How Elevation Athletics Runs Without Its Owner (and What That Means for Your Clinic)

What would it look like if your clinic could run and grow without you in the day-to-day? In this episode, Jeremy sits down with Dr. Ryan Perez, owner of Elevation Athletics in Fort Worth, TX, to break down exactly how he:

• Got himself out of patient care,
• Built a team that can run the clinic with minimal oversight, and
• Is now aiming for a 7-figure year in 2026 while working ~8 hours a week on the clinic.

🎙 Guest

• Guest: Dr. Ryan Perez, owner of Elevation Athletics
• Clinic Website: elevationathleticspt.com
• Ryan's Instagram: @dr_ryanperez
• Clinic Instagram: @elevationathleticspt

📌 Episode Topics

• How Ryan went from treating full-time to 0 clinical hours
• What he actually does now in his 8-hour workweek for the clinic
• Using time audits to decide what to offload first
• Building a business that can run—and scale—without you
• How to think like an owner instead of an employee in your own clinic
• Why most PTs are "accidental entrepreneurs" and how to fix that
• Org charts, accountability charts, and giving your staff a real growth path
• "Who, not how" and buying back your time as a clinic owner
• Predictions for 2026: small group training, performance, and longevity services

🚪 Step One: Decide What You're Actually Offloading

Ryan's first advice to any owner who wants to get out of the day-to-day: do a ruthless time audit.

• List everything you're doing in the business each week.
• Identify what should be:
  • Owner-level work (vision, leadership, key relationships, high-level decisions),
  • Director-level work (managing PTs, metrics, operations),
  • Admin-level work (scheduling, basic comms, data entry).
• Once you see it on paper, the next hire or next system you need becomes obvious.

Different stages of business require the owner to focus on different problems. If you're still doing everything, you'll stay stuck at the same stage forever.

🕒 What Ryan's Week Looks Like Now

Ryan no longer treats patients in the clinic. His time in Elevation Athletics is about 8 hours/week and looks like this:

• Monday: Attends (but doesn't lead) the staff meeting. He "shows face," listens, and lets the system run.
• Thursday: 1:1 meetings with:
  • His clinic director (leadership, growth, internal systems), and
  • Staff PTs (case studies, treatment philosophy, coaching).

The day-to-day is handled by the team. Ryan's role is leadership, training, and high-level decision making—not plugging schedule gaps.

🎯 The Goal: Control of Time, Not Just Income

Ryan's philosophy wasn't "escape patient care at all costs." It was: build a business that runs without me, so I can choose when and how I treat.

Key mindset shifts he shares:

• You're not "just a PT" anymore—you chose to be a business owner.
• Wealth = control of your time, not just higher revenue.
• He wants the option to:
  • Move anywhere in the country,
  • Open additional Elevation locations with a ready-made playbook,
  • Step into clinical care if he wants extra profit—not because the clinic "needs" him.

👥 From Direct Impact to Indirect Impact

As a solo cash PT, Ryan could help maybe 100 patients/month directly. With a team:

• His indirect impact is now 300+ patients/month through his staff.
• He's not just changing patients' lives—he's changing PTs' careers by giving them a place to treat the way they believe people deserve to be treated.

If your mission is to "help people," hiring and leading a team is one of the most powerful ways to multiply that impact.

📚 Books That Changed How He Operates

• E-Myth (Michael Gerber) – Showed him how to build a business with systems and roles, not just grind.
• Traction & Rocket Fuel (Gino Wickman) – Helped him design vision charts, org charts, and real accountability.
• Who Not How (Dan Sullivan)
• Buy Back Your Time (Dan Martell)

After applying these, Ryan stopped asking, "How do I do this?" and started asking, "Who can do this better than me so I can focus on what actually moves the needle?"

🧱 Org Chart, Vision Chart, and Making Growth Real

Ryan didn't just hire randomly and hope it worked out. He built:

• Org chart: Who reports to whom, and what the structure looks like today.
• Accountability chart: Who owns what KPIs, metrics, and responsibilities.
• Vision chart: Where the business is going—future roles, future locations, and impact.

He even shows the future org chart on the clinic website. Result: PTs now reach out saying, "I want to be part of this and here's how I think I can help."

📈 From 20K Months to 50–70K Months

Early on, Ryan hit ~$20K/month as a solo clinician—but he was working 50–60 hours/week, burned out, and never home.

The turning point was realizing:

• Without systems, scorecards, KPIs, and clear roles, staff can't win.
• He needed:
  • Clear job descriptions
  • Clinic director ownership of PT metrics
  • Weekly 1:1s and real accountability

Once those were in place, the team could manage themselves, and revenue scaled with far less chaos and far less of Ryan's time.

⏱ "Who Not How" and the Time Audit Reality Check

Ryan pushes clinic owners to do the math:

• Figure out what your time is worth per hour (based on what the clinic pays you).
• List tasks you do that could be outsourced for less than that hourly value.
• If something doesn't light you up and it's below that threshold, delegate it.

Example he walks owners through:

• You're tempted to DIY SEO, ads, blogs, landing pages, email marketing.
• Realistically, it'll cost you 10–15 hours/month.
• Those same hours could:
  • Fill your schedule with evals,
  • Train your staff to sell better plans of care,
  • Build partnerships and workshops.

When he has clinic owners do this time audit, most realize: "I've already blown past what this should cost me. I need help."

