrote this piece nearly 14 years ago, and it remains one of my most-referenced posts. As we observe National Recovery Month this September, I'm reminded that recovery isn't limited to overcoming addiction—it's about recovering from burnout, toxic relationships, and the patterns that keep us small. In our hyper-connected yet often lonely world, the need for intentional community has never been more critical.

A note on language: In my original post, I used the word "tribe" throughout. Over the years, I've learned more about cultural appropriation and the sacred significance of tribal identity to Indigenous communities. I've made mistakes in this area and continue to learn. Going forward, I'm choosing to use "village" or "inner circle" instead—words that honor the concept of intentional community without appropriating terminology that belongs to specific cultures. I hope you'll join me in this more thoughtful approach.

Whether you're a healthcare practice owner navigating the complexities of leadership, a professional rebuilding after burnout, or simply someone seeking more meaningful connections, the principles in this post remain as relevant today as they were in 2011. Perhaps even more so.

"Call it a clan, call it a network, call it a tribe, call it a family: Whatever you call it, whoever you are, you need one." – Jane Howard

We are born or adopted into a family, and we do not choose that family, for better or for worse. We do, however, subsequently surround ourselves with people we choose – our village, our inner circle. We have all heard the phrase, "It takes a village to raise a child." I believe this to be true. I also believe it takes something more specific and specialized than a village to raise a person to his, her or their greatness; it takes an intentional community. We attract, assemble and nurture this village and it lifts us up, guides us, carries, pushes or pulls us as necessary. Even more important, our village creates a safe environment for self-empowerment. My village has lifted me up more than once, continues to support me, and continues to grow.

A healthy village has one very clear understanding: no judgement. This mentality is one of love, support, acceptance, empowerment, growth, celebration and becoming our highest selves – individually, and as a community. Together we overcome many obstacles. We push, pull or coax one another into the next phase (when assistance is needed and sought); we till soil, plant seeds, fertilize, water and tend a glorious spring harvest of ideas, new thought patterns and personal growth – yielding brighter, funnier, happier, sexier people. Who doesn't want to be all of those things?

On Selecting Your Village

Choose wisely. My parents used to tell me and my sister to choose friends wisely; that water seeks its own level. As a rebellious teenager, I was resistant to this message, but as an adult, those words ring true for me. If water seeks its own level and if the caliber of our friends is lower than what we would like, then we are either projecting something other than our values or it is time to take an honest inventory of where we are, our thoughts, and what we accept.

Are you walking your talk? More importantly, what are you tolerating? Do you have friends who drain you emotionally? Do you avoid returning correspondence with certain friends because of this drain? Does the thought of spending time with this friend light you up or dim the light? Remember YOU are in-charge of your energy, you choose if you want the drain plugged or un-plugged. You decide how to spend your time and energy. Are you spending wisely?

The digital dimension: In 2025, our villages extend beyond physical proximity. Social media has given us unprecedented access to like-minded individuals, but it's also created new challenges. Ask yourself: Do your online connections inspire you or trigger comparison? Are you curating a digital village that reflects your values, or are you staying connected out of obligation or fear of missing out?

Do you think nice things about yourself? Do you catch yourself making self-deprecating remarks, even if "just kidding"? What thoughts run through your mind when you look in the mirror? Do you feel jealous of other people? Do you find yourself judging others? Chances are, if you do even a little of this AND you experience draining relationships, it is time to push your reset button.

If water seeks its own level and we want healthy relationships within our village, then we must first get right with ourselves and be healthy in all aspects of our lives. Take good care of your physical, emotional and spiritual health. Nourish your body with high-quality foods, maintain proper hydration, get enough sleep, be kind to yourself, and make sure you carve-out "me" time every day, even if for a few minutes to check-in.

Once you are right with yourself, you automatically become more attractive and the right kind of people are drawn to you. If you do not believe me, try this: recite an empowering, positive affirmation about yourself five times before you leave your house, let it sink-in, and watch how people respond to you. Wear your favorite color, allow yourself to feel great wearing it, and let that shine. Walk slowly and take notice of people taking notice of you; they will be drawn to that "je ne sais quoi," that "something special" they see in you.

Know When to Reach Out

There are times in life when we really need someone to be there for us. We might need a sounding board, a shoulder to cry on or simply to know that someone is thinking of us. It takes courage and strength to ask for help. We have been conditioned to be independent and we have taken it to the extreme, somehow thinking that it is "bad" or "weak" to need help, let alone ask for it. Asking for support is one of the most graceful forms of strength.

Recovery wisdom: As we recognize National Recovery Month, we're reminded that asking for help isn't just strength—it's often the first step toward reclaiming our lives. Whether recovering from addiction, burnout, toxic relationships, or simply patterns that no longer serve us, reaching out to our village becomes essential for healing and growth.

Know When to Step Back

You may encounter situations when you need to step back from your friends or family because you need to take a part of the journey on your own. Just as we need to know when to ask for help, we also need to know when to give it a go on our own, knowing that our friends, family and loved ones will always be there for us.

You may also find times when a loved one is slipping into a pattern of neediness or negativity that is unhealthy for you. This is a time to love yourself enough to put the plug in the drain and conserve your energy for yourself. This act of love not only serves you, but it also serves the other party and those who depend upon you. Sometimes the greatest gift we can offer is "tough love" in the form of loving space. Knowing your limits and lovingly respecting your own boundaries is of vital importance to your overall health and that of your village.

Practice Compassion

"If you want others to be happy, practice compassion. If you want to be happy, practice compassion." – Dalai Lama

When we first practice compassion with ourselves, we are better equipped to have patience, understanding and respect for ourselves and others. Be kind to yourself, say nice things to yourself, think pleasant thoughts about yourself; share those thoughts with your energy, heart and words.

The ripple effect: In our interconnected world, the quality of our inner village directly impacts every other area of our lives—our work, our leadership, our ability to serve others. When we surround ourselves with people who champion our growth while loving us exactly as we are, we become capable of offering that same gift to others.

Reflection Questions for 2025:

  • Who in your current circle energizes you versus drains you?

  • What boundaries do you need to establish or strengthen?

  • How are you showing up as the kind of person you'd want in your own inner circle?

  • What patterns are you ready to recover from this month?

Remember: You are both the curator and the masterpiece of your village. Choose wisely, love fiercely, and never underestimate the power of intentional community.

Blessings. Gratitude. Love.

What resonates most with you from this post? I'd love to hear about your own inner circle-building journey—share your thoughts in the comments below.

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Miranda Dorta Miranda Dorta

Three Common Challenges Healthcare Practice Owners Face (And How to Overcome Them)

By Miranda Dorta

Running a private healthcare practice brings unique rewards—the autonomy to provide patient-centered care, the ability to build meaningful relationships with your community, and the freedom to practice medicine on your terms. Yet practice ownership also presents distinct challenges that many healthcare entrepreneurs face.

