Profits in Practice

In this episode of Profits in Practice, host Sarah Webb sits down with Dr. Jim Tracy once more to explore the growing barriers patients and physicians face in accessing care. From insurance denials and medication approvals to the administrative burden placed on medical practices, Dr. Tracy shares how payer systems can impact both patient outcomes and provider sustainability. The conversation also dives into physician advocacy, highlighting how medical associations, patient groups, and legislative engagement can influence healthcare policy and improve access to treatment. Dr. Tracy offers an inside look at his work on Capitol Hill, the role of grassroots advocacy, and why physician voices matter in shaping healthcare decisions. Finally, Sarah and Dr. Tracy discuss the importance of building sustainable medical practices, reframing profitability as a necessary part of delivering long-term, high-quality patient care. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this episode of Profits in Practice, host Sarah Webb sits down with Michelle Peters, Practice Shared Services Manager for Consortium of Independent Immunology Clinics (CIIC), to explore what it really takes to keep a medical practice running smoothly. Michelle shares her journey from clinical roles into practice management and explains how strong workflows, team collaboration, and operational efficiency directly impact patient care. The conversation covers the balancing act between efficiency and patient experience, the growing role of AI and EMR integrations, and why compliance should be built into everyday processes, not treated as an afterthought. Michelle also offers practical advice for aspiring practice managers, including the importance of communication, defined roles, and understanding both the clinical and operational sides of healthcare. This episode is packed with real-world insights for physicians, administrators, and healthcare leaders looking to build stronger, more sustainable practices. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this episode of Profits in Practice, host Sarah Webb sits down with allergist Dr. Gregory Puglisi to discuss the inspiration behind AllergyAIDE, a digital platform designed to simplify emergency allergy action plans. Drawing from his experience as a physician, school doctor, camp physician, and parent of a child with food allergies, Dr. Puglisi explains the real-world gaps that still exist in anaphylaxis care and why timely access to epinephrine remains such a challenge. They talk through how outdated paper systems create confusion for parents, schools, coaches, and caregivers, and how AllergyAIDE aims to bring allergy management into a more accessible digital format. Dr. Puglisi also shares the process of building the app, gathering feedback through pilot programs, navigating healthcare compliance, and working with developers to bring the idea to life. If you're interested in healthcare innovation, patient safety, or physician entrepreneurship, this episode offers an inside look at solving a critical problem through technology. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this episode of Profits in Practice, host Sarah Webb sits down with Dr. Marc Cromie of Chattanooga Allergy Clinic to talk about the marketing strategies that helped grow his practice from a single office into a multi-location regional brand. Dr. Cromie shares how early TV appearances, physician outreach, and community involvement built trust and name recognition long before digital marketing became the norm. The conversation explores how the practice now combines social media, online advertising, AI-powered patient scheduling, and direct-to-physician marketing to continue driving growth. Dr. Cromie also explains why patient experience remains the foundation of every successful marketing effort, from front desk interactions to long-term relationships with families across generations. If you're a physician looking to grow your practice, strengthen referrals, or improve brand awareness in your market, this episode offers practical insights from someone who's built it successfully over decades. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this episode ​​of Profits in Practice, host Sarah Webb sits down with Dr. Jim Tracy to explore leadership, global medicine, and the business side of healthcare. They unpack the evolution of the consortium, from a small purchasing group to a network focused on collaboration and sustainability.   Dr. Tracy shares his experience leading major medical organizations and speaking around the world, offering insight into how care differs across regions, especially in underserved areas like parts of Africa.   The conversation also highlights a core theme: patient care starts with empathy and meeting people where they are. They discuss why physicians need to engage in leadership and surround themselves with strong advisors to avoid costly business mistakes. It's a practical look at balancing purpose, leadership, and financial stability in modern medicine. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this episode of Profits in Practice, host Sarah Webb sits down with Pam Hamby once again to explore the business and operational side of in-office dispensing. They break down what it means for a medical practice to dispense medications directly to patients and why more specialty clinics are considering this model. Pam shares how pharmacy claims differ from medical claims, why reimbursement is often faster and more predictable, and how that impacts cash flow. They also discuss state regulations, software requirements, staffing considerations, and how to introduce the service to patients and your team. If your practice currently refers out specialty medications, this conversation will help you think through what it would take to bring that revenue and patient experience back in-house. