PODCAST · business
The Practice Profit System
by Matthew Gillogly
Do you own a medical practice or looking to start your own practice? Want to give your venture the best opportunity to succeed? Listen to the Practice Profit System podcast. Your host Matthew Gillogly, started his first practice in 2014 and within 18 months had 3 locations doing well over 6.5 million a year. Today he works with medical practice owners to start or scale an existing practice to over $200,000 per month.
Episodes
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The Psychiatrist Who Took the DOJ to Trial
Four weeks before his trial, Dr. Muhamad Aly Rifai got permission from his pretrial officer to drive two hours to the federal prison in Otisville, New York, and look at it from the outside. He wanted to know he could live with the outcome if the jury convicted him. Dr. Rifai is a psychiatrist and...
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When Her Employer Went Bankrupt, This OB/GYN Built Her Own Practice
How many times does the company that employs you have to change hands before you stop calling it security? For Liz Lyster, it was three sales and a bankruptcy. She started at Cigna in 1994, when it still ran its own hospital locations in Los Angeles, and watched the model eat itself: the office…
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He Was Doing Everything Right, But His Patients Weren't Getting Better
Frank Shallenberger loved emergency medicine. It was fast, it was clear, and you could save a life. Then the ER started filling up with people who'd had a rash for six months, so he crossed the street, hung up a shingle, and opened a family practice. Six months in, he went to the hospital...
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The Insurance Companies Did Not Have A Bad Year
The health insurance industry spent 2025 telling everyone it had just lived through its worst year in over a decade. Read the filings and what you find are write-downs. Nobody wrote a check. On Out of the System I walk through what the first half of 2026 actually looks like from the payer side,...
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The Surgeon Who Left So He Could Stop Operating
Mark Ayzenberg finished his fellowship in 2019 believing the era of owning your own practice was over. He is proof it is not, and in his telling, none looked like turning points at the time. He joined a group that sold to private equity, ending the promised partnership and leaving him a perpetual...
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Venture Capital In Medicine: The Bad, The Bad, And The Ugly
There are three things I believe wrecked healthcare in this country, and I have gone after two of them before: an Affordable Care Act that handed insurers the room to consolidate, and agencies that stopped acting like regulators. The third one is the one I take on here. Venture capital and…
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Everything Is Fine Until It Is Not Fine
I have been telling doctors for years that their payment processing is fine right up until the day it is not, and I finally brought on the person I built Mavrix Payments with to explain why. Chris Flores has run USA Payments for a decade, working almost entirely in healthcare, telehealth, and...
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Four Patients A Day Beats One Every Ten Minutes
Lindsay Simone and I are both Charlotte people, so this one started as a hometown conversation and turned into something I think every clinician sitting in an employed job needs to hear. She was a decade into a big hospital system when she started asking questions and got told to go see the next...
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Why The Best Doctor In Town Is Rarely The Busiest
Kevin Nations and I have known each other for twenty years, and he is still the person I call when I want to think clearly about an offer. We start with the collision between efficiency and connection, because every practice owner right now is being told to automate more while their patients...
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The $1,700 Treatment Plan That Costs You the Patient
In this episode of Out of the System, I sit down with Dr. Ryan Meyers, owner of Movement Clinic in Lehi, Utah, and one of the people quietly training the next wave of doctors on hyperbarics, ozone, and regenerative work. Ryan went back to chiropractic school at thirty with a wife and two kids at...
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The Price Is Never the Issue: The Psychology of the High-Ticket Sale
In this episode of Out of the System, I sit down with Kat Parker Merritt, our Chief Revenue Officer, to unpack what actually happens inside a high-ticket sale. Kat has led commission sales teams of hundreds and spent decades in transformation coaching, and she is blunt about the thing most…
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Stop Marketing Your Practice Like a Hospital
In this episode, I sit down with Sammy Cosa, the marketer who helped rebuild the business behind the practice that first hired me as a coach four years ago. Sammy's whole philosophy starts with a simple idea: people remember stories over facts. When he took over marketing at a functional medicine...
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Your Clinic Doesn't Need More Leads. It Needs to Stop Losing Them.
