If you’ve crossed (or are approaching) that $1M mark in your practice, you’ve probably realized something… growth doesn’t get easier—it just gets different. In this episode, I’m joined by Joshua Brummel from Therapy Flow to talk about the hidden bottlenecks that show up as you scale from $1M to $3M and beyond. These aren’t the obvious problems you solved early on, they’re the behind-the-scenes issues that quietly slow your growth, shrink your profit, and stretch your capacity as a CEO. We’re breaking down what’s really going on and what you need to focus on to keep moving forward.

3 Reasons to Listen

You’ll understand why growth starts to feel harder (even when things are “working”). Hitting $1M doesn’t mean you’ve figured it all out, it means you’re entering a new level with new challenges.
You’ll learn the bottlenecks that are most likely costing you time, money, and sanity. From clinician churn to lack of systems, these are the issues we see over and over again in growing practices.
You’ll start thinking like a CEO, not just a practice owner. Scaling requires a shift in how you spend your time, make decisions, and lead your business.

Links and Resources Mentioned

Group Practice Con (Sept 10–11, Chicago): https://grouppracticecon.com
Therapy Flow: https://mytherapyflow.com
Money for Therapists Practice Startup - https://www.greenoakaccounting.com/startup
GreenOak Accounting - www.GreenOakAccounting.com
Therapy For Your Money Podcast - www.TherapyForYourMoney.com
Profit First for Therapists - www.ProfitFirstForTherapists.com
Profit First Academy - www.ProfitFirstForTherapists.com/Academy
Watch Therapy For Your Money on YouTube: Watch on YouTube
Podcast Production, Audio Mixing, and YouTube Video Production by James Marland