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this episode of Profits in Practice, host Sarah Webb welcomes guest Prateek Bhatia to unpack Intrafusion by McKesson—an infusion management services organization designed to help community practices stay independent. With more than 25 years of experience and support for 200+ providers nationwide, Intrafusion works across specialties like neurology, rheumatology, infectious disease, and allergy. Prateek explains how the team takes on the backend lift, benefit verification, prior authorizations, billing, collections, and just-in-time inventory, so clinics can stay focused on patient care. By the end of this episode, you'll understand what it really takes to launch or stabilize infusion services, how to protect cash flow and compliance, and how to improve patient access by keeping infusions in the clinic. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this episode of Profits in Practice, host Sarah Webb talks with Dr. Charles Van Duyne about a career built at the intersection of medicine, business, and technology. Dr. Van Duyne shares how an early fascination with computers eventually gave way to a calling in healthcare. He trained as an OB/GYN, served in the Air Force to cover medical school, and spent 20 years in private practice, enjoying the independence and income potential while navigating the operational weight and burnout risk. As electronic medical records and digital tools reshaped healthcare, he went back to graduate school in his 60s to earn a master's in health informatics and moved into a Chief Medical Information Officer role, serving as a bridge between clinicians, IT teams, and business leaders. You'll hear practical lessons on private practice realities, smart ways to reduce admin friction, and how to keep patient care as the clear "North Star" in a messy system. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this episode of Profits in Practice, host Sarah Webb sits down with Pam Hamby to talk about what it really takes to open multiple clinic locations in a short window. Pam shares how her allergy and immunology practice launched seven locations while recruiting physicians and nurse practitioners along the way. They dig into site selection, from referral patterns and retail growth to parking and proximity to schools. Pam walks through credentialing, payer contracts, and how working with a physician hospital organization simplified adding new locations. Staffing gets real attention too, hiring ahead of demand, training for culture, and building flexible teams across pods of clinics. They also cover the tech tools they standardized, the metrics they monitor (such as shot volume and new patient wait times), and how they market before a new site opens. By the end, you'll have a clear checklist for choosing locations, ramping staffing without chaos, and tracking the numbers that tell you when to hire, expand hours, or lean into marketing. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this seventh episode of Profits in Practice, host Sarah Webb sits down with Jobin Kuruvilla, a private banking expert with nearly 20 years of experience advising high-earning professionals and medical entrepreneurs.   Together, they break down the financial realities and strategic decisions facing independent physicians today—from acquiring a practice or adding new technology to structuring real estate and navigating private equity interest.   Jobin shares why strong partnerships with a banker, CPA, and attorney are essential, the pros and cons of PE roll-ups, and key financial metrics physicians should track (like EBITDA margin and debt service coverage). Sarah and Jobin also explore financing options available to medical practices, from SBA loans to healthcare-focused credit lines, and discuss how autonomy, long-term goals, and succession planning play a role in practice growth and exit strategy. This episode is a must-listen for physicians building wealth and preserving independence.   Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this sixth episode of Profits in Practice, host Sarah Webb sits down with Todd McGee, a seasoned healthcare leader who transitioned from the Six Sigma efficiency world of industrial giants like Honeywell into the complex, opportunity-rich environment of private medical practice.    Since 2014, Todd has served in roles ranging from interim CFO of a Navajo-owned critical access hospital to practice administrator for major allergy groups, ultimately launching his own company to help independent specialty practices thrive.   Todd breaks down revenue cycle management—from patient intake to claim payment—and explains why front-end accuracy, denial management, and contracting strategy are make-or-break for private practices. He also shares how often practices should renegotiate payer contracts, why many underestimate their ability to improve reimbursement, and the key metrics every physician owner should monitor. This episode is a must-listen for private practice leaders focused on efficiency, profitability, and staying independent. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this fifth episode of Profits in Practice, host Sarah Webb welcomes Carl White, founder of MarketVisory Group, to discuss what it really takes for private practices to stand out and stay independent.   With years of experience helping healthcare providers grow, Carl shares why defining what makes your practice different and valuable is the crucial first step before diving into websites, social media, or paid campaigns.   Together, Sarah and Carl explore how healthcare marketing has evolved, the power of a consistent online presence, and why authenticity and reputation still matter most. From practical tips on building a strong digital foundation to advice on tracking ROI and knowing when to outsource marketing, this episode is a must-listen for private practice owners looking to grow strategically—without losing sight of their mission to put patients first. