"You can get past the dead end. You can break through the ceiling. I did and so have countless others."
In this episode, Justin sits down with Jill, a nurse practitioner who is balancing a growing integrative medicine practice alongside a contract role, and is looking for a more efficient way to manage both.
They walk through practical strategies for improving time management, reducing day to day workload, and making better use of support staff. The conversation highlights how documenting processes, creating simple training systems, and delegating effectively can help free up time and create more consistency in the business.
They also explore ways to build momentum through consistent community engagement and patient driven growth, along with simple approaches to increasing visibility and strengthening patient relationships.
Overall, this episode offers a practical look at how to bring more structure into a growing practice, creating a smoother, more sustainable path forward.
00:00:02:12 – 00:00:24:07
Unknown
Greetings. This is just an hour for nurse practitioner. Welcome to the Elite Nurse Practitioner Show podcast dedicated to nurse practitioner entrepreneurism and achieving financial freedom, where I talk directly with nurse practitioners who need help. Listen up. Our market is saturated. Jobs can be scarce. We are underpaid. We are undervalued. We are taken advantage of by the sharks within the healthcare system.
00:00:24:07 – 00:00:47:14
Unknown
And frankly, screw that. Sick of it. It’s time for a change. And listen, I’m here to help make that happen. We are powerful. We can forge a path. We are in control of our career and ultimately our financial and personal well-being. You do not need to submit to healthcare ministry and your doctor who you don’t have to take the easily salary.
00:00:47:16 – 00:01:08:22
Unknown
You do not have to work 50 to 60 hours a week. There is a different way. I’m here to show you that path. This podcast is written for. I have not talked to the nurse practitioners of this podcast prior to the call. Outside of an email exchange to schedule the episode. What you’re about to listen to is a consultation session between the nurse practitioner and myself.
00:01:09:03 – 00:01:31:00
Unknown
It is real. Is it scripted? It is unplanned. I have no idea what we’re going to talk about. Anything and everything can happen. During our conversation, the nurse practitioner. These episodes are struggling with an issue in their professional or financial life. They have reached out to me for help. My goal is to help the nurse practitioner with actionable advice that will enhance their professional, business and financial life.
00:01:31:01 – 00:01:55:15
Unknown
My other goal is to hopefully help my nurse practitioner, sisters and brothers build a more productive, powerful and free life. So I hope the content information within these podcast episodes does just that. All right unto the upset everyone. Today we’ll be talking to Jill, who is a nurse practitioner. Currently, she is working as a contractor for a weight loss clinic, but also operates her own integrative medicine practice.
00:01:55:17 – 00:02:13:08
Unknown
She states business is doing fair, but she is feeling a little stuck. She needed help with marketing her new service line, taking new patients outside of word of mouth and how to manage her time better. Hey, Julie. I’m wonderful. How are you? I’m doing good. Thanks, Robert. On here. Tell us about yourself. How you a nurse practitioner for sorts.
00:02:13:09 – 00:02:38:02
Unknown
Things you have do. Yeah. So I became a nurse practitioner in 2023. I was an RNN for years and years before that. And probably like 12, 13 years before that. I focused my R.N. career primarily in critical care, and then I transitioned into lifestyle medicine. Whenever I graduated in peaceful, I went right into a rural health care clinic.
00:02:38:02 – 00:03:02:07
Unknown
And so I was a hospitalist there, and I was a piece here, in their clinic as well. I was there for only like, nine months, I would say. And then we ended up moving to a large city. I was looking at positions, and the pay was nowhere near what I was getting paid to do rural health care.
00:03:02:09 – 00:03:21:05
Unknown
So I decided that I was going to go all in and do my own thing. And so that’s kind of how I started my own practice. Yeah. Okay. You started your practice when, were coming up on two years. So really, it was like the summer of 2021. So you started your practice about a year after you graduate in B-School?
00:03:21:07 – 00:03:38:08
Unknown
Yes. Yeah. And it was not something I had ever set out to really do. It was actually because of your podcast. I had a friend that I worked with as a hospital, and then she told me about some of your courses. And so whenever I started looking at your courses, I found everything. And I was on my commute, I had an hour there, hour back.
00:03:38:08 – 00:03:52:07
Unknown
I would listen to your stuff, and I was like, hey, I can do this. And so originally it was just going to be like a little side project. But then whenever we found out we were moving, I was like, I’m just going to go all in. Yeah, good for you. It’s paid off. Yeah. It has. I did it primarily for flexibility.
00:03:52:07 – 00:04:10:07
Unknown
I have three young kids that are very, very busy, and my husband, whenever he took this new role, lost some of his flexibility. He was kind of that primary parent that if you could be picked up, he could go leave his job easily and do that. And so yeah, I’m able to manage everything, I mean, kind of thing, but, yeah.
00:04:10:07 – 00:04:29:17
Unknown
So I guess I kind of beat the mom that’s there for everything. Robots to pick up, then also have my career. Yeah. Cool. All right, so you’re working part time or as a contractor? Our weight loss clinic. Yeah. Is pretty part time. It monopolizes a lot of my schedule. Just because I only see patients from 830 to 230.
00:04:29:17 – 00:04:52:05
Unknown
Like I said, I do everything for my kids. So drop offs, pick ups, it averages about 40 hours a month. Okay, that’s not much. Ten hours a week. Yeah. Helps pay some bills, basically. Yeah, yeah, it just funds my clinic. Yeah. Okay, so you’re pretty flexible then, schedule wise and whatnot. So tell me a little bit about your your practice.
00:04:52:05 – 00:05:13:12
Unknown
Like, what are you what services are you providing? You know what your hours look like. I’m assuming it’s cash only. It’s only, Yeah. Okay. I’m certain this, Which, I don’t know, I go back and forth. Sometimes I think what I like, and sometimes I think different, but I am Monday through Friday, 3230. My contract job is just full of medicine.
00:05:13:15 – 00:05:37:00
Unknown
So I’m going back and forth between my patients and seeing those patients. It gets really messy sometimes. I’ve got two different schedules I’m managing, and so, I need to figure out what I’m going to do with that. But, I do primarily functional medicine and female hormone replacement therapy. That’s what I’m known for in the community.
00:05:37:01 – 00:05:57:15
Unknown
And I do things like acute care. I need this for patients, things like that. And I just, I have a static side of the business. And I’m struggling to kind of get the take off right now. Yeah. Revenue wise, I mean, you can share those if you want, but, like, what are you doing monthly estimated.
00:05:57:16 – 00:06:22:13
Unknown
I’m. I’m landing between 20 and 30. Okay. A month. At last, this March was actually my, like, highest grossing month. And I was at 27. But I feel like I’m always, you know, in that rat race of making sure that everyone says is going to hit that or is growing. And I’ve just I’m steadily increasing, but I just feel like I’ve been stuck around this 20,000 mark for a really long time.
00:06:22:15 – 00:06:39:23
Unknown
Is that profit or is that just revenue? No, that’s just it’s gross revenue more than what your margin. I would say 30%. Okay. My husband’s actually one of those numbers. So he’s an accountant and he’s my accountant. He was around those numbers for me, but he did not get around to telling me exactly what it was.
00:06:39:23 – 00:07:00:08
Unknown
But I’m sure it’s, like less than 30% somewhere. Everything during the year, profiting ten grand a month, probably. Yeah. You’re right. That for sure. Yeah. Okay. Yeah. It’s not bad. You know. It’s not bad. It’s not great. Right. It’s one of those like. Right. It’s just kind of borderline like, you know, this isn’t bad, but it’s not a good thing.