In this episode, I sit down with Rebekah Duron, a serial entrepreneur who has built and rebuilt companies across construction, brick-and-mortar, and marketing, to unpack the part of practice growth most doctors ignore: what happens after the lead comes in. Rebekah's take is blunt. Cash flow is…
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AI Isn't the Threat to Your Practice. The System Is.
In this episode, I talk about AI and the medical industry, straight from the floor of the IOF conference in Denver, where it was the topic on everyone's mind. I open with the scene from Primary Colors where John Travolta's character tells a room of factory workers the truth nobody wants to hear:...
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The Great Gaslight in Medicine
The deepest trap in medicine may not be paperwork, insurance, or burnout, it may be the belief that doctors are wrong for wanting to be paid well. In this episode of the Out of the System Podcast, Matthew Gillogly exposes what he calls “The Great Gaslight,” the long-running conditioning that…
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The Truth About Championship Culture
The strongest teams are often built by people who are willing to do the unglamorous work. In this Out of the System episode, Steve Govett reflects on his years in lacrosse, from being one of the “grinders” on championship teams to leading organizations from the front office. He shares why great...
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From Debt and Doubt to Practice Freedom
Doctors often don’t realize how trapped they are until the system starts breaking them. In this episode of the Out of the System Podcast, Dr. Aimee Duffy shares her journey from family medicine, OB, and hospital-based care into functional medicine and hormone optimization. She opens up about the...
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She Didn’t Quit Medicine… Just the Way It’s Practiced
Most doctors don’t leave the system because they can’t… they don’t leave because they’re afraid to. In this episode of the Out of the System Podcast, Dr. Tammy Penhollow shares her journey from working inside high-volume, insurance-driven medicine to building her own regenerative practice rooted…
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What Medicine Never Taught You About Money
The biggest problem in many medical practices may have nothing to do with marketing at all. In this episode of the Out of the System Podcast, Matthew Gillogly argues that many doctors are trapped inside a structure that rewards exhaustion, dependence, and compliance while leaving them overworked,...
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White Coat, Red Flags: Why So Many Doctors Feel Trapped
The biggest lie in medicine may be the one doctors were trained never to question. In this solo episode of the Out of the System Podcast, Matthew Gillogly reads from his book Out of the System and argues that many providers have been conditioned by medical training, debt, fear, and overwork to...
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He Turned Loss Into a Mission to End Blindness
Most healthcare providers know the system is broken, but very few are willing to challenge it. In this episode of the Out of the System Podcast, Dr. Paul Dougherty shares his unconventional journey from struggling chiropractor to working inside hospital systems and regenerative medicine networks....
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Why Men Think Power = Safety (And Why It Backfires)
Most people spend their lives operating inside systems they never chose… and don’t even realize they’re trapped in. In this episode of the Out of the System Podcast, Brandon Boyd shares his deeply personal journey following a divorce at age 50 that forced him to confront a powerful question: 'Who...
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Why He Took the ‘Failures’ No One Else Wanted
Most healthcare providers know the system is broken, but very few are willing to challenge it. In this episode of the Out of the System Podcast, Dr. Mark Testa shares his unconventional journey from struggling chiropractor to working inside hospital systems and regenerative medicine networks. He...
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The Healthcare Revolution: 100,000 Doctors Breaking Free
The healthcare system is becoming more expensive while delivering poorer results. In this episode of the Out of the System Podcast, Matthew Gillogly outlines why insurance-driven medicine is fundamentally broken and how freeing doctors from the system could transform healthcare outcomes. He...
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Rewire the 'Past Loop' Running Your Life
Most people don’t fail because they lack discipline. They fail because their nervous system reads change as a threat. In this Out of the System Podcast episode, Matthew Gillogly explains why we repeat patterns and why 'trying harder' can backfire when stress chemistry takes over. He breaks down…
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From Compliance to Autonomy: A Doctor’s Path Out of the System
Most doctors do not lose confidence because they lack skill. They lose it because the system slowly replaces judgment with protocol. In this episode of the Out of the System Podcast, Colin Rigney shares his journey from growing up as the son of a small-town physician to becoming a Doctor of...
