Growth Stage Diagnostic | Practice Growth Alliance
PGA
Question 1 of 10
Stage 1 — Visibility

Your practice is in the Visibility Stage.

You came here because something about how the practice is growing isn't quite right. The diagnostic just gave you the first piece of the answer.

The diagnostic placed your practice in the Visibility stage, the first of three stages where practices commonly get stuck.

At this stage, growth depends on relationships you've already built. The practice may be excellent. The problem isn't quality. The problem is that when someone who needs exactly what this practice offers goes looking, they're not finding it. They're choosing someone else.

We can't know everything about your practice from ten questions. We don't know your team, your market, or what you've already tried. But we know which problem you're solving for now, and that changes what's worth doing next. It's common to spend years on the work that doesn't actually move the number.

What we typically see at this stage

You'll recognize some of these. Others may not apply yet.

New patients are arriving almost entirely through existing referral relationships
Search and digital channels aren't producing consistent inbound volume
Growth depends on who the founding physician already knows, not on who's looking

If you want to go deeper, the brief lays out what's underneath.

Three pages. The two patterns we see most often at this stage, the moves that look like solutions but make it worse, and the lever that actually unlocks growth.

In the brief

The two patterns we see most often.

Which pattern applies to your practice determines the entire solution path. Naming the wrong one wastes time. Naming the right one is most of the work.

In the brief

Two moves that look like solutions but usually make it worse.

Most Visibility-stage practices try one or both of these first. Both produce the wrong conclusion about what works, which makes the next year harder than it needs to be.

In the brief

The lever that builds the foundation.

Of everything that can be done at this stage, one specific piece of work has to come before any of the others. Skip it and the rest doesn't compound.

The diagnostic told you which stage. The brief tells you which of the two patterns at this stage is shaping your practice.

Three pages, written for someone in your stage. It's the difference between knowing where you are and knowing what's actually in play.

Read the full Visibility Stage brief.

Three pages. The two patterns we see most often, the two moves that waste money and time, and the lever that builds the foundation.

Drop your email and we'll send it over.

Your information stays with us. We'll send the brief and follow up occasionally. You can unsubscribe anytime.

Or talk to the partners.

If reading isn't where you want to start, here are two ways to get on the phone.

Skip the formal call.

Leave us your number and a quick note about what's going on. Your message hits all three partners in real time. One of us will reach out as soon as we see it.

Even one sentence helps us prepare for the call.

Sent.

All three partners just got the alert. One of us will reach out shortly.

Book the full diagnostic call.

45 minutes. Frank Martin, Quintin Gunn, and Dee Nott. We tell you exactly what we see.

Book the call

About our team

Frank Martin brings thirty years of medical industry executive experience. Quintin Gunn is our Practice Development Specialist. Dee Nott brings positioning and diagnostic framework architecture.

No sales calls. A diagnostic team that tells you what's actually happening, and what to do about it.

Stage 2 — Commitment

Your practice is in the Commitment Stage.

You're being found. Something is breaking between being found and being booked. The diagnostic just gave you the first piece of the answer.

The diagnostic placed your practice in the Commitment stage, the second of three stages where practices commonly get stuck.

At this stage, patients and referring physicians find the practice. The phone rings. The referrals come. But not consistently, and not always for the work the practice most wants to be doing. Referrals come in waves. The practice isn't invisible. It's just not the obvious choice.

We can't know everything about your practice from ten questions. We don't know your team, your market, or what you've already tried. But we know which problem you're solving for now, and that changes what's worth doing next. It's common to spend years on the work that doesn't actually move the number.

What we typically see at this stage

You'll recognize some of these. Others may not apply yet.

Referral volume is inconsistent. Strong months followed by slow months you can't explain.
Referring physicians don't have a specific reason they give for choosing this practice over others.
Inbound calls and inquiries aren't always converting

If you want to go deeper, the brief lays out what's underneath.

Three pages. The two patterns we see most often at this stage, the moves that look like progress but deepen the problem, and the lever that turns busy into building.

In the brief

The two patterns we see most often.

A generic referral message and conversion friction inside the practice. Most Commitment-stage practices have both running at the same time, which is why the work feels harder than the volume suggests.

In the brief

Two moves that look like progress but deepen the problem.

