The Expanded Life Podcast
The Expanded Life Podcast
The Expanded Collective
The Expanded Life is a no-fluff, strategy-driven podcast for clinic owners who want to increase new patients, grow revenue, build real systems, and finally get their time back. Hosted by Dr. Danielle Roach, multi-location clinic owner and doctor of chiropractic, and her husband and marketing strategist, Kyle Roach, this show breaks down the exact systems, marketing frameworks, and mindset upgrades they used to grow Verve Chiropractic to $2M and three locations in two years. If you’re stuck doing everything yourself, capped by your schedule, or frustrated with inconsistent new patients, this podcast meets you where you are, with clear steps, simple systems, and the strategy clinic owners actually need (not just theory). Whether you’re trying to stabilize your first location, preparing to hire, optimizing your marketing machine, or expanding to multiple providers, each episode gives you actionable tools to grow without burnout. Danielle and Kyle combine clinical experience + business strategy to pull back the curtain on what actually works in a modern brick-and-mortar practice, from patient experience and automation to leadership, team performance, and profitable marketing. What You’ll Hear: ✨ Marketing that generates new patients consistentlyGBP, local SEO, Instagram strategy, referral partnerships, funnels, Google rankings, and automation. ✨ Systems that scaleDay 1/Day 2 process, SOPs, scheduling, collections, KPIs, team efficiency, and patient retention. ✨ Leadership + operationsHiring, training, delegating, building a culture, improving communication, and managing performance. ✨ Mindset + nervous system for clinic ownersCapacity expansion, avoiding burnout, nervous system regulation, and CEO-level decision-making. If you’re asking these questions, this is your show: “How do I get more new patients without relying on referrals or ads?” “How do I grow revenue without adding more hours to my schedule?” “How do I systematize Day 1/Day 2 so my conversions increase?” “How do I build and train a team that I can trust?” “How do I scale from one provider to multiple providers the right way?” This is the podcast for when you're ready to stop hustling, start scaling, and build a business that runs without you doing absolutely everything. Tune in to grow your clinic, simplify your systems, and reclaim your life—one episode at a time.
How We Actually Use AI to Run 3 Clinics
We're sharing the exact AI tools and workflows running our three clinic locations right now. No fluff. No theory. Just what's actually working.   Everyone's talking about AI. Most people are overwhelmed by it. And if we're being honest, half the "AI tips for business owners" content out there is either too vague to be useful or so technical it makes your eyes glaze over.   This episode is different. This is the real breakdown of how we use AI inside our business every single day. The actual tools, the actual workflows, and the actual results we're getting across three locations.   In this episode, you'll learn: Why we switched from ChatGPT to Claude and went all in The exact workflow we use to summarize team meetings, pull out action items, and Slack them to the team automatically How Fireflies records and transcribes every call so nothing falls through the cracks Why lead follow-up is probably your biggest bottleneck and how AI can fix it without sounding like a robot The truth about AI phone calls for clinics and where the line is How to feed AI your meeting transcripts to identify bottlenecks you're missing The human elements AI will never replace and how to lean into them How Slack automations change team communication across multiple locations The one prompt that will audit your clinic operations and hand you a to-do list Here's what we cover:   Danielle and Kyle get into their AI journey from the very beginning. Back when ChatGPT hit the mainstream in 2023, they were using it to write funny Christmas stories at their corporate jobs. Fast forward to today and AI is built into almost every layer of how they run the business.   Kyle breaks down the tech stack: Slack for team communication, Fireflies for recording and transcribing every client call and team meeting, and Claude for summarizing transcripts and identifying bottlenecks. He walks through a real workflow where Fireflies records a call, Claude pulls the transcript, summarizes the meeting, and Slacks action items directly to the team.   Then they get real about the hard stuff. Lead follow-up. AI phone calls. The reality of automating outreach when your team is inconsistent and your leads respond at weird hours. Where AI saves time and where you still need a real human.   Do this one thing today:   Open Claude or ChatGPT and paste this prompt: "Based on the biggest bottlenecks in a chiropractic clinic running three locations with a team of 15, give me 10 ways I could use AI and automation to save time and improve efficiency." Read the output. Pick one thing. Implement it this week.   Resources: Claude: claude.ai Fireflies: fireflies.ai Slack: slack.com   Connect with us over @theexpandedcollective on IG
