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In this episode, Katie shares what’s been going on behind the scenes over the last few months and the big leadership lessons that have come with running two businesses while raising a one-year-old. She unpacks why growth isn’t always about adding more space, more staff, more services, or more complexity and why that “more, more, more” approach can quietly drain your cash and your capacity.
Katie breaks down the difference between growth and expansion, and why so many clinic owners increase the “size of the shoe” (assets and overheads) before they’ve fully maximised the “size of the foot” (utilisation, conversion, retention, diary structure, and revenue per square foot). She shares how she’s been challenging business decisions through the lens of simplification, including the reality that more rooms don’t automatically mean more profit, and a busy team doesn’t necessarily mean a high-performing business.
She also explains why revenue stops being the score as you scale, and why the real framework to understand is assets → revenue → profit → cash. Because you can have a high-revenue clinic that’s permanently skint, and a smaller clinic that produces strong cash, less stress, and a better life. The key is learning which numbers actually show whether the machine is working, rather than relying on feelings like “we’re busy” or “the diary feels full.”
Finally, Katie opens up a new opportunity for clinic owners who want clarity on what to do next. She’s opened two slots per week between now and Christmas where she’ll personally review your clinic and give you your next three moves, alongside what to stop doing so you can grow without more complexity. Apply via the link in the show notes.
Apply here: https://thrive-elevate-your-team.vercel.app/katies-plan
Resources & Links:
Subscribe to our Channel on Youtube: https://www.youtube.com/@thrivebizcoach?sub_confirmation=1
Website: https://Thrive-businesscoaching.com
Free Resources: https://treatyourbusiness.com
Sponsor - Jane & MBST
Practice management software that brings scheduling, charting, billing, payments, and patient communication into one connected system so you can reduce admin and focus on patient care.
Book a Demo > https://meetings.jane.app/meetings/jane-app-uk/uk-demo
Contact > support@janeapp.com
jane.app/start THRIVE2MO
MBST is non-invasive cell regeneration technology, trusted since 1998, backed by peer-reviewed research. Deliver lasting results and give your clinic the edge.
Enquire via the website > https://mbst.health
Contact > richard@mbst.health