In this episode of the Optimized Podcast, we sit down with Dave Zauha, Executive Director of Nebraska Spine + Pain Center, to explore how independent practices can thrive through collaboration, innovation, and strategic leadership. Dave shares his philosophy on creating efficient, patient-first systems, leveraging telemedicine and digital tools, and building strong internal cultures that support both staff and patients. He offers insights into ancillary service development, how to choose the right partners, and why private practices should be working together—not competing—to navigate the challenges of modern healthcare. This conversation is a must-listen for practice leaders looking to grow smarter, serve better, and strengthen the future of spine and orthopedic care.