00:07:00:10 – 00:07:26:04
Unknown
Yeah. I feel like I’m kind of the, like, fork in the road, right? Like, I either, like, kind of stay stagnant, continue what I’m doing, or I make some changes and I really take off. Yeah. So you’ve been at the 20,000 plus mark for how long? Or, I would say probably about six months. Six months. And so six months later, you’re at 27, you did you like you just had your best month.
00:07:26:04 – 00:07:49:18
Unknown
So you are growing. It’s just I mean, growing growth. It’s just slow. Yeah. I mean if you maintain this current trajectory, I mean you would probably be at $40,000 a month and you know, a year, year and a half probably, you know, but but that would still only put you at $15,000 profit, you know, maybe a little bit more.
00:07:49:20 – 00:08:05:01
Unknown
Because my biggest question for you, though, is, is why is your margin only 30%? Why isn’t it closer to 40 or 50? I give way to me discounts that do too many things for free.
00:08:05:03 – 00:08:30:23
Unknown
I my only when it comes to that. Yeah. You’re not the real that shit it okay. I mean I’m working on it. Yeah. This is a business. You know, we’re all guilty of doing this the first year or so of our business. You know, you give away free stuff, you get a discounts to people. You know, you go above and beyond for some patients, just because you’re so desperate to keep a patient and, generate revenue.
00:08:30:23 – 00:08:49:06
Unknown
So I’m guilty of it. Everyone listening to this is probably guilty of that, right? But there gets to a point where you stop doing it. All right, I’m getting there. I’m definitely setting more boundaries and there’s the ones that don’t like it, and they are giving a little bit of pushback, but that’s just telling me that they’re not the patient from my practice.
00:08:49:06 – 00:09:08:14
Unknown
And I’m at a place now where I’m fine with that, and I was not fine with that. You’re also correct. A year ago you could tolerate people’s bullshit. Now you’re not. Yeah. Yes, exactly. Yeah. You don’t have to deal with very difficult people anymore, right. That’s a good thing. So, Yeah. So I would say set some boundaries with that stuff.
00:09:08:14 – 00:09:31:18
Unknown
You really need try to strive for that margin to be closer to, you know, between the 40 and 50% mark. Most these cash based practices like this that that’s usually about what you’re hitting, you know, 45% plus or -5% usually. Right. So really strive for that. Sometimes you got to increase your, your prices a little bit, lower your expenses a little bit.
00:09:31:19 – 00:09:50:21
Unknown
You know, you just had to figure out how can I squeeze out that extra 5 or 10%? And I will see to I just increase my expenses a lot. So I was working out of a room at a chiropractor’s clinic, and I just looked to my own office space. And I live in a city where office space is really expensive.
00:09:50:23 – 00:10:12:20
Unknown
And so I am paying $29 a month, just rents. So that was a significant increase for me that cut into things. So when that so when that happened, your margin went from 50% down. I went down significantly there probably. Yeah. Maybe. Well that’s just investing in the business. That’s fine. You know. Yeah. So that’s okay.
00:10:12:21 – 00:10:30:00
Unknown
I’m okay with that then. You know, it sounds like you probably have your pricing dialed in, your overall expenses of the business in terms of supplies and meds and those sorts of things, so that you probably had this all dialed in. You just just got hit with a big, expensive new rent. Yeah. Yeah. So that’s just gonna be set.
00:10:30:00 – 00:10:51:00
Unknown
That’s just going to have to equalize eventually, you know? But that was, that’s a growth investment in your business. You’re going to be able to see more patients. It’s hopefully better visibility, etc.. It is it’s a lot better visibility. Nobody knew I was in that space. So yeah. Okay. Cool. So that’ll pay off. All right.
00:10:51:00 – 00:11:20:08
Unknown
So time management let’s just start there real quick. So because you kind of mentioned that. So is your biggest time management issue managing this this contracted job in the practice itself or what. What’s the problem. Everything. So obviously I have limited patient hours that I’m in. Right. So from 830 to January my schedule is pretty much it looks like I don’t have admin time, but I’m growing spruce messages and things like that in between.
00:11:20:13 – 00:11:40:22
Unknown
Is it. And it just gets out of hand. Really. Yeah. The contract job is taking up a lot of time too, just going back in for my person. But it’s take up a lot of time. I do a lot. And half of those people I am doing. So they do take time. But I really cool off and keeping them appropriate.
00:11:40:23 – 00:12:03:06
Unknown
I want them to feel like they get value, for cash day. And so I can behind those ways. And so then I’m rushing to go get kids, and then I’m trying to sit there. Practice is catching up on emails, writing letters, you know, doing what it takes to run a business. And so I just feel like the business is running.
00:12:03:07 – 00:12:30:09
Unknown
I definitely am here with this anchor I’m working with right now. And I’m really burnt out really fast. Yeah, I get burned out. Do you have any employees? I have one, see, I started out as a virtual assistant, and then whenever I want this bigger space here, some days when it worked for her schedule.
00:12:30:11 – 00:12:50:13
Unknown
I don’t utilize her as much as I should. Part of that is on me. And part of that is probably just wasn’t the best idea. Really? Sweet girl. It was under her, so I cheaper. But I’m definitely thicker. And a lot of it is just. I don’t have the time to sit down and train her and go over everything.
00:12:50:13 – 00:12:56:19
Unknown
It’s just one more tap out of my list. And so.
00:12:56:21 – 00:13:17:10
Unknown
We’re all trying to maximize her as much as possible. Yeah. You know, it sounds like you do a lot of admin stuff as well for you, and you’re not very thrilled about this person. I like her, and I think she has potential. And like I said, part of it is me. I it even for the time that she needs said no.
00:13:17:10 – 00:13:37:17
Unknown
What I expect was like everybody else that comes on here, I’m really picky. I have high expectations. I can do everything better. Oh. I had that classic ality, so I thought about keeping her and utilizing her in different ways. Like maybe managing my social. Yeah, and then bringing somebody else. And actually more experienced. And that can run the office a little bit better.
00:13:37:19 – 00:14:02:20
Unknown
How is this person? She’s like 22. She has to you. Yeah. She just a kid. I know I’ve got a little soft spot for, but I you know, when I was 22 years old, I was a punk ass kid. Like, there’s, you know, there’s no way you’d. What did managing an office. There’s no way. Yeah. Yeah. Yes.
00:14:02:22 – 00:14:18:00
Unknown
And I kind of knew that going into the higher. But I, I interviewed so many people and at that point I was just so tired of interviewing. And she has a connection with, like, a mutual friend. And so I was like, I’m just going to go with the safe. So it’s like like somebody that like, I feel like is moldable.
00:14:18:02 – 00:14:38:23
Unknown
She does was a little bit more subpar than I was expecting. I like it’s likely ownership because a lot of that’s for me. I have not properly put her right. I went flying by this in my pants every day. So you have two options. The whole point of having an employee is to make your life easier, right? Like that’s that’s the point.
00:14:39:01 – 00:15:00:08
Unknown
If she’s not making your life easier than. What the hell’s the point of having her there? It’s a waste of money, you know? So you have two options here. You can either number one, spend the time with her and start teaching her all of these things, or you expects you can stop doing it here. Or number two, just let her go and find someone else.
00:15:00:08 – 00:15:19:14
Unknown
I mean, you know that that, you know, that’s really your two choices here that mean choice. Number three is the situation you’re in right now. You anyone like and it’s not working out. You’re just kind of let this person just hang out or whatever. And she’s not doing what you need her to do is she’s just incapable of it.
