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Welcome to Thriving Practice - the show for healthcare practice owners who want to grow their practice while taking back their time. Hosted by executive coach and business consultant Tracy Cherpeski, this podcast features exclusive interviews with diverse healthcare business experts and successful practice leaders spanning the globe. Join us for authentic conversations about what it takes to build a successful practice without sacrifice. Our goal is to equip you with the right mindset, strategies and tools to take back your time, grow your practice and elevate your leadership. Subscribe now and then go to ThrivingPracticeCommunity.com to learn more about our modern Community of Practice for ambitious practice leaders who want to do things differently.
Episodes

Wednesday Apr 30, 2025
From Shoveling Water to Strategic Leadership Featuring TJ Slattery, EP 177
Wednesday Apr 30, 2025
Wednesday Apr 30, 2025
In this insightful episode, TJ Slattery of Crow's Nest Mindset Consulting shares strategies for healthcare practice owners who find themselves stuck "below deck" in their businesses. TJ explains how practitioners can transition from frantically managing day-to-day operations to gaining the strategic perspective needed for sustainable growth and leadership. Through practical advice and compelling metaphors, he offers a roadmap for escaping the "entrepreneurial island" that traps many healthcare business owners.
Episode Highlights:
- The crow's nest metaphor: Why healthcare providers often find themselves "shoveling water below deck" instead of navigating strategically
- The challenge of transitioning from clinical excellence (where "never let them see you sweat" is valued) to business leadership (where vulnerability and delegation are crucial)
- Understanding your true hourly value and why tasks like "opening the mail" could be costing you thousands
- Building a holistic performance model that aligns financial goals with marketing, operations, and leadership
- Moving from "magical thinking" about growth to practical planning with measurable steps
- The three mindset blocks that prevent effective delegation: martyrdom, "I alone can fix it," and guilt
- How creating space for your team allows them to develop, flourish, and make your business stronger
Memorable Quotes:
"The death of every entrepreneur is you all become glorified managers. If you're doing this right, in a year from now, you're not the one getting your hands dirty - you're managing people and managing your managers."
"Would you pay a bookkeeper $1,200 an hour to go through your books? That's what you're doing when you handle those tasks yourself instead of delegating."
"Just because we can doesn't mean we should. How is a business owner to fulfill their mission and vision if they're not able to get up to that view and keep checking on it?"
"A lot of people, whatever their background or industry is, never let them see you sweat. That is a teachable mindset that you can maneuver over. That is something you can loosen up and get better at."
Guest Bio:
TJ Slattery is the Founder and Strategic Advisor at Crow's Nest Mindset Consulting, where he helps small business owners scale their enterprises and achieve greater freedom in both professional and personal spheres. With 20 years of experience in entrepreneurship and small business operations, TJ brings a unique blend of practical expertise and strategic insight to his clients.
A self-described "business plan tinkerer," TJ's approach stems from genuine curiosity and a collaborative drive to identify core challenges and implement effective solutions. His diverse background includes founding a pedicab service in Vail, running a handyman business in Denver, partnering in a London-based facilities management firm, and co-founding Zuni Street Brewing Company.
TJ holds a bachelor's degree in Interdisciplinary Business Management from Miami University of Ohio and an MBA from the University of Denver. When not helping business owners climb to their own crow's nest for a better strategic view, this Denver resident with Midwestern roots enjoys music, gardening, home projects, traveling, skiing, and spending quality time with his dog, Bella.
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