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

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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:

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]

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:

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 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:

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]

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:

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 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

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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]

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:

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 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

…..

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]