Photo by Luís Eusébio on Unsplash 

Running a private healthcare practice brings unique rewards—the autonomy to provide patient-centered care, the ability to build meaningful relationships with your community, and the freedom to practice medicine on your terms. Yet practice ownership also presents distinct challenges that many healthcare entrepreneurs face. After years of working with medical providers and healthcare practice owners, we've identified three major obstacles that consistently emerge. More importantly, we've discovered practical solutions to help you navigate these challenges while maintaining your focus on exceptional patient care. 

The Isolation of Healthcare Practice Ownership 

Healthcare practice ownership can feel remarkably isolated. While your clinical colleagues understand patient care, they may not grasp the complexities of running a business. When you're facing difficult decisions about staffing, insurance negotiations, or practice growth at 3 AM, well-meaning advice like "Why don't you just join a hospital system?" misses the point entirely. 

The Challenge: Most healthcare professionals work within larger systems and don't understand the unique pressures of private practice ownership. This creates a gap between you and your professional network, leaving you feeling alone in navigating both clinical excellence and business success. 

The Solution: Build a strategic support network. For every one person who questions your decision to own a practice, surround yourself with at least five people who understand and support your vision for independent healthcare delivery. 

Action Steps: 

  • Connect with local medical practice management associations 

  • Join healthcare entrepreneur groups on professional platforms 

  • Seek out practice owner mastermind programs 

  • Attend healthcare business conferences alongside clinical education events 

  • Make building your business support network as important as continuing medical education 

Your path as a practice owner is valid, whether you're building a concierge practice, expanding a multi-specialty group, or creating innovative care delivery models. Each approach serves patients and communities in meaningful ways. 

Avoiding Burnout While Building Your Practice 

The second major challenge facing healthcare practice owners is the mental and emotional exhaustion that comes from trying to excel as both clinician and business owner. The healthcare industry often perpetuates a culture where working excessive hours is worn as a badge of honor. 

The Challenge: Operating from a place of constant urgency creates a mindset that equates your worth as a provider with endless availability. This leads to burnout and strains both your clinical performance and business decision-making. 

The Solution: Create clear boundaries between your role as a clinician and your role as a practice owner. You are not your practice, and your practice is not you. Both aspects of your professional life deserve focused attention at appropriate times. 

Action Steps: 

  • Establish specific hours for administrative and business tasks separate from patient care 

  • Identify your core values as both a provider and business owner 

  • Create commitments that honor those values (e.g., no business calls during patient care hours) 

  • Design your practice operations around the life you want to live 

  • Implement systems that allow you to focus on high-value clinical and business activities 

Quality patient care actually improves when you maintain proper boundaries, invest in practice management systems, and create sustainable workflows. Your patients benefit when you're operating at your best, not when you're exhausted. 

The Resistance to Delegating and Accepting Support 

The third challenge hits particularly close to home for healthcare providers: the reluctance to delegate or accept help with business operations. Many physicians and healthcare professionals have been trained to be self-reliant problem-solvers, which can become a limitation in business ownership. 

The Challenge: Healthcare providers often believe that maintaining control over every aspect of their practice ensures quality care. This leads to trying to manage everything from clinical protocols to billing systems, which limits growth and creates unnecessary stress. 

The Solution: Recognize that successful practice owners consistently rely on skilled teams, practice management experts, and healthcare business advisors. Delegating operational tasks doesn't compromise your clinical standards—it enhances your ability to focus on what you do best. 

Action Steps: 

  • Identify your clinical strengths and focus your direct patient care there 

  • Evaluate which administrative tasks drain your energy and explore delegation options 

  • Invest in practice management staff or consultants who understand healthcare operations 

  • Connect with other practice owners who can share systems and strategies 

  • Consider healthcare-specific coaching or consulting services 

If you're handling everything from patient care to insurance credentialing to marketing, your practice likely isn't growing as efficiently as it could. Successful practices have robust support systems that allow providers to focus on excellent patient outcomes. 

Moving Forward: Clinical Excellence Through Strategic Practice Management 

True practice autonomy doesn't mean handling every aspect of your business personally—it means making strategic decisions about patient care while building systems that support your clinical mission. Your medical expertise and commitment to patient care are needed in our healthcare system, and creating a sustainable practice model ensures you can continue serving your community long-term. 

About Our Work 

At Tracy Cherpeski International, we're on a mission to empower 1,000 independent healthcare practice owners to achieve extraordinary success without sacrificing well-being. We combine expert business consulting with executive leadership coaching to help overworked, exhausted provider-owners optimize their time, energy, and leadership capabilities. Our clients become high-impact, fulfilled CEOs while maintaining their expertise in clinical specialties. Through our unique dual approach, we help practice owners decrease chaos and overwhelm in their businesses, enabling them to step back from daily operations and focus on their great work. Our clients typically see a 10X return on their coaching investment within 12-18 months, proving that sustainable growth and personal well-being can coexist in healthcare practice ownership. 

Key Takeaways for Healthcare Practice Owners: 

  • Professional isolation is common but not inevitable—actively build networks with fellow practice owners 

  • Sustainable practice growth requires boundaries between clinical and business responsibilities 

  • Delegating operational tasks enhances rather than diminishes your ability to provide excellent care 

  • Maintain a growth mindset: stay open to new practice management solutions and industry innovations 

The Path Forward 

Running a private healthcare practice doesn't have to mean sacrificing your well-being or clinical excellence for business success. By addressing these three common challenges, you can build not just a thriving practice, but a sustainable model that serves both your professional fulfillment and your patients' needs. 

The healthcare industry needs dedicated providers who are willing to take ownership of innovative care delivery. Your success as a practice owner contributes to a stronger, more diverse healthcare system that benefits everyone. 

Start connecting with fellow healthcare practice owners who understand your unique challenges and begin building the right professional community is essential for both your clinical success and business growth.  

Do you have sufficient support? At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session.  

About the Author 

Residing in the City of Oaks, Miranda Dorta is a creative storyteller and operations guru. Miranda graduated from Savannah College of Art and Design (SCAD) in 2020 with a B.F.A in Writing and concentrations in Creative Writing and Fashion Journalism. Miranda has a skilled history working in public relations, publishing, retail management, operations, and social strategy. 

At Tracy Cherpeski International, Miranda joined the company as an Administrative Assistant in 2021 and now is currently serving as the Manager of Operations and PR as of November of 2022. Miranda has developed a strong expertise in managing the operational aspects while effectively handling public relations and communication strategies. 

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The Strategic Advantage: Why High-Performing Leaders Choose Coach-Consultants

By Tracy Cherpeski

The statistics tell a sobering story. Over the past decade, physician practice ownership has dropped from 60.1% to just 46.7%. But here's what the numbers don't capture: the 80% of remaining practice owners who told us in recent interviews that they desperately want more time for strategic planning, professional development, and personal pursuits. 

