From 1 Physician to 150: How Practices Actually Scale | Alejandro Fernandez

🏥 Subscribe for more practice management advice! Watch other full episodes:    • Scaling Practice Management by Talkie.ai   Watch the highlights:    • Scaling Practice Management Highlights   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. Alejandro "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. He joins Jakub Grajcar on how practices actually scale - and what buyers see before they offer. We dig into: 🏥 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 🪑 Why patient experience is the most neglected part of a practice, and what a twelve-page clipboard tells a new patient 📊 What to get right before you grow - your numbers, your billing, and the habit of pulling every dollar out of the business 💉 How to keep the revenue you're currently referring out - path labs, lasers, aesthetics, a shared PA, and the ROI math behind each 🤝 Merging vs. buying another practice - why a merger of equals is the harder move, and where those conversations break down 🚩 What physician alignment actually means, and what happens to a group when five owners have five different plans 💼 What buyers see when they look at your practice - and why two groups earning the same money don't sell for the same price Resources mentioned: 👤 Guest: Alejandro "Alex" Fernandez, MBA, CMPE - CEO, Synergy Orthopedic Specialists LinkedIn:   / alexfernandezmba   Website: https://synergysmg.com 🏢 Organizations Gastro Health - first private-equity-backed gastroenterology platform; Alex was founding CEO: https://gastrohealth.com 📚 Books Traction: Get a Grip on Your Business - Gino Wickman 🎬 Off-topic but mentioned The Odyssey - Jakub's unsponsored movie recommendation 🎥 See how Talkie.ai works - AI medical receptionist demo:    • Voice AI creating a patient case in athena...