The Hive Hive Practice · Free Yourself
Build a business you never want to sell. And everyone wants to buy.
For allied health practice owners who are done with shrinking margins and growing complexity — and ready to build a business with genuine enterprise value.
I don’t coach from theory. I coach from the coal face. I learn. I apply. I teach.
The Problem
Every allied health owner starts the same way. They hire the most qualified, most dedicated person they have ever met, and that person is them. They get booked out. They hire someone less capable and pay them more. The margin shrinks. Complexity grows. The hours do not come back.
And through all of it, you are alone. Running an allied health practice is one of the most isolating experiences in business. You are making significant decisions — about pricing, team, growth, succession — with no peer who understands the terrain. Nobody in your life sees what you carry. Not your family. Not your team. Not your accountant. The weight stays with you.
Editorial pull quote
The reason prices never go up is not economics. It is psychology.
This is not a market problem. It is not an industry problem. Allied health’s thin margin is the signature of a profession trained to put others first and never trained to charge for it. The practice owner who cannot raise their price is not bad at business. They are exceptional at caring. Those are the same muscle.
Hive Practice exists to build the other muscle.
The distinction
That is the shift.
Living Proof
In 2024 Troy nearly sold Optimise Health, his own allied health practice of twenty-five years. A corporate buyer walked after six months of due diligence. Too much owner dependency. That moment changed everything.
Troy stopped asking “how do I get out?” and started asking “how do I build a practice I never want to sell, and everyone wants to buy?”
He spent seven months overseas. He invested half a million dollars working with Alex Hormozi, Tony Robbins, and Dan Martell. He came back and restructured the business around that question.
Optimise Health is now under private equity. A CEO and COO Troy installed now lead the operation. Troy has stepped onto the board. The business is targeting $8 to $10M revenue and $2M EBITDA without him in the operating seat.
I coached my own practice to PE readiness. Installed a CEO and COO. Stepped onto the board. The business is now targeting $10 million without me in the operating seat.
That is the CEO Shift. That is what we build inside the Hive.
That is not a case study from the past. It is running right now. It is the living proof behind every decision taught inside Hive Practice.
The Framework
Inflated by emotional attachment. Or deflated by the absence of any framework for thinking about multiples, margin, and owner dependency.
Hive Practice has the framework to show you the real number.
Built from over a decade of coaching allied health practices. Calibrated to a real private equity transaction. Anchored to what buyers actually pay.
Every dollar of profit compounds into enterprise value.
The retainer is not a cost. It is an investment with a calculable, quarterly-visible, compounding return.
The Path
Every Hive Practice member moves through a pathway from where they are now to a practice that creates genuine enterprise value.
The four phases
Under $1M
Where you are now
Working 40+ hours a week. Margin under 10%. Take home under $100k. The business stops when you stop.
The shift
Pricing restructured, systems installed, team leading without you in the room. Margin above 20%. Take home doubles.
$1M to $2M
Where you are now
Busy but not profitable enough. Complexity rising faster than revenue. Team still dependent on you.
The shift
Team operating with genuine independence. Margin 20 to 25%. Take home $300k+. Enterprise value building toward 3x EBIT.
$2M to $4M
Where you are now
Revenue strong but margin under pressure. Leadership gaps emerging. Succession feels distant.
The shift
CEO and leadership team fully in place. Margin 25%+. Take home $500k to $1M. Enterprise value at 4x EBIT+.
$4M+
Where you are now
The game changes. It is no longer about working harder. It is about building an asset worth selling or partnering.
The shift
Board level thinking. PE readiness. Exit optionality on your terms. Enterprise value at 4 to 5x EBIT.
How We Work
Every client is on a monthly retainer. The community runs across all tiers. Three events a year across Australia, two-day immersives in rooms where something shifts between people who understand exactly what you are carrying. Past venues include Mondrian Hotel Burleigh Heads and The Star Brisbane. The depth of the relationship scales with the tier.