Mar 25
45 min
Scaling a Clinic From $100K to $2M: Team Turnover, Broken Systems & What Actually Works Across Multiple Locations
Everyone thinks scaling is just up and to the right. Hit $100k, then $200k, then $500k. Clean. Linear. Easy. But here's the truth: we hit $100k and thought we'd figured it out. Then we spent the next two years dealing with team turnover, doctors leaving, and systems that only worked when we were constantly reinforcing them. In this episode, Danielle and Kyle get brutally honest about what's actually happening behind the scenes. Why growing a specialized prenatal and pediatric clinic is harder than a general practice. What broke after $100k. And what they're doing to finally fix it. This is the episode about the messy middle that nobody talks about. In this episode, you'll discover: Why the magic you had at $100k doesn't scale The specialized niche problem (and why hiring prenatal/pediatric chiropractors is nearly impossible) Why your systems only work when you're constantly reinforcing them What actually breaks when you try to scale across multiple locations Why team performance drops when the founder isn't in the office How quality becomes inconsistent (and what that does to your reputation) The tiny talent pool problem for specialized clinics The 6 things we're doing to fix it (expanding our niche, building accountability, creating a leadership layer) Why Danielle is now managing team and refining systems instead of seeing patients The hard truth: magic doesn't scale, systems do Here's what we cover: Danielle shares the journey from $25k stuck and at capacity to $100k with the magic. Then what broke: doctors leaving, the team not performing without her there, the near-impossible task of backfilling a specialized niche across three locations, and systems that only worked with constant reinforcement. Kyle breaks down why specialized niches are harder to staff, the tiny talent pool for prenatal and pediatric specialists, and why their systems weren't actually systems at all. Then they walk through exactly what they're doing to fix it: expanding their niche with shockwave and medical services (nutrients, IVs, peptides), building accountability into systems, creating a leadership layer, and Danielle stepping fully into the CEO role managing team and refining systems instead of seeing patients. Do this one thing today: Audit your systems. Are they actually systems or do they only work when you're constantly reinforcing them? If they break the second you turn your back, they're not systems. Links and resources mentioned: Book a Free Marketing Audit with Kyle: https://calendly.com/kyle-theexpandedcollective/30min Follow The Expanded Collective on Instagram: @theexpandedcollective
Mar 18
31 min
37 Hard Truths Every Clinic Owner Needs to Hear (Part 2)
Part two of the unfiltered business coaching session every clinic owner needs to hear. If you're stuck at $30k-$60k/month and can't break through, this episode covers pricing strategy, delegation, CEO time, and why it takes way more volume than you realize to hit your goals. Kyle finishes the remaining hard truths about clinic growth. No fluff. No apologies. Just what actually works. In this episode, you'll discover: The conversion rate test that proves your prices are too low Why you don't have to be a clinician forever and that doesn't make you a bad doctor How to parlay your clinical skills into any future venture you want to build Why going to bed earlier is the most underrated productivity hack for entrepreneurs Why you should never take advice from people who aren't where you want to be How to stop letting difficult patients rule your business decisions Why you need to stop "shoulding" all over yourself How to break big projects into bite-sized chunks you can implement faster Why owning a business is hard but so is working for someone else If you can't delegate menial tasks, you don't have the mindset for growth How to reflect on how far you've come instead of only looking forward Why it takes way more volume than you realize to hit your goals Here's what we cover: Danielle shares her journey from imposter syndrome with her Audi to learning to celebrate wins and believe she's worthy of success. Kyle breaks down the limiting beliefs that come from who you surround yourself with and the content you consume. Plus the reality check on how much volume it actually takes to build a seven-figure clinic. Do this one thing today: Open your calendar right now. How much CEO time do you have blocked this week? If it's zero, block 2 hours before Friday. Use it to implement one thing from this episode. Links and resources mentioned: Join The Expanded Collective Waitlist: https://stan.store/theexpandedcollective/p/stop-chasing-patients-start-building-authority Follow The Expanded Collective on Instagram: @theexpandedcollective Follow Danielle on Instagram: @dr.danielleroach