Photo by Mulyadi on Unsplash

The statistics tell a sobering story. Over the past decade, physician practice ownership has dropped from 60.1% to just 46.7%. But here's what the numbers don't capture: the 80% of remaining practice owners who told us in recent interviews that they desperately want more time for strategic planning, professional development, and personal pursuits. 

If you're reading this, you're likely part of that 80%. You started your practice with a vision of providing exceptional patient care on your terms. Yet somehow, you've found yourself trapped in the day-to-day operations, feeling more like a highly skilled employee in your own business than the strategic leader you intended to be. 

The good news? There's a clear path forward, and it's one that high-performing leaders across industries have been using for decades. 

Beyond Traditional Coaching: The Coach-Consultant Difference 

When most people think of coaching, they imagine motivational conversations and goal-setting exercises. While those have their place, practice leaders need something more substantial. You need someone who understands both the clinical complexities of healthcare and the business realities of running a profitable practice. 

This is where the coach-consultant approach becomes invaluable. Instead of just asking powerful questions, a coach-consultant brings proven frameworks, systems, and strategic insights directly applicable to your unique challenges. They've seen what works for other practice leaders and can help you avoid the costly trial-and-error approach that keeps so many owners stuck. 

The difference shows up in results. Practice owners we've worked with typically see a 10X return (or higher!) on their investment within 12-18 months while reclaiming up to one full day per week. That's not motivation—that's methodology

The Four Pillars of Strategic Leadership Growth 

1. Vision Alignment That Actually Drives Behavior 

Having a mission statement on your wall isn't the same as having a vision that guides daily decisions. Real vision alignment happens when your team can connect their individual tasks to your larger purpose without you explaining it every time. 

We see this transformation regularly in our private coaching work. Practice owners progress from constantly redirecting their teams to watching their staff make decisions that naturally align with practice goals. The key is shifting your practice's trajectory from reactive to intentional, creating clarity not just about what you do, but why it matters and how each person contributes to that larger impact. 

2. Strategic Feedback Loops That Accelerate Growth 

As a practice owner, you're surrounded by people who depend on you for their livelihood. That makes honest feedback about your leadership rare and precious. You need someone who can objectively assess your systems, your delegation effectiveness, and your strategic thinking without worrying about office politics or job security. 

This external perspective helps you see blind spots that keep you trapped in operational tasks. One practice owner we worked with recently discovered she was redoing work her team had already completed simply because she hadn't clearly communicated her standards. That single insight shifted four hours per week back to strategic work. 

3. Protected Time for Reflective Strategy 

When did you last have an uninterrupted hour to think about the future of your practice? If you're like most practice owners, it's been too long. The urgent always crowds out the important, leaving you reactive instead of proactive. 

The most successful leaders we work with protect strategic thinking time like they protect patient appointments. They use structured frameworks to ensure these sessions produce actionable insights rather than just wishful thinking. The discipline of regular strategic reflection separates thriving practices from merely surviving ones. 

4. Anticipatory Leadership Development 

Instead of constantly putting out fires, what if you could anticipate challenges before they became crises? This shift from reactive to proactive leadership happens when you have systems for delegation, decision-making, and strategic planning. 

Practice owners we've coached grow from feeling overwhelmed by every decision to confidently delegating with clear expectations. They progress from working in their practice to working on their practice. The shift isn't just operational—it's personal. They rediscover why they wanted to own a practice in the first place. 

The Thriving Practice Community Advantage 

Building on years of successful private coaching work, we've designed the Thriving Practice Community to provide the same proven frameworks within a supportive peer environment. This 12-month membership program combines strategic business consulting, executive leadership coaching, and a global community of healthcare entrepreneurs all committed to sustainable growth. 

TPC offers the accountability and expertise of private coaching while adding the power of peer learning from other practice owners facing similar challenges. Members gain access to our proven frameworks, progress tracking tools, and ongoing support through both virtual gatherings and our comprehensive digital platform. 

When You're Ready for This Level of Investment 

Working with a coach-consultant isn't for every practice owner. It's specifically designed for established leaders who have moved beyond startup mode and are ready to scale their impact without scaling their stress. 

Are you ready if you generate mid-six to seven figures in annual revenue but feel like you're working harder than ever for diminishing returns? 

 Are you ready if you have systems that depend entirely on you being present?  

Are you ready if your team is competent but lacks the clarity to make decisions confidently in your absence? 

Most importantly, are you ready to invest 1-2 hours per week working on your business with the expectation of measurable results? 

The practice owners who see the most dramatic growth approach this as a strategic business investment, not a personal development experiment. 

Your Next Strategic Move 

The declining ownership statistics we mentioned earlier represent more than just numbers—they represent dreams deferred and potential unrealized. But they don't have to represent your story. 

Are you ready to discover where your practice stands? Start with our Practice Growth Readiness Assessment to identify your current stage and biggest leverage points for sustainable growth. This quick assessment will help you understand exactly where you are in your leadership journey and what your next strategic steps should be. 

If you're ready to reclaim your role as a strategic leader while building a practice that serves patients exceptionally and supports your life goals, our Practice Assessment Strategy Session can help you create a clear path forward based on your unique situation and goals. 

Because the goal isn't just to survive as a practice owner—it's to thrive as the leader you always intended to be. 

Take the Practice Growth Readiness Assessment → 

 

Do you have sufficient support? At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session. 

About the Author 

Tracy Cherpeski, MBA, MA, CPSC, is a business consultant, 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. 

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PTSD in Men: Closing the Treatment Gap in Your Practice 

By Miranda Dorta

June is PTSD and Men’s Mental Health Awareness month. This month, position yourself as the healthcare leader who prioritizes comprehensive mental wellness. 

Men with PTSD sit in your waiting room carrying invisible wounds. While 4% of men experience PTSD, they seek treatment at much lower rates than women, creating a critical care gap that impacts your practice's ability to serve your community effectively. 

Photo by Ashes Sitoula on Unsplash

The Hidden Crisis in Your Waiting Room 

June is PTSD and Men’s Mental Health Awareness month. This month, position yourself as the healthcare leader who prioritizes comprehensive mental wellness. 

Men with PTSD sit in your waiting room carrying invisible wounds. While 4% of men experience PTSD, they seek treatment at much lower rates than women, creating a critical care gap that impacts your practice's ability to serve your community effectively. 

Male patients present with complaints that seem unrelated to mental health. They minimize distress and resist exploring emotional connections to physical symptoms. This resistance doesn't indicate lack of need—it signals a system that hasn't adapted to recognize how men experience psychological trauma. 

