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The $30 Million Pivot with Eric Lowe

The $30 Million Pivot with Eric Lowe

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What happens when your business is growing—but your model quietly starts holding you back?

In this episode of Your Business Growth Podcast, Jeremy Shapiro sits down with Eric Lowe, co-founder of Aptiva Health, to break down how he identified a hidden operational bottleneck and turned it into a major growth opportunity.

Eric shares how his early virtual healthcare model—built on part-time providers—worked at first, but eventually began limiting scale, consistency, and patient experience. Instead of pushing harder or hiring more contractors, he stepped back, analyzed the data, and made a bold decision: bring key parts of the operation fully in-house.

That decision reshaped the business—and helped scale it into a $30M healthcare system.

Inside this episode:

✔︎ Why part-time providers created a hidden growth ceiling

✔︎ The real cost mismatch: 60% spend for only 30% productivity

✔︎ How patient experience exposed operational weaknesses

✔︎ The turning point that led to hiring full-time physicians

✔︎ Why culture and consistency matter more than flexibility

✔︎ How bringing services in-house improved margins and outcomes

✔︎ The strategy behind building specialized healthcare centers

✔︎ Using AI to increase efficiency without replacing people

✔︎ How COVID forced rapid adaptation—and created new growth opportunities

✔︎ The simple mindset shift that helps founders get unstuck

Eric also breaks down how solving one problem at a time—rather than trying to fix everything—was the key to sustained growth.

This episode is a strong lesson in operations, scaling strategy, and making the hard decisions that unlock the next level of your business.


👉 Connect with Eric Lowe

  • Eric's Upcoming Book, Broker Driven: https://www.brokerdriven.com/
  • Eric Lowe on LinkedIn: https://www.linkedin.com/in/ericloweaptiva/
  • Eric Lowe on Facebook: https://www.facebook.com/eric.lowe.139945
  • Eric Lowe on Instagram: https://www.instagram.com/eric.j.lowe/

📊 Hosted by: Jeremy B. Shapiro, Host and Author, Your Business Growth Playbook

00:00 Solve One Problem

00:25 Bottleneck Breakthrough

01:19 Origin Story Luck

03:29 Virtual Practice Model

06:53 Building Supply Demand

10:17 Scheduling Hits Limits

12:23 Full Time Economics

15:18 In House Commitment

17:06 Culture Over Contractors

18:58 Scaling Clinics Operations

22:09 Leadership Systems Loops

24:28 AI For Clinician Support

27:38 COVID Growth Catalysts

29:30 Building Mental Wellness

31:49 Cost Control Playbook

33:59 In House Radiology Decision

36:18 Bundled Surgery Pricing

39:10 Founder Problem Solving

40:57 Leverage Debt To Scale

42:02 Rapid Fire Takeaways

45:09 Wrap Up And Next Steps


Keywords: Eric Lowe, Aptiva Health, healthcare business growth, medical practice scaling, operational bottleneck, healthcare management, business systems, scaling strategy, patient experience, healthcare operations, AI in healthcare, medical entrepreneurship, vertical integration, healthcare marketing, business growth podcast, Jeremy Shapiro, healthcare startup, physician business model

#podcast #BusinessGrowth #HealthcareBusiness #ScalingBusiness #Entrepreneurship #Operations


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