🔮 2026 Goals for Elevation Athletics

Ryan's plan for 2026:

• Hire 1–2 more PTs
• Grow small group training
• Expand personal training and nutrition coaching
• Cross the $1M revenue mark

He intentionally slowed down hiring in 2024 to fix the foundation—systems, leadership, ops—so 2026 growth is sustainable, not chaotic.

📊 The Future of Cash PT: More Revenue Per Provider

Ryan's prediction for where cash PT is headed:

• Maximizing revenue per PT by:
  • Offloading admin work,
  • Letting PTs focus purely on patient care,
  • Adding services like small group training, performance, and nutrition.
• Leaning into the wellness & longevity trend:
  • People are spending more than ever on performance and long-term health,
  • Physical therapists are uniquely positioned to own that space.

In his view, the clinics that win in 2026+ will:

• Generate more revenue per provider,
• Pay PTs more,
• And use tools like AI and smarter systems to strip away low-value admin work.

📱 Connect with Ryan & Elevation Athletics

• Clinic Website: elevationathleticspt.com
• Ryan's Instagram: @dr_ryanperez
• Clinic Instagram: @elevationathleticspt

If you're a clinic owner who feels like you're doing everything, this episode is your permission slip to stop trying to be the entire business—and start building a machine that can run without you.

Why I Hate Black Friday (and What to Do Instead)

Black Friday is supposed to be a marketer's dream. But sitting down on the Sunday after Thanksgiving with 133 unread emails in his inbox, Jeremy realized (again) that for most clinics, Black Friday week is the worst time to be screaming into people's inboxes. In this episode, he breaks down why traditional Black Friday plays are broken—and why a simple holiday gift card campaign in December quietly beats them every time.

📌 Episode Topics

• Why Black Friday Feels Broken: 130+ unread emails, but zero interest.
• Inbox Reality: Why Thanksgiving week is the noisiest, worst-performing email window of the year.
• Intent vs. Timing: Why buyers decide before Black Friday.
• How to Run Black Friday (If You Must): The only way Jeremy will do it anymore.
• The Holiday Gift Card Campaign: The December play that actually fits how people think and buy.

💡 Big Idea

Black Friday is no longer about "sending the email on Friday." It's about intent and momentum. By the time Thanksgiving week hits, people already know:

• Which brands they care about,
• What they're planning to buy, and
• Roughly what the deal will be.

If you're introducing your offer on Thanksgiving, Black Friday, or that weekend, you're just another subject line in an inbox war you can't win.

📬 Why Thanksgiving Week Emails Flop

Jeremy walks through his own week: travel, family, football, food, catching up with friends. Checking marketing emails is nowhere on that list.

By Sunday, even someone who normally keeps their inbox at zero is staring at 100+ unread emails. Most Black Friday blasts get:

• Automatically deleted, or
• Ignored while people unsubscribe from lists they forgot they were on.

It's not that people aren't buying. They've just already decided what to buy—and from whom.

⌚ Black Friday Is About Intent, Not "The Day"

Brands have trained consumers to expect:

• Early access Black Friday,
• VIP Black Friday,
• Deals rolling out in the first half of November.

The brands Jeremy actually buys from didn't wait. They:

• Warmed him up weeks before,
• Told stories, teased the offer, and
• Let him plan purchases before his inbox exploded.

By the time Black Friday arrived, their emails were just a deadline reminder—not the introduction.

🧨 Why Most Black Friday Campaigns Feel Gross

The lazy version of Black Friday looks like:

• "Last chance!" every 12 hours,
• Fake scarcity ("Deal ends Friday… just kidding, extended to Sunday!"),
• Copy-paste discounts with no real thought about the buyer's headspace.

The problem isn't discounts—the deals can be great. The problem is the execution: crowded inboxes, zero differentiation, and timing that ignores how people actually behave.

📅 How Jeremy Ran Black Friday for Clinics (Without the Noise)

Jeremy's team did run Black Friday campaigns—but differently:

• Started 2 weeks early: Not on Thanksgiving week.
• Warmed the list: Stories, education, and teasing the offer before the pitch.
• Built desire ahead of time: So Black Friday was only a , not a cold ask.

When Friday hit, interested people had already raised their hands. The final push was just helping them follow through—not fighting for fresh attention.

🎁 The Better Play: Holiday Gift Card Campaign

For clinics, Jeremy argues that December beats Black Friday almost every time.

Why the Holiday Gift Card Campaign works so well:

• Timing fits mindset: People are reflecting on the year and thinking about their health, habits, and routines for the new one.
• Inbox is calmer: Travel is winding down, routines are back, and the email noise has dropped.
• Gifting fits your service: Easy to position as "invest in yourself" or "give someone a head start on their goals."
• Clean, seasonal, and not spammy: It feels helpful, not desperate.

🧭 Your Playbook for Next Year 1️⃣ If You Must Run Black Friday

• Start warming your list in early November.
• Tease the offer, tell stories, share wins, and build curiosity.
• Use Black Friday as the deadline, not the first time people hear about it.

2️⃣ Run a December Holiday Gift Card Campaign

• Position it as: "Gift better movement/less pain/a stronger 2026."
• Give people a simple, clear offer (e.g., eval + 2 sessions, or a dollar-value gift card).
• Send a handful of thoughtful emails across December—not a firehose in one weekend.

📣 Share This Episode

Know a clinic owner who blasts three Black Friday emails and wonders why nobody buys? Send them this episode before they repeat it next year.

📱 Connect with Jeremy

Got questions about Black Friday strategy or the Holiday Gift Card Campaign? Send Jeremy a DM on Instagram: @jeremydupont.

