Physician-led · Denver, CO
info@snrgysolutions.com
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info@snrgysolutions.com · Denver, CO

Surgical and medical specialties

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.

Physician-founded Built for rural & critical access hospitals Experts across surgical and medical specialties
The problem

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.

58 miles

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 2021
83%

Share 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, 2026
31 days

Average 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, 2025
The reframe

You 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 vs. Snrgy

Locums fills a shift. We build the program.

DimensionTraditional locumsSnrgy
GoalFill a coverage gapBuild a durable service line
PhysiciansWhoever is availableA small, consistent team
ScopeThe shiftClinic, OR, referrals, ED pathways, governance
Measured byDays filledAccess, volume, leakage, utilization
RelationshipVendorOperating partner
End stateRenew the contractA 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.

The Snrgy model

Assess → Design → Deploy → Grow

Four steps, one accountable partner. About three months from a signed agreement to the first clinic day.

01

Assess

Audit the specialty landscape: demand, leakage, OR and clinic capacity, leadership goals.

02

Design

A custom model: coverage cadence, clinic and OR schedule, referral workflow, growth plan.

03

Deploy

The team embeds. Snrgy handles credentialing, licensing, travel and every logistic.

04

Grow

Build volume and referrals, review KPIs monthly, then expand or move toward permanent staffing.

What we build

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
How the model works
Ways to work with us

Three levels of support. Pick the one that fits.

Start where your hospital is today. You can move up as the program grows.

Tier 1

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
Tier 3

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
What we measure

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.

≤ 14 days
Wait for a new-patient appointment
≤ 72 hrs
Access for urgent referrals
≥ 60%
OR block utilization by month 3
Leadership & physicians

Physician-founded. Clinically led. Operationally run.

Dr. Lee Ponsky

Dr. Lee Ponsky

Cofounder · Physician lead

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

Zach Maher

Cofounder · Operator

Based in Denver. Zach runs operations and partnerships: the schedules, referral tools and monthly reporting that turn physician coverage into a working service line.

For every leader

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.

Questions

What hospital leaders ask first.

How is this different from locums?
Locums covers a shift. We build the program around it. You get the same small group of physicians each rotation, plus the clinic templates, OR block, referral pathways, ED protocols and a monthly review with your leadership.
How fast can we launch?
Typically about three months from a signed agreement to the first clinic day. Credentialing and licensing drive the timeline, and we start both on day one.
What does the hospital provide?
Clinic space, an OR block with anesthesia, an internal champion, EHR and referral workflows, scheduler training and data sharing for the monthly dashboard. We handle the rest.
Do you cover call?
Call scope is defined per contract. Many programs start with clinic and scheduled OR days plus a clear urgent-access pathway, then expand as the program matures.
Which specialties do you cover?
Surgical and medical specialties. Each program is designed and led by physicians who are experts in that specialty, and built around the care your community is missing. Tell us what you need and we will tell you plainly whether we can build it.
How is pricing structured?
Physician coverage, plus service-line support if you want it, scoped to your goals. We work out the details together during the assessment and judge the program on the total value it brings in, not the daily rate.
Next step

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.

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