00:15:19:14 – 00:15:35:00
Unknown
Then she is just not a good fit, right? Yeah. I think part of the problem is she needs a list to follow. Okay. And I need I need somebody that can take initiative and see what needs to be done. Like if I’m doing a telemedicine, but that she’s just sitting there on her phone scrolling like, and I’m like, look for things to do.
00:15:35:00 – 00:15:54:00
Unknown
There’s plenty of things that need to be done. And so this is why you do no procedures, okay? This is why you develop a system. So yeah this is and I don’t have okay. Yeah. This is like this is the this is the whole point of an SLP. Is this right here okay. Most people have no clue what the hell that shop is actually for.
00:15:54:00 – 00:16:15:02
Unknown
They just feel like they just like they think they need one. And it’s that’s that’s not how you go about this, okay. People just buy generic shops online. It’s like, why the fuck you doing that? It’s such a waste of money and like, it’s stupid. Don’t do that. You need to build your own. So you need to develop a procedure for what you need her to do.
00:16:15:02 – 00:16:45:04
Unknown
This is going to take you a little time, okay? It’s not very fun. You know, there’s no it’s not fun writing a procedure. It’s just not, but if you want to grow this practice and actually utilize employees correctly, you kind of got to like, you need to give her, you know, this pamphlet or book or something on the computer, something that gives her a checklist of things to do every single day and how to do those things.
00:16:45:10 – 00:17:02:09
Unknown
All right. You can give it to her and then guide her as well. You can do that as well. You know, you can just sit down and train or whatever, or you can do it yourself, record a video of yourself doing it, and then you give it to her like, this is how you do this. So you’re already doing these things.
00:17:02:11 – 00:17:27:20
Unknown
So you should record yourself doing stuff. Okay. You’re already doing these things anyways. So like you’re you’re spending all this time doing all this admin stuff. You’re probably ordering meds from pharmacies. Yeah, I’m doing it all billing patients. You’re like, you’re doing all of this stuff. You shouldn’t have to be doing all right. So what you need to be doing is just download the loom, okay?
00:17:27:21 – 00:17:51:17
Unknown
Just get an account with the loom. Keep it open on your browser, on your own. You know, on your computer, every single time you’re doing something that you don’t want to do. But you’re like, this is just busy bullshit work. I don’t want to do this. Open up a loom, click record, and then begin doing it. And as you do it, talk in your mic explaining what it is that you’re doing.
00:17:51:19 – 00:18:10:05
Unknown
Okay. You’re creating a training video is what you’re doing every single time you do this. So over a period of two weeks, you will probably record about 90% of the stuff that you don’t want to do anymore. Okay. The other 10% are gonna be all those random things that you have to do every once in a while. Right?
00:18:10:06 – 00:18:33:17
Unknown
But 90% of your day to day operational stuff should be completed in two weeks of doing this. So you now are going to have 20 different training videos on how to do a variety of different things, how to order from compounding pharmacies, how to order more supplies from McKesson, how to, you know, whatever, make sure people subscriptions are up to date, etc., etc. make sure people are being called whatever it is.
00:18:33:22 – 00:18:54:18
Unknown
Okay, now you have training videos and now you have a video that it’s you explaining what you’re doing on the mic as you’re doing it. Okay, there is no right or wrong here, right? No one’s going to audit this. This isn’t for anyone but you who you want to train so it can be as raw as possible. Okay?
00:18:54:20 – 00:19:26:08
Unknown
So worry about it and then you’ll download the transcript of that okay. And then you download the transcript and then you go into ChatGPT Gemini Claude, you paste transcript in there and you say, please write me in as soup for this process. It’ll review your transcript of what you’re talking about and then it’ll create it. But it’s going to require you to be explaining what it is that you’re doing step by step as you’re doing it.
00:19:26:13 – 00:19:48:08
Unknown
Okay? Like you can’t just be like, I see I’m clicking this button and see I’m clicking this button over here and see what happens. ChatGPT Gemini AI doesn’t know what you’re talking about. Yeah, right. So you need to explain it every step that you’re doing. Right. Okay, you do this in 2 to 4 weeks, you will have a complete SOP manual created.
00:19:48:10 – 00:20:12:17
Unknown
All right. This is not hard, right? There’s no right or wrong answer here. There could be misspellings. Does that to be grammatically correct? It doesn’t matter. All right. My SOP manual. My mental health clinic looks like shit, right? It does. It looks like garbage. If I turn that into a professor in nursing school, they give me an F.
00:20:12:19 – 00:20:32:07
Unknown
I don’t care. I’m not turning it into a nursing professor. Doesn’t matter. It gets the job done, though. Yeah. Okay, so just do that all right. So, this is just the scrappiness of a small business. Yeah. So if you do this and you hand it to her, she will now begin to be able to do these things.
00:20:32:09 – 00:20:47:14
Unknown
If you give this to her and you give her these videos, just upload these videos to a Google Drive file and then label them in folders. You know what I mean? EMR, compounding pharmacy, like whatever this is like organize it so it makes sense. We do with the videos inside each folder and put it into a Google Drive.
00:20:47:16 – 00:21:18:04
Unknown
That is your practice’s training module, essentially. Right. Give her this. These training, these videos, give her the SOP MBA and give her a checklist. You can ask AI to then create a master checklist for day to day operations based off of all the stops that you just built. Ask it to create a checklist for you now and then you copy that checklist, print it off and tell her I want this checklist completed every single day by the end of the day, and you signing off on it.
00:21:18:06 – 00:21:39:10
Unknown
And then you can go back and make sure she’s doing your job. First off, you know, you’ll be like, hey, listen, wait a second. You said you did this yesterday. I just check you did it. Yeah. Lying to me. Yeah. That’s just a big red flag, you know? So do this and see how she does. If she just cannot, if she doesn’t get it, she doesn’t understand.
00:21:39:11 – 00:22:07:00
Unknown
She can’t do this. She is. Get rid of her. Okay? You know, this is the part of being a business owner that’s hard. Letting someone go is very difficult. Yeah, but it’s it is not a fun thing to do. I’ve had to do it multiple times. And it is not fun. Right. Because you are basically getting rid of someone’s livelihood that they rely on for bills and all this kind of stuff.
00:22:07:01 – 00:22:25:17
Unknown
There’s a lot of things that go into it. It can be confrontational, it could be absolutely nothing. It could just be you say it and they’re like, okay. And they pack their stuff and they leave me. Never hear from them again. It could be that too. Okay. It is not an easy thing to do, but it is something that you have to do as a business owner sometimes.
00:22:25:17 – 00:22:46:07
Unknown
And so there is a first for everything. All right. And the first time is not fun. But it gets easier now, I, I could fire someone right now. I don’t care, I could care less. Yeah, better cold that way, you know. So. But yeah, it gets easier as you, you know. So, so just be prepared for that.
00:22:46:07 – 00:23:11:00
Unknown
If she doesn’t get it, all right? Because this is your business. And at the end of the day, this is going to be something that’s going to significantly prevent you from growing because it’s eating up. So much of your time that you now can’t focus on income generating activities and growing your business. Right? Yeah. So so that’s that’s what I would recommend as far as the time manager, I think that’s going to be your biggest bang for your buck right there.
00:23:11:06 – 00:23:38:02
Unknown
Yeah okay. Utilize your employee. In terms of, you know, managing the job and managing, you know, your schedule and all this stuff. That’s just something that you need to schedule around it. I’ve, I’ve done that before. Where I’d be calling a mental health patient in between an urgent care patient and, like, you know, like, it sucks you’re having to, like, switch your brain on and off.