Mar 11
31 min
37 Hard Truths Every Clinic Owner Needs to Hear (Unfiltered Business Advice - Part 1)
Struggling to grow your clinic past $50k/month? This unfiltered coaching session breaks down exactly what's holding you back. Kyle shares 37 hard truths he'd tell his clinic coaching clients if he wasn't worried about hurting their feelings. From building three locations and generating 2,000+ new patients annually, he breaks down the mindset shifts and systems that separate six-figure practices from seven-figure clinics. This is part one of two. Perfect for chiropractors, acupuncturists, functional medicine practitioners, and wellness clinic owners ready for real growth. In this episode, you'll discover: Why you're closer to your goals than you realize and how to work backwards from them How Parkinson's Law helps you compress work from all day into 30 minutes Why "I don't have time" means your systems are broken, not that you need more hours The patient cancellation reframe that will change how you see no-shows Why time doesn't equal value and how to sell transformation instead of appointments The if-then framework for breaking through self-doubt and imposter syndrome Why businesses run on systems, not people and how to build repeatable processes The only three things clinic owners should focus on to grow Why your social circle will shrink as you grow and why that's okay Why it's okay to have money and nice things and how to believe you're worth it Here's what we cover: Kyle shares lessons from making 50 cold calls a day in commercial real estate and discovering how systems can compress work time. He walks through helping a coaching client overcome pricing anxiety using the if-then framework. Plus, why buying friends in masterminds is actually worth the investment. Do this one thing today: Pick ONE thing from this episode that made you uncomfortable. Implement it this week. Not think about it. Actually do it. Links and resources mentioned: Join The Expanded Collective Waitlist: https://stan.store/theexpandedcollective/p/stop-chasing-patients-start-building-authority Follow The Expanded Collective on Instagram: @theexpandedcollective Follow Danielle on Instagram: @dr.danielleroach
Mar 4
41 min
"We Treat the Whole Family" Is Costing You 30+ Patients Per Month
If your website says "we treat the whole family," stop reading this and go change it right now. That one sentence is costing you patients every single day. Not because it's not true. You probably do treat families. But "we treat the whole family" doesn't make anyone stop scrolling. The pregnant mom with back pain? Scrolls past. The parent with a colicky baby? Scrolls past. The athlete with a recurring injury? Scrolls past. Because it's not specific enough to make them say "wait, that's me." In this episode, Danielle and Kyle break down the messaging mistakes keeping clinic owners invisible and exactly how to fix them. What You'll Learn: Why chiropractic jargon is killing your conversions The 3-second scroll test your content needs to pass How one client doubled inquiries by changing ONE sentence Why "we treat the whole family" isn't actually a message How to get specific without alienating everyone else The antagonist strategy that creates loyal patients Why your USP can't be "I spend more time with patients" Client Result: One client changed her homepage from "We help families with chiropractic care" to "We help pregnant moms in their third trimester reduce back pain so they can sleep through the night and have a smoother delivery." Inquiries doubled in 30 days. Same service. Different words. Quick Win: Run the 3-second scroll test: Look down, look down, look down, look up at your last Instagram post. In that split second, can you tell who it's for and what problem it solves? If not, fix your messaging this week.   Resources: Join waitlist: https://stan.store/theexpandedcollective/p/stop-chasing-patients-start-building-authority Come hang out with us @theexpandedcollective on Instagram
Feb 25
39 min
How We Got 76 Clinic Owners to Show Up Live (And Used A Webinar to Generate $81K in Revenue)