Recognizing Male PTSD Presentations 

Male PTSD wears a different mask than traditional clinical descriptions. Watch for these key indicators: 

Behavioral Signs: 

  • Anger as the primary emotional outlet rather than sadness or anxiety 

  • Escalating risk-taking behaviors that worry family members 

  • Work performance swinging between hyper-focus and complete inability to concentrate 

Physical Manifestations: 

  • Sleep disturbances presenting as insomnia rather than nightmares 

  • Somatic complaints clustering around tension areas—headaches, digestive issues, muscle tension 

  • Heart rate variability during discussions of stressful topics 

Interpersonal Patterns: 

  • Emotional withdrawal replacing verbal expression of distress 

  • Increasing difficulty maintaining relationships 

  • Parenting challenges around emotional availability 

Assessment Challenges 

Standard screening tools focus on emotional symptoms like crying or fear rather than anger or substance use. These instruments were developed primarily with female populations, creating mismatches when assessing men. 

Men face unique barriers: professional consequences for acknowledging mental health struggles, cultural messaging to "handle it" independently, and healthcare environments that inadvertently signal mental health services target women. 

Creating Effective Clinical Environments 

Small, intentional changes significantly improve engagement: 

Environmental Modifications: 

  • Neutral office décor appealing to diverse preferences 

  • Reading materials addressing men's health topics 

  • Intake forms with explicit questions about anger, substance use, and work performance 

Communication Strategies: 

  • Direct, problem-solving language: "What impact did that have on your daily routine?" instead of "How did that make you feel?" 

  • Normalizing statements: "Many men experiencing similar events notice changes in sleep patterns" 

  • Action-oriented approaches providing concrete next steps 

Enhanced Screening and Treatment 

Incorporate the PCL-5 with additional questions about anger and physical symptoms. Ask about functional impacts on work and relationships rather than emotional states. Use scaling questions men find easier to respond to than subjective emotional assessments. 

Successful treatment requires skills-based approaches, education about PTSD's neurobiological basis, and measurable goals that demonstrate progress in motivating ways. 

Building Long-Term Success 

Track engagement rates for male patients, completion of mental health referrals, and patient satisfaction scores. Start with one or two modifications that align with the resources at your practice. Provide ongoing education about gender differences in mental health presentation. 

Men with PTSD deserve the same quality of care as all patients. By recognizing their unique presentations and adapting your approaches, you close a critical healthcare delivery gap while building a practice that truly serves your entire community. 

 

Ready to Close the PTSD Treatment Gap in Your Practice? 

Implementing these evidence-based strategies requires more than good intentions—it requires systematic change management, staff training, and ongoing support to ensure lasting impact. 

We are business consultants who specialize in healthcare practice operations. When you bring the clinical expertise, we help you develop the implementation and follow-up plan. 

We assist healthcare practices in developing strategies to: 

Implement customized screening protocols that capture male PTSD presentations  

Train your entire team in sensitive and effective communication techniques 
Create welcoming environments that engage male patients effectively  

Build referral networks with providers specializing in men's mental health  

Establish measurement systems to track your progress and outcomes  

Implement sustainable workflows that integrate seamlessly into your current operations 

Don't let another male patient slip through the cracks. At Tracy Cherpeski International and the Thriving Practice Community, we work directly with healthcare providers to implement these action items systematically, ensuring your team feels confident and your patients receive the comprehensive care they deserve. 

Schedule your complimentary practice assessment today and discover how small, strategic changes can make a significant difference in your practice. 

[Book Your Free Consultation →] 

Because every patient deserves care that recognizes how they experience and express distress. 

Resources: 

  1. https://ppl-ai-file-upload.s3.amazonaws.com/web/direct-files/attachments/7068157/9ee6b41d-187f-48ad-8c6e-d76a693b5e01/paste.txt 

  2. https://www.ptsd.va.gov 

  3. https://www.mentalhealth.va.gov/healthcare-providers/ptsd.asp 

  4. https://www.woundedwarriorproject.org/programs/mental-wellness/veteran-ptsd-treatment-support-resources 

  5. https://www.ptsd.va.gov/professional/treat/txessentials/telemental_health.asp 

  6. https://www.nimh.nih.gov/health/topics/post-traumatic-stress-disorder-ptsd 

  7. https://uscmed.sc.libguides.com/c.php?g=885034&p=6359967 

  8. https://www.apa.org/ptsd-guideline/resources 

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The Independent Practice Advantage: Creating a Culture of Wellbeing When You're Not a Healthcare Giant

By Tracy Cherpeski

May is Employee Health and Fitness Month, but you don't need a corporate-sized budget to make a meaningful difference in your team's wellbeing.

Photo by madison lavern on Unsplash

The Smallest Investments in Employee Wellness Yield the Biggest Returns for Independent Healthcare Practices

May is Employee Health and Fitness Month, but you don't need a corporate-sized budget to make a meaningful difference in your team's wellbeing.


You don't need a fancy corporate wellness program with a six-figure budget to transform your practice culture and boost your bottom line.

In the world of healthcare practice ownership, the smallest intentional investments in employee wellness create disproportionate returns in productivity, retention, and practice growth. Your independent practice size isn't a disadvantage—it's your secret wellness weapon.

Consider SnackNation, a small workplace wellness company that practiced what they preached with their own team of just over two dozen employees. Like many small businesses, they faced challenges with work-life balance and employee stress management despite their wellness-focused mission.

As a company promoting healthy living, they implemented a tailored wellness program that included healthy snacks, stress-relieving practices, and even yoga classes for their staff members. Their approach demonstrates how small businesses can align wellness initiatives with their core values.

The leadership team recognized they couldn't compete with corporate wellness budgets, but they could leverage their size as an advantage. They instituted regular team check-ins, created flexible schedules that accommodated personal wellness needs, and fostered a culture where self-care wasn't just permitted—it was expected.

What happened? Their employee engagement increased measurably. In similar case studies documented by the British Heart Foundation, companies implementing right-sized wellness programs saw employee engagement rise by 3%, staff turnover decrease by 1.5%, and absenteeism drop significantly—from an average of 7.3 days to just 5.3 days per employee annually.

"The key wasn't creating elaborate programs," shared their HR director. "It was demonstrating genuine care for our team's wellbeing through consistent, manageable initiatives that fit our culture and budget. The ROI has been clear not just in productivity metrics, but in the energy and satisfaction our team brings to work each day."

Since it’s spring and gardening season in my world, I’m going to share a gardening metaphor to drive this point home. Think of wellness initiatives like planting seeds in your practice garden. Large healthcare systems use industrial equipment and massive resources to cultivate their employee wellness landscapes. But as any master gardener knows, it's not the size of the garden that matters—it's the consistent care, the quality of the soil, and the attentiveness of the gardener that yields the most vibrant results.