00:23:38:02 – 00:24:04:09
Unknown
Yeah. So different. They do different things, right? And it’s difficult, stressful. So I would advise that moving forward, you know, with your weight loss, 1099 or whatever, can you just not knock it all out one day? It’s. Yeah. And I kind of talk to them about that today just because, you know, we have issues with me not knowing patients get put on that schedule.
00:24:04:09 – 00:24:28:09
Unknown
My office manager scheduled somebody, for my clinic during that time and like, miscommunications. And so I, I’ve told them like, let’s just consolidate and I’ll see patients. And so I’m making myself available at the same hours of my clinic like I’ll give you certain days. And I mean, the problem with that is, you know, I have patients I’ve been there for a long time, and they only like Thursdays at 2 p.m. are, you know, they all have their.
00:24:28:09 – 00:24:46:05
Unknown
And so I want to accommodate everybody. But it’s just I’m to the point now where it’s just not going to work anymore. So I plan on I plan on making a change there and see if I can just have two days that are telehealth with them a week, and that’s what it is. Yeah, yeah. Set boundaries. Yeah. So like you said yeah, yeah I’m learning that now.
00:24:46:06 – 00:25:05:11
Unknown
I mean before like like I said last year, I was just so obsessed with growing everything and just having income. I would just make myself like over available for everything. And I, I didn’t have any boundaries. So yeah, I’m realizing has to change. Yeah. You can’t be everything for everyone here, right? Yeah. You can’t at some point. You can’t for a little while, but eventually you can’t.
00:25:05:14 – 00:25:18:18
Unknown
Yeah. Okay. That’s time management stuff. Do you have any other questions there? No, I think we’re good. Okay, so marketing your practice.
00:25:18:20 – 00:25:37:04
Unknown
What are you doing right now? So you want to talk about marketing your new service line, and then you wanted to talk or talk about how to market your practice in general to not solely rely on word of mouth. Now, these it’s the same question. Ultimately it it’s for the same thing. So we’ll just knock it out. Now let me ask you first before we do this.
00:25:37:06 – 00:25:56:19
Unknown
Two questions. First. Number one what are you doing now for marketing. And then number two, what’s your word of mouth strategy right now. Like how many how many of your patients are word of mouth like all of my patients are really word of mouth essentially. So the only thing I’m doing for marketing right now is what I started off doing.
00:25:56:19 – 00:26:19:06
Unknown
So I moved to this area. I knew nobody, so I was starting a business and like, didn’t even have like, people at all to even, like, network with, so I, I posted in the mom groups, was advertising on the days that we could do that. And then slowly people would start asking about perimenopause and stuff and people like, oh, I see Jill.
00:26:19:12 – 00:26:41:09
Unknown
And so that’s really where everybody’s come from is from social media, from the mom groups. And then people that are patients telling their friends, I do have an incentive program. I don’t talk about it a lot. It’s really just want to write things to send a newsletter about it. Like once a quarter. They get $50 off of their visit for referring somebody.
00:26:41:09 – 00:27:04:19
Unknown
And then the person that books get 50 gets $50 off of their visit. And so that’s gotten me from zero patients to almost 300 in less than two years. Not outstanding numbers, but considering I haven’t done anything really to get those patients, not too bad. I had like a GoDaddy website had no SEO optimization whatsoever, so it was just kind of there.
00:27:04:19 – 00:27:36:06
Unknown
I just recently invested in having somebody do my website and do SEO management for the next year. We’ll see if that pans out to anything. And really, that’s that’s all I’ve done. I’ve been really skeptical of investing in any marketing because I just have heard so many horror stories about it. I’ve been afraid to really do much, and I don’t really want to do the song and dance of, you know, the Google ads and Facebook ads and things not getting approved or, you know, I just I haven’t wanted to mess with it.
00:27:36:08 – 00:28:00:15
Unknown
So but for I’ve done I mean, listen to like I got an Instagram account but it’s not really much kind of whatever. Yeah. How big is your area? Very large. I live in a suburb. Dallas. All right. Yeah. So a lot a lot of people. A lot of people. Yeah, yeah. Okay. Yeah. There’s no shortage of patients.
00:28:00:17 – 00:28:28:04
Unknown
No. So, number one, I want to applaud you for utilizing, you know, bootstrap kind of marketing, you know, using community engagement, marketing strategies. That is so smart. And I don’t think a lot of people are doing this. And you are a shining example of why it worked. You know, you get in the Facebook groups, you been you contribute, you answer people’s questions without like saying anything in return.
00:28:28:05 – 00:28:45:05
Unknown
Right? Absolutely. Right. Right. So you’re engaging in a community, getting some free value out there. And this turns into patients. It turns into customers. Yes. So you are are you still doing that?
00:28:45:07 – 00:29:03:14
Unknown
All right. I hope everyone’s enjoying the episode so far. I just wanted to take a quick break to thank everyone listening, and also give a big thank you to all of my social media followers and email subscribers. If you haven’t done so yet, please subscribe to our email list WW, WW lead np.com and make sure to follow us on Facebook, Instagram and LinkedIn.
00:29:03:16 – 00:29:28:05
Unknown
Email subscribers will receive updates on new weekly podcast episodes, multiple weekly articles, we publish, new courses and everything else related to helping succeed. Remember, all elite nurse practitioner courses are designed to help you build in each practice, increase your financial strength, and to break free from the rat race. If I can break free and other countless nurse practitioners can break free and so can you.
00:29:28:09 – 00:29:47:03
Unknown
Additionally, please share this podcast with your other nurse practitioner sessions. And for those out there, the more NPS that venture out on their own, the stronger our profession will become. Now let’s get back to the episode. Yeah, I’ve backed off a little bit just because there’s a few other people that do it. I get so tired of them posting constantly.
00:29:47:03 – 00:30:05:05
Unknown
I’m like, I don’t want to look like that. Like just like, oh my business, my business. But so, I mean, I’m still doing that, just not as much as I was. And I have seen things slow down because of that. And so I need to get back into it. I just don’t want to look annoying either. Never stop doing something that works.
00:30:05:11 – 00:30:28:17
Unknown
Yeah. Okay. Yeah. You. Yeah, I just don’t. Especially in business. I tell people this all the time, like, don’t like if it’s working, don’t stop doing it. Yeah. So by all means, keep, keep doing that. Like dedicate 30 minutes a day or something to log in and just do it, you know? And I’m really lucky. My patients are amazing.
00:30:28:17 – 00:30:48:03
Unknown
And they’re on there all the time tagging me like, go see Joe goes effect who I see. So they’ve been amazing. Yeah. So keep engaging going to some other groups if you can try to try to expand that. You know, I know someone who almost solely relied on that for the first couple years of his practice.
00:30:48:05 – 00:31:05:12
Unknown
And now the word of mouth is just, you know, the word of mouth cycle so huge now because he has so many patients that he doesn’t really have to do it much anymore. That’s what he predominantly did for the first few years of his business. And it’s $1 million practice now. I think it’s barely anything I’m marketing at all.
00:31:05:13 – 00:31:25:07
Unknown
Right? The most successful practices don’t spend that much more much money on marketing. They just don’t because they know how to leverage word of mouth. They know how to leverage their online presence. They know how to be found easily. Right? Those are so much more important than throwing that out. There just is. Like it always. It’ll be like it’ll always work better.
