Scale My Clinic

Dr Tim Koh opened his first clinic just three years after qualifying as a VR GP. Not to build an empire. To teach. Nearly 20 years later, he's built six Practices, trained more than 60 registrars, and retained some team members for 25 years. In this episode, Tim shares how registrar training became a serious growth strategy for his group, and why many GP owners may be overlooking one of the best ways to build culture, strengthen recruitment, and grow a Practice for the long term. What You'll Get From This Episode Why many GP owners avoid taking on registrars, and why Tim thinks they've got the maths backwards How he recruits for cultural fit, including what he tells every registrar candidate about how long he expects them to stay How to position registrars with patients so training becomes a strength of the Practice, not something the community has to tolerate Why the most valuable thing supervisors teach isn't clinical knowledge, but critical thinking How registrars can lift standards, challenge pessimism, and become part of a stronger long-term GP team Tim's advice for anyone considering Practice Ownership or supervision: "Be brave. Nothing makes you succeed like needing to succeed." ..... Connect with Todd: LinkedIn Connect with Dr. Tim Koh: The Good GP Podcast ..... P.S. Whenever you're ready, here are three ways Scale My Clinic can help you grow your General Practice without burning out: 1. Ask Your Toughest Practice Question: Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 2,000 Owners who 'get it.' Click here 2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register 3. Get the Blueprint: Watch the free Practice Success Blueprint Training -- the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. Watch Training Now Dr Tim Koh Practice Owner - Currambine, Ocean Keys Family Practice ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Reservoir Medical Group has been open since 1960. Four generations of patients. A fifth now starting. For 10 years the Medicare freeze made it hard to keep the doors open. Then COVID hit on top of it. When Sachin asked Lindsay Hyde what she was trying to solve when she first joined Project X, her answer was three words: "We were trying not to go under." She didn't. Six years after taking a leap of faith and moving from 9 consult rooms to 13, they're at capacity. A nurse recently couldn't find a free room to run a health assessment. Now Lindsay is in conversations with the shopping centre about knocking on the neighbours' door. What You'll Get From This Episode How a four-person management team ended the era of good ideas dying quietly in the hallway Five previous registrars returned as fellows -- the retention number that tells the whole story "If you don't do your business CPD your Practice might die" -- the reframe that cuts through every vocation argument The Roger Federer principle Lindsay borrowed from Todd and never put down How the leap from 9 to 13 rooms worked, and why 12 months later they were nearly out of room again ..... Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are three ways Scale My Clinic can help you grow your General Practice without burning out: 1. Ask Your Toughest Practice Question: Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who ‘get it.’ Click here 2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register 3. Get the Blueprint: Watch the free Practice Success Blueprint Training -- the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. Watch Training Now ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Some multi-owner Practices have partners who are comfortable with what they've built and have no interest in what it could become. They show up, collect their share, and defer every decision to the practice manager. If you're the partner who can see exactly what the Practice could become while the others collect a cheque, this episode is about how you change that. This isn't just a stuck Practice. It's a wealth event no one is turning up to collect. What You'll Get From This Episode Why going from 25% to 15% might be the best financial move you ever make as a passive senior partner, and why Todd says the math almost always works in your favour Todd's one obligation for passive senior partners who want the upside: exactly what they must commit to and exactly what they must stop doing The Planet Saturn Practice: why a business with 20-plus years in the community has more upside than a greenfield start-up, and why the junior partner showing up is a gift to everyone at the table Why you should set a hard time limit on stuck-partner conversations, and what you put on the table when nothing has moved in six months The doctor who sold her stake for $1, built a Practice worth over $3M from scratch, and says the best thing that came out of it had nothing to do with money ..... Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are three ways Scale My Clinic can help you grow your General Practice without burning out: 1. Ask Your Toughest Practice Question: Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who ‘get it.’ Click here 2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register 3. Get the Blueprint: Watch the free Practice Success Blueprint Training -- the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. Watch Training Now ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

