None of these feel like much on their own. That’s exactly why they survive! They’re too small to notice when you’re looking at the big picture and too embedded to question when you are deep in the day-to-day and scanning your numbers. And then, when you stack them up across a year, the number is almost always bigger than owners expect. I have sat with practice owners who found over a thousand dollars a month in expenses they had honestly forgotten they were paying for.

Too many group practice owners I talk to feel like they’re scraping by on “humidity.” They’re holding everything together with sheer determination but never feel fully nourished or resourced.