00:31:25:09 – 00:31:47:18
Unknown
So getting these continue that. Now if you have this assistant can start taking you off some of this work from you. Then it should open up 30 minutes a day of your time to to do that, because that’s working on the business. I mean that’s income generating activity as a marketing activity. You as the business owner should be doing as many marketing activities as you possibly can yourself.
00:31:47:20 – 00:32:09:13
Unknown
Right? So keep doing that. Don’t let that one go. Okay. Try to expand it if you can. Okay. Like I said, try to get other groups and stuff. Now, the other things that you were mentioning. So you you had this referral program that you have. Yes. It’s.
00:32:09:15 – 00:32:26:21
Unknown
$50 off for referring a patient. And then the other person gets $50 off for becoming a new patient. Yes. What’s the initial patient visit cost? 299. And then follow ups are 199.
00:32:26:23 – 00:32:46:23
Unknown
So it’s like a 15% discount or something. Like it’s it’s not that much. Yeah. That’s fine. Just keep that. Okay I like it. It’s fine. Yeah. I don’t see a problem with that. That’s that’s fine. It’s pretty generous. Yeah. So you can continue that, or you want to make it easy. You can just say 10% off, but $50 sounds like a lot more.
00:32:47:00 – 00:33:03:17
Unknown
So, I would keep that. Now, you mentioned you don’t like you send it out in a newsletter or something. Yeah. You. Yeah. That’s not enough. Like, this is something that you need to be. Every patient needs to be aware of it. Okay. You know how many people answer. You know, I actually open up that newsletter. Who knows?
00:33:03:19 – 00:33:38:13
Unknown
You know, people who open it up, they read it, you know, it’s something else you don’t really know. So I would expand on that. I would have it plastered in your practice at the checkout at the receptionist desk. Whatever. I would have it in a little small brochure. You give every single patient. Okay. You know, when you give people their follow up, you know, their, their, their end of visits summary or, you know, initial patient package, whatever you give them at the end of their visit, there should be also as she put in there about your referral program.
00:33:38:18 – 00:34:00:20
Unknown
Okay, okay with that. So yeah mention it because there are going to be people out there. There going to be some there are going to be some cheap asses out there that will be like, I could get my entire care paid for for free if I use begin hustling. You’re referring patients. Okay. Now it’s fine if someone’s referring 4 or 5 six patients to you a month.
00:34:00:22 – 00:34:21:15
Unknown
Now. I’ll take it. Okay, I’ll take it. Here’s free treatment. Yeah, like, totally worth it. You know what I mean? Yeah. So, there tend to always be someone like that. That really takes advantage. You know, they start telling all their friends and family and stuff, so just. But but but they won’t do that. They’re not aware of it.
00:34:21:15 – 00:34:43:11
Unknown
Right? Yeah. So you can’t assume people are aware of these things. So just make it painfully aware that this is what you do. Okay. So start there. I’m assuming your, your your Google business profile, five star reviews. You got a lot of stuff there. Yeah, got five star reviews. I’ve got about 50. I definitely never ask for them.
00:34:43:14 – 00:35:05:01
Unknown
Right. Like, occasionally. Same thing. I’ll send it out in a newsletter like, hey, do something, do a review for me. And I do give them a credit, for that as well. But I am not good at asking for reviews like in the Visit or anything like that. I’m so incredibly awkward when it comes to that. Yeah, give them something for for that salesman.
00:35:05:01 – 00:35:27:15
Unknown
I’m not a good salesman at all. You know, you have to try to flex that muscle. Yeah, try to work. Try to work on that. Yes. Okay. Those day, every entrepreneur business person should end up trying to be a decent salesperson. I on it. I’m trying. It’s just natural. Not in me. No it’s not. But you know, sales is something that comes with practice.
00:35:27:15 – 00:35:49:18
Unknown
Yeah. Right. There are of course, people who are naturally great at it. And then there are some people who are good at it, but they had to practice. I would say I’m probably in that one. Like I’m good at it. But I do have to practice. I had to practice that when I was younger. Then there are some people who are just don’t really know what to do, and you can train to be better at it.
00:35:49:20 – 00:36:18:14
Unknown
You guys put yourself out there a little bit, okay. And with the and with AI now you could literally just ask it, can you please help me to be a better saleswoman, be better salesman here with this. This is what my business is. These are my offerings. Could you please give me some advice on how I can maybe try to interject some more sales into this, and maybe how I should approach it, because it it will tell you, like, yeah, no, wait.
00:36:18:15 – 00:36:40:05
Unknown
Buy a book any more about this stuff. True. Ask it exactly what you want. Right. So so just try to work on that. But getting a five star Google review is easy. Okay? You incentivize the patient, the customer, and they will give you a five star Google review. And if you just ask for it, some of them will.
00:36:40:06 – 00:37:00:09
Unknown
I have no doubt if I asked them in person, I would have easily double the amount of reviews that I have. Maybe a lot of people just yeah, I’ll give you a five star review and then they go in their car. Yeah, true. Someone calls and they just forget about it, you know? You buy would have more for sure if you asked.
00:37:00:12 – 00:37:19:10
Unknown
If you asked. Yeah, absolutely. Now incentivize people for it and you will get a lot. All right. Yeah. And I men’s health clinic, we, we go through these little phases where we really push it. Most of the time we really don’t. But we just go through these phases where, like, you know, we need we need to up a fight, you know, or our Google reviews.
00:37:19:12 – 00:37:38:21
Unknown
And we just give them we give them something for free in exchange for the for the Google review. We give them something for free that they find valuable. That is dirt cheap for us. Okay. We usually give them like a 30 day supply of Viagra to Daleville in exchange for a five star review. That’s what we do.
00:37:38:23 – 00:38:05:22
Unknown
A bottle is cost us less than $5, so it’s whatever. Yeah, you know what I mean. But to them, it’s very valuable. They will have a hard on the next month, very valuable to them and very valuable. But for us, it’s five bucks, you know what I mean? So, so anyways, though. Yeah, find something that is kind of valuable to them, but cheap for you.
00:38:05:23 – 00:38:26:19
Unknown
Can be a B12 injection or whatever, or give them 5% off, 10% off their visit. Okay. If you do this, you the amount of reviews you get will exponentially go through the roof. So right now I currently I give them $25 like a $25 credit for a Google review. Whenever they do it. But like I said, push this though.
00:38:26:21 – 00:38:44:07
Unknown
Oh no, I’m not pushing it. That’s the thing. Like they don’t know it because they happen to like, not read that random newsletter that I decided to send after three months of not sending it. So yeah, no, I talk about it more in office and I’ll have a sign at checkout. You have a sign there that has little QR code or whatever.
00:38:44:09 – 00:39:07:11
Unknown
It’s five star review. Yeah, I’ve almost bought one off of Etsy multiple times. I just haven’t done it. All right, so at checkout in their in the patient paperwork, this is what you like. You give them something about talking about the referral program and the five star Google review. Okay. So how you maximize your, you know, this is how you maximize the, the word of mouth aspect to your business.
00:39:07:13 – 00:39:31:01
Unknown
Okay. This will improve your SEO to the amount of, you know, the amount of reviews you have. It improves your credibility. You’ll rank higher the more reviews you have. Like, it will just it’ll snowball for you. So yeah. So definitely prioritize those two things. And then the SEO aspect of your, of your business, you know, don’t expect magic here.
00:39:31:03 – 00:39:50:03
Unknown
I don’t that’s kind of why I was so happy to do it for so long. So I was like, I just don’t expect much to come of it. But yeah, why not? Why not? I’m in the season of investing, so I’ll invest in a new website and SEO management. Why not. Right. Like yeah, you know, so fine, you know it’s fine.
