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

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Connect with Todd: LinkedIn

Connect with Sachin: LinkedIn

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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

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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]

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

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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 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

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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]

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

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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 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]

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:

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

.....

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]