Don't get lost in the Black Friday noise. Warm people up early, then let December be the month where your offer actually lands.

The SEO Foundation Most Clinics Get Wrong: Site Structure

📍 Get Your Free Local SEO & Website Audit | 🧩 Book a Patch Demo

Every clinic owner wants more new patients from Google. Most think the answer is "more blogs" or "better keywords." But if your site structure is wrong, Google literally can't understand who you help, what you treat, or where you treat—and no amount of content will fix it. In this episode, Jeremy breaks down the exact website architecture Patch uses to rank clinics in 2025 and 2026.

📌 Episode Topics

• Why Most Clinic SEO Fails: Great content on a foundation Google can't read.
• What Google Actually Cares About: Who you help, what you treat, where you treat.
• The Services + Locations Blueprint: The site map structure that consistently ranks.
• Internal Linking 101: How to connect pages so Google "gets" your clinic.
• Owning Your Website: Why you must control your own site to build real enterprise value.

💡 Big Idea

SEO isn't "write more blogs." SEO starts with architecture. Until your site is structured around your locations and services, Google will keep sending patients to the clinic across the street—not because they're better, but because their site is easier to understand.

🔍 What Google Sees (That You Don't)

Google doesn't care about pretty colors, brand photos, or how "nice" your homepage feels. It cares about:

• Who you help (types of patients and problems),
• What you treat (services and conditions),
• Where you treat them (cities, neighborhoods, regions).

If your site can't answer those three questions clearly and cleanly, it drops you down the rankings and rewards clinics with better structure.

🏗 The Site Structure Blueprint

Most clinics only have a handful of pages: Home, About, Contact, maybe a generic "Physical Therapy" page. That's not enough. Jeremy walks through the structure Patch uses for hundreds of clinics:

1️⃣ Core Pages

• Homepage: Who you are, who you help, what you do, and clear next steps.
• About: Your story, team, and why patients should trust you.
• Contact: Forms, phone, booking links (discovery call, eval, etc.).
• Privacy Policy: Critical for compliant SMS, forms, and ad platforms.

2️⃣ Locations Folder (Where You Treat)

Create a /locations/ hub with a separate page for every area people actually search:

• City-level (e.g., Charleston),
• Neighborhoods (e.g., Daniel Island, Mount Pleasant),
• Feeder towns within your 5–20 mile radius.

If you only have "Charleston" but people search "physical therapist Mount Pleasant," Google has no reason to show you without a dedicated Mount Pleasant page.

3️⃣ Services Folder (How You Help)

Create a /services/ hub with a page for every major offer, such as:

• Physical Therapy
• Running PT
• ACL Rehab
• Back Pain, Shoulder Pain, Neck Pain
• Pre/Post-Op Rehab
• Dry Needling, BFR, Sports Massage, Pelvic Health, etc.

Each service page should:

• Explain who it's for and what problems it solves,
• Outline your approach or 3-step process,
• Link to relevant location pages (e.g., "Physical Therapy in Charleston, Daniel Island, Mount Pleasant, Charlotte").

4️⃣ Condition / Problem Pages & Blogs

Once your services and locations are in place, you can layer in:

• Condition pages: Back pain, knee pain, shoulder pain, etc.
• Blog categories: Grouped to support core services (e.g., "Running PT," "ACL Rehab," "Pelvic Health").

These pages should internally link back to your service and location pages so Google can see the full web of relevance.

🔗 Why Internal Linking Matters

Internal links are how you tell Google, "We do this service in this place for this problem."

For example:

• Your Physical Therapy page links to: Charleston, Daniel Island, Mount Pleasant, Charlotte location pages.
• Your Back Pain page links to: Physical Therapy + your key locations.

Now when someone searches "back pain physical therapist in Charlotte," Google can connect all three: problem + service + location. That's how you start ranking for high-intent searches that actually turn into patients.

🏦 Own Your Website (Or You Don't Own the Asset)

One of the biggest red flags Jeremy sees: clinics who don't even have access to their own site because an agency controls it.

If you don't own your site, you:

• Can't fix your structure or SEO without permission,
• Can't reliably scale or pivot your marketing,
• Can't truly sell the business someday—because you don't own a key asset.

You should always have full access to your website, hosting, and DNS so changes to structure, pages, and content can be made as your clinic evolves.

🚀 What to Do Next

Use this episode as a checklist against your current site:

• Do you have a Services hub with a page for each main service?
• Do you have a Locations hub with a page for each city/neighborhood you actually draw from?
• Are services and locations internally linked in both directions?
• Do your condition and blog pages support those same services and locations?
• Do you own and control your own website platform and hosting?

📣 Share This Episode

Know a clinic owner posting nonstop content with no SEO payoff? Send them this episode. Their traffic problem might not be content—it might be site structure.

📱 Next Steps with Patch

Want a professional set of eyes on your current site and rankings? 👉 Get a Free Local SEO & Website Audit Want Patch to build the full SEO-ready site structure and systems for you? 👉 Book a Patch Demo and see how we're rebuilding clinic sites to win in 2025–2026.

Fix the foundation first. Once your site is structured the way Google thinks, every piece of content you create starts working 10x harder for you.

Don't Wait for January: Build Your 2026 Engine Now

🧩 Book a Patch Demo

Most clinic owners talk about "hitting it hard" in January. New year, new marketing plan, new patients… right? But if you wait until January 1st to start your ads, SEO, and systems, your Q1 2026 will be slower than you think. In this episode, Jeremy explains why November and December are the real starting line if you want 2026 to be your biggest year yet.

