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:

1. A lack of understanding (they don't actually know what you want)
2. A lack of will (no amount of cash will fix this)
3. 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

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Connect with Todd: LinkedIn

Connect with Sachin: LinkedIn

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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]

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

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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]

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

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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 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:

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 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:

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.

…..

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:

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

…..

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]