
EPISODE SUMMARY
Hitting $1 million in revenue feels like you've finally figured it out. You haven't — you've just unlocked a whole new set of problems. In this episode, Julie Herres sits down with Joshua Brummel of TherapyFlow to break down the hidden bottlenecks that stall group practices between $1M and $3M in annual revenue. These aren't beginner mistakes — they're the specific, costly challenges that only show up once you're already winning.
WHAT TO LISTEN FOR
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Why you need to go from hiring when needed to always hiring — and what that shift actually requires
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How scaling your marketing spend without ROI tracking is a recipe for burning money
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Why systems stop being optional at this revenue level (and what breaks when they rely on someone's memory)
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How protecting your profit margin becomes one of your primary CEO responsibilities
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Why the small-business mindset that got you here will hold you back from going further
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The circle of trusted advisors that practices in this range can't afford not to have
If your practice is approaching or already in the $1M–$3M range, this episode will name things you're probably already feeling — and give you language and direction to act on them. Julie and Joshua also co-host Group Practice Con, an in-person event designed specifically for established group practice owners. Tickets are available now at grouppracticecon.com — and they sold out fast last year.



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