Scale My Clinic

Dr Annelies Geissler joined Robina Town Medical Centre and EZT Medical Centre as a contractor GP in 2008.Sixteen years later, she's one of five equal Owners running both Gold Coast Practices, with around 25 GPs across the group.Five Owners brings more experience and more capacity, but it also means more strong opinions in the room. Annelies breaks down how they choose the right people for ownership, split responsibility across two sites, and keep things moving when agreement doesn't come easily.What You'll Get From This EpisodeWhat they look for before inviting a GP into ownership, and why clinical skill alone isn't enoughHow five equal Owners divide roles without losing shared accountabilityWhy separate communication channels matter when you're running two PracticesHow treating decisions as experiments helps strong personalities move forward without endless debateWhy they changed their fee structure to better recognise longer and more complex consults.....Connect with Todd: LinkedInConnect with Annelies Geissler: LinkedIn.....P.S. Whenever you're ready, here are three ways we can help you grow your General Practice without burning out:1. 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 Now2. 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 Register3. 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

Helen Barnett's path to Practice ownership was anything but conventional.After 17 years as a professional opera singer with Opera Australia, she returned to university in her late 30s, studied science, won the University Medal, and earned a place in medical school.But by then, she knew medicine wasn't the path she wanted.Preventative care was.Nutrition was.And that decision eventually led her to co-own Dubbo Health Hub, a multidisciplinary Practice in rural NSW, alongside GP Dr Heather Malham.Helen brings a rare perspective to this episode. She has been the contractor, the clinician, and the Owner, often at the same time. That means her view on allied health isn't theoretical. It comes from years of seeing where these partnerships work, where they fall apart, and what Practice Owners often miss.What you'll get from this episode:Why allied health works best when it's built into the patient journey, not bolted onto the sideWhat allied health practitioners are really looking for when they choose a Practice, starting with being treated as an equalWhy an allied health room can cost around a quarter of what it costs to run a GP room, and what that means for pricing it fairlyWhy values fit matters more than simply filling a gap in your service mixHow to find the right practitioner by starting with your patients and the referral patterns already inside your PracticeWhy "here's your room" isn't onboarding, and what weak onboarding quietly costs everyone.....Connect with Todd: LinkedInConnect with Helen Barnett: LinkedIn.....P.S. Whenever you're ready, here are three ways we can help you grow your General Practice without burning out:1. 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 Now2. 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 Register3. 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

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 EpisodeHow a four-person management team ended the era of good ideas dying quietly in the hallwayFive 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 argumentThe Roger Federer principle Lindsay borrowed from Todd and never put downHow the leap from 9 to 13 rooms worked, and why 12 months later they were nearly out of room again.....Connect with Todd: LinkedInConnect 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. 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 Now2. 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 Register3. 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

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 chaosWhy talking to everyone under the roof before you change anything is non-negotiableThe financial system tasks that need to reach 90–95% within your first four weeks, and why they can’t waitHow to run a tools audit and the one simple trick for finding out what’s actually being usedThe meeting cadence that keeps a newly acquired Practice from falling into chaosWhat 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 three ways we can help you grow your General Practice without burning out:1. 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 Now2. 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 Register3. 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

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 comingWhy your identity as someone who “gets things done” can become your biggest bottleneckThe difference between loyal disagreement and disloyal agreement, and why it matters in your PracticeHow poor delegation keeps work bouncing back to you no matter how hard you try to hand it offThe one question that shifts you from “how do I fix this” to finding the right person to helpTodd’s two-rule test for choosing coaches, consultants, or advisors worth trusting…..Connect with Todd: LinkedInConnect 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. 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 Now2. 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 Register3. 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

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 trapThe vanity metrics that signal a Practice is run on ego, not economicsTodd's banking wake-up call: what happens when the bank asks you to leave by tomorrowThe 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 expansionThe real numbers to track: cash profit, GP retention, patient retention, and unit economicsWhy opening a new site is sometimes just avoiding the hard work in the one you already have…..Connect with Todd: LinkedInConnect 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. 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 Now2. 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 Register3. 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

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: LinkedInConnect 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. 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 Now2. 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 Register3. 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