Your independent practice may be smaller, but your proximity to your team allows you to nurture each individual with precision and care that no corporate system can match.

The research confirms what small businesses like SnackNation have discovered:

  • Small business wellness programs yield returns of nearly $3 for every $1 invested through reduced absenteeism alone

  • 91% of workers at companies with wellness initiatives report feeling more motivated to do their best work

  • Practices with engaged employees generate 50% higher revenue per employee

  • Nearly 90% of employees at companies with wellness programs report higher job satisfaction and are more likely to recommend their employer

The magic of independent practices is that your smaller size actually amplifies these benefits. With fewer layers between leadership and staff, your authentic commitment to team wellbeing resonates more powerfully. When you as the owner "walk the talk" by participating in and championing wellness initiatives, the impact is immediate and visible. 

This visibility creates a powerful leadership multiplier effect in smaller practices. The most successful practice owners know that wellness isn't about implementing a program—it's about investing in your most valuable asset: your people. And unlike corporate healthcare systems, you don't need committees, extensive planning, or significant budget allocations to make meaningful changes.

The most successful practice owners know that wellness isn't about implementing a program—it's about investing in your most valuable asset: your people. And unlike corporate healthcare systems, you don't need committees, extensive planning, or significant budget allocations to make meaningful changes.

At Tracy Cherpeski International and Thriving Practice Community, we support independent healthcare practice owners in becoming exquisitely fulfilled, high-impact CEOs of their practices. Leading a wellness initiative—no matter how modest—demonstrates the kind of intentional leadership that transforms practice culture. We guide our clients to discover leadership opportunities that align with their values while advancing their business goals. When you prioritize your team's wellbeing, you're not just implementing a program—you're modeling what it means to be a visionary practice owner who creates sustainable success through people-centered leadership. 

The foundation of any successful team wellness initiative is your own sustainable energy as a leader. As a practice owner, investing in team wellness starts with managing your own energy effectively. Download our free "Energy Audit" workbook to identify which activities truly deserve your focus, uncover opportunities for delegation, and create a more sustainable practice.

This 5-day audit will help you discover where your energy makes the most impact and how to eliminate patterns that may be holding back both you and your team. Remember, this isn't about working longer hours – it's about building a practice that energizes everyone for the long term.

—--- 

Do you have sufficient support? At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session.

About the Author

Tracy Cherpeski, MBA, MA, CPSC, is a business consultant, 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.

Additional Resources

  1. The Hard Return on Employee Wellness Programs - Harvard Business Review

  2. A Guide to Wellness Programs for Small Businesses - Wellhub

  3. How To Make Small Business Wellness Programs Work - WellSteps

  4. 10 Examples of Health and Wellness Programs in the Workplace - Rise

  5. Employee Wellness Programs: 10 Metrics for Success - Flimp

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Rebalancing Healthcare: Addressing Physician Work-Life Integration and Well-being

By Miranda Dorta

Imagine a healthcare system where 6 out of every 10 physicians are experiencing symptoms of burnout. Where practice owners are working far more hours than they ever anticipated, with administrative tasks consuming a third (or more) of their time. Where the very strengths that make doctors exceptional at their jobs – drive, problem-solving, perfectionism – are silently eroding their personal lives and well-being.

This isn't a hypothetical scenario. It's the reality facing our healthcare system today.

Photo by Greg Johnson on Unsplash

Imagine a healthcare system where 6 out of every 10 physicians are experiencing symptoms of burnout. Where practice owners are working far more hours than they ever anticipated, with administrative tasks consuming a third (or more) of their time. Where the very strengths that make doctors exceptional at their jobs drive, problem-solving, perfectionism – are silently eroding their personal lives and well-being.

This isn't a hypothetical scenario. It's the reality facing our healthcare system today.

The State of Physician Stress and Burnout

A 2022 study published in Mayo Clinic Proceedings (1) found that 63% of physicians reported at least one symptom of burnout. This silent epidemic hits healthcare practice owners particularly hard, as they face the additional burden of business stress that directly impacts their bottom line and team stability.

Furthermore, a survey of practice owners (2) revealed that nearly 80% work more hours per week than they initially planned when opening their practice. Almost 75% reported that administrative tasks have grown to consume over one-third of their work hours. Many acknowledged they would recognize burnout in a colleague or patient long before identifying it in themselves.

The physical and emotional toll of this chronic stress is substantial. A 2021 systematic review in JAMA Internal Medicine (3) found that physicians with burnout were more likely to report depression, anxiety, sleep disturbances, and alcohol misuse. They also had a doubled risk of suicidal ideation compared to the general population. (4)

Understanding the Professional Strengths That Create Personal Challenges

Several professional strengths that are valuable in medical practice can create unintended consequences in physicians' personal lives:

  1. Service Orientation and Drive

    • Strength: Constant drive to serve and accomplish more

    • Challenge: Work engagement overtakes personal life

    • Impact: Difficulty protecting time for personal relationships

    • Growth Opportunity: Intentionally scheduling time for personal relationships and meaningful activities outside of work

  2. Problem-Solving Abilities

    • Strength: Superior ability to find and solve problems

    • Challenge: Missing positive moments with loved ones

    • Impact: Loss of joy in everyday interactions

    • Growth Opportunity: Applying positive psychology to personal relationships, such as practicing gratitude regularly

  3. Perfectionism

    • Strength: Exacting standards and striving for perfection

    • Challenge: Contingent self-worth

    • Impact: Difficulty accepting feedback, increased emotional intensity, heightened interpersonal reactivity

    • Growth Opportunity: Learning to balance perfectionism with grounded self-worth through therapy, coaching, or contemplative practices

The Imposter Phenomenon

The imposter phenomenon is a significant associated challenge for physicians. This psychological pattern causes competent individuals to doubt their abilities and feel like frauds despite evidence of their success. A 2020 study in JAMA Network Open (5) found that nearly 10% of US physicians had frequent feelings of imposterism, which correlated with higher levels of burnout and lower self-reported wellness scores.

Operational Interventions to Improve Work-Life Integration

Specific operational interventions can help address IWPR (Impact of Work on Personal Relationships) in healthcare practices:

  1. Improved Coverage Systems: Ensuring EHR inbox and clinical care coverage during physician vacations

  2. Optimized Scheduling: Allowing physicians to leave work at reasonable times with predictable schedules

  3. Team-Based Care Models: Optimizing task distribution to improve efficiency and shorten workdays

  4. Strategic Meeting Planning: Evaluating and optimizing meeting timing to minimize encroachment on personal time

Cultural and Normative Interventions

Beyond operational changes, cultural shifts are also needed:

  1. Leadership Education: Training leaders, clinical and practice managers on the importance of clinicians' personal relationships for sustainable effectiveness and retention

  2. New Professional Norms: Implementing policies and communication campaigns establishing norms that prioritize healthy personal relationships and affirm the importance of life beyond medicine

  3. Physician-Spouse Retreats: Weekend programs to increase awareness of practice demands and norms contributing to negative IWPR, while providing space for recommitment to appropriate prioritization of personal relationships

The RENEW Prescription

The RENEW Prescription framework, presented at the SMLMA Healthcare Conference and Expo, offers a valuable cyclical approach to physician wellness through four essential steps:

  1. Awareness → 2. Reflection → 3. Conversation → 4. Plan and Act

This model recognizes wellness as an ongoing practice rather than a quick solution. While RENEW provides an excellent foundation, independent practices face unique challenges compared to large institutions like hospitals and university health systems.

