Practicing Independence

A Field Guide for Independent Medical Practices

A 53-page workbook and program built to be worked through with your leadership team. Six chapters and 18 structured worksheets covering foundations, financial clarity, operations, leadership, growth strategy, and succession planning.

The chapters

Read each chapter online. Each one ends with worksheets your team completes together — sign in as a member to save your answers.

Chapter 1

Foundations of Independent Practice

Define your independence aim, assess your foundation, and understand the four core disciplines of thriving independent practices.

Read chapter 1

Chapter 2

Financial Clarity

Build a clear line of sight from collections to margin so you can see problems while they are still cheap to fix.

Read chapter 2

Chapter 3

Operations & Systems

Map how work actually moves through your practice, find the friction, and standardize the handful of processes that decide your day.

Read chapter 3

Chapter 4

Leadership & People

Define who decides what, build the leadership bench the practice needs, and make retention a system instead of a hope.

Read chapter 4

Chapter 5

Growth & Strategy

Choose where the practice grows, price and staff for it, and stop growth that costs more margin than it creates.

Read chapter 5

Chapter 6

Legacy & Exit

Plan succession on your terms: valuation, internal transition, partnership tracks, and the conditions under which you would ever sell.

Read chapter 6

How you can work through it

Self-Guided

The full workbook and chapter worksheets. You and your leadership team work through it at your own pace.

Chapter Check-Ins

Everything in self-guided, plus written feedback on each chapter submission and a risk-and-next-move summary.

Full Service

Guided implementation with a working cadence, action plan tracking, and a practice health scorecard reviewed with you.