Most practices try one or both when something stops adding up. Both make the practice busier without making it more profitable, which is the trap of this stage.

In the brief

The lever that turns busy into building.

Of everything that can be done at this stage, one specific piece of work has to come first. Skip it and the next decade looks like the last one.

The diagnostic told you which stage. The brief tells you which of the two patterns at this stage is shaping your practice.

Three pages, written for someone in your stage. It's the difference between knowing where you are and knowing what's actually in play.

Read the full Commitment Stage brief.

Three pages. The two patterns we see most often, the two moves that deepen the problem, and the lever that turns busy into building.

Drop your email and we'll send it over.

Your information stays with us. We'll send the brief and follow up occasionally. You can unsubscribe anytime.

Or talk to the partners.

If reading isn't where you want to start, here are two ways to get on the phone.

Skip the formal call.

Leave us your number and a quick note about what's going on. Your message hits all three partners in real time. One of us will reach out as soon as we see it.

Even one sentence helps us prepare for the call.

Sent.

All three partners just got the alert. One of us will reach out shortly.

Book the full diagnostic call.

45 minutes. Frank Martin, Quintin Gunn, and Dee Nott. We tell you exactly what we see.

Book the call

About our team

Frank Martin brings thirty years of medical industry executive experience. Quintin Gunn is our Practice Development Specialist. Dee Nott brings positioning and diagnostic framework architecture.

No sales calls. A diagnostic team that tells you what's actually happening, and what to do about it.

Stage 3 — Dominance

Your practice is in the Dominance Stage.

You came here because something feels off despite things going well. The diagnostic just gave you the first piece of the answer.

The diagnostic placed your practice in the Dominance stage, the third of three stages where practices commonly get stuck.

At this stage, the practice has solved Visibility and Commitment. Referrals are consistent. The schedule is full. The practice is being chosen. But growth has stalled, and the schedule fills with cases that aren't moving the practice forward.

We can't know everything about your practice from ten questions. We don't know your team, your market, or what you've already tried. But we know which problem you're solving for now, and that changes what's worth doing next. It's common to spend years on the work that doesn't actually move the number.

What we typically see at this stage

You'll recognize some of these. Others may not apply yet.

Demand is consistent but growth has plateaued. More volume isn't producing more revenue.
The schedule fills with cases that aren't the work the practice most wants to be doing.
Growth depends on the founding physician's personal time and relationships, not systems.

If you want to go deeper, the brief lays out what's underneath.

Three pages. The two patterns we see most often at this stage, the moves that look like solutions but make it worse, and the lever that actually moves the needle.

In the brief

The two patterns we see most often.

Wrong case mix and physician dependency. Most Dominance-stage practices have both running at the same time. Naming which one is primary is most of the work.

In the brief

Two moves that look like solutions but usually make it worse.

Most practices try one or both when the ceiling becomes obvious. Both make the underlying problem harder to see and more expensive to address later.

In the brief

The lever that actually moves the needle.

Of everything that can be done at this stage, one specific piece of work has to come first. It changes which patients walk through the door, which changes what the practice can become. It cannot be built in three months. It has to be built deliberately, over time.

The diagnostic told you which stage. The brief tells you which of the two patterns at this stage is shaping your practice.

Three pages, written for someone in your stage. It's the difference between knowing where you are and knowing what's actually in play.

Read the full Dominance Stage brief.

Three pages. The two patterns we see most often, the two moves that make the underlying problem harder to address, and the lever that actually moves the needle.

Drop your email and we'll send it over.

Your information stays with us. We'll send the brief and follow up occasionally. You can unsubscribe anytime.

Or talk to the partners.

If reading isn't where you want to start, here are two ways to get on the phone.

Skip the formal call.

Leave us your number and a quick note about what's going on. Your message hits all three partners in real time. One of us will reach out as soon as we see it.

Even one sentence helps us prepare for the call.

Sent.

All three partners just got the alert. One of us will reach out shortly.

Book the full diagnostic call.

45 minutes. Frank Martin, Quintin Gunn, and Dee Nott. We tell you exactly what we see.

Book the call

About our team

Frank Martin brings thirty years of medical industry executive experience. Quintin Gunn is our Practice Development Specialist. Dee Nott brings positioning and diagnostic framework architecture.

No sales calls. A diagnostic team that tells you what's actually happening, and what to do about it.

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