An owner at the Practice Owners Conference thought their Practice was worth $100K. Their wife had already done the planning. After the sale, they would need to work nine more years to reach their retirement goals. When Sachin and Todd unpacked the structure, the Practice should have been worth $600K to $700K. The problem was not the medicine, and it was not even the business. It was a billing structure designed in the 1980s by an accountant who has probably since retired into the same situation. The associateship model makes one thing very clear: whoever built it was thinking about keeping 100% of their personal billings, not about what the thing would be worth when the time came to hand it on. What you'll get from this episode: Why the associateship structure is engineered to produce a Practice worth nothing at exit Todd's ready reckoner: average Practices trade at 3-4x on a 6-8% margin. Project X Practices run 10-15% margin and sell closer to $1.5M on the same billings How loss aversion keeps doctors trapped in a structure they know is wrong The 18-month versus 3-year restructure roadmap and what determines which path you take What to say to your fellow owners first, and why this conversation takes six to twelve sittings, not one The doctor who sold her stake for $1, walked away, and built a Practice worth over $3M Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are three ways we can help you grow your General Practice without burning out: 1. Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who “get it.” Click here 2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register 3. Get the Blueprint: Watch the free Practice Success Blueprint Training -- the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. Watch Training Now ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Most Practice Owners have a decision they keep pushing to "later." It might be a structural change, a hard conversation, a team decision, or a piece of Owner work that never quite makes it to the top of the list. Not because it doesn't matter, but because the Practice is full, the team needs attention, and the next quiet window feels just around the corner. Sachin had one of those decisions in 2013: a simple trust structure question for his accountant about a Vanguard ETF investment. The form got put aside, ended up in the laundry, and didn't get picked up again until November 2020. That delay may have cost close to seven figures in compounding returns. The same pattern showed up again and again at the Practice Owners Conference in Sydney. Across 62 one-on-one conversations, Todd and Sachin kept hearing different versions of the same thing: "I'm not ready yet." "I've got a few things to fix first." "Once this is sorted, I'll get to it." That's the waiting game. And for Practice Owners, it can get expensive fast. What You'll Get From This Episode Why waiting for the "right time" can quietly cost more than the decision itself The three reasons Practice Owners stay stuck in the waiting game How the "train as you play" principle helps Owners make progress inside real Practice conditions Why your team may be ready for growth before you feel ready to lead it How one Practice valued at $3.2M exited for $10.3M in two years with the same team, same two sites, and no expansion What finally breaks the pattern and gets important Owner work moving ..... Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are three ways Scale My Clinic can help you grow your General Practice without burning out: 1. Ask Your Toughest Practice Question: Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who 'get it.' Click here 2. Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. Click to Register 3. Get the Blueprint: Watch the free Practice Success Blueprint Training -- the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. Watch Training Now ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Alana was once gifted a "chaos coordinator" badge at her Clinic. She wore it. At the time, it felt like recognition. Looking back, she sees it differently. Because in General Practice, there is a culture of badges and mugs and shared trauma. The shit show supervisor. The captain of chaos. An identity built around how many fires you put out each day. That identity feels like belonging. But it can also become the trap that keeps Owners, Practice Managers, and teams stuck below the line. For Owners, this episode is a reminder that a Practice cannot scale if its leadership identity is built around rescuing, reacting, and absorbing every problem. In this episode, Todd sits down with Alana Flohr -- 13 years in General Practice, former Practice Manager of a large Tweed Coast Clinic -- to name the three behaviours that keep owners and PMs stuck in the drama, and the above-the-line alternatives that change everything. What you'll get from this episode: The three "below the line" roles -- victim, hero, and villain -- and how each shows up inside a real Practice Why the hero role is often the most seductive trap for Practice Managers and Owners Alana's honest reflection on owning her own hero behaviour, including the chaos coordinator badge she once accepted How to coach your team through difficult conversations, even while you're still learning to have them yourself The "shut the door" system Alana used to protect one hour each afternoon for above-the-line thinking and improvement work Todd's recommended action for this week: share the episode with your PM, create a shared language, and agree to call it out when you see it Resources mentioned: Dare to Lead by Brené Brown ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Most Practice Owners with a spare room will let someone in before they've worked out what the room is actually worth. The logic is familiar: a paying tenant is better than an empty room. In the short term, it feels true. But below a certain rate, a tenant starts costing you more than the room generates -- in admin time, in blocked space, in the leverage you've quietly handed away. Todd and Sachin call this the keep-open cost, and most Owners don't know where theirs sits. In this episode, they walk through how to calculate it, who actually belongs in a spare room and in what order, and the agreement mistakes that lock Owners into the wrong arrangement for years. What you'll get from this episode: The hierarchy of what belongs in a spare room -- from a GP first down through allied health, and why the order matters Why the allied health tenant who treats your space like a business beats the sessional who comes twice a week Sachin's locked-in mistake: the five-year sublease that handed over front desk services and left no leverage Why Todd watched a $700-800k allied health operation return almost nothing -- and what that taught him about keep-open cost The cosmetic injector scenario: why it sounds like easy income and why it almost always ends badly Three mistakes to avoid: room block, below-cost rates, and the agreement that locks you out of your own best use ..... Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Your Practice Manager just gave notice. Maybe with two weeks. Maybe with none. The owners who come out of this better than they went in aren't the ones who found a replacement fastest. They're the ones who resisted that instinct, stepped in, and used the window to understand their own business better than they had in years. What you'll get from this episode: What Todd calls "the speed demon" -- and why the fastest hire is usually the one that lands you back here in six months Sachin's real story: two sites, 50 staff, still consulting full time, and fully under control in under a month The one Gallup question that might explain why your PM really left -- and why the honest answer might point back at you How to temporarily carve up the role so no single person drowns -- and what you discover about your team in the process The three things owners must never do when a PM exits, including the one that triggers a chain of resignations ..... Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Most GP Practice Owners don’t have a time problem. They have an identity problem. After 20 years as a doctor, the GP role becomes hard to step out of. Patients need you. Staff pull you back in. The work feels familiar, useful, and immediately rewarding. Owner work doesn’t feel like that. It’s slower. Messier. Less obvious. And because it doesn’t fit neatly between patients, it gets pushed to the side. In this episode, Todd and Sachin unpack why the GP “helmet” is so hard to take off, what it costs the Practice, and what needs to change if you want to actually lead your Practice. What you’ll get from this episode: The three roles every GP Owner carries: GP, shareholder, and owner Why the GP identity is the hardest one to step out of The martyrdom pattern: “Only I can do this,” and what it quietly costs Why a “quick half-hour job” can become 20 hours over 12 weeks How unfinished projects pile up when owner time isn’t protected The Whitney Houston test for imposter syndrome Why reducing clinical time is the first structural move most Owners avoid Resources mentioned: Feel the Fear and Do It Anyway by Susan Jeffers ..... Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Worried about the practice down the road? In this episode, Sachin and Todd unpack how competitor fear can push Practice Owners into rushed decisions, bad positioning, and scarcity thinking – and how to get back to playing your own game. You’ll hear two real stories: Todd’s bulk-billing competitor opening across his car park, and Sachin’s team nearly changing their billing model because a small practice opened 100 metres away. What you’ll get from this episode: How to tell the difference between a real competitor and a neighbouring practice. Why changing your model in response to someone else can damage your own positioning. Why ideas are not the thing to protect – execution is. The four reactions owners have when they feel threatened: leave, ask them to leave, hold back, or play full out. How to stop letting competitors live rent free in your head and focus on improving your own practice. Resources mentioned: Mindset by Carol Dweck The Infinite Game by Simon Sinek ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Most Practice Owners hit the same wall at some point. They ask their Practice Manager to do something. It doesn't happen. They ask again. Still nothing. And slowly, the frustration builds. The honest answer? Usually both sides are contributing. Todd and Sachin break down the three root causes behind a Practice Manager who won't perform: A lack of understanding (they don't actually know what you want) A lack of will (no amount of cash will fix this) A lack of capacity (the environment, not the person, is the problem) What you'll get from this episode: The three-layer diagnostic: why your PM might not be delivering and how to tell which problem you're actually dealing with Why paying a bonus for poor performance is one of the costliest moves an Owner can make, and what to do instead The Eisenhower Matrix applied to your PM's week: how to identify what should be cut, delegated, or protected A real case study: how two Owners turned an underperforming PM into an A-grader over 18 months without replacing them The 30-minute weekly meeting that creates accountability and moves projects forward in six weeks or less ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

