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 consistently GBP, local SEO, Instagram strategy, referral partnerships, funnels, Google rankings, and automation. ✨ Systems that scale Day 1/Day 2 process, SOPs, scheduling, collections, KPIs, team efficiency, and patient retention. ✨ Leadership + operations Hiring, training, delegating, building a culture, improving communication, and managing performance. ✨ Mindset + nervous system for clinic owners Capacity 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.

  1. 3D AGO

    We Lost $30K on a Bad Hire (Here's What We'd Do Differently)

    Hiring the wrong person doesn’t just cost you time… it can cost you tens of thousands of dollars, your energy, and your momentum. In this episode, we’re sharing the real story behind a $30,000 hiring mistake and exactly what we’d do differently so you don’t make the same mistake we did. We cover the biggest hiring mistakes most clinics make, what to look for in a potential new hire, why experience might actually hurt your business, and the exact step-by-step hiring process we use now that actually scales your business without chaos. We’re here to show you how to hire BEFORE you feel ready, how to avoid burnout by building the right team, and how to make hiring decisions that actually increase your revenue and freedom, not drain it. Because the right hire doesn’t cost you money…They make you more of it.   In this episode, you will learn: 01:40 Why hiring is the most expensive (and important) decision you make. 05:00 The #1 hiring mistake business owners make and why it leads to burnout. 06:30 How to know when it’s the right time to hire for your clinic. 08:40 How do I know if this hire is going to MAKE me money? 10:30 Why hiring part-time employees might be a big mistake for your clinic. 12:00 The mindset shift you must make if you’re going to scale successfully. 15:15 Why you’re not “stuck” with a bad hire (and what to do instead). 16:00 What to look for during the interview process. 18:30 Interview questions that reveal who someone really is. 25:00 The risks between new grads vs experienced hires (both have them). 27:30 How to decide WHO you actually need to hire. 30:00 Why experience can actually hurt your business. 31:30 The exact hiring process we use now (step-by-step). 34:00 How to structure interviews to avoid bad hires. 37:00 The “shadow day” mistake most clinics make. 38:30 Why your team should help you decide who to hire. 40:00 The real payoff: how to buy back your time and scale your business. Resources + Links   Join our free community - The Expanded Collective Community!   Get on the waitlist for The Expanded Collective. Stop chasing patients & start building authority!   Ready to optimize your marketing? Book a call with Kyle now - https://calendly.com/kyle-theexpandedcollective/30min   Follow Danielle: @dr.danielleroach The Expanded Collective: @theexpandedcollective

    42 min
  2. APR 15

    5 Numbers You’re Ignoring That Are Costing Your Clinic Thousands Every Month

    Are you busy, overwhelmed, and STILL not making the revenue you know your clinic should be making? Most clinic owners are working harder than ever but making decisions based on gut, not data. That's exactly why growth feels inconsistent, stressful, and out of your control.   In this episode, we break down the 5 numbers that quickly identify what is really happening in your business. Not just what to track, but how to use those numbers to identify what’s broken, fix it fast, and scale profitably without being stuck in the day-to-day. You’ll walk away with key metrics every clinic owner needs to scale, including CPL (cost per lead), CAC (customer acquisition cost), conversion rate, OVA (office visit average), PVA (patient visit average), and LTV (lifetime value), so you can finally understand what’s driving your growth and what’s holding you back.   You’ll learn how to spot whether you have a marketing problem, conversion problem, or retention problem…and exactly what to do about it!   Because tracking numbers isn’t the goal. Making more money (with less chaos) is.   In this episode, you will learn: 00:00 What numbers should I be tracking? 03:15 How do I know if I’m ready to start my own practice? 05:00 How to calculate your cost per lead. 07:45 One easy way to get more people to show up to their appointment. 10:30 How much does it cost to acquire a new customer? 14:00 How to calculate how much money you’re making and if you need to raise prices. 19:00 How to know if your paid ads are actually working. 23:00 Ok, you’re busy, but are you making the money you could be? Resources + Links   Join our free community - The Expanded Collective Community!   Get on the waitlist for The Expanded Collective. Stop chasing patients & start building authority!   Ready to optimize your marketing? Book a call with Kyle now - https://calendly.com/kyle-theexpandedcollective/30min   Follow Danielle: @dr.danielleroach The Expanded Collective: @theexpandedcollective