76 clinic owners showed up live to a webinar we ran last month. We spent $1,500 on ads, got 150 signups, and made $81,000 in revenue. That's a 54X return. Now we're testing this exact strategy at Verve to generate new patients. If it works, we're teaching it to every clinic in EGA. Because here's the thing: if webinars can sell coaching to clinic owners, they can absolutely get new patients into your local clinic. In this episode, Danielle and Kyle break down the entire webinar strategy, the ad setup, the reminder system that got 50%+ show rates, and how to apply this to local patient acquisition. Plus: the massive pivot happening in EGA. They're evolving from a teaching program to a done-with-you fractional CMO service. Building your marketing system with you instead of just teaching you how. What You'll Learn: How to get 50%+ webinar show-up rates (email, text, calendar reminder system) The two-funnel ad strategy: direct signup vs lead magnet funnel Why webinar attendees convert better than cold ad leads Example clinic webinar topics for prenatal, pediatric, and scoliosis patients The webinar structure that educates and converts without being slimy Kyle's free offer: webinar coaching for one clinic owner Why EGA is pivoting to fractional CMO (and what that means for you) The new done-with-you model: 90-day marketing sprint Why you'll still own your system (not stuck paying agency fees forever) Key Results: 150 signups from $1,500 ad spend 76 live attendees (50%+ show rate) $81K revenue (54X ROI) $7 cost per lead (direct), $3-4 (indirect) 10% landing page conversion rate The EGA Pivot: Clinic owners kept saying: "I know what to do, I just don't have time to implement it." So EGA is becoming a fractional CMO service. New team includes marketing VAs, web designer, media buyer, automation specialists, and video editors. They'll build your marketing system with you in a 90-day sprint. You'll still own everything. Not renting from an agency forever. Special Offers: Kyle's giving free webinar coaching to first clinic owner who DMs him with $1K ad budget Join EGA waitlist now before fractional CMO pricing goes into effect Resources: Join waitlist: https://stan.store/theexpandedcollective/p/stop-chasing-patients-start-building-authority DM us @theexpandedcollective on Instagram
Feb 18
41 min
The 9 Limiting Beliefs Killing Your Clinic Growth (And How to Break Free)
Two new patients in January. $11,000 collected in the first week of February. What changed? Not the strategy. Not the market. Not the tools. The only thing that changed was one belief: "I stopped waiting for my reality to change and started acting like my future self." In this episode, Danielle and Kyle break down the limiting beliefs that are running your business behind the scenes...the ones that feel like facts but are actually just keeping you stuck. From "no one can do it as good as me" to "I'll cheapen my care if I discount," they walk through the beliefs that keep clinic owners small, burnt out, and trapped in practitioner mode instead of stepping into CEO. Plus, you'll hear the full story of a client who went from 2 new patients in January to a record-breaking $11k week in February by shifting her mindset and going all in on implementation. If you've ever felt stuck, plateaued, or like you're doing everything but nothing's working, this episode will show you exactly what's holding you back and how to break through. What You'll Learn: The 9 limiting beliefs keeping clinic owners stuck and how to identify if you have them Why "no one can do it as good as me" is costing you your freedom (and how to let go) The real reason discounting your first visit isn't cheapening your care How to know if you're people-pleasing instead of practicing authentically Why time doesn't equal value and how to break free from the capacity myth The pricing beliefs that keep you racing to the bottom How to delegate without feeling like everything will fall apart The belief that you have to earn rest (and why it's killing your growth) 5-step framework to identify and break through any limiting belief Real client story: 2 new patients to $11k in one week by acting as her future self In This Episode: [00:00] Cold Open: From 2 new patients to $11k in one week [01:17] Why limiting beliefs are uncomfortable but empowering to address [03:38] How to know when you have a limiting belief [06:37] Danielle's limiting belief about running ads and being seen [08:16] The "referral only" mindset and lowering the barrier to entry [09:54] Systems breaking equals growth (and Kyle's new empathy) [11:52] "No one can do it as good as me" - control vs. fear [14:15] Hiring your first associate and believing they won't be wanted [16:24] Questioning "that's just the way we've always done it" [18:38] Practicing incongruently because you're people-pleasing [20:42] What happened when Danielle stopped doing soft tissue [22:44] The capacity myth: time does not equal value [24:28] Pricing limiting beliefs: lower prices won't get more yeses [26:17] "If I raise my prices, I need