Ep 113: Your Crusty Accountant Is Killing Your Exit episode artwork

EPISODE · Jul 8, 2026 · 34 MIN

Ep 113: Your Crusty Accountant Is Killing Your Exit

from Scale My Clinic

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 exitTodd'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 billingsHow loss aversion keeps doctors trapped in a structure they know is wrongThe 18-month versus 3-year restructure roadmap and what determines which path you takeWhat to say to your fellow owners first, and why this conversation takes six to twelve sittings, not oneThe doctor who sold her stake for $1, walked away, and built a Practice worth over $3M...........Connect with Todd: LinkedInConnect with Sachin: LinkedIn.....P.S. Whenever you're ready, here are three ways we can help you grow your General Practice without burning out:1. 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 Now2. 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 Register3. 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

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Ep 113: Your Crusty Accountant Is Killing Your Exit

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