{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"Scaling Practice Management by Talkie.ai","title":"From 1 Physician to 150: How Practices Actually Scale | Alejandro Fernandez","html":"<iframe width=\"100%\" height=\"180\" frameborder=\"no\" scrolling=\"no\" seamless src=\"https://share.transistor.fm/e/89aa9939\"></iframe>","width":"100%","height":180,"duration":3680,"description":"A real practice should survive two weeks with the owner gone. If it can't, you don't own a business - you own a job.\nAlejandro \"Alex\" Fernandez has spent more than 30 years in physician practice management, front desk to boardroom. He ran multi-specialty groups as large as 150 physicians and was founding CEO of Gastro Health, the first private-equity-backed gastroenterology platform to sell. He now runs Synergy Orthopedic Specialists in San Diego.\nHe joins Jakub Grajcar on how practices actually scale - and what buyers see before they offer.\nWe dig into:\n🏥 Alex's #1 tip for growing a practice - if it can't run for two weeks without you, you own a job, not a business\n🪑 Why patient experience is the most neglected part of a practice, and what a twelve-page clipboard tells a new patient\n📊 What to get right before you grow - your numbers, your billing, and the habit of pulling every dollar out of the business\n💉 How to keep the revenue you're currently referring out - path labs, lasers, aesthetics, a shared PA, and the ROI math behind each\n🤝 Merging vs. buying another practice - why a merger of equals is the harder move, and where those conversations break down\n🚩 What physician alignment actually means, and what happens to a group when five owners have five different plans\n💼 What buyers see when they look at your practice - and why two groups earning the same money don't sell for the same price\nResources mentioned:\n👤 Guest:\nAlejandro \"Alex\" Fernandez, MBA, CMPE - CEO, Synergy Orthopedic Specialists\nLinkedIn: https://www.linkedin.com/in/alexfernandezmba/ \nWebsite: https://synergysmg.com\n🏢 Organizations\nGastro Health - first private-equity-backed gastroenterology platform; Alex was founding CEO: https://gastrohealth.com\n📚 Books\nTraction: Get a Grip on Your Business - Gino Wickman\n🎬 Off-topic but mentioned\nThe Odyssey - Jakub's unsponsored movie recommendation\n🎥 See how Talkie.ai works - AI medical receptionist demo:...","thumbnail_url":"https://img.transistorcdn.com/cDl0t9jFckOl-1_LgMnmIWyXNTKcvr8hPfqwaY9KYeg/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9hNGEx/NWRhMDYxMDUxMjE3/MWIyMGU3MjZiZGZl/NjIxNS5wbmc.webp","thumbnail_width":300,"thumbnail_height":300}