Nick Goodwin built one of the more interesting psychiatric practices in the country, and he did it on a shoestring. Eight years ago he opened Goodwin Health Cafe in Spokane with $800 for his DEA license, a free fax tool, and a friend's spare office. Today it's a four-provider practice across two locations, built around treatment-resistant depression — Spravato, TMS, and a space designed to feel nothing like a clinic.

He's also the psych NP who writes the psychiatry courses for The Elite Nurse Practitioner, so he's taught thousands of new NPs both the clinical and the business side of this work. And he came on the show to give it all away.

We get into the real stuff. How he bootstrapped a practice for almost nothing, and which expenses he'd actually pay for up front. The hiring mistakes that cost him friendships, and the business rule  ...