📌 Episode Topics

• Why January Isn't a Reset Button: Same systems, same problems, same empty calendar.
• The Google Ads Learning Period: Why you should "pay tuition" now, not in peak season.
• SEO as a Slow Burn: How to get your money pages ranking before the New Year search spike.
• CRMs & Backend Systems: Turning chaos into a predictable pipeline before 2026 hits.
• Action Plan for the Next 6–8 Weeks: Concrete steps to set up ads, SEO, and systems now.

💡 Big Idea

If you want a big Q1 in 2026, January is not the time to start—it's the time to cash in on the work you did in November and December. Marketing has lag time. So does SEO. So do systems. Treat Q4 like an athlete's preseason: build the base now so you can actually perform when the year starts.

📈 Why You Start Google Ads Before January

Most owners think Google Ads are "flip the switch and the phone rings." In reality, every new campaign goes through a learning period where Google figures out:

• Which searches actually lead to conversions (e.g. "physical therapist near me" vs. "knee exercises").
• Who should see your ad and who shouldn't.
• What counts as a true lead or booked eval in your account.

If you launch on January 1st, you're paying peak seasonal prices while Google is still "learning." You're not buying leads—you're buying tuition.

Start in November instead:

• Weeks 1–2: Launch campaigns, gather search data, fix obvious bad keywords.
• Weeks 3–4: See which keywords convert, refine ad copy and landing pages.
• Weeks 5–6: Add negative keywords, cut waste, tighten bids, improve quality scores.

By January, your ads aren't guessing anymore—they're dialed in and ready to catch the "New Year, new body, my back hurts" surge.

🔎 SEO: The "Quiet Kid" That Wins Later

SEO is slow on purpose. Google doesn't reward spammy, overnight behavior. When you:

• Rebuild your site structure,
• Add money pages like "Best sports physical therapist in [City],"
• Write targeted blogs and optimize your Google Business Profile,

Google doesn't instantly hand you page-one rankings. It crawls, indexes, tests, and slowly builds trust over weeks to months.

If you start SEO in January, real results may not show up until Q2 or Q3. Instead, use November and December to:

• Define your high-intent keywords (e.g. "sports PT [City]," "dry needling [City]," "back pain physical therapist [City]").
• Create dedicated money pages for each service/problem—not one generic "Services" page with 12 bullets.
• Plan and write 4–8 supporting blogs around your core topics.
• Clean up technical SEO: site speed, mobile friendliness, H1/H2 structure, metadata, and schema.

January shouldn't be when you start SEO. It should be when your SEO is already working in the background.

🧠 Backend Systems & CRM: Your Clinic's Nervous System

You can't hit consistent $30k, $50k, $80k+ months while running your pipeline out of your inbox and memory. A proper CRM is what keeps leads organized, follow-up happening, and reactivations rolling in—especially around the New Year.

With the right CRM, you can:

• Track every lead: new inquiries, free calls, evals, active plans, and lost leads.
• Automate nurture sequences when someone fills out a form or ghosts after an eval.
• Reactivate old patients at scale around key times like January.
• Send newsletters and campaigns directly to segmented lists (past patients, warm leads, etc.).

But here's the catch: CRMs take 1–2 months to set up, customize, and bake into your team's habits. If you start in January, you'll spend Q1 learning the tool instead of leveraging it.

🧩 What "Start Now" Actually Looks Like 1️⃣ For Google Ads

• Set up your campaigns and landing pages.
• Install conversion tracking and call tracking correctly.
• Let the learning period run while volume is lower and clicks are cheaper.

2️⃣ For SEO

• Decide which keywords you want to own in 2026.
• Build or rebuild your core money pages around those terms.
• Draft a small blog/content calendar (4–8 posts) that supports your main services.
• Optimize your Google Business Profile and ensure NAP consistency.

3️⃣ For CRM & Systems

• Choose a CRM platform and define your pipeline stages.
• Import leads/past patients so everything lives in one place.
• Set up simple automations: new lead nurture, post-eval follow-up, reactivation campaigns.
• Train your team to log deals, update stages, and live inside the system daily.

🚀 The 2026 Timeline (If You Start Now)

• November–December: Launch and refine ads, build SEO foundation, set up CRM and basic automations.
• January–March 2026: Ads are optimized, SEO starts to kick in, CRM is reactivating old patients and nurturing new leads.
• Rest of 2026: You're scaling—adjusting budgets and capacity—instead of waking up hoping the phone rings.

🎯 Your Challenge This Week

Before the end of the week, do one of the following:

• Book a call with whoever handles your Google Ads and set clear 2026 goals.
• Email your web/SEO person and say: "Let's get my core money pages live before January."
• Sign up for a CRM and sketch your pipeline on paper: lead → call → eval → plan of care → past patient.

Once you start, everything else becomes tweaks—not a massive, overwhelming overhaul.

📣 Share This Episode

Know a clinic owner saying "We'll hit it hard next year" for the third year in a row? Send this to them. Next year doesn't change until this quarter does.

📱 Next Steps

Want to close more of the leads you're already paying for? Check out Jeremy's Phone Sales Course for scripts, objection handling, and full call frameworks. Ready to have the ads, SEO, and CRM built with you and for you? Book a Patch demo and see how the full engine works together.

Don't wait for January. Build the engine now—then spend 2026 stepping on the gas.