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The Day I Stopped Being a Volume Doctor: Why Volume Was the Trap
Insurance didn’t almost break him. Believing he needed it did. In this episode of the Out of the System Podcast, Dr. Ashu Goyle shares how he went from performing 40 to 50 procedures a day inside a private equity pain practice to opening his own clinic, falling into deep debt, and nearly losing...
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How Books Make Clients Chase You
Most people think writing a book is about selling copies, but the real power is what the book unlocks. In this episode of the Out of the System Podcast, Rob Kosberg shares how a single book transformed his business after financial collapse, turning authority into media access, trust, and...
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How Doctors Build Influence Without Becoming Influencers
Most doctors think podcasts are about downloads, but that’s not where the real power is. In this Out of the System Podcast episode, Bret Gregory shares how long-form media builds trust, attracts ideal patients, and helps doctors reclaim control of their message, income, and impact. Podcasting…
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A Growing Problem: Why Hair Won’t Grow Back
Hair loss isn’t just genetic, and hair transplants don’t solve the real problem. In this episode of the Out of the System Podcast, Dr. Leola Anifowoshe explains why modern hair loss is accelerating, how inflammation and hormonal signaling shut follicles down, and what it takes to regenerate hair…
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The Doctor Who Realized Success Was the Trap
He built a wildly successful medical practice… and realized it wasn’t the life he wanted. In this episode of the Out of the System Podcast, Dr. Tracy Gapin shares how identity, trauma, and business design shaped his journey from hands-on physician to visionary leader building scalable systems…
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When Being a 'Successful Doctor' Nearly Killed Him
He did everything medicine told him to do… and it nearly cost him his life. In this episode of the Out of the System Podcast, Dr. Joshua Schacter joins us to share how burnout, loss of autonomy, and a broken insurance model pushed him to rebuild medicine around time, integrity, mindset, and truly...
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How Coaching Taught Him Life’s Biggest Lessons
From the court to the green, one coach shares the lessons that go far beyond the game. In this episode of the Out of the System Podcast, Bob Regnerus shares his journey from coaching basketball to golf, exploring personal growth, purpose, and the importance of connection. He discusses overcoming...
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The Moment Burnout Broke the System for This Orthopedic Surgeon
He had done everything ‘right’—until burnout forced him to question the entire system. In this episode of the Out of the System Podcast, Dr. Rowan Paul shares why he left insurance-based orthopedics, how time with patients transformed outcomes, and what regenerative medicine, data, and human...
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He Met His Mom’s Killer… to Save His Life
He sat inches from the man who murdered his mother—and stayed calm enough to listen. In this episode of Out of the System, Dean Smith shares how forgiveness, grief, and daily inner work transformed revenge fantasies into freedom, and why making forgiveness a priority reshaped his life, his…
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How Sports Shaped a Surgeon’s Philosophy
Some doctors talk about integrity. Dr. Don Buford lives it. In this episode of the Out of the System Podcast, Dr. Buford, founder of Texas Orthobiologics, joins us to open up about the early influences that shaped his relentless commitment to truth, continuous improvement, and bringing clarity to...
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How One Sale Changed Everything
Most doctors are one great front desk hire away from a completely different practice. In this episode of the Out of the System Podcast, Tom Jackobs shares how nearly going broke in his fitness business forced him to master scripts, sales, and appointment setting, and how those same skills now…
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How Losing Everything Became His Greatest Comeback
A multi-location gym business, a million-dollar bottom line, and then a complete collapse when the pandemic hit. Hear how entrepreneur Trevor Buccieri faced shame, debt, and addiction, and what it really takes to rebuild your life and identity after losing everything. ---- What would you do if...
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Breaking the Rules of Orthopedics: Dr. Marc Pietropaoli’s Blueprint for True Recovery
Discover how Dr. Marc Pietropaoli left traditional medicine to create a patient-first model that restores trust, freedom, and innovation in healthcare. ---- In this episode of Out of the System, host Matthew Gillogly sits down with Dr. Marc P. Pietropaoli, founder of Victory Sports Medicine &...
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From Burnout to Breakthrough: How Mark Mollenkopf Helps Doctors Win Back Freedom
Discover how Mark Mollenkopf built a 25-year success story helping doctors escape burnout, embrace innovation, and thrive beyond the healthcare system. ---- In this episode of Out of the System, host Matthew Gillogly sits down with Mark Mollenkopf, President and COO of Cutting Edge Laser...
