Jesse Lewis, owner of District Performance and Physio, discusses the growth of his cash-based physical therapy practice from a single room in a gym to multiple locations in Washington, D.C. He details the company's focus on serving active individuals who want to continue exercising while recovering from injuries. Jesse shares insights on bootstrapping the business, scaling operations, and the challenges of marketing a higher-priced, insurance-free model.

The conversation explores Jesse's approach to growth, including his strategies for hiring and retaining talent, managing multiple locations, and balancing profitability with employee satisfaction. He discusses the effectiveness of various marketing channels, particularly Google Ads and SEO, and how he adjusts these efforts based on clinic capacity.

Jesse reflects on the challenges of transitioning from a solo practitioner to a business owner, including delegating responsibilities and creating systems for scalable growth. He also shares his thoughts on potential expansion strategies, such as organic growth, acquisitions, or franchising within the niche cash-based physical therapy market.

Throughout the discussion, Jesse emphasizes the importance of company culture and his efforts to intentionally shape it as the business grows. He offers valuable insights for healthcare entrepreneurs looking to build and scale niche practices while maintaining high-quality care and employee satisfaction.