Answer the Damn Phone: Turn Google Ads Into Booked Evals

📞 Master Phone Closing — Full Course | 🧩 Book a Patch Demo

Most clinic owners try to scale by throwing more money at Google Ads. But if you miss calls or freeze when someone asks, "Do you take my insurance?", you're just scaling wasted spend. In this episode, Jeremy lays out the real lever: speed-to-lead + phone skills + a simple eval offer that converts clicks into paying patients.

📌 Episode Topics

• Speed to Lead: Why answering within minutes turns ad clicks into evaluations.
• Phone Skills That Print: Scripts, objection handling, and selling the eval confidently.
• Low-Barrier Eval Offers (LBOs): $50–$99 intro evals that remove friction and fill schedules.
• Ads ≠ Growth (Alone): How missed calls set your ROI on fire.
• Simple Systems: AI call pickup as "smart voicemail," Reimbursify for benefits, and a tight follow-up loop.

💡 Big Idea

Scaling ads only works if you answer the damn phone and sell the evaluation in real time. Missed calls = burnt budget. Quick pickup + confident script + a low-friction offer = booked evaluations and a 3–6x ROI vs. 1–2x.

📈 From Clicks to Patients

At Ripple, answering every call (anywhere, anytime) led to 2–3 new evals/week straight from Google Ads—no nurture funnel required. The lesson: ads create intent, but the phone call closes it.

⚙️ How to Implement This

1. Answer Fast (Speed-to-Lead): Pick up every call. If you miss one, call back within 5 minutes. Pain is now—so is the buying decision.
2. Use an AI "Smart Voicemail" (Optional): Let an AI agent capture name, pain, and callback permission, then promise a human call in minutes. Better than dead-end voicemail.
3. Get Good at the Phone: Practice a short script, lead with empathy, and guide the call. Be ready for:
   • "Do you take my insurance?" → Reframe value, offer LBO, verify benefits for them.
   • "That's a lot of money." → Anchor to outcomes, expertise, and speed of results.
4. Sell the Eval as a One-Off: Offer an LBO ($50–$99 or 50% off) to reduce risk. Position it as a full session with a clear plan—no long-term commitment required.
5. Verify Benefits for Them: Use tools like Reimbursify and collect insurance info during intake so you walk into the eval with answers.
6. Tight Follow-Up: If they can't book on the spot, schedule a callback window and text the LBO link immediately.

🧪 Offers That Convert

• $50 Eval: Great for volume and feeding multiple providers; rely on in-room sales.
• $99 Eval / 50% Off: Slightly higher filter with similar friction reduction. Test for your market.

Pro tip: The "right" price is the one that maximizes booked evals without overwhelming your schedule. Test and track.

📊 Why This Works

• Buyer Behavior: People click "Call" on Google and expect a human. No answer? They call the next clinic.
• ROI Math: Phone skills + fast pickup are the difference between a 2x and 6x return at any budget.
• Admin ≠ Closer: Owners must own the hardest calls and objections—then train the team.

🔥 Real-World Tools

• Phone Scripts & Objection Handling: Grab the Phone Sales Course
• Done-For-You Ads + Call Systems: Book a Patch Demo

🚀 Your Challenge

For the next 7 days, answer (or return) every ad-sourced call within 5 minutes, pitch a simple LBO, and track outcomes in a sheet: calls → booked evals → plan-of-care conversions. Watch the numbers move.

🎯 Try This Today

• Write a 6–8 line phone script you can deliver anywhere.
• Set your LBO (price + language) and add it to your intake workflow.
• Enable AI "smart voicemail" as a backup, not a crutch.

📣 Share This Episode

Know a clinic owner "scaling" ads while missing calls? Send this to them. Their ROI is hiding in their ringtone.

📱 Follow & Next Steps

Level up your phone closing here: thepatchsystem.com/phone-sales-course Want Patch to build the whole engine (ads, tracking, AI pickup, follow-up)? thepatchsystem.com/demo-schedule

Ads don't close patients. People do. Answer fast, sell the eval, and let your results do the rest.

Selling Ripple: Lessons from a 7-Figure Clinic Exit

📍 Read Jeremy's Full Reflection on Selling Ripple

One year after selling his clinic, Ripple, Jeremy Dupont opens up about what it really takes to build a sellable business, survive the M&A process, and why hitting $1 million in revenue is the entry fee for serious buyers. Whether you plan to sell or not, the path to a valuable business is the same: remove yourself, tighten your systems, and focus on what scales.

📌 Episode Topics

• The Million-Dollar Benchmark: Why you need $1M in top-line revenue to attract real buyers.
• The Emotional Marathon: What selling your business actually feels like—from endless negotiations to identity shifts.
• Focus Over Diversification: Why chasing multiple ventures kills growth (and how focusing on one can explode it).
• Key Man Risk: How to make your business valuable by making yourself replaceable.
• The Ripple Legacy: How letting go can fuel your next big thing.

💡 What Jeremy Learned

After a year of reflection, Jeremy boiled his experience down to three core lessons. Whether you're years away from selling or never plan to, these lessons define what real enterprise value looks like.

1️⃣ Selling Takes Time (and Grit)

The sale of Ripple took over a year—filled with banks, lawyers, landlords, and sleepless nights. Even with a trustworthy buyer, the emotional toll was immense. Selling a business isn't a sprint. It's a slow, unpredictable marathon. Expect negotiations, delays, and detours. You need mental endurance as much as financial readiness.

2️⃣ Focus Is the Ultimate Multiplier

Jeremy admits trying to split his energy between Ripple and building Patch was "bad leadership." The day he sold Ripple was the day Patch took off. His takeaway: stop diluting your focus with side projects, online coaching, or new offers. Double down on your core service. If you're stuck at $40K/month, the answer isn't a pivot—it's mastery of what already works.