00:39:50:07 – 00:40:10:18
Unknown
It it might work. It might not. You know, at the end of the day you’re getting a new website out of it, right? Yeah. Should be a nice website. Hopefully. It looks great. Yeah. Okay. But after the years over with, I would, I would, I wouldn’t renew the contract. Yeah. Yeah. How much are you paying for that?
00:40:10:19 – 00:40:30:19
Unknown
It was 5000 all in for the year. Half of that is SEO management. I think the other half is just like website management or something. So if I drop the SEO portion and then keep that website with them, it would be half that cost every year. Yeah, a year, kind of expensive honestly, just to maintain a website.
00:40:30:20 – 00:40:45:22
Unknown
And honestly, I have my best friend’s brother in laws, two of them are both in it, and whenever they found out that I did this, they were like, what the hell, Jill? Why did you do this? We could have built you that for free. And I just didn’t think about it. So I probably won’t go any further than this year.
00:40:45:22 – 00:41:08:03
Unknown
But we’ll get this year ago and see how it goes. Make sure you own that website. I don’t, so they’ll give me the code so that somebody else can take it and do something with it, but I can’t do shit with it. So, yeah, I, I pretty much will be at a website after this year. And so I was really hesitant on that, but I just decided to go ahead and I was like, I’ll just try it and see.
00:41:08:03 – 00:41:28:23
Unknown
So it was probably a dumb business move. But you live in, you’ll learn. Yeah, yeah, it is what it is. I’ve done stuff like that before. Anyone listening to this don’t do this. I’m glad I could be the example. Yeah, you’re a shining example here. Yeah. Don’t do this. Yeah, like when you hire someone, like, they don’t own your website.
00:41:28:23 – 00:41:43:17
Unknown
And then when you cancel the contract, they can literally just check the website down. Yeah. And just be completely assholes about it. Okay. We’ll give it to you for $3,000 a kick. I give you $2,500 for it to begin with. Why? You know, this is this is a rip off. Yeah. Just use AI to build it. Yeah, well, no, no, a thing.
00:41:43:17 – 00:42:02:06
Unknown
So initially they gave me the first review of it and it was just awful. It was just I thought I ended up making a 22 page word document with edits that I sent to them of things that they needed to change. So, I mean, honestly, I did the website anyway. But yeah, you live in, you learn it’s good now that you learn.
00:42:02:08 – 00:42:21:15
Unknown
Yeah. Long as you have the content of the website, the wording and all that kind of stuff. Long as you have these things, take some screenshots of it and whatnot, you know, maybe try to make a mirror image of it. You know, you got these friends that are in it or whatever they can buy. Just copy it for you, and then you can just literally have I just build you a new one at the end of the year and just be done with it, right?
00:42:21:16 – 00:42:41:16
Unknown
No big deal. You own your Google business listing though, correct? Yes I do, yes. Yeah. Okay. Never, never give that away for only ever. Like, yeah, they might want to try to get access to it or whatever or they’ll kind of you some I don’t figure a line of bullshit about, oh you need to transfer ownership over to us.
00:42:41:16 – 00:43:04:08
Unknown
We can’t do all the SEO correctly or whatever unless we have ownership. Don’t. They’re full of shit. Okay, now, this is called ransom strategy. All these people will do. Yeah. Okay. Yeah. No. That’s yours. Never give that to anyone. Okay. So anyway, from a marketing aspect for your for your business as a whole, that’s what you should do, right?
00:43:04:10 – 00:43:21:12
Unknown
In terms of the new esthetic regenerative esthetic line that you want to do, you make sure you update your Google Business listing and stuff that mentions that as a service? Well, I have not done that. Okay. Yeah. Make sure you mention that. And then also you want to make sure that you have some reviews that also mention this as well.
00:43:21:14 – 00:43:40:10
Unknown
Okay. I can do that. So if you do this on some friends and family for free at first or whatever, make sure that they write a review for you that mention those services that you’re providing. Because if someone’s looking at looking for it on, you know, looking it up on Google, that it’ll also show up based off of what’s the content and the reviews are okay.
00:43:40:12 – 00:43:50:11
Unknown
Yeah. Yeah. So that’s just that’s just an easy thing that you can do. Okay. So just make sure you add that to your Google business listening.
00:43:50:13 – 00:44:14:05
Unknown
Advertising the esthetic thing by itself. Obviously, you know, you update your website, you have a page for it, you know, all that kind of stuff. Statics is cut throat. Well, and that’s kind of where I’m at. So I, I, I knew nothing about the world of esthetics prior to this. I just kind of did it because I had a lot of patients asking me, like, do you do x, y, z?
00:44:14:05 – 00:44:31:11
Unknown
And I’m like, the skin’s the largest organ. Why am I not managing that in my practice? Like I’m having people leave and go see other people? So I, I did that. But the esthetics world is wild and I have learned that really quickly. And so I’m kind of in this, like, limbo of like, what do I do with it?
00:44:31:11 – 00:44:50:15
Unknown
Like, I enjoy it and I’ve enjoyed everything I’ve learned about it and implementing it and is honestly nice because now I’ve added retail. And so it’s kind of some passive income that I have coming in with it. But I don’t know how far into it to go. You know, I’m not adding filler or anything because I’m focusing on more of like the regenerative aspect of it, so I can tie it into the functional medicine.
00:44:50:15 – 00:45:10:03
Unknown
It’s not just, like completely, you know, off, but, there’s, there’s so many talented injectors that have all the fancy machines and I have all these people trying to get me to buy devices for things. And I just, I don’t know how deep into it to go. And right now it’s not even proving to really take off yet.
00:45:10:03 – 00:45:17:23
Unknown
But, I mean, I haven’t done much. I just added it, but, so I, I just I don’t know I don’t know what to do with it really.
00:45:18:01 – 00:45:37:07
Unknown
So yeah, two options. I mean, you can do it for more or less. The original reason why you did it was because people were just asking for it, you know? Well, and that’s the thing. Sorry to interrupt, but like, I don’t want people coming to me just for esthetics, if that makes sense. Like, I wanted to tie it in, like I’m managing their hormones.
00:45:37:07 – 00:45:57:03
Unknown
And let’s take care of your face. Like, I don’t want somebody who’s coming in for me to do Botox on them or something. That’s just. That’s not really my thing. So then don’t advertise it, okay? I don’t I wouldn’t, I wouldn’t bother, I would, I would add it to your website and say for my patients, I offer these services.
00:45:57:05 – 00:46:17:00
Unknown
If you are a new patient looking for these services, I’m fine to see you as a new patient for it. But you know currently that have that. But don’t just don’t don’t don’t don’t advertise it. Then, you know, I think it’s one of those things that you just like okay. Adler Mental Health Clinic as an example. We do weight loss, but we do not just do weight loss for new patients.
00:46:17:02 – 00:46:35:09
Unknown
Well, and that’s how I handle my weight loss too. Like I have some that have like, come to me for weight loss just because they’re friends of friends. But like I don’t advertise on my website really that I do weight loss. It mentions it, but like I don’t actively seek out weight loss patients. Same with IVs. Like I’ll do IVs on my patients, but I don’t want someone just coming to me for an IV.
00:46:35:10 – 00:46:56:13
Unknown
Like those are flaky patients. Like they just take a pie and they don’t. They’re not profitable. So I’ve learned that really fast. It’s a complimentary service for you, for your patients, right? Yeah. Yeah. Okay. That’s what weight loss is on my mental health practice. Yeah. That’s not what we do. Yeah. But if people ask for it, I’m happy to give it to them.
