Leslie Pennypacker, Executive Director of Tribeca Pediatrics, joins Third Way Health CEO Frederik Mueller to share how she helped grow the practice from a single neighborhood office to 51 locations across NYC, her unconventional path from bartending to healthcare, and how smart design, standardized systems, and scrappy team-building fueled Tribeca’s thoughtful scale – without losing its personal touch. They dive into growing pains, team structure, vendor relationships, and how to maintain quality and trust at scale.TIMESTAMPS:(00:00) Intro: Welcome to the Healthcare Ops Wave(00:20) Bartender to Healthcare Boss(04:02) Scaling from One to 51(06:50) Call Centers, Shelves & Systems(11:28) Growing Pains(18:33) Running 51 Clinics Smoothly(22:01) Daily Ops in Action(22:59) Letting Go (Sort Of)(24:16) Growth Phases & Data Wins(26:16) Data Is the Backbone(29:50) Outsourcing: Hits and Misses(38:28) Rapid Fire Round(38:45) Rethinking Mental Health Care(43:33) A Peek Into Leslie’s Week(45:16) Wrap-Up and Reflections 🔔 Subscribe to Healthcare Ops Wave for more episodes on the people driving healthcare operations forward!🌐 Learn more about Auxira Health and Inna:Website: https://www.tribecapediatrics.com/Auxira Health:  / tribeca-pediatrics  Leslie Pennypacker:   / about-this-profile  🤝 Work with us:For partnership opportunities, contact us at: [email protected]🎙️ About Healthcare Ops Wave:Healthcare Ops Wave (HOW) dives deep into the humans behind health care operations. Learn from the best operators about growing business, streamlining operations, scaling up practices, and serving millions of patients. Brought to you by Third Way Health, subscribe for more!