Episode 37 · May 12, 2026 · 34 min
We Hit $185K Months at HALF Capacity | April At Verve (What We’re Actually Doing)
Listen on Apple Podcasts, Spotify, or YouTube
This month, we hit $185,000 across our 3 clinics… while operating at nearly HALF of our doctor capacity. This growth didn’t come from “working harder.” It came from rebuilding broken systems, improving leadership, tightening operations, refining marketing, and finally creating a team culture that actually works.
In this episode, we’re pulling back the curtain on exactly what’s happening inside Verve right now. We break down the marketing strategies driving new patients, the operational changes improving conversions, and the leadership shifts that completely changed our team’s performance. We also talk about the hard part of scaling that nobody really warns you about: recalibration seasons.
If you’re trying to grow your clinic, scale multiple locations, improve your team culture, or stop feeling stuck in your business… this episode is a real behind-the-scenes look at what growth actually requires.
In this episode, you will learn:
00:00 Why hitting $185K months with only 4 doctors feels bigger than our record months.
02:00 The compensation change that completely shifted our team’s motivation.
04:05 Why scaling multiple locations exposed all of our leadership gaps.
05:45 The painful “recalibration season” that changed everything.
08:27 How we brought in 173 new patients across 3 clinics.
09:44 Why marketing alone won’t save a broken patient experience.
10:00 The real marketing budget most clinic owners avoid investing in.
11:35 Why most people quit ads way too early.
12:15 The biggest mistake clinic owners make with “low quality leads.”
14:02 What our failed Shockwave process taught us about conversions.
15:00 Why patient education is everything in retention.
15:45 The leadership communication system we completely rebuilt.
16:36 How to know whether your leads are actually bad… or your sales process is broken.
18:46 The operational problems we’re still actively fixing.
19:30 Why we scrapped our one-day new patient process.
20:00 How we’re redesigning Shockwave appointments for efficiency and conversions.
21:20 The leadership lesson that changed our clinic culture.
23:15 What nobody tells you about owning multiple locations.
25:00 How we’re using patient feedback to improve our marketing.
26:23 The surprising niche we discovered inside our Shockwave campaigns.
27:15 Why your team performs differently when they feel heard.
30:00 Why we’re getting back into community events and local partnerships.
31:30 The growth strategy we’re focusing on for the next quarter.
Resources + Links
Join The Expanded Collective & Install Our Systems In YOUR Practice: https://www.skool.com/local-authority-builders/about
Follow
Danielle: @dr.danielleroach
The Expanded Collective: @theexpandedcollective
Want this installed in your clinic?
Everything we cover on the show gets built step by step inside Local Authority Builders, with AI doing the heavy lifting.
Join the Community →