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Building a $15,000,000 Business for a Doctor in 32 Minutes | Scale or Fail Episode 4

Alex HormoziAugust 7, 202632m
In a Nutshell

Dr. Zad Oasi’s concierge medicine practice grew from $1.8 M to $3 M revenue in 18 months, but marketing remains the bottleneck. Alex Rosie’s 32-minute plan replaces agency ads with three referral engines—quarterly $20 K service giveaways, the “bring-a-friend” BAM-FAM treatment offer, and weekly high-net-worth events that scan 100 prospects and close 25 new $10 K memberships—projecting $4 M+ by year-end. The doctor commits to 10 events in the next 90 days and a 90-day patient check-in to trigger referrals, shifting from passive word-of-mouth to a scalable, event-driven growth engine.

AI-Generated Notes

These notes were generated by AI and may contain inaccuracies.

This is Dr. Z and he's competing for a chance to win $100,000 in this golden ticket which gives him access to an entire year of guidance from Alex Rosie and the team behind my $250 million per year portfolio. The next hour with Alex will decide if Dr. Z will scale or fail. If chosen to scale, he'll move on to the finale for a chance to win the grand prize.

Dr. Zad Oasi, MD owns Precision Health Concierge Medicine. The business was in business for 18 years before he purchased it. He's owned it for the past 18 months. When purchased, revenue was around $1.8 million. They've grown it to $3 million in the last 12 months with profit of $600K excluding his comp. Last year his compensation was about $300K and this year it'll be a little bit more than that. The three-year revenue goal is $15 million.

Most customers come through word of mouth, but over the past four months it's switched to SEO. Originally, they had a rough first year with issues with the seller and marketing. Marketing was the big bottleneck. They interviewed five agencies and hired one, spending $50,000 with no progress before firing them. Dr. Z did the website himself. The SEO on the back end was trash. When they found somebody to fix it, the SEO converted really well.

The main thing stopping scaling is the marketing piece. They're just not that good at it. The landscape is changing pretty quickly and if not done correctly, it can fall apart quickly. The technology aspect has improved rapidly since they started. If not done properly, every practice that doesn't do well could cost months to a year when they're small and competitors will eat them up.

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