Dr. Una, founder of EntreMD and mentor to hundreds of physician entrepreneurs, joins Dr. Heather Signorelli to talk about what actually drives practice growth without burnout, and shares an unscripted story about why her own practice now trusts NatRevMD with its billing. Growth Problems Are Rarely About Billing: Dr. Una explains why the real lever for growth is almost always the evolution of the physician into the CEO of their own practice, not the team, the market, or the numbers themselves. Replace Yourself Three Times: Every practice owner plays three roles: technician, manager, and owner. Growth stalls hard the moment a physician replaces the technician role by hiring other providers but never replaces themselves as the manager. The Four Business Algorithms Every Physician Needs: Dr. Una walks through the four areas physicians have to learn like a clinical protocol: how to grow revenue, how to build a brand, how to fill the schedule, and how to build a genuinely profitable team. What Changes Past Five Million: At the five to ten million dollar mark, the game becomes about leadership across producers, managers, and leaders, plus obsessing over granular profitability data the way an ICU doctor watches vitals. You Cannot Resist Your Environment: Dr. Una explains why EntreMD is built on mentorship, accountability, and community rather than one-on-one coaching, including a real example of a client growing revenue 71 percent while taking eight weeks off. A Full Circle Story: Dr. Una's own practice switched its billing to NatRevMD after years of her practice administrator being unable to find a fit. Her verdict: “your billing department is your aorta. It is not a place you can afford to leak from.” Reference tables: None this episode. Three Actions This Week • Write down the four numbers you are currently avoiding in your practice (AR, profit and loss, revenue per provider, schedule fill rate), and commit to reviewing them weekly. • Name which of the three roles, technician, manager, or owner, you personally have not replaced yourself in yet, and pick one system or hire that starts that process. • If nobody outside your practice has ever looked closely at your billing, watch our free briefing and see what your own aorta actually looks like. Resources (CTA priority order, MOFU) 1. 30-Day Revenue Recovery Plan: eligibility.natrevmd.com/nrc/-30day-revenue-recovery-plan (redacted 2. Watch the NatRevMD Briefing (VSL): eligibility.natrevmd.com/vsl (redacted 3. Payment Posting Audit Checklist: eligibility.natrevmd.com/payment-posting-checklist (redacted 4. Guest resource: The Profitable Private Practice Playbook, EntreMD.com/privatepracticeplaybook (redacted Books referenced: Eat That Frog by Brian Tracy, The E-Myth Physician by Michael Gerber (both referenced by Dr. Una as early turning points). Series: not applicable, standalone episode.