The Financial Beast Podcast for Practice Owners

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 s...

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 mar...

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 Po...

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 prevente...

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 i...

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 practi...

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 bu...

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...

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 d...

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 advis...

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 fee...

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 burnout is oft...

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 help...

Most business partnerships don’t fail all at once… They slowly break down—until one day, it’s over. In this episode of the Financial Beast Podcast, Eric Miller and Mendy Heinz break down the 7 critical mistakes that quietly destroy partnerships—and how to avoid them before it’s too late. If you’re a healthcare practice owner (or thinking about bringing on a partner), this could be the difference b...

Everyone talks about the wins… Nobody talks about the disasters. In this episode of the Financial Beast Podcast, Eric Miller and Eric Gersch break down real practice sale stories that went wrong—and the costly mistakes healthcare owners make when exiting their business. These aren’t hypotheticals. These are real situations that cost owners millions of dollars, years of stress, and their freedom. I...

You sell your practice for $5 million… But how much do you actually keep after taxes? In this episode of the Financial Beast Podcast, Eric Miller walks through a real $5M healthcare practice sale and breaks down exactly where the money goes — from taxes and fees to equity rollovers and earnouts. This is what most practice owners never see coming. In this episode: • What a $5M practice sale actuall...

Payroll is usually the biggest expense in any healthcare practice. But most owners are not actually losing money because they pay people too much. They are losing money because they do not have the right structure, the right metrics, or the right leadership systems in place to make payroll productive. In this episode of the Financial Beast Podcast, Eric Miller sits down with Will Humphreys of Virt...

Exit planning is exciting. You finally see what life could look like after selling your practice — financial freedom, flexibility, peace of mind. But here’s what most healthcare owners don’t realize: Life is not lived on a spreadsheet. Markets drop. Health changes. Spending spikes. Family dynamics shift. And the first 2–3 years after selling can make or break your long-term financial security. In...

Most medical practice owners don’t lose money on rent because they “got a bad deal” — they lose money because they miss the strategy that creates leverage. In this episode, Eric Miller sits down with Colin Carr, CEO of CARR, to break down the lease strategy that protects your practice from getting overcharged at renewal — and how the best operators negotiate terms that can be worth hundreds of tho...

Most healthcare practice owners think their biggest problem is low reimbursements, staffing shortages, or “the economy.” It’s not. You have a hidden profit leak — and it’s likely happening inside your systems, staffing model, and mindset. In this episode of the Financial Beast Podcast, Eric Miller sits down with Brandon Siegel of Wellness Works Management to break down: • Why cash flow crunches ar...

There’s no shortage of opinions about corporations buying veterinary practices — and most of them assume the worst. But what happens when a practice owner actually partners with corporate… and doesn’t regret it? In this episode of the Financial Beast Podcast, Eric Miller sits down with Dr. Brad Petersen, Petersen Pet Hospital, to break down the real-world truth behind a corporate partnership: what...

Most veterinary practice owners think they know what their clinic is worth… and they’re usually wrong. In this episode of the Financial Beast Podcast, Eric Miller sits down with Roger Redmond, DVM from the Ackerman Group, to break down what really drives veterinary practice value—what buyers pay up for, what gets discounted, and the silent red flags that can cost you a better outcome. You’ll learn...

Most practice owners call themselves the “CEO" but very few can explain what that role actually requires. In this episode of The Financial Beast Podcast, Eric Miller sits down with Michael Nula, founder of a multi-location physical therapy practice (15 locations) who successfully sold and now trains owners nationwide on how to lead like a true CEO. If you want more freedom, less chaos, and a pract...

Most practice owners think they have only two choices: work forever… or sell and hope it’s enough. In this episode of the Financial Beast Podcast, hosted by Eric Miller, veterinarian Dr. Tammy Stevenson shares how she intentionally built a practice she’s proud of — and used it to build real wealth outside the practice over the last 10 years. We talk about what’s really happening in veterinary medi...

So we did something different to close out the year… We Googled the most asked financial questions of 2025—and we answered them honestly. From budgeting and debt to inflation, mortgage rates, and crypto, this episode breaks down what matters, what’s noise, and what practice owners should actually focus on. If you’re a healthcare practice owner (vet, PT, optometry, dental, med spa, chiro, etc.), he...