How to Build an Ethical, Non-Exploitative Group Practice

An ethical group practice is one where clinicians are paid fairly, supported clinically, and treated as people rather than revenue units — and it can absolutely still be profitable. In fact, the two reinforce each other: when clinicians are well cared for, they stay, they do better work, and clients get better care. I've built this in real life. At Sprout Therapy PDX, we've held roughly 90% annual staff retention in a field where 50% turnover is common. Here's how to grow without exploiting the people who make it possible.