The Federal Budget just dropped. Most of the coverage won’t matter much to GP Practice Owners. Four things do. Capital gains tax. Family trust distributions. Urgent care clinic funding. Commercial real estate. Todd and Sachin break down what changed, what didn’t, and what Owners should be thinking about now. The headline is simple. The structures that gave small business owners a tax edge are being squeezed. The only real response is to build something bigger. What you’ll get from this episode: The four Budget changes that actually matter for GP Practice Owners, without the political noise What the CGT and family trust changes mean in plain English, and why your structure needs proper advice Why commercial real estate may now be a stronger long-term play for Practice Owners Why earning one-third more is the only honest response – and how $250K in added annual profit creates $2M+ in income and a higher exit multiple ..... Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Settling on a Practice is one of the biggest moments in ownership. The temptation is to walk in and start making changes. New systems. New structure. Your stamp on everything. The owners who build the most value from acquisitions do the opposite. They slow down, listen, and diagnose before they prescribe. And they know that the order in which you do things in the first months shapes everything that comes after. Todd and Sachin walk through their complete first-steps playbook for new owners: what to prioritise, what to never skip, and how to set yourself up for a return that goes well beyond the purchase price. What you'll get from this episode: The three-lens diagnostic for any Practice you’ve just acquired: GP capacity, patient demand, or operational chaos Why talking to everyone under the roof before you change anything is non-negotiable The financial system tasks that need to reach 90–95% within your first four weeks, and why they can’t wait How to run a tools audit and the one simple trick for finding out what’s actually being used The meeting cadence that keeps a newly acquired Practice from falling into chaos What a realistic bedding-in timeline looks like, and why slow is fast when it comes to people ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Most Practice Owners got to where they are by figuring things out themselves. That’s not a weakness – that’s how you build a business. But there’s a version of that same trait that quietly turns into a ceiling. When you consistently step in because it’s faster, because you don’t trust the outcome, or because asking for help simply didn’t cross your mind, you’re not just doing extra work. You’re signalling to your team that they don’t need to grow. And you’re building a business that only runs when you’re in the middle of it. Todd and Sachin break down the five reasons why capable owners and Practice Managers struggle to ask for help – and what it’s actually costing them. What you'll get from this episode: The five reasons smart people default to DIY, and which one most owners never see coming Why your identity as someone who “gets things done” can become your biggest bottleneck The difference between loyal disagreement and disloyal agreement, and why it matters in your Practice How poor delegation keeps work bouncing back to you no matter how hard you try to hand it off The one question that shifts you from “how do I fix this” to finding the right person to help Todd’s two-rule test for choosing coaches, consultants, or advisors worth trusting ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Most Practice Owners dream of owning more clinics. More locations, more GPs, more revenue. Proof you've made it. The data tells a different story. If you own five clinics, roughly one is producing 80% of your results while the others drain your cash, your time, and your attention. That's not growth. That's a rescue operation you're funding. What you'll get from this episode: Why the first clinic almost always funds the others, and why that's a trap The vanity metrics that signal a Practice is run on ego, not economics Todd's banking wake-up call: what happens when the bank asks you to leave by tomorrow The four questions Keith Cunningham uses before any major decision (most owners only ask one) Why moving your best people to fix failing clinics is one of the most expensive mistakes in expansion The real numbers to track: cash profit, GP retention, patient retention, and unit economics Why opening a new site is sometimes just avoiding the hard work in the one you already have ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Most Practice Owners know what needs to change. The recruitment process is broken. The fee structure hasn't moved in three years. The front desk culture is costing them patients every week. They know. And nothing happens. It's rarely about knowledge. It's about the gap between intention and action, and the specific things that widen it. Emotional bandwidth. Fear of upsetting the team. The pressure to get it perfect before moving. And delegation that goes nowhere because nobody closed the loop. Scale My Clinic's implementation coach Stevie Landgraf has seen both sides: Practices stuck in the same loop for years, and practices that turn a plan into action in a week. This is about what makes the difference. ….. What you'll get from this episode: - Why "I'm too busy to implement" is a sign you need to act now, not later - The cost of not acting: how unresolved problems compound in time, money, and energy - Why paralysis by analysis hits hardest in high-performing practices, and what breaks it - The difference between messy delegation and clean delegation, and why one kills follow-through every time - How to get your reception team on board with fee changes (without a fight) - The money buckets exercise that shifts front desk mindset in a single conversation - One thing that separates practices that fly from those that stall: share the why, early and often ..... Connect with Stevie: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Multi-owner Practices have some of the biggest untapped potential in General Practice. They also have some of the most common, avoidable problems. No one is leading. No one is accountable. Quarterly