3️⃣ Build to Sell—Even If You Don't

"You don't have to want to sell," Jeremy says, "but you should build like you might." That means removing yourself from day-to-day operations, hiring the right people, and running clean books. If your business depends on you, it's not valuable. The goal? A clinic that runs profitably, predictably, and independently.

⚙️ What Makes a Clinic Sellable

• $1M+ in Top-Line Revenue: The entry ticket to serious buyers like private equity.
• Clean Books & Clear Profit: Know your EBITDA, SDE, and what truly counts as expenses.
• No Key Man Risk: A clinic that thrives without you is one that can sell without you.
• Systems & CRM: Data-backed operations that show lead flow, conversion, and patient lifetime value.
• Proven Marketing Funnels: Paid ads, Google reviews, and automated follow-ups that keep growth consistent.

🔥 Bonus Lesson: Hire Before You're Ready

Too many owners delay hiring out of fear. But you can't scale—or sell—without a team. Expect a short-term dip in margins during the ramp-up, but the long-term payoff is freedom. When your clinic runs without you, you've already won, whether you sell or not.

🚀 Final Thoughts

Jeremy's clinic, Ripple, didn't just sell—it thrived after he left. That's the ultimate measure of success. Building a business you can step away from means you've created real independence, both financial and personal.

📣 Share This Episode

If you know a clinic owner chasing "freedom" but stuck in the grind, send them this episode. The path to freedom isn't another offer—it's building something that can outlast you.

📱 Follow for More

Follow @_jeremydupont for real-world systems to grow, scale, and eventually sell your clinic—without losing your sanity in the process.

Build a business that runs without you. That's how you win—whether you sell or not.

The Rule of 100: The Unsexy Math That Fills Your Schedule

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Most clinic owners say they need more new patients. Few actually do the one thing that guarantees it. In this episode, Jeremy breaks down the Rule of 100—the simple, gritty, and wildly effective formula that filled his staff PT schedules and helped him sell his clinic in just three years.

📌 Episode Topics

• The Rule of 100 Explained: How 100 daily actions can change your business overnight.
• Why Consistency Beats Tricks: Forget algorithms—real growth is built on reps, not hacks.
• Building Your List: How to find 100 people worth reaching out to—today.
• Systems That Stick: Turning chaos into structure with CRMs and automations.
• Follow-Up Stories That Pay Off: The $10,000 patient who came back because Jeremy didn't quit.

💡 What the Rule of 100 Means

If your clinic needs more evaluations, you need more actions—not ideas. The Rule of 100 says that if you take 100 direct actions every day that push your business forward, your growth becomes inevitable. These are not likes, views, or posts. They're reach outs, follow-ups, calls, emails, DMs—real connections that move the needle.

As Alex Hormozi puts it, "You need to do so much volume it's virtually impossible to lose." Jeremy took that literally—and it transformed his clinic.

📈 From Empty Schedules to Overflowing

When Jeremy opened his first clinic, he did what everyone does: built a website, posted on Instagram, and waited. His staff PT schedules were empty—and frustration set in. Then he heard Hormozi talk about the Rule of 100. The next day, he pulled every past patient, lead, and contact into a spreadsheet and reached out to 100 people. Within a week, he had seven new evaluations booked.

That moment changed everything. He realized growth wasn't about luck or algorithms. It was about math and consistency.

⚙️ How to Implement the Rule of 100

• 1. Build Your List: Old patients, past leads, local gym owners, form-fillers, or anyone who's interacted with your clinic.
• 2. Reach Out Relentlessly: DM, email, text, or call—every contact counts. Follow up multiple times.
• 3. Track Everything: Start with a Google Sheet, then move to a CRM once you're ready.
• 4. Automate Smartly: Use a CRM like Patch to remind you when to follow up and who to contact.
• 5. Combine Paid + Organic: Every dollar spent on ads equals one "follow-up." Combine 50 reach outs + $50/day in ads to hit your 100 actions.

📊 Why Organization Matters

Manual follow-up can get chaotic fast. That's why Jeremy built CRM systems inside Patch—to automate reminders, tag warm leads, and keep outreach consistent. A CRM helps you know who visited your site, who opened your last email, and who hasn't been in your clinic for 30 days. Once you can see your pipeline clearly, you can control your growth.

🔥 Real Story: The $10K Follow-Up

During COVID, one of Jeremy's patients ghosted him for six months. Every few weeks, Jeremy followed up—texting, emailing, checking in. Crickets. Then one September, the patient replied, ready to return. That patient went on to spend over $10,000 in care and still trains at the clinic today.

Persistence wasn't annoying—it was leadership. And it only happened because he followed the Rule of 100.

🚀 Your Challenge

Tomorrow morning, do your 100. Call, text, DM, or email. Do it again the next day. And the next. Don't wait for new ads or funnels—the easiest clients to sell to are the ones who already know and trust you.

Want to make it even easier? Hire an admin or sales rep to handle your Rule of 100 daily. That's how Jeremy scaled himself out of his clinic and built systems that kept growth steady.

🎯 Try This Today

Before you end your day, make your list of 100 people and take action. Reach out. Follow up. Track your results. You'll be shocked how quickly momentum builds when you stop waiting and start doing.

📣 Share This Episode

If this episode lit a fire under you, share it with a clinic owner who keeps saying they "need more patients." They don't need another ad—they need the Rule of 100.