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Mike Zeller on Psychedelic Drug Therapy for Trauma
Why isn’t traditional PTSD treatment working for so many people? "How does MDMA help PTSD" might be the question that changes everything. PTSD affects millions, from military veterans to survivors of childhood trauma, yet many struggle to find lasting relief. Why do traditional treatments often...
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Why Doctors Are Burnt Out And Patients Are Frustrated
Why is the healthcare system in America failing physicians and patients? What is preventing true patient empowerment? How can we shift the balance of power back to doctors and those they serve? These are the critical questions at the heart of today’s discussion on healthcare in America. In this...
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What's Currently Happening In Healthcare In America? A Closer Look
Why is healthcare in America struggling to provide quality care? What are the root causes behind the rising healthcare costs? How can the ongoing healthcare crisis be addressed to ensure better outcomes for all? In this blog, I explore the truth about America's healthcare crisis, uncovering the...
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Patients’ Healthcare Complaints And Medical Practice Growth
What does the shocking assassination of the UnitedHealthcare CEO reveal about the state of healthcare today? How are patients and doctors reacting to the growing challenges within the system? Could this moment be the catalyst for exploring alternatives like cash-only clinics or starting a…
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From Insurance To Cash: A Podiatrist’s Guide To Better Patient Care
Have you ever wondered why some doctors are stepping away from insurance? Why are more physicians becoming cash-only practitioners? And how does a podiatrist manage to leave insurance "cold turkey"? These questions are at the heart of Dr. Stephen Barrett's compelling story, as he shares his…
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3 Key Takeaways From Election For Your Practice
What can today’s election marketing strategies teach us about growing a business? Are there insights from high-stakes campaign tactics that we can apply to boost our practice? And what are three crucial election marketing lessons that can elevate your business strategy right now? In this episode…
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Why Poor Nutrition Could Hurt Your Results | Dr. Jazayeri’s Insights
What role does nutrition play in patient outcomes, and why does it matter according to Dr. Reza Jazayeri? How can proper nutrition make a difference in surgical recovery, and what does science reveal about the links between nutrition and surgery? This podcast dives into Dr. Jazayeri’s insights on...
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Remembering Through Music: Why Can't We Forget Certain Songs?
How does music affect memory? What songs bring back vivid memories of pivotal moments in your life? Have you ever stopped to consider how music is the soundtrack of our lives, shaping our experiences and emotions? In this episode, we dive deep into the powerful connection between music and…
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What Do Insurance Companies Care About? Patients Or Profits?
What do insurance companies really care about? Are they focused on patient care, or is profit their main concern? How can doctors manage when faced with reduced payments? In this episode, we explore "What Do Insurance Companies Care About? Lessons Every Doctor Must Know"—a must-listen for every...
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5 Proven Ways To Make Your First 10 Sales
Are you struggling to figure out how to make your first 10 sales? Wondering if raising prices could help attract more patients? Or perhaps you're unsure how to market healthcare services effectively without alienating your existing patient base? These are just some of the questions I tackle in…
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ABOUT THIS SHOW
Do you own a medical practice or looking to start your own practice? Want to give your venture the best opportunity to succeed? Listen to the Practice Profit System podcast. Your host Matthew Gillogly, started his first practice in 2014 and within 18 months had 3 locations doing well over 6.5 million a year. Today he works with medical practice owners to start or scale an existing practice to over $200,000 per month.
HOSTED BY
Matthew Gillogly
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Frequently Asked Questions
How many episodes does The Practice Profit System have?
The Practice Profit System currently has 91 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is The Practice Profit System about?
Do you own a medical practice or looking to start your own practice? Want to give your venture the best opportunity to succeed? Listen to the Practice Profit System podcast. Your host Matthew Gillogly, started his first practice in 2014 and within 18 months had 3 locations doing well over 6.5...
How often does The Practice Profit System release new episodes?
The Practice Profit System has 91 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to The Practice Profit System?
You can listen to The Practice Profit System on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts The Practice Profit System?
The Practice Profit System is created and hosted by Matthew Gillogly.
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