Tier 1
For practice owners in the Stabilise and early Scale phase who need direct connection to Troy and the energy of the colony.
Investment details shared on application.
Tier 2
For practice owners ready for direct monthly access to Troy alongside structured peer accountability.
Investment details shared on application.
A different product
The Boardroom is not a coaching tier. It is board membership with a wealth-building outcome.
Invitation only
Invitation only · Capped · Non-competing markets
For established practice owners building genuine enterprise value, typically $2M+ in revenue, with a leadership team in place and exit optionality on the horizon.
Brian Fitzpatrick chairs as governance partner. Members operate as board members. Sessions open with the “What’s your practice worth?” review, the number written large.
Investment details shared on application.
New clients join at 2027 pricing. The Hive is currently closed to new members. Applications for 2027 are open now.
Why People Stay
In an industry full of programs people cycle through and leave, that number tells the real story. They stay for the community, the relationships, and the colony of owners who understand exactly what they are carrying.
I used to carry the whole business in my head. Now we’ve got systems and structure, and I’ve got the headspace to think like a CEO instead of firefighting.
We grew fast before The Hive, but it wasn’t sustainable. Troy’s guidance transformed that growth into something scalable, strategic, and far more profitable.
I finally feel like a business owner instead of a stressed out practitioner. Profit is up, my team is performing, and I’ve actually been able to take time off without guilt.
Running a large team means big decisions with emotional weight. Troy has been a steady, experienced presence, offering the push when I needed it, and the perspective when I couldn’t see the way forward.
My clinic has tripled its turnover, employed another podiatrist and a receptionist, and gone from two and a half days a week to six. I never would have dreamed I could do it.
Down to earth advice, flashes of the bleeding obvious, and help unsnarling our metrics and boosting our spirits when things fall in a heap. Troy and the team are amazing.
Founder
Troy has spent 25 years building Optimise Health from startup to top 1% practice. Nineteen sites, back to two, through a failed corporate sale, a half million dollar investment in his own development in the United States, and now into a private equity partnership targeting $8 to $10M enterprise value.
He has coached more than 1,000 allied health professionals across Australia, New Zealand, and the UK. He has invested more than $1M in his own development, including work with Alex Hormozi, Tony Robbins, and Dan Martell.
He does not teach from a trophy on a shelf. He coaches what he is doing right now. Optimise Health is the living laboratory. Troy is still in the ring.
Master Coach
Brian began his journey as a personal development educator over 30 years ago. He coached the Kookaburras, the Australian men’s hockey team, to world championship and Olympic gold.
As principal coach at Headspace, his private consulting business, Brian works with organisations across multiple industries and government departments to develop sustainable communication and relationship frameworks.
His work is built on emotional intelligence, appreciative inquiry, and the belief that performance is not limited by ability. It is limited by interference. At Hive Practice, Brian works with practice owners and their teams to develop a culture of high performance and build the human skills that make every hard business decision possible.
Free Yourself
The name was never accidental. Bees build the most efficient, collaborative, self-sustaining communities in nature. Every member contributes to the whole. No one is left behind. Running a practice is one of the most isolating experiences in business. The Hive exists as the antidote to that isolation.
In an era where AI is commoditising information, advice, and even coaching, the one thing that cannot be replicated is genuine human community. The colony. Around tables, not just screens. In rooms where something shifts between people who understand exactly what you are carrying.
The more digital the world becomes, the more valuable analog connection is. Face to face. Real relationships. A room that holds you. The Hive is not a program you consume. It is a colony you belong to. Community is not a feature of what we do. It is what we do. It is the reason people stay for a decade.
Allied health is one of the most valuable and AI-resistant industries on the planet. Communities depend on it. It is time to stop being health practitioners who pretend to be business owners, and start being CEOs who just happen to be practitioners.
Apply for 2027
We are not accepting new members until 2027. Applications are open now. Not exclusive for the sake of it. Genuinely scarcity driven. The Hive is not for everyone. It is for owners who are ready to make the shift.
— Hive Practice. Free Yourself. —