Independent practitioners operate in a distinctive environment where they deliver exceptional patient care while managing all business aspects of their practice. Without support systems and resources available to larger organizations, practice owners must find tailored solutions that address their specific needs.

Financial Investment in Physician Well-being

Healthcare systems are beginning to allocate substantial resources to address systemic issues affecting physician well-being and healthcare workforce sustainability. Recent funding propositions highlight significant financial resources dedicated to primary care, specialty care, workforce development, and behavioral health throughput.

Moving Forward

Healthcare organizations now recognize provider wellness as a systemic issue requiring structural solutions and investment, not just individual effort.

Our approach bridges the gap between a desire for change and limited resources by providing customized support for independent practices. We focus on creating solutions that align with practitioner-owners' priorities—helping them balance clinical excellence with effective business leadership.

We develop strategies that address the distinct challenges of being both a healthcare provider and a CEO. Our goal is to support professionals in building sustainable practices where they can thrive.

We improve scheduling and workflow while reshaping professional expectations so providers succeed without personal sacrifice.

Independent practice owners: seeking support isn't weakness—it's leadership.

We create lasting wellness systems through:

  • Practice management that reduces administrative burden

  • Leadership development centered on team wellbeing

  • Peer communities for sharing effective strategies

We understand your unique challenges as independent practices. Our work implements changes that benefit providers and patients while maintaining financial health. Through collaborations with associations, we amplify the collective voice of private practices.

Provider wellbeing determines the future of our healthcare system.

Ready to improve work-life integration for yourself and your team? 

Schedule a consultation with us to learn more about implementing practical work-life balance strategies that benefit both you and your employees. Our specialized approach helps medical practices develop customized wellness plans that address your specific operational challenges while shifting organizational culture.

At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session.

About the Author

Residing in the City of Oaks, Miranda Dorta is a creative storyteller and operations guru. Miranda graduated from Savannah College of Art and Design (SCAD) in 2020 with a B.F.A in Writing and concentrations in Creative Writing and Fashion Journalism. Miranda has a skilled history working in public relations, publishing, retail management, operations, and social strategy.

At Tracy Cherpeski International, Miranda joined the company as an Administrative Assistant in 2021 and now is currently serving as the Manager of Operations and PR as of November of 2022. Miranda has developed a strong expertise in managing the operational aspects while effectively handling public relations and communication strategies.

Sources:

  1. https://www.mayoclinicproceedings.org/article/S0025-6196(22)00515-8/fulltext 

  2. https://www.ama-assn.org/system/files/2022-prp-practice-arrangement.pdf 

  3. https://jamanetwork.com/journals/jama/fullarticle/2702871 

  4. https://pmc.ncbi.nlm.nih.gov/articles/PMC10098100/ 

  5. https://www.mayoclinicproceedings.org/article/S0025-6196(22)00378-0/fulltext

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A Practice Owner's Guide to Sustainable Success: Moving Beyond Burnout to Build Your Vision

By Miranda Dorta

As an independent healthcare professional, you understand the unique challenge of balancing clinical excellence with business leadership. You chose independence because you believe in delivering care your way. Yet the daily reality of wearing multiple hats - professional, leader, strategist, and business owner - can feel overwhelming.

Let's explore a practical approach to build the thriving practice you envision while maintaining your wellbeing.

Photo by Deniz Altindas on Unsplash

As an independent healthcare professional, you understand the unique challenge of balancing clinical excellence with business leadership. You chose independence because you believe in delivering care your way. Yet the daily reality of wearing multiple hats - professional, leader, strategist, and business owner - can feel overwhelming.

Let's explore a practical approach to build the thriving practice you envision while maintaining your wellbeing.

The Reality Check: Where You Might Find Yourself

You're providing excellent care to your patients. Your practice generates solid revenue. On paper, things look good. But privately, you might relate to these experiences:

  • Your days feel consumed by administrative tasks rather than patient care

  • Important strategic initiatives stay perpetually on the back burner

  • Despite having a team, you remain the bottleneck for many decisions

  • The vision that inspired your independent practice feels increasingly distant

If this resonates, you're not alone. Many successful healthcare professionals reach this point. The good news? With intentional shifts in how you approach your time and energy, you can move past these challenges.

Reflections on Practice Leadership: Finding Your Path Forward

There's something powerful about pausing to consider what truly drives your independent practice. Consider the essential elements that create not just a sustainable healthcare business, but one that fulfills your deepest professional motivations.

The First Pillar: Vision With Purpose

Return to the fundamental questions that anchor your work:

  • What initially pulled you toward independent practice? It might not be just about autonomy, but about creating a specific kind of care environment. When you reconnect with that original spark, decisions become clearer.

  • How do you envision your ideal patient relationships? The way you want to serve people often contains the DNA of your practice's unique value.

  • What aspects of your work light you up? When you identify your sources of professional joy, you naturally gravitate toward excellence in those areas.

  • If you could design your perfect workday, what would it include? This question often reveals the gap between your current reality and your aspirations.

Document these reflections. They become your decision-making compass when faced with opportunities, challenges, and forks in the road.

The Second Pillar: Intentional Time Allocation

Your time carries both monetary value and opportunity cost. An honest assessment of how you use it often yields unexpected insights:

  • Track every task for a full week, while challenging, to reveal patterns you never noticed. When you assign monetary value to each half-hour block, your priorities shift remarkably.

  • You likely handle tasks that don't require your specific expertise. Identifying these opens possibilities for delegation and focus.

  • Note which activities energize versus drain you to help create sustainable schedules. When you align your work with your energy patterns, you accomplish more while experiencing less burnout.