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this fourth episode of Profits in Practice, host Sarah Webb sits down with Chris O'Shell, CPA and partner at Seamless, to unpack one of the most confusing areas for business owners: legal entity structures and tax strategy.   They dive into what "pass-through" really means, how LLCs differ from S corps and partnerships, and why knowing your tax status matters just as much as your legal setup.   Chris shares insights on how business owners—especially in professional services like medicine—can pay themselves correctly, avoid costly compliance mistakes, and use entity selection strategically for long-term planning.   The conversation also covers retirement planning options, estimated tax payments, and what the latest "Big Beautiful Bill" means for deductions and depreciation. Whether you're launching a new business or refining your structure, this episode is packed with practical, plain-language tax strategy advice. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this third episode of Profits in Practice, host Sarah Webb welcomes Dr. Dareen Siri, an allergist and immunologist practicing in central Illinois, to explore the world of clinical research in private practice.   Dr. Siri shares how her personal health journey led her into allergy and immunology, her passion for preventative and curative care, and why research is both intellectually rewarding and transformative for patients.   With over 20 years of experience, she offers practical advice for physicians interested in getting started—from hiring the right staff to balancing budgets and patient recruitment. She also highlights the profound impact clinical trials can have, including life-changing results for patients with chronic conditions. Whether you're just curious or ready to dive in, this episode is packed with practical tips and inspiring stories to help physicians confidently bring research into their own practice. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this second episode of Profits in Practice, host Sarah Webb sits down with Jan Robidou, Accounting Manager at Webb CFO, to explore fraud in private medical practices.   Jan shares insights from her experience as a senior internal auditor for a Fortune 100 company and explains the "three-legged stool" of fraud: pressure, opportunity, and rationalization. They discuss common areas of fraud in healthcare, including phantom billing, identity swapping, and prescription diversion. Jan also highlights practical internal controls that practices can implement to safeguard their finances.   From bank reconciliations and vendor audits to leveraging technology, Jan provides actionable tips to detect and prevent fraud. Whether you're a physician or practice manager, this episode offers essential strategies to protect your practice and ensure financial wellness. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

In this debut episode of Profits in Practice, host Sarah Webb welcomes guest Lyn Lewars to explore how physicians can strengthen financial health through smarter group collaboration and contract negotiations.   Lyn shares how their work with the CIIC—now representing over 350 physicians—helps practices secure better pricing on drugs, services, and supplies while navigating the challenges of buy-and-bill models. They discuss how growing scale creates leverage, why contract details matter, and the importance of managing cash flow, rebates, and billing processes effectively.   The conversation also highlights opportunities for independent practices to thrive, from negotiating insurance and supply costs to exploring new revenue streams. If you're a physician or leader aiming to stay profitable and independent, this episode offers practical strategies and lessons learned. Let's Connect Thanks for tuning in to this episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.

From Childhood Checkbooks to Physician Finances Welcome to the first episode of Profits in Practice, the podcast where medicine meets money. I'm your host, Sarah Webb, Managing Director of Webb CFO and financial strategist for physicians. This show is all about breaking down the numbers, decoding the tax code, and helping doctors build lasting wealth, one episode at a time. In This Episode In this pilot episode, I share the story of how my lifelong passion for numbers and money management led me to build a career helping physicians strengthen their financial health. You'll hear about: How my childhood fascination with money began with Valentine's checkbooks and early stock market "investments" in Disney. My family's financial conversations at the dinner table were different from most, which shaped my future. My path from studying accounting to working at PricewaterhouseCoopers and Alcon Pharmaceuticals. The moment I realized there was untapped opportunity to help physicians' practices become more efficient and profitable. Why private practices deserve the same strategic financial guidance as big corporations. Key Takeaway Your financial wellness is just as important as your patients' health. With the right strategies, private medical practices can thrive, and physicians can build lasting wealth without sacrificing their calling to care for others. Let's Connect Thanks for tuning in to the pilot episode of Profits in Practice! If you found today's conversation helpful: Subscribe to the podcast so you never miss an episode. Leave a review to help us reach more physicians. Share this episode with a colleague who could benefit. Physicians and practice managers learn more here: webbcfoforphysicians.com. Business owners who want clear numbers, predictable cash flow, and better decisions, learn more here: webbcfo.com.