to add more services" [27:58] Transformation is the value, not the transaction [29:57] "If I'm not there, everything will fall apart" [30:07] The belief that you have to earn time off [31:51] Client story: 2 new patients in January, $11k first week of February [33:43] 5-step framework to break free from limiting beliefs The 9 Limiting Beliefs Keeping Clinic Owners Stuck: No one will want to see my associate, they only want to see me No one can do it as good as me People will be upset if I stop doing the service I hate People will be upset if I double book I'll cheapen my care if I discount the first visit If I'm not in the office, the business falls apart I have to earn time off and relaxation with my family If I lower my prices, more people will say yes If I raise my prices, I need to add more services to justify it 5-Step Framework to Break Free from Limiting Beliefs: Step 1: Get brutally honest about what you actually believe (question everything) Step 2: Ask yourself - is this belief true, or does it just feel safe? Step 3: Decide what you want to believe instead (write it down, make it specific) Step 4: Take one action that aligns with the new belief (don't wait to feel ready) Step 5: Collect evidence (write down every proof point to override old patterns) Key Insights: ✔️ Limiting b
Feb 11
33 min
Why Your Ads 'Didn't Work' (And What Actually Happened)
"I tried ads, spent a couple grand, the leads sucked, ads don't work." Sound familiar? In this episode, Danielle and Kyle break down exactly why your ads didn't work. Spoiler alert: it's not the ads. If you've ever run Facebook or Instagram ads for your clinic and felt like you wasted money on "low-quality leads" that didn't convert, this episode is required listening. Danielle and Kyle walk through the six critical steps most clinic owners skip before turning on ads, what ads are actually designed to do, and the exact ecosystem you need to build first so your ads actually convert. In This Episode: [00:00] Cold Open: Why your ads actually failed [01:52] The real problem with "bad leads" [06:22] Free lead generation strategies to try first [09:02] Building trust before running ads [11:02] Why you need a good offer (and how to price it) [16:00] The psychology of discounting without devaluing [20:04] Messaging: Specific problems for specific people [24:36] Campaign objectives (and why boosting posts is a waste) [29:09] Landing pages vs websites: Why your website kills conversions [30:37] The Facebook Pixel and retargeting strategy [33:13] Funnels, follow-up, and speed to lead [36:37] Final thoughts and community invite   Key Takeaways: ✅ Ads don't create demand, they amplify it. If your foundation isn't built, you're just amplifying a broken system. ✅ Only 3% of your market is ready to buy right now. Stop ignoring the other 97%. ✅ Your "bad leads" weren't bad...your follow-up, offer, or ecosystem was missing. ✅ You need Google ranking, reviews, educational content, and a nurture system BEFORE you run ads. ✅ Specific problems for specific people always win over generic "back pain" campaigns. ✅ If you're not tracking revenue collected (not just leads generated), you're guessing. ✅ Speed to lead matters: respond within 2 minutes or lose 400% more leads.   Mentioned in This Episode: The Local Authority Engine™: The exact marketing ecosystem Danielle and Kyle used to grow Verve Chiropractic to 2,000+ new patients per year GoHighLevel: The CRM and automation tool for follow-up workflows The Expanded Collective Free Community: Join for free training, feedback on your ads, and marketing strategy support Resources: Join The Expanded Collective Free Community: https://the-expanded-collective-community.circle.so/join?invitation_token=8899903ec4a8c71e7e5d83f1b70defd764da8b71-afa83ba8-cb7b-4be9-8cc6-d4bf7d54185c Join the Waitlist for Expanded Growth Accelerator (EGA): https://stan.store/theexpandedcollective/p/stop-chasing-patients-start-building-authority Follow us on Instagram: @theexpandedcollective Follow Danielle on Instagram: @dr.danielleroach  About the Hosts: Dr. Danielle Roach is a chiropractor, founder and CEO of Verve Chiropractic (multiple 7-figure locations), and co-founder of The Expanded Collective. She helps clinic owners install marketing systems that create predictable patient flow without relying on referrals or constant posting. Kyle Roach is a marketing strategist, co-founder of The Expanded Collective, and the brain behind the Local Authority Engine™ that grew Verve to 2,000+ new patients per year from 15+ traffic sources. Together, they teach clinic owners how to step out of the practitioner role and into the CEO role by building marketing ecosystems that actually work. If this episode helped you, share it with another clinic owner who's been burned by ads and leave us a review!
