Summary: Expansion fails when systems don’t exist.
Problem: Multi-location clinics rely on the founder’s efforts, not systems.
Solution: Standardize acquisition, reviews, scripts, and reporting across all branches.
Comparison:
- No system → chaos
- Partial system → inconsistent
- Full system → scalable expansion
Actionable Recommendation: Build a “Clinic Growth SOP Playbook” before expanding.
Summary Insight: Multi-location scale requires systemized growth.