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

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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:

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]
4. 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.

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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

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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:

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]
4. 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

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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:

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]
4. 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:

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]
4. 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:

1. Which room is quietly draining your profits and why most owners never notice
2. How losses of $100K–$200K a year build up without anyone realising
3. The four moves to stem the bleeding: rostering, stock systems, waste tracking, and task delegation
4. How to turn nurse-led services into a revenue stream
5. Why one owner's team went from being a cost centre to saying "this has to be a revenue generating activity"
6. 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:

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]
4. 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 they need more GPs. The problem is finding them, getting them through the system, and keeping them once they arrive.

International recruitment is one of the fastest ways to solve a GP shortage, but the pathways are confusing, the timelines are longer than most owners expect, and the wrong approach can cost you months.

Sachin sits down with Jane and Alex from WaveLength, one of Australia's leading GP recruitment agencies, to break down exactly how it works. What makes a Practice attractive to overseas doctors, which pathway gets them working fastest, and what good orientation actually looks like.

What you'll get from this episode:

1. Which Practices can recruit international GPs and which ones can't
2. Why team size, culture, and lifestyle matter more than you think when attracting overseas doctors
3. The two main pathways explained simply: expedited specialist vs college stream
4. How long it actually takes from first contact to a GP starting in your clinic
5. What effective orientation looks like and how to stop losing doctors in their first year

Connect with Jane and Alex:

Jane Stanke is a GP Talent Advisor with over 17 years at WaveLength International. Based in the UK, she works with doctors across the UK, Ireland, Europe and Canada, and has built a reputation for long-term, successful partnerships between GPs and Australian Practices.

Connect with Jane: Linkedin

Alex Graham is a Registered Migration Agent who has been with WaveLength for nearly 15 years. She helps overseas trained GPs navigate complex visa requirements and ensures they can start their new role on time.

Connect with Alex: 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:

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]
4. 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 sell too late and for too little.

The timing's wrong. The valuation's inflated. The due diligence is skipped. And decades of hard work get handed over for a fraction of what it's worth.

This episode covers the full exit conversation:

What you'll get from this episode:

1. Why most owners sell too late in life and what that actually costs
2. The "would I buy my own clinic?" question and why your answer matters
3. The order of improvements that drive the biggest value uplift
4. Why profit margins in coached Practices sit at 10-15% versus 6-8% in the wild
5. The dumb tax: what happens when buyers skip due diligence
6. How one Practice Owner turned a $3.2M valuation into a $10.3M sale in exactly two years

Resources mentioned: Die With Zero by Bill Perkins

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:

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]
4. 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]