Feb 4
35 min
Building a 7-Figure Practice in a Town of 7,000: How One Couple Defied Everyone & Won (Plus: Why Working With Your Spouse is Your Unfair Advantage)
What do you do when 16 chiropractors are competing for 7,000 people and everyone tells you NOT to open your practice there? If you're Kailey and Andy Armor, you ignore them all, bet on yourselves, and build a multiple seven-figure practice with two locations in under seven years. In this episode, hosts Danielle and Kyle Roach sit down with fellow chiropractor power couple Kailey and Andy to talk about the messy, beautiful reality of building a business with your spouse. From their terrible associateship that pushed them to go all-in, to drinking 10 coffees a day for community meetings, to nearly losing their marriage in the grind, this conversation gets REAL about what it actually takes to scale without losing yourself or your relationship. Whether you're solo, partnered up, or just trying to figure out how to delegate without micromanaging every damn thing, this episode will give you the tools to grow faster, connect deeper, and maybe even enjoy the ride. WHAT YOU'LL LEARN: How to dominate in a saturated market with boots-on-the-ground strategy The secret to 95% conversion rates Retention tactics that build authority without feeling salesy The art of delegation and why 80% done is 100% awesome How to teach associates to sell with conviction (not scripts) Working with your spouse without divorce using the 2-2-3 rule Why personal alignment accelerates business growth EPISODE HIGHLIGHTS: [01:00] Opening against all odds in a hyper-saturated market [03:45] The terrible associateship that became their catalyst [06:00] The one-to-one coffee strategy that built their base [10:00] 160 new patients scheduled their first week [13:00] Events done right: Culture over conversion [18:00] Achieving 95% conversion by being willing to say no [30:00] Scaling without losing your culture [37:00] Introducing The Unfair Advantage mentoring program [48:00] The 2-2-3 rule for protecting your marriage [52:00] Why structure creates more freedom in relationships CONNECT WITH KAILEY & ANDY: Instagram: @unfairadvantage_mentoring Website: https://www.unfairadvantagebiz.com/ Love this episode? Subscribe, rate, and review so more practice owners can find us and stop grinding alone.
Jan 28
59 min
How My Clinics Consistently Add 60+ New Patients/Month From 15+ Sources
Most clinics aren’t stuck because they’re not working hard enough. They’re stuck because their growth depends on one fragile marketing source (usually internal referrals). In this episode, we break down what actually changed inside our clinics when we stopped chasing random marketing tactics and installed a true marketing operating system that consistently brought in new patients from multiple sources. If you’re a clinic owner relying on referrals, inconsistent social media, or ads that only work sometimes, this episode will help you identify where growth is leaking and how to fix it without adding more to your plate.   What You’ll Learn:• Why doing more marketing doesn’t lead to more patients• The real reason clinics plateau between $30k–$60k months• How to build multiple patient acquisition sources that work together• What most clinic owners misunderstand about funnels and traffic• The difference between tactics and a scalable marketing system• How our clinics generated patients from 15+ sources in one year Episode Chapters:00:00 – Why most clinics feel stuck despite doing everything right04:12 – The danger of relying on one marketing source08:45 – Why referrals alone won’t scale your clinic13:30 – The shift from random tactics to a marketing operating system19:10 – How multiple funnels create predictable patient flow26:40 – Why traffic without strategy creates burnout33:05 – What clinic owners must install before scaling ads39:20 – How to grow without working more hours45:10 – Next steps for clinic owners ready to scale Key Takeaway:Sustainable clinic growth doesn’t come from chasing tactics. It comes from installing a system that compounds visibility, trust, and demand.   Next Steps:Join our free Clinic Growth Webinar on 1/22 or join the waitlist for the Expanded Growth Accelerator, our marketing operating system for clinic owners ready to scale without burnout.   Clinic Growth Webinar & EGA Waitlist: https://stan.store/theexpandedcollective   Come say hi on IG @theexpandedcollective
Jan 21
24 min
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