00:46:56:15 – 00:47:27:07
Unknown
That’s what you should. That’s how you should probably approach this esthetic thing, because if you start advertising esthetics, good luck. I mean, how many esthetic practices are in your area? More. More than I can even count. Just on my road. Right. Like, what’s it’s it’s it’s a losing game. It just is. You you will spend so much money on this and probably see nothing in return.
00:47:27:09 – 00:47:52:20
Unknown
So just don’t do it. Don’t wait. So you think I should stay away from getting any kind of device or anything like that? Because it’s just not going to really pay off. Do not get a device, okay? Like it will. They will put you into debt when you have a payment every month. I don’t know very many people who’ve gotten the device and told me that that was the best decision they ever made.
00:47:52:22 – 00:48:24:20
Unknown
Okay, I hear the exact opposite for that. Not okay. Yeah. Some people have devices very well with devices. Right. So I think that it’s not possible. But a lot of times you will get a device and then you are stuck into this payment for five years or some shit because it’s $100,000 or something ridiculous. And you’re paying $2,500 a month, $3,000 a month for whatever for five years, or, you know, whatever it is.
00:48:24:22 – 00:48:44:18
Unknown
It will just it will drive you nuts paying for that every month. And it’s just sitting in the corner gathering dust, you know? So do not do it. Just don’t know what I knew. It just helps you hear you say it. Yeah. And the sales reps are so good. They’re so good. Oh, this is different. Yeah. No.
00:48:44:22 – 00:49:06:21
Unknown
Yeah. Anyone listening to this do not like. The only way it is justified is if you have a practice that has high volume and you’re specifically doing a lot of esthetics or something like that, you can sell that to your patients. You know what I mean? A lot of patients aren’t coming to you specifically just for that device.
00:49:07:01 – 00:49:29:20
Unknown
No. Yeah. And your business, your practice isn’t big enough for it. It’s just not, you know, maybe a little handheld laser that cost 5000 bucks or something. You know, maybe. You. Okay, fine. I’d be okay with that. Red light masks or, you know, some things like this would be okay, but, like, I wouldn’t spend more than, you know, $10,000 on anything like that.
00:49:29:20 – 00:49:48:12
Unknown
And do not it never financing. You can’t pay for cash, don’t you don’t need it. Well, and I probably would pay for it cash but it would be personal money, not business money. So yeah. I mean, I’ve been hesitant that I’ve got a couple of reps that have been hounding me. And then one of them is for like an arm sculpt.
00:49:48:12 – 00:50:07:11
Unknown
I don’t know if you’re familiar with that. And so they’re like, oh yeah, perfectly into your functional medicine practice and all of that. And so I, I’ve been they, I’ve been stringing them along since like last November. And I keep just like I get close and then I pull back like I know it’s the wrong answer, but then part of me is like, well, if you have this, then you can be generating X amount of revenue.
00:50:07:11 – 00:50:31:23
Unknown
And I know it’s wrong answer though. Would you rather be driving around in a in a Lexus LX 500 or have an in scope machine in your practice driver on the Lexus? Yeah, yeah. So if you had the personal money, go buy the Lexus instead. Yeah, yeah I, I, I feel that the answer like I said, thank you for telling me my husband’s vehicle.
00:50:32:00 – 00:50:56:00
Unknown
Yeah I won’t listen to him. I have every reason to I don’t listen to anybody. But I’ll listen to you, so. Okay. All right. Like anyone listening to this, ask yourself this question. If you were contemplating this, would you rather have blank badass car or blank vacation home or this machine? In my practice like that, these machines are like $250,000.
00:50:56:00 – 00:51:15:10
Unknown
One of them like quoted me, 350,000. Of course, they’re going to give me a great deal on it. So I wasn’t going to pay $350,000. But yeah, it’s it’s insane. Absolutely insane. I’d rather have a little condo at the beach right now. I would do one. Yeah. So. Okay. Anyways, I’m glad that you’re. Yeah, yeah. I’m glad you got pulled.
00:51:15:10 – 00:51:35:22
Unknown
I, I’m glad you pulled out. My lord. That can ruin you. It really can. It can ruin it can ruin you. So. Yeah. So anyways, I mean, as far as the esthetics go, that’s that. That’s my advice for you. Just don’t advertise it. It’s on your website. It’s on your Google Business listing. Leave it at that. Promote it to your current patrons and leave it at that.
00:51:36:00 – 00:51:57:08
Unknown
Keep doing what you’re good at. Right. Have people coming to you for the integrative medicine. They’re coming to you for the hormone replacement therapy. That’s what they’re coming to you for. Yeah. So keep doing that right. I guess obviously working I, I’m not just doing that because I know that that’s what I’m good at. And that’s my passion.
00:51:57:08 – 00:52:17:23
Unknown
That’s my strong suit. It’s I feel like because of my business model, because I am like fee for service. I’m going to be capped at how much I can make. So I’m like, I need to figure out other ways to make more money. And I don’t really want it that to be adding on another provider or anything. I’m content being a solo practice.
00:52:17:23 – 00:52:45:18
Unknown
I really I’m not looking to like grow it and sell it or anything like that. I just want a nice, happy life with my practice. Okay, so what’s your goal here? Like okay, in in a in a perfect world basically, right. You no longer have to work at this other place for 1099 or whatever, you know. So like in in Jill’s perfect world, a year from now, how many days do you want to work in this practice?
00:52:45:20 – 00:53:05:17
Unknown
And how much time you want to put into it? Basically, like in a in a perfect world over, you know, in a week. Yeah, I’m content working my Monday through Friday, 830 to 230, but I want it to be contained during those hours, obviously, like there’s going to be times where things come up and I know that, but right now it’s in my brain.
00:53:05:17 – 00:53:22:20
Unknown
My business is 24 over seven. There’s always something to do. There’s always something more. There’s always I should be not wasting my time listening to this podcast. I should be learning more like it just I feel like that never shuts off. So in a perfect world, it would just be Monday through Friday, 830 to 230 as much as possible.
00:53:22:22 – 00:53:41:18
Unknown
And when she comes around as 30 comes around, you’re done. Yeah. And then I’m done. Or, you know, there’s just little minor things that I’m taking care of. But it’s not like me obsessing over finances and how many patients I have that are new for that week, or filling holes and gaps and like it, just that that would be ideal.
00:53:41:18 – 00:54:01:12
Unknown
And then as far as like money goes, I mean, I just I don’t I don’t know, I would love like if I could get to like 50, $60,000 a month, I feel like I would be content, but who knows. So you’d be content with making about two, 50, $300,000 a year? Probably. Yeah. I mean, ideally, if I could get to like half a million, that would be better.
00:54:01:12 – 00:54:21:22
Unknown
But, like I said, I’m not looking to like, add anybody else. So if I’m only willing to work Monday through Friday, 830 to 230, like, you know, I have to maximize how much I can make during that time. And I only have so many, so much time to give a patient like face to face. So that’s why I’ve looked at like bringing on other things like the skincare retail and the hair binders.
00:54:22:01 – 00:54:44:12
Unknown
You know, things like that. And I utilize full script to generate income too. But like, I’m just looking for more of those things so that I can maximize my profit because my time is valuable. And limited. Right? So if your goals work 30 hours a week, I mean, you thinking about the finances and all of this stuff.
00:54:44:14 – 00:55:11:18
Unknown
Welcome to being an entrepreneur. You’re not. Yeah. You’re not turning this off. Yeah. It doesn’t happen. Right. So that’s that’s why you’re paid a lot more and and really ultimately work less than the most. You know the average American. Yeah. Right. You know I’ll be up you know I’ll drive around and I’m looking at people and I’m like, you know, most these people work 40 to 50 hours a week and make $60,000 a year.
