Going out on your own is the right move. Doing it blind is where the money and months disappear. I've built five practices from the ground up. Coaching is how you take the direct path instead of learning it the expensive way.
Discovery call is free — and if coaching isn't a fit, I'll tell you.
Coaching isn't a shortcut around the work — it's a shortcut around the wasted work. The best people in any field — athletes, executives, top operators — keep a coach, and the reason is simple: it's the cheapest way to buy back time and skip whole layers of struggle.
What takes a year of trial and error alone can be sequenced into a direct path. You move on decisions instead of stalling on them — because the order and the timing are already worked out.
The fastest way to open on time is to know where practices die — the wrong location, the mispriced service menu, the slow ramp to cashflow — and stay away from those places. I've paid for those mistakes so you don't have to.
Money you can make back. The year you lose to a bad start, you don't. Coaching puts your time where it actually moves the practice forward — which is exactly why it pays for itself.
Figure out where you're going to fail, and stay away from that place. The inversion that runs through every session
No vague "consulting." We build the real thing — every task to open your practice, sequenced and dated — and then we work it together until you're open and stable.
We talk through where you are, what you're trying to build, and whether coaching is the right fit. No charge, no pressure, no pitch.
Every task required to open — permits, credentialing, location, staffing, cash flow — mapped, sequenced, and dated so you always know the next right move.
We work the plan together, solve problems as they come up, and keep you moving through the parts that stall most people.
Six months or a full year of coaching, so you have someone experienced on call through opening and your first stretch operating.
Our Smartsheet template — the same task database I use to open a practice — comes with every startup coaching engagement. It's the difference between hoping you didn't forget something and knowing you didn't.
The path is tuned to the realities ARNPs face when launching their own practice. Physicians and PAs use the same coaching to make the same move.
You're ready to run your own independent practice — not work inside someone else's. This is built around exactly that move, and the realities of standing up a cash-pay practice that reaches cashflow fast.
Leaving employment to open or reshape your own practice. The startup mistakes are the same, and so is the value of not making them.
Thinking about independence but not sure it's time yet? Start with the free discovery call. Sometimes the most valuable outcome is clarity on what to do first.
The value isn't knowing how to open a practice. Plenty of people can hand you a checklist.
The value is having done it five times across three states — and knowing what it actually costs when you get the location wrong, when you price the services wrong, when the cash-flow math doesn't hold. I've lived those. That lived experience is what you're really buying: the price tag on getting it wrong, so you don't have to find it out yourself.
Today I coach and teach full-time as a healthcare entrepreneur. Direct, practical, from real experience — stability before growth, every time.
— Stephen Smith, founder of Start My Practice
Practical breakdowns from building real practices — what the mistakes actually cost, and how to sidestep them. Plain language, straight to your inbox.
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Every engagement begins with a free discovery call. From there, choose the level of support that matches what you're building.
Tell me what you're building. I'll tell you the fastest honest path to get there — and whether coaching is part of it. No cost, no pitch.
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