📱 Follow for More

Follow @_jeremydupont for real-world systems to grow your clinic with structure, consistency, and accountability.

Stop waiting for leads. Start taking 100 actions a day—and watch what happens.

Go to Your Balcony: The Leadership Cheat Code That'll Save Your Business

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We're not talking about funnels, ads, or SEO today. Jeremy's diving into one of the most important habits any business owner can build—how to "go to your balcony." This mental framework has saved him from losing employees, making ego-based decisions, and wrecking relationships in five-minute emotional storms. Learn the mindset, language, and systems behind this leadership superpower.

📌 Episode Topics

• What "Go to Your Balcony" Means: A simple framework from Getting to Yes that helps you pause, gain perspective, and respond instead of react.
• How Jeremy Used It: From snapping about dumbbells to building systems that empowered his team.
• The Cost of Bad Reactions: Why emotional decisions cost you A-players, clients, and culture.
• Five Steps to Master the Balcony Move: A repeatable structure to handle pressure moments with clarity.

🧭 What "Go to Your Balcony" Means

When your pulse spikes and your brain's about to fire off a Slack message you'll regret—pause. Go to your balcony. It's a leadership move that means stepping off the emotional "dance floor" and up to a mental balcony where you can see the whole picture—patterns, dynamics, and your next best move.

This concept comes from Getting to Yes, and it's a framework Jeremy credits for helping him lead dozens of employees and scale two successful companies.

💥 Real Talk: The Dumbbell Story

Early in Jeremy's first clinic, Ripple, he'd lose his mind when dumbbells weren't racked perfectly. But it wasn't about dumbbells—it was about control. He was burned out, working 80-hour weeks, and expecting employees to read his mind.

Once he started "going to the balcony," he realized it wasn't about laziness—it was about unclear systems. So he worked with his team to build a clear closing checklist. Ownership and morale went up immediately.

💬 How to Use It in Real Life

• Name It: Say it out loud—"I'm triggered." It helps your brain move from emotion to logic.
• Time-Box the Pause: "Thanks for bringing that up. Let me think about it." Then step away for 10 minutes—or a day if needed.
• Change Your State: Walk, grab coffee, breathe—get perspective before responding.
• Ask Balcony Questions:
  • What's the real problem?
  • What outcome do we want in 90 days?
  • What's the smallest first step forward?
  • If this was someone else's company, what would I advise them to do?
• Respond with Structure: Replace vibes with frameworks. Create SOPs, playbooks, or review cycles that eliminate ambiguity.

📈 From Chaos to Clarity

Once Jeremy built systems around pay raises, reviews, and expectations, employees stopped ambushing him with surprise asks. They trusted him more, flagged problems earlier, and the company culture thrived.

He calls this "anti-regret math." Every pause buys you options. Options create better decisions. Better decisions compound.

⚙️ Leadership Systems That Work

• ✅ Quarterly and yearly reviews with clear metrics.
• ✅ Transparent compensation bands and growth paths.
• ✅ Playbooks and checklists built with your team, not for them.
• ✅ Consistent communication cadences that replace emotional check-ins.

💡 Why It Matters

Bad reactions are expensive. You can lose a top employee, a loyal client, or derail a strategy with one emotional decision. Going to your balcony keeps you in control and helps your team trust your leadership.

In Jeremy's words: "Never let your first reaction be your final decision."

🎯 Try It This Week

Next time your heart rate spikes, say the line: "Thanks for bringing that up. Let me think about it." Step back, think for 10 minutes, and return with a thoughtful plan. Watch how people respond.

📣 Share This Episode

If this episode hit home, share it with a fellow clinic owner who needs it. Great leadership doesn't just grow businesses—it compounds freedom, culture, and impact.

📱 Follow for More

Follow @_jeremydupont for proven clinic growth and leadership strategies.

Go to your balcony. Think first. Lead better.

AI-Ready SEO for Clinics: 3 Steps to Show Up in ChatGPT, Google AI & Beyond

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AI is already eating traditional SEO's lunch. If your clinic isn't optimized for AI crawlers and answer boxes, you're invisible where patients are actually searching. In this episode, Jeremy breaks down the 3 things every clinic must do to rank in ChatGPT, Google's AI Overviews, Perplexity, and more—without chasing gimmicks.

📌 Episode Topics

• Why AI > Traditional SEO (Right Now): AI summaries are showing up on a large share of local queries—and they pull from your site.
• The Big 3: Enable AI crawling, publish Q&A pages built for extraction, and shore up technical SEO.
• What to Tell Your Web Team: The exact checks and changes to make this week.

🚦 Step 1: Make Sure AI Can Crawl Your Site

Before you write a single blog post—flip the crawl switch. If AI crawlers can't read your site, you won't show up in ChatGPT, Perplexity, or Google's AI Overviews.

• In Your CMS:
  • Webflow: Project Settings → SEO → enable Indexing and Sitemap.
  • WordPress: Settings → Reading → uncheck "Discourage search engines from indexing this site." Install Yoast/RankMath to manage sitemaps & robots.
  • Squarespace: Settings → SEO → turn Search engine indexing ON.
• Submit Your Sitemap: yourdomain.com/sitemap.xml to Google Search Console (and verify it loads in a browser).
• Check robots.txt: yourdomain.com/robots.txt should allow major crawlers (ChatGPT/OAI, Anthropic, Applebot, Google, Meta, etc.).
• Spot-Check Money Pages: Verify indexing & crawl access on key service/location pages, not just the homepage.