The Third Pillar: Consistent, Aligned Action

With vision clarified and time usage analyzed, meaningful changes become possible:

Begin With Modest Steps

  • Select just one or two areas for immediate focus

  • Build confidence through early, achievable successes

  • Acknowledge your progress regularly and visibly

Develop Robust Systems

  • Create clear protocols for predictable scenarios

  • Establish communication boundaries that protect clinical time

  • Define specific parameters for when and how your team accesses you

Guide Your Team Effectively

  • Communicate your vision with clarity and enthusiasm

  • Invest regularly in their professional development

  • Allow them increasing autonomy as their capabilities grow

Daily, Weekly and Monthly Rhythms for Success

Consider incorporating specific habits at different intervals:

Each Day:

  • Reserve time blocks for strategic thinking

  • Include intentional pauses between patients

  • Establish firm boundaries around ending times

  • Take a moment to acknowledge daily achievements

Every Week:

  • Organize your schedule around your natural energy patterns

  • Protect dedicated strategy time from interruptions

  • Connect meaningfully with key team members

  • Reflect on both successes and challenges

Monthly Practice:

  • Review essential metrics with curiosity, not judgment

  • Assess progress on key initiatives

  • Recognize and celebrate team accomplishments

  • Refine systems based on real-world feedback

Moving Beyond Conventional Productivity

Meaningful success isn't about maximizing tasks per hour. It emerges from leading with purpose and intention. Consider these questions:

  • Which responsibilities genuinely require your unique expertise? Everything else becomes a candidate for delegation.

  • What tasks could you entrust to others with proper training and support? This isn't about offloading work but about creating growth opportunities.

  • Where might investing in additional team support yield significant returns? Sometimes adding resources creates exponential benefits.

  • How can you structure your days to protect your essential energy? Your wellbeing remains the foundation of sustainable practice.

If you want to expand on this work, we've created the Power Hour Workbook to guide you through implementing these principles in your practice. This step-by-step resource helps you design your ideal schedule, identify energy-draining tasks, and create systems that support both your clinical excellence and business growth.

What Happens Next?

We believe one of two things will happen with the insights you gain from doing this:

  1. You'll like what you've learned and you'll want to implement it on your own.Keep us posted on your progress!

or,

  1. You'll like what you've learned and you'll want some support with implementing. If you'd like some help with it, click here to schedule a practice assessment strategy call with Tracy: Schedule Your 45-Minute Practice Assessment Call

What aspects of practice leadership have you found most challenging? I'd love to continue this conversation.


Would you like some support? 

At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session.

About the Author

Residing in the City of Oaks, Miranda Dorta is a creative storyteller and operations guru. Miranda graduated from Savannah College of Art and Design (SCAD) in 2020 with a B.F.A in Writing and concentrations in Creative Writing and Fashion Journalism. Miranda has a skilled history working in public relations, publishing, retail management, operations, and social strategy.

At Tracy Cherpeski International, Miranda joined the company as an Administrative Assistant in 2021 and now is currently serving as the Manager of Operations and PR as of November of 2022. Miranda has developed a strong expertise in managing the operational aspects while effectively handling public relations and communication strategies.

Photo by Deniz Altindas on Unsplash

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The Hidden Cost of Wall Street in Healthcare: Why Private Equity Must Stay Out of Medical Care

By Tracy Cherpeski

In the past decade, a quiet but profound transformation has reshaped America's healthcare landscape. Private equity firms have acquired nearly 8,000 medical facilities, from local doctor's offices to major hospitals, fundamentally altering how healthcare is delivered in our communities. While these Wall Street firms promise improved efficiency and modernization, the reality often tells a different story.

Images by: Chris Li / Giorgio Trovato / Hush Naidoo Jade Photography

In the past decade, a quiet but profound transformation has reshaped America's healthcare landscape. Private equity firms have acquired nearly 8,000 medical facilities, from local doctor's offices to major hospitals, fundamentally altering how healthcare is delivered in our communities. While these Wall Street firms promise improved efficiency and modernization, the reality often tells a different story.

Consider this stark evolution: In 2000, private equity invested about $5 billion in healthcare. By 2018, that figure had exploded to $100 billion. Today, PE firms control approximately 11% of U.S. nursing homes, with their influence growing rapidly across all healthcare sectors. But what does this mean for patients and healthcare providers?

The case of U.S. Anesthesia Partners (USAP) in Colorado offers a troubling glimpse into private equity's impact. In less than a year, PE firm Welsh, Carson, Anderson & Stowe created Colorado's largest anesthesiology practice by acquiring local groups and securing contracts with two-thirds of the region's largest hospitals. The results? Price hikes of nearly 30% in the first year alone, and a mass exodus of experienced physicians – one-third of doctors left within three years, citing declining pay, grueling schedules, and loss of autonomy.

Even more concerning are the findings from nursing homes under PE ownership. A University of Pennsylvania study revealed a devastating pattern: PE-acquired facilities often cut cornerstone staff who provided basic patient care, instead increasing the use of antipsychotic medications to manage residents. The human cost was staggering – an estimated 20,000 additional deaths occurred in PE-owned nursing homes over a 12-year period.

Recent headlines highlight the instability this model can bring to essential healthcare services. In 2023, Envision Healthcare, a major PE-owned healthcare provider, filed for bankruptcy. More recently, Steward Health Care, a 33-hospital system under PE ownership, faced a crisis where vital medical equipment was repossessed, surgeons had to purchase their own instruments, and some facilities reduced patient meals to crackers.

The PE playbook in healthcare typically follows a familiar pattern: acquire medical practices, implement aggressive cost-cutting measures, maximize billing, and sell within 3-7 years for a profit. This short-term focus often conflicts with the long-term nature of healthcare delivery and patient relationships. Healthcare providers report feeling pressured to see more patients in less time, while complex billing practices drive up costs for patients and insurers alike.

Recent regulatory efforts have shown promise, with the Centers for Medicare & Medicaid Services requiring greater transparency in healthcare facility ownership and the Federal Trade Commission increasing scrutiny of healthcare mergers. The Biden administration's introduction of minimum staffing standards for nursing homes represented a step toward protecting vulnerable patients. However, with major political changes looming in 2025, the future of healthcare regulation remains uncertain. Many industry experts worry that existing oversight mechanisms could be weakened or dismantled, potentially accelerating private equity's expansion into healthcare.

These concerns are particularly acute given what health economist YashaSwini Singh has observed about PE firms being "sophisticated in finding and exploiting loopholes." Without robust and consistent regulatory frameworks, the challenge of protecting patient interests becomes even more daunting. The stakes are especially high for independent medical practices, which may face increased pressure to sell if regulatory protections erode.

For patients, the stakes couldn't be higher. When healthcare decisions are driven primarily by profit margins rather than medical necessity, quality of care inevitably suffers. The replacement of experienced staff with less costly alternatives, the pressure on physicians to increase patient loads, and the implementation of aggressive billing practices all contribute to a healthcare environment that prioritizes shareholder returns over patient outcomes.

The path forward requires a multi-faceted approach. First, we need stronger regulatory frameworks that ensure PE investments don't compromise patient care. Second, we must support and preserve independent medical practices that prioritize community health over quarterly profits. Finally, we need greater public awareness about the role of PE in healthcare, enabling patients and providers to make informed decisions about their healthcare choices.