00:55:11:20 – 00:55:37:11
Unknown
Like, we are very, very fortunate, you know what I mean? Of course. Yeah. Very, very fortunate. So make sure you’re always make sure you always keep that in mind. Right. Just be you know, grateful for it. But if you work 30 hours a week and make $500,000 a year, then I think that the only way you’re going to be able to do that is adding additional services that require time.
00:55:37:13 – 00:56:02:03
Unknown
So you’re your mind is on the right track. You’re thinking the right way. So I like to hear that okay. You are correct. Eventually. Yeah. Everything here is going to be tied to your time for fee for service. So you need to begin thinking about some more subscription based model stuff if you can. All right. You know, a lot of these hormone replacement therapy patients.
00:56:02:05 – 00:56:23:03
Unknown
These people should be on more of a subscription based thing and where their hormones are delivered to them from the compounding pharmacies and the cost of the visit, the meds, everything is included in it, and you’re only following up these people every three, 4 or 5, six months. You know, that’s easy to that’s easy to compound, right? Fee for service.
00:56:23:03 – 00:56:45:03
Unknown
Functional medicine is really not because you’re gonna see the patient, right. You gotta, you know, but you can always sell people on additional stuff vitamin injections and compounded meds and hormones and things like that. So really begin thinking about, you know, you said you give away a lot of stuff and you give people discounts and whatnot, but you’re you should be doing exact opposite of that.
00:56:45:03 – 00:57:12:09
Unknown
You should be trying to sell them on more things. You need to extend the lifetime value of each individual patient. Giving them a discount decreases the lifetime value of the customer. Okay. So you need to be increasing it. And it’s it’s not rocket science. You sell them on more things. Yeah. Things that don’t require your time. So you’re going to begin doing regenerative esthetics.
00:57:12:09 – 00:57:34:13
Unknown
You just you just gave yourself something else that requires more of your time and. Oh yeah, yeah, yeah. So be thinking of other things that you can do. You know, peptides and just if it, if it’s a prescription that you give them or you give them a compounding med, a vitamin, whatever, that doesn’t really require any more your time.
00:57:34:15 – 00:57:58:06
Unknown
Right. So, you know, I can see a men’s health agent as an example. I’ll, I’ll give you two examples. I’ll give you a low lifetime value customer. I’ll give you a high lifetime value customer below lifetime value customer I spend, let’s just call it 45 minutes a year with them, okay? Yeah, I see them every 4 to 6 months for a 15 minute visit.
00:57:58:12 – 00:58:18:20
Unknown
That’s pretty much it. You know, that’s easy. You know, this is your blood work. How you feeling? Great. Okay. You know, that patient’s paying a $140 a month for their testosterone replacement therapy, and they’re basically getting testosterone. They’re getting a result if they need it. And they’re getting, you know, like a B12 injection. Okay. That’s pretty much what they’re getting, right?
00:58:18:21 – 00:58:46:15
Unknown
That’s a low value customer, you know, have the money for anything else. Now a high value customer. All right. Same customer I spend 45 minutes a year with them. I spend the exact same amount of time with them. Okay. But this person, instead of $140 a month, gives us something closer to like 5 or $800 a month. And I have them on the testosterone replacement therapy, but they’re also on some nandrolone.
00:58:46:15 – 00:59:08:00
Unknown
They’re also on human growth hormone. They’re also want to peptide. They’re also vitamin D injections. You know what I mean. I spend the same amount of time with them and I make 5 or 6 times as much as I do from the low value customer. Okay. Now that’s obviously that’s, that’s someone who’s a little bit more of a high baller.
00:59:08:02 – 00:59:29:14
Unknown
Right. That’s not everything. That’s not every single patient obviously. Yeah. But at my men’s health practice we extend the lifetime value of each customer by also selling them on Ed meds as well. Okay. That’s not including the hundred and $40 for another $30 a month. You can also get your Ed meds from us. Half of our patients are on that.
00:59:29:16 – 00:59:51:12
Unknown
Okay. $30. That’s up. You know what I mean? So just be thinking the things like that. I don’t really know your practice well enough to give you some suggestions, but I know your clients. You know. Yeah, yeah. So be thinking of things like that. Little extra $10 here, a little extra $30 here, a little extra $50 here. It adds up, especially when you start getting more and more patients.
00:59:51:12 – 01:00:10:10
Unknown
So I think that in the next year or two, you should be able to probably double your income. You really should be able to you’re on a growth path right now. If you do the things that I just told you to do, just optimize these things, optimize your referral program, optimize your Google reviews, get people that just find you easier on Google and stuff.
01:00:10:10 – 01:00:29:09
Unknown
You know you don’t have to spend money on advertising. You really don’t give me waste your money. I don’t think it’s necessary. Get back in those groups, your patient volume will increase as your patient volume is increasing. That’s when you begin to try to extend the value of every single, you know, every single customer and start working on those SOPs.
01:00:29:09 – 01:00:48:16
Unknown
Streamline your business. And like I said, I think in a year, year and a half, you probably will double your income. You’ll probably hit that number you want to hit probably, and still work 30 hours a week. Okay. Yeah, I think I can do it right. Any other questions now? I think you covered everything. Thank you so much.
01:00:48:18 – 01:01:07:20
Unknown
All right. You’re welcome. I like to end the episode with you asking me a question. You have a question? From a personal question. Curiosity? Yeah. Who’s inspiring you in the business world right now? Who’s inspiring me right now? Or are you at that point where you’re like in game?
01:01:07:22 – 01:01:26:16
Unknown
My lord, you know, I mean, I still I still listen to business podcast, you know, I still do. I don’t listen to as many as I used to. Just because I feel like it’s the same shit over and over again. I’m not really learning. I’m not learning anything new anymore at this point, you know, after listening to thousands of hours of it.
01:01:26:18 – 01:01:44:19
Unknown
But, you know, this kind of controversial. And I know this person. People don’t like him, but I don’t care. I do, you know, Elon Musk is pretty impressive. He’s a very impressive person. Okay. Deny that. Yeah. Like, I don’t care what you think it is political. It doesn’t matter what he’s. You know, who cares? Throw it out the window.
01:01:44:21 – 01:02:13:11
Unknown
This man just launched the largest space ship in history, shot it up into space, and then landed it back. And no one cares. It’s just like, that’s impressive. Like, it’s extremely an impressive thing to do while also operating Tesla. And you know, it’s operating SpaceX and Starlink and doing all of these things at one time. It’s I don’t know I don’t know how he does it.
01:02:13:11 – 01:02:35:05
Unknown
I don’t know. But he delegates tasks very, very well. He focuses on what he wants to focus on. And I think that’s really the key of what how he does it, you know? So, you know, do I agree with everything he says? Obviously not. You know, I think there’s some crazy in him, for sure. But you don’t get to the point of becoming the first trillionaire in history by not being crazy.
01:02:35:07 – 01:02:51:15
Unknown
Yeah. Cluster. Mazel. Yeah. So, anyways, good question. So. All right. Cool. Well, it was a pleasure talking to you. And if you want to, I do a follow up six months from now, whatever it is, let me know. Great. Thank you. Thank you so much for your time. Now you are too. Bye bye. Thank you for listening to the show.
01:02:51:15 – 01:03:09:22
Unknown
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01:03:09:23 – 01:03:21:18
Unknown
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