meetings that turn into complaint fests. And a Practice Manager left to figure it all out alone. Todd and Sachin have seen this play out across dozens of Practices – from two-owner partnerships to groups of nine. In this episode they break down why it happens, what it costs you, and exactly how to fix it. What you'll get from this episode: Why multi-owner groups default to passivity and what it does to profitability and culture The five hats every Practice owner needs to understand (and why mixing them up costs you) The "chosen one" vs "divide and conquer" approach – when to use each Why paying your leading owner fairly is the difference between a $2M and a $9M business Three actions to take if you recognised your Practice in this episode Resources mentioned: Burnout, Betrayal, and the $1 Sale with Dr Nerida McDonald ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

Everything is getting more expensive. Rent, consumables, insurance, fuel, wages. And it's not slowing down. Interest rates are likely heading up. Patients are starting to pull back. Staff are feeling the pinch personally and some are quietly looking at their options. This is the episode for Practice Owners who want to get ahead of it rather than react when it's too late. Todd and Sachin walk through how the current environment is hitting owners, Practices, staff and patients, and what to do about each one. What you'll get from this episode: How rising costs, inflation and global uncertainty flow through every layer of your Practice Why now is actually the time to invest, not retreat, and what "strategically contrarian" means in practice How to have the conversation with your team before they come to you asking for more The whiffle: a simple framework for hearing what's really on your team's mind Why extending hours and going deeper in your community beats cutting back Resources mentioned: Episode 97 : The Most Expensive Room In Your Practice Episode 43 : The GP Pay Debate: Stop Playing Into Their Hands! ….. Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

It happens more than anyone wants to admit. And most Practice Owners wouldn't even know it was going on. Phantom billing at reception. Personal expenses paid through the business. Cash disappearing from the drawer. One person running everything with no oversight. Todd sits down with Kelly Chard, accountant and founder of GrowthMD, to walk through exactly where Practices are exposed and how to lock it down. Kelly has seen it all, from small-scale theft that built up over years to full-blown Medicare fraud discovered too late. This episode is the playbook for making sure it doesn't happen to you. What you'll get from this episode: The red flags that should make every Practice Owner nervous Why having one person run everything is your biggest risk How to separate duties so no single team member controls the full chain The fortnightly finance meeting that takes 20 minutes and changes everything What to do about cash, petty cash, and why Practices should go cashless How phishing emails and AI-generated invoices are targeting Practices right now The tool that replaces petty cash and credit cards with controlled digital spending ….. Resources mentioned: Kelly's LinkedIn video : The 3 most important documents Practice Owners need to know. …… Not sure where to start? Download the Fraud & Risk Checklist we created with GrowthMD. It covers accounts payable, payroll, banking, payment terminals, PMS permissions, and Medicare compliance. Download it here [More on Kelly Chard] Kelly is an accountant and founder of GrowthMD, a specialist accounting firm for General Practice. She works with Practice Owners across Australia on financial management, fraud prevention, and business performance. Connect with Kelly: LinkedIn & Website Connect with Todd: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]

It's not the waiting room. It's not your biggest consulting room. It's the one room most Practice Owners never look at financially. One owner audited theirs and found a $200,000 annual loss hiding in plain sight. Overstaffed nurses, cupboards full of expired stock, and zero revenue being generated from nurse-led services. Six months later, the loss was eliminated and they were on track for $100K profit from the same room. What you'll get from this episode: Which room is quietly draining your profits and why most owners never notice How losses of $100K–$200K a year build up without anyone realising The four moves to stem the bleeding: rostering, stock systems, waste tracking, and task delegation How to turn nurse-led services into a revenue stream Why one owner's team went from being a cost centre to saying "this has to be a revenue generating activity" The consumable charging models that work without patient pushback Connect with Todd: LinkedIn Connect with Sachin: LinkedIn ..... P.S. Whenever you're ready, here are 4 ways we can help you grow your General Practice without burning out: Ask Us Anything (Free Support): Post your toughest Practice question in the SGPO Facebook Group and get answers from us + 1,000 Owners who "get it." [ Click here ] Sharpen Your Skills: Join one of our regular live workshops. Practical, proven tactics for recruitment, team performance, and profit tailored to Owners juggling it all. [ Click to Register] Get the Blueprint: Watch the free Practice Success Blueprint Training; the proven roadmap Owners use to grow profit, reclaim time, build trusted teams, and protect legacy. [ Watch Training Now ] Explore Working With Us: We partner hands-on with a select group of GP Owners each year. Your free Practice Growth Call is where we'll diagnose your biggest constraint, map next steps, and see if there's a fit to work together. [ Click to Book Your Call ]