The fundamental question we face is whether healthcare – a basic human need – should be subject to Wall Street's demand for rapid returns. As Paul Krugman noted years ago, "There are no examples of successful healthcare based on the principles of the free market." The growing presence of private equity in healthcare may be proving his point in ways we can't afford to ignore.

While private equity certainly could play a role in modernizing healthcare delivery, that role must be carefully balanced against the prime directive of medical care: putting patients first. As we continue to debate the future of healthcare in America, the impact of private equity ownership must be part of the conversation. Our health depends on it.

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Would you like some support? At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session.

About the Author

Tracy Cherpeski, MBA, MA, CPSC, is a business consultant, 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.

Images by: Chris Li / Giorgio Trovato / Hush Naidoo Jade Photography

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Blog, Coaching, Personal Growth, Private Practice Tracy Cherpeski Blog, Coaching, Personal Growth, Private Practice Tracy Cherpeski

2025: A Year of Growth and Connection at Thriving Practice

By Tracy Cherpeski

As we step into 2025, I'm filled with gratitude reflecting on our journey together. 2025 marks my 15th year since taking the leap into entrepreneurship, and what a journey it's been.

Photo by Alphacolor on Unsplash

As we step into 2025, I'm filled with gratitude reflecting on our journey together. 2025 marks my 15th year since taking the leap into entrepreneurship, and what a journey it's been.

The Journey Here

My coaching journey began in 2010, sparked by recurring suggestions from friends and colleagues that I should consider becoming a coach. As a newly single mom balancing career aspirations with raising two young children, I took a strategic approach - first hiring a professional coach myself to clarify my path forward. 

When my first client hired me, I knew I'd made the right choice. Alongside coaching and consulting, I've facilitated leadership workshops for diverse organizations, from one of the largest school districts in the country to legal and tech firms, honing the skills that now benefit our practice owner community.

While I've worked with various highly credentialed business owners throughout my career, healthcare providers have always resonated deeply with our mission. Their unique challenges – balancing clinical excellence with business leadership – aligned perfectly with my background in operations and growth strategy. In early 2022, we made the pivotal decision to focus exclusively on independent practice owners, and later that year, rebranded our podcast to create what Thriving Practice Community has become.

What's New in 2025 

Building on the momentum of our community's success, this year brings exciting changes to our podcast. January and February kick off with the "Overachievers Intensive" - twice-weekly episodes diving deep into essential topics from legal considerations to revenue cycle management. Starting March, we'll return to our weekly rhythm while adding bi-monthly "snack" episodes - unscripted conversations with our Operations Manager, Miranda Dorta, offering behind-the-scenes insights into how we help clients achieve 10-20X ROI within 18 months.

This year's content strategy responds directly to community feedback:

  • Weekly 30-minute episodes fitting busy schedules

  • The Overachievers Intensive matching your new year momentum

  • More peer stories translating theory into actionable strategies

  • Unscripted episodes surfacing valuable practical insights

As we enter our fifth year, our mission remains unchanged: guiding practices toward sustainable growth that energizes rather than depletes. Because survival isn't enough - life is meant to be celebrated.

Join Our Global Community of Practice

The Thriving Practice Community is built on years of listening and learning. Through extensive surveys with independent practice owners and continuous feedback from our podcast listeners and clients, we've identified the key challenges that keep talented providers from reaching their full potential: isolation in decision-making, lack of business operations expertise, and the struggle to balance clinical excellence with business leadership.

In response, we've created an ecosystem that addresses these specific pain points. Our community combines:

  • Expert business consulting tailored to healthcare practices

  • Interactive workshops that transform theory into action

  • Executive coaching to support your leadership journey

  • Peer connections that combat the isolation of practice ownership

  • A comprehensive resource library built from real-world success stories

We've connected with practice owners across 30+ countries, from the United States to Australia, each bringing unique perspectives while sharing common challenges. This diversity enriches our community's knowledge base, while our structured approach ensures every member receives the individual attention they need to thrive.

Founding member doors are open until February 14th, offering access to our resource library, live sessions, and collaborative platform. We're thoughtfully structuring quarterly enrollment to maintain our commitment to white-glove support for each member.

The Dream Team Making It Happen

Bringing ambitious visions to life requires an exceptional team, and I'm incredibly fortunate to work alongside these talented individuals who make everything possible:

Miranda Dorta, our Operations and PR Manager, is the driving force behind our seamless execution and white-glove service to our clients, members, and podcast guests. Her expertise in streamlining complex processes while maintaining the human touch in our relationships has been instrumental in our growth.

Ciara Fabian brings our content to life as our Research Assistant and creative tech genius. She not only conducts deep analysis of practice trends but also elevates our podcast with compelling graphics, perfectly timed audio clips, and an expert eye for highlighting the most valuable insights for our audience.

Aaron Gold, our CFO, brings the perfect balance of strategic vision and financial acumen. His expertise in healthcare finance helps our clients make confident decisions while ensuring our own ambitious growth plans remain sustainable.

Together, our dream team brings diverse expertise and shared commitment to our mission of liberating practice owners from the exhausting cycle of working in their business rather than on it. Their dedication enables our clients and members to step confidently into their CEO role, creating space for strategic growth while reclaiming their time and energy.

Your Practice's Future Starts Here

What sets thriving practices apart isn't just their revenue growth – it's their foundation of operational excellence, team stability, and strategic vision. Our community members consistently achieve:

  • Sustainable business growth without sacrificing work-life balance

  • A high-performing, loyal team that shares their vision

  • Systems that create peace of mind and predictable outcomes

  • A legacy-worthy practice that serves their community and holds real value

Here, you'll find peers who understand your challenges, celebrate your wins, and share insights that can save you years of trial and error. From solo practitioners to multi-location practices, every member contributes to and benefits from our collective wisdom.

As we enter our fifteenth year in operation and fifth year in podcasting, our mission remains clear: guiding practices toward sustainable growth that energizes rather than depletes. Because building a thriving practice isn't just about survival – it's about creating something meaningful that serves your community while supporting the life you envision.

If you’re ready to join a community of peers achieving sustainable growth, visit ThrivingPracticeCommunity.com to schedule a call before founding member enrollment closes on February 14th.

—--- 

Would you like some support? At Tracy Cherpeski International and Thriving Practice Community, we're committed to supporting independent healthcare practice owners in achieving extraordinary success without sacrificing well-being. Whether through educational resources like this blog, community support, or personalized guidance, we're here to help you on your journey to a more balanced, fulfilling career in healthcare practice ownership. Let’s talk! Click here to schedule your complimentary practice assessment strategy session.

About the Author

Tracy Cherpeski, MBA, MA, CPSC, is a business consultant, 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.

Photo by Alphacolor on Unsplash

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