Specialty care that stays close to home.
Snrgy helps rural hospitals bring specialty care back home. Our physicians are experts across surgical and medical specialties, and we build each program around a small team that keeps coming back.
When there is no local specialist, everything leaves town.
Patients drive hours for a consult. Primary care stops referring locally. The OR sits idle. And recruiting a full-time specialist keeps falling through.
Median one-way trip to a specialist for Medicare patients in the most remote rural areas, and 26 to 43 miles in other rural areas. Urban patients travel about 9.
Source: MedPAC, Report to the Congress, June 2021Share of hospital transfers that happen because the first hospital can't provide the specialized care the patient needs. About 1 in 4 transfers could have been avoided.
Source: Mueller et al., JAMA Network Open, 2026Average wait for a new-patient specialist appointment across 15 large U.S. metro areas, up 19% since 2022.
Source: AMN Healthcare, Physician Appointment Wait Times Survey, 2025You don’t have a staffing problem. You have a specialty access problem.
“We need a specialist” is the symptom. The real issue is that patients have no reliable way to get specialty care locally, and a string of locums shifts doesn’t change that on its own.
Locums fills a shift. We build the program.
| Dimension | Traditional locums | Snrgy |
|---|---|---|
| Goal | Fill a coverage gap | Build a durable service line |
| Physicians | Whoever is available | A small, consistent team |
| Scope | The shift | Clinic, OR, referrals, ED pathways, governance |
| Measured by | Days filled | Access, volume, leakage, utilization |
| Relationship | Vendor | Operating partner |
| End state | Renew the contract | A program the hospital owns, and a path to permanence |
Locums does a real job. When you need a shift covered, it covers it. Snrgy is for the hospital that wants a lasting program.
Assess → Design → Deploy → Grow
Four steps, one accountable partner. About three months from a signed agreement to the first clinic day.
Assess
Audit the specialty landscape: demand, leakage, OR and clinic capacity, leadership goals.
Design
A custom model: coverage cadence, clinic and OR schedule, referral workflow, growth plan.
Deploy
The team embeds. Snrgy handles credentialing, licensing, travel and every logistic.
Grow
Build volume and referrals, review KPIs monthly, then expand or move toward permanent staffing.
Physician coverage, plus everything around it.
Fractional physician coverage
A small recurring team with a primary physician assigned for continuity. Credentialing, licensing, malpractice and travel are handled.
- Same faces each rotation
- Predictable clinic and OR cadence
- Backup physicians for continuity
Three levels of support. Pick the one that fits.
Start where your hospital is today. You can move up as the program grows.
Coverage
For hospitals that need a specialist in the building: recurring clinic days, call coverage or a bridge while you recruit.
- A small, consistent team of physicians
- Clinic, procedure and call days scheduled 60 to 90 days out
- Credentialing, licensing, malpractice and travel handled
- Backup coverage built in
- A monthly coverage summary
Partner
Everything in Coverage, plus a plan to grow the service line.
- A 90-day assessment of demand, leakage, wait times and capacity
- A launch plan: clinic template, OR block, call and ED pathways
- Referral development with local primary care and ED physicians
- Telehealth follow-up and pre-op visits where billable
- A quarterly business review with leadership
Service Line
Everything in Partner, with Snrgy as your operating partner.
- Revenue cycle and coding review
- Community launch and marketing
- Clinic and OR operations support and staff training
- A monthly KPI dashboard
- Permanent recruitment support when you're ready
Targets you can hold us to.
Every program starts with baseline numbers and targets agreed with your leadership. We review them together every month. These are the first-quarter targets we typically set.
Physician-founded. Clinically led. Operationally run.

Dr. Lee Ponsky
Urologist based in Cleveland, Ohio. Lee sets the clinical standard for every Snrgy program. The coverage model, case mix and care pathways come from a physician who practices them.

Zach Maher
Based in Denver. Zach runs operations and partnerships: the schedules, referral tools and monthly reporting that turn physician coverage into a working service line.
The same program, seen from every seat.
Specialty access closer to home, without betting everything on one recruit.
Offer specialty care locally without staking everything on recruiting one full-time specialist. A small team that keeps coming back gives the community something it can rely on while you work on the long-term plan.
What hospital leaders ask first.
How is this different from locums?
How fast can we launch?
What does the hospital provide?
Do you cover call?
Which specialties do you cover?
How is pricing structured?
Let’s build your service line.
Start with a 20-minute call. We’ll ask where your patients go today, what you’d like to keep local, and what a realistic first year could look like.
Prefer email? info@snrgysolutions.com.
Physician? See how our teams work.