The Financial Beast Podcast for Practice Owners

What happens when your healthcare practice keeps growing, but your profits disappear?

Orit Hickman built Pain Science Physical Therapy into a million-dollar practice. One year, the business generated more than $1 million in revenue with roughly 12% profitability. The following year, revenue increased—but profit dropped to just 2%.

Something had to change.

In this episode of the Financial Beast Podcast, Orit explains how decli...

Most veterinary practice owners are excellent clinicians—but marketing is often an afterthought.

That was easier to get away with when practices were overflowing with new patients. Today, competition is increasing, corporate veterinary groups are expanding, and pet owners are researching practices across Google, social media, reviews, websites, and even AI tools before they ever make an appointment.

In this episode of the Fin...

What really happens when a physical therapy practice grows faster than expected?

Billy Beaudreau DPT started Comprehensive Physical Therapy in 2020 without a single patient. Today, his company operates two Louisiana locations, owns its primary facility, and handles roughly 400–450 patient visits per week.

But rapid growth created challenges Billy didn't anticipate.

In this episode of the Financial Beast Podcast, Billy joins E...

What makes a successful healthcare practice owner walk away from everything they built?

In this episode of the Financial Beast Podcast, Dr. Erin Holder shares the incredible story of building a seven-doctor veterinary practice from scratch, surviving the 2008 financial crisis, navigating COVID, and ultimately making the life-changing decision to sell her practice.

You'll learn:

• Why most practice sales have nothing to do with mone...

Growing your healthcare practice shouldn't mean living with constant financial stress.

In this episode of the Financial Beast Podcast, Eric Miller asks Dr. Cassandra Cruzen how she transformed a one-doctor veterinary practice into a thriving five-doctor business while creating systems that eliminated the financial anxiety many practice owners experience.

Discover how separating money into dedicated financial buckets helped her prep...

Most healthcare practice owners spend decades building wealth—but very few prepare their children to manage it. In this episode of the Financial Beast Podcast, Eric Miller sits down with Nathan Shields—father of seven, former physical therapy practice owner, and founder of the Private Practice Owners Club—to tackle two critical topics for healthcare entrepreneurs.

📌 PART 1: Teaching Kids About Money Nathan shares...

Most healthcare practice owners dream of growing — but very few talk honestly about what growth actually feels like. The 80-hour weeks. The burnout. The fear that scaling will break you before it pays off.

In this episode of the Financial Beast Podcast, Eric Miller sits down with Dr. Ashley Tuma, who did what most vets only talk about: she built a thriving 12-doctor veterinary practice — without sacrificing her sanity i...

Has your physical therapy practice hit a plateau?

Many practice owners get stuck around the $1M–$2M mark—not because they aren't great clinicians, but because their marketing hasn't evolved with their business.

In this episode of the Financial Beast Podcast, Eric Miller sits down with Neil Trickett, founder of one of the largest marketing firms serving physical therapy practices, to reveal the marketing systems that sep...

Healthcare practice owners often focus on growing revenue, adding locations, hiring staff, and serving patients—but many completely overlook one of the biggest expenses they'll ever face: taxes.

The truth is that most tax-saving opportunities don't happen when you file your tax return. They happen months or even years beforehand through proactive planning.

In this episode of the Financial Beast Podcast, Eric Miller breaks dow...

What happens to your healthcare practice if you suddenly can't work? Most practice owners never ask this question — until it's too late.

In this episode, Eric Miller and Eric Gesrch break down the asset protection strategies every practice owner needs before disaster strikes:

• The real story of a $7.2M practice valuation that was pulled overnight — and how key person insurance would have prevented it • Short-term vs. l...

Should you convert your IRA to a Roth IRA?

Many healthcare practice owners are told that Roth conversions are always a smart move. But the reality is much more complicated.

In this episode of the Financial Beast Podcast, Eric Miller and Eric Gersch break down when Roth conversions make sense, when they can create massive tax bills, and how healthcare practice owners should think about retirement income, tax planning, and wealth pre...

Most healthcare practice owners dream of building a business that gives them freedom.

Very few actually do it.

In this episode of the Financial Beast Podcast, Eric Miller interviews Dr. Brian Evans on how he built a successful 6-doctor veterinary practice, navigated a failed sale, eventually exited for millions, and moved his family to Spain.

But this conversation isn't just about selling a practice.

It's about creating a business ...

What does the dream veterinary practice actually look like?

For most healthcare practice owners, it’s a business that grows without completely depending on you… a practice where you can step away for weeks at a time without everything falling apart.

In this episode of the Financial Beast Podcast, Dr. Amanda Della Penna of Family Care Vet Center, joins host, Eric Miller, to share exactly how she built a 5-doctor veterin...

Most healthcare practice owners work incredibly hard… but still don’t feel financially secure.

Why?

Because they run their practice like a business — but NOT their household.

In this solo episode of the Financial Beast Podcast, Eric Miller breaks down the exact financial metrics healthcare practice owners should be tracking if they want true financial independence.

This episode covers: ✅ Why most practice owners ...

Most healthcare practice owners think financial independence is just hitting a certain net worth.

It’s not.

In this episode of the Financial Beast Podcast, Eric Miller and Mendy Hines break down the 5 real levels of financial independence for practice owners: • Survival • Stability • Flexibility • Independence • Legacy

You’ll learn: ✅ Why most practice owners are still in “survival mode” ✅ The difference bet...

Most healthcare practice owners think they have financial advice.

But in reality?

They have someone managing a 401(k).

In this episode, Eric Miller and Eric Gersch break down the biggest problems with the traditional financial advisory model — especially for healthcare entrepreneurs, medical practice owners, veterinarians, dentists, optometrists, and physical therapists.

We cover: • Why most advisors only focus on investments...

Most healthcare practice owners think they’re making great money.

But the truth?

That number is lying to you.

In this episode, Eric Miller and Erich Gersch, break down the real math behind practice owner income—and why a $300K income doesn’t come close to what a W-2 employee actually takes home.

Using real-world examples, we uncover: • The hidden costs eating your “profit” • Why your household feels ti...

Most healthcare practice owners believe they’re overwhelmed, exhausted, and “burned out”… but that’s not the real issue.

In this episode, Eric Miller and Eric Gersch break down the truth: 👉 Burnout is usually a symptom of misalignment between your practice and your household.

If your business isn’t serving your life, it will eventually drain it.

In this episode, you’ll learn: • Why burnou...

Most financial advisors aren’t telling you the full story.

And if you’re a practice owner… that gap could cost you hundreds of thousands of dollars.

In this episode of the Financial Beast Podcast, Eric Miller and Eric Gersch, break down what traditional financial advisors don’t tell business owners—and why most of them only manage a small fraction of your financial life.

If your advisor isn’t he...