    26 min
  3. APR 8

    Masterminds, Marketing Pivots, and Going All In On Our Clinics

    Masterminds, Marketing Pivots, and Going All In On Our Clinics We just got back from two back-to-back masterminds and honestly? We're still processing. This episode is the raw download. If you're a chiropractor or clinic owner wondering whether investing in a mastermind is worth it, whether the stress you're feeling is normal, or what it actually looks like when clinic owners show up and get vulnerable with each other, this one's for you. Danielle shares the moment she realized she'd given away her power at Verve and what it took to get it back. Kyle opens up about navigating capacity and stress as a seven-figure business owner. And we both break down the marketing pivot that's already changing how we attract new patients. This is the behind-the-scenes stuff most people don't talk about. The identity shifts, the marriage conversations, the moments where everything clicks. In this episode, you'll learn: The story that shifted Danielle from "should I quit?" to going all in on Verve Why giving away your leadership slowly kills your connection to your business How stress and income are directly connected and what to do about it The messaging shift that changed how Verve targets pregnant moms Why pain-point marketing might be costing you your ideal new patients What Leanne Mosley taught us about attracting high-intent clients How Kyle identified a brand new audience for The Expanded Collective What a "done with you" marketing model looks like for chiropractors and brick and mortar healthcare owners The Enneagram insights that changed how we show up in our marriage Why vulnerability in the room is the fastest path to real breakthroughs Here's what we cover: Danielle and Kyle recap a packed week that started with Chris and Lori Harder's Elite Entrepreneur Mastermind in Newport Beach and ended at Steph Wigner's Expanders retreat in Naples. Danielle gets honest about the past year at Verve, how pregnancy and burnout led her to hand off pieces of her company, and the dinner conversation that flipped everything. She walked in feeling disconnected and walked out ready to lead again. The revenue shift that followed was immediate. Kyle shares his own breakthrough around capacity and stress, including a conversation with Chris Harder about what eight and nine-figure entrepreneurs actually go through behind the scenes. Spoiler: they have bad days too. The difference is their ability to expand their capacity to handle it. Whether you're a chiropractor scaling to multiple locations or a med spa owner trying to figure out your next hire, the stress at every level looks more similar than you'd think. We also dig into a marketing framework from guest speaker Leanne Mosley that's reshaping how Verve runs ads. Instead of targeting pain points, we're now focused on dream outcomes for second and third-time moms who want a better birth experience. And at The Expanded Collective, we're building out a new "done with you" offer for chiropractors and clinic owners who want to learn the system themselves. We share real client wins, including clinic owners who have doubled revenue and are generating consistent new patients every month. The second half gets personal. We talk about Enneagram types, marriage dynamics, and what it looks like when a room full of entrepreneurs actually drops the walls and gets real. If you're a clinic owner who's been on the fence about joining a mastermind or building your own community, this is the episode that might push you over the edge. DO THIS ONE THING TODAY: Write down the name of one group, mastermind, or community you've been curious about. Then send one DM or email this week to ask about it. You don't have to commit. Just open the door. Getting in the room starts with one conversation and could be the thing that helps you finally unlock consistent new patients. RESOURCES: Buy Back Your Time by Dan Martell Leanne Mosley, Rich Queen (Instagram: @leannemosley) The Wealthy Practitioner's next event in San Diego, CA (https://go.thewealthypractitioner.com/san-diego-event?rootabl=drdanielleroach&lid=siVnk3Un) CONNECT WITH US: Follow Danielle and Kyle on Instagram @theexpandedcollective and come say hi! Want optimize your marketing? Book a call with Kyle now, https://calendly.com/kyle-theexpandedcollective/30min

    48 min
  4. APR 1

    Why Your Google Reviews Aren't Converting Patients

    You've got 50, maybe 100 Google reviews. Great. But are they actually converting new patients? Here's what most clinic owners are missing. Google reviews matter. But if that's the only testimonial system you have, you're leaving real growth on the table. There's a more powerful way to capture your patients' stories, and it converts way better than a star rating ever will. In this episode, Kyle and Danielle break down the chalkboard testimonial system they use at Verve, why storytelling beats outcomes and data every time, and how one simple SOP can improve your wellness conversions and fill your content calendar at the same time. In this episode, you'll learn: Why Google reviews alone won't convert your ideal patient How keyword-specific reviews actually help your local SEO (and why most reviews don't do this) What the chalkboard testimonial system is and how Verve built it Why patient storytelling outperforms stats, outcomes, and star ratings The exact questions your CA should ask before a progress exam How this one system warms patients up for the wellness conversion before the doctor walks in Where to repurpose chalkboard content: paid ads, website, email, and social Why "wall of fame" stories are your most powerful bottom-of-funnel content How to make the ask without it feeling awkward for your team What "sell different, not better" actually looks like in practice Here's what we cover: Danielle kicks things off with a real talk about Google reviews. They're not bad. But they're not enough. If your patients aren't mentioning specific symptoms or conditions, you're missing the SEO benefit entirely. And most patients? They write "I love Dr. Danielle." Sweet. Not searchable. Then she walks through the testimonial system Verve built to capture real patient wins. Listen to the episode to learn exactly what this system is.  The system works because of timing. Danielle explains exactly when to collect testimonials, how to structure the interview so it feels natural, and why going through that conversation warms patients up for the wellness discussion before the doctor even walks in. Kyle and Danielle also break down all the places this content gets used: paid ads, landing pages, email newsletters, website success story pages, and organic social carousels. One 10-minute conversation. Endless content. DO THIS ONE THING TODAY: Pull up your last 10 Google reviews and count how many mention a specific symptom, condition, or outcome. If fewer than half do, you need a better story collection system.  CONNECT WITH US: Instagram: @expandedcollective  If you're ready to fill your schedule so fast you can't hire quickly enough, now is the time to get in front of Kyle. Book a call here: https://calendly.com/kyle-theexpandedcollective/30min

    18 min
  5. MAR 25

    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

    45 min
  6. MAR 18

    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

    32 min
  7. MAR 11

    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

    31 min
  8. MAR 4

    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

    41 min

Ratings & Reviews

5
out of 5
4 Ratings

About

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 consistently GBP, local SEO, Instagram strategy, referral partnerships, funnels, Google rankings, and automation. ✨ Systems that scale Day 1/Day 2 process, SOPs, scheduling, collections, KPIs, team efficiency, and patient retention. ✨ Leadership + operations Hiring, training, delegating, building a culture, improving communication, and managing performance. ✨ Mindset + nervous system for clinic owners Capacity 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.

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