🧠 Step 2: Publish Q&A Pages Built for AI Extraction

LLMs prefer concise, structured answers. Give them content they can lift cleanly.

• Answer First: Start each page with a 2–3 sentence direct answer. Example H1: "Do I need a referral for physical therapy in Texas?" First paragraph: the precise answer.
• Structure Like ChatGPT: Use H2/H3 sub-questions, bullet lists, and tables instead of long paragraphs.
• Mine Real Questions: Use "People also ask" suggestions to choose topics (e.g., "How long does ACL rehab take in Boston?").
• Add Local Signals: City, neighborhoods, and a known landmark (e.g., "5 minutes from Nissan Stadium, serving Germantown/The Gulch/East Nashville").
• Technical Enhancers: Add FAQ schema, clean metadata, internal links to service pages, and an embedded map/video where relevant.
• Goal: Build ~12 high-quality Q&A pages around the biggest questions patients actually ask.

🧱 Step 3: Technical SEO Still Moves the Needle

• Sitemap + Search Console: Confirm your XML sitemap is submitted and error-free.
• Backlinks Build Authority: Claim directories (Google Business Profile, Yelp, Healthgrades, WebMD, Instagram/YouTube/TikTok/LinkedIn bios linking to your site). Partner posts with local gyms, coaches, or news sites that link back.
• Strengthen "Money Pages": Each core service/location page needs depth: FAQs, internal links, video, map, outcomes—more than a couple paragraphs.

⚡ Quick Wins You Can Do Today

• ✅ Enable indexing + sitemap in your CMS and verify /robots.txt.
• ✅ Submit sitemap in Google Search Console.
• ✅ Draft 3 Q&A pages with "answer-first" intros and local landmarks.
• ✅ Add FAQ schema to your top pages.
• ✅ List your clinic across major directories and link back to your site.

📣 Why This Matters

AI summaries now influence a huge chunk of local search results. Small clinics that adapt faster will outrank slower, enterprise systems. Do these three things and you'll start showing up in AI answer boxes instead of page five.

🧭 Need a Hand? Get a Free Audit

Not sure if your site is AI-ready? We'll check crawl settings, sitemap/robots, schema, and money pages—and tell you exactly what to fix.

👉 Grab Your Free Local SEO Audit

📱 Follow for More

Follow @_jeremydupont for proven clinic growth strategies.

Flip the crawl switch. Ship Q&A pages. Build authority. That's how you win AI search.

Open Enrollment Mastery: How Clinics Are Stacking $100k Months

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Most clinics limp through open enrollment with a couple of emails and a half-hearted post. The smart ones? They're locking in $100,000 months using a repeatable playbook. In this episode, we break down the SCALE Framework—the exact system Patch uses to run six-figure enrollment campaigns across cash-based clinics.

📌 Episode Topics

• The $100k Myth Busted: Why it's not luck—just execution of a proven campaign.
• The SCALE Framework: Sequences, Calls-to-Action, Amplification, Live Reach Outs, and Evaluation.
• Execution Assets: Emails, landing pages, social posts, and manual follow-up done right.

🚀 Lesson 1: Run Sequences, Not Random Emails

Most owners send 1–2 emails and call it a campaign. SCALE starts with 5–6 emails over 2 weeks, each with a job:

• Email 1: Introduce the offer (day one).
• Email 2–3: Solve a problem, shift a mindset.
• Email 4: Case study/testimonial proof.
• Email 5: Scarcity & final push.

Tip: Set dates in advance (e.g., Oct 30–Nov 14) so you can layer in scarcity without faking it.

💻 Lesson 2: Nail the Calls-to-Action

Every email, post, and conversation must drive to a dedicated landing page, not your homepage. That page should include:

• Clear headline: "Open Enrollment Is Live."
• Scarcity ("Only 10 spots available").
• Quick opt-in form above the fold.
• Social proof: reviews, testimonials, or before/after stories.
• Visuals: infographics or banners that make the offer scannable.

📣 Lesson 3: Amplify Beyond Email

Smart clinics post 4–5 times in a two-week window:

• Intro post on day one.
• Mid-campaign reminder with social proof.
• Final-day post with scarcity ("2 packages left").

Pro move: Repurpose Canva graphics in your emails, IG stories, and even print for your clinic wall.

🤝 Lesson 4: Live Reach Outs Drive the Real Sales

The difference between selling 6 packages vs. 60? Manual outreach. Use texts, calls, or in-person conversations with these groups:

• Active patients near end of package.
• Past patients without continuity.
• Email subscribers clicking multiple times.
• Warm leads on your site or landing page.

Rule #1: Don't be weird. Be relevant, conversational, and helpful.

⚡ Quick Wins You Can Use Today

• 📅 Block your campaign dates and email send schedule.
• ✉️ Write at least 5 emails with visuals and clear CTAs.
• 🌐 Create a landing page with scarcity + social proof.
• 📲 Prep 4–5 social posts and reuse them in email + stories.
• ☎️ Segment hot leads and plan 3 touchpoints (day 1, mid, final).

📣 Why This Matters Now

Open enrollment is the single biggest sales opportunity of the year for cash-based clinics. Run SCALE and you lock in revenue through the holidays, walk into 2026 with cash flow secured, and avoid the "December dip."

📥 Get the Framework

Want the full SCALE Framework with templates, email copy, and outreach scripts?

👉 Get the SCALE Framework & Book Your Free Call

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Follow @_jeremydupont for proven clinic growth strategies in 2025.

Stop winging open enrollment. Run the playbook. Finish strong.