Dr. Alex Ibarra of Victory Spinal Care Waco is with me again this week, asking the exact questions he’s grappling with inside his clinic.

I break them down the same way I would in a closed-door meeting. We start with a huge win (doubling revenue in a single month!) and then dig into the real question: how can you do it again without burning out or getting distracted by busywork?

This conversation goes deep into what actually moves the needle when growth stalls. I walk through the shifts that matter when a practice outgrows its current systems, from hiring decisions to closing percentages to protecting momentum when life happens.

We also get real about leadership...especially the uncomfortable moments of seeing problems before your partner or team does.

What you’ll learn about in this episode:

• How increased energy and leadership presence impact staff and patient behavior.
• Why systems that create early growth fail at higher revenue levels.
• What closing percentages can reveal about hidden growth opportunities inside a clinic.
• The importance of tracking patient conversion across multi-day onboarding processes.
• How maintenance care retention stabilizes revenue without additional marketing spend.
• Why capacity limitations are often perceived problems rather than real constraints.
• The strategic reasoning behind hiring a second staff member before feeling overwhelmed.
• How focused staff roles directly improve financial presentations and closing rates.
• The connection between owner mindset, momentum, and seasonal disruptions.
• The value of reactivating past patients instead of relying solely on new leads.
• The use of structured meetings to surface and solve problems early.
• How constant hiring creates leverage to attract high-performing team members.
• The thing to keep in mind when staff members are also patients.

Our website: https://pathtovictorychiro.com 

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