How to Build a Multi-Site Medical Practice | Steve Preda

How to build a multi-site medical practice that creates equity for independent physicians. Alex Fernandez, MBA, CMPE (CEO, Synergy Orthopedic Specialists) with Steve Preda on Management Blueprint. Alejandro Fernandez is CEO of Synergy Orthopedic Specialists in San Diego. He has spent 30 years building and integrating physician groups, from the front desk to multi-site platforms. Book him to speak: alex@alizet.com LinkedIn:   / alexfernandezmba   "Build a Multi-Site Medical Practice" Guest: Alex Fernandez, MBA, CMPE (CEO, Synergy Orthopedic Specialists) Host: Steve Preda - Core Mission: Empowering independent physicians to operate as entrepreneurs, bringing them together to build high-scale, multi-site organizations. The objective is to help doctors create substantial wealth, equity, and long-term independence that extends far beyond their individual day-to-day medical labor. Chapters 0:00 Intro: Management Blueprint podcast 1:10 From front desk to CEO: Alex's why 6:54 Growth framework: underwrite your exit first 9:13 Take yourself out of the center 10:09 Own the margin around your core 15:34 Alignment: make it the gate, not the goal 19:18 One culture and brand across 15 locations 21:41 What drives growth: recruiting, ASC, mergers 23:53 Cutting expenses with AI, not layoffs 27:17 Advice for owners: think like a capitalist #MedicalPractice #HealthcareBusiness #PhysicianOwnership