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15+ companies founded· 12 taken public· 8,000+ clients served · (949) 628-6500 · (415) 993-8151
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Growth-Scaling | Scale-First Marketing by David Mitroff, Ph.D. & Steven Lockhart
Scale-first growth marketing · Any industry

Most businesses don't have a marketing problem. They have a scale problem.

We won't spend your budget until your business can carry the weight. Then we build and market the one path that compounds — with two partners who've started 15+ companies and taken 12 public.

Request an event invite → See the method
15+companies founded
12taken public
8,000+clients served
Invitation only

Join David & Steven for a private healthcare-growth dinner — September 24, 2026. Limited capacity.

Request your seat →
The gap we close

You can tell us what you spent. You can't tell us what you got.

That gap between spend and result isn't a creative problem or a channel problem. It's structural. Roughly half of new U.S. establishments are gone within five years, and only about a third reach year ten, according to the U.S. Bureau of Labor Statistics — and the SBA Office of Advocacy counts how many exist and who they employ. What decides survival is capacity and cash flow, not ad spend. No amount of budget fixes a model that can't scale. We start where the U.S. Small Business Administration says to start, and most owners skip: the arithmetic underneath the marketing.

01

The rebrand that changed nothing

You spent real money on a prettier site and a new logo — and got a prettier version of the same revenue. The look changed. The math didn't.

02

The retainer you can't trace

You pay every month and can't name a single client it produced. The report is full of metrics. None of them is a customer.

03

"You just need more content"

Three vendors in a row said the answer was more posts or better ads. It wasn't. You were being marketed at a scale your model couldn't support.

The Scaling Method

Frame it. Floor it. Focus it.

Three phases, in strict sequence. You can't skip one — the order is the point. It's the reason clients hire us instead of a channel vendor.

Phase one

Frame

Set the destination and the clock

A goal big enough your current model can't reach it, on a timeline short enough that you have to change what you do starting now. The size of the goal forces the strategy to change.

Phase two

Floor

Clear the runway

Raise the minimum standard you'll accept and cut everything below it — the accounts, tactics, and offers that won't move the big number. Simplicity creates the focus.

Phase three

Focus

Build the engine

Engineer one scalable path and the systems that run it without the owner. Where the hundredth customer costs less to win than the tenth. That's a business that scales.

A mindset without a machine is a wish. A machine without the mindset is a faster way to run in the wrong direction. A client hires both — on every engagement.

The partnership

The firm is new. The people running it aren't.

A rare overlap in conviction across a difference in method: a growth strategist trained in clinical psychology who scales businesses through people, and a systems operator who scales them through process and math.

David Mitroff, Ph.D.
Partner — Growth · The Mindset

David Mitroff, Ph.D.

Growth happens in the mind before the numbers

Ph.D. in clinical psychology, applied to the psychology behind business decisions. Seven years as a UC Berkeley instructor in marketing and entrepreneurship, six years as a Google for Startups mentor, two TEDx talks, and five books on business growth. Fourth-generation San Franciscan who's co-founded seven-plus companies. David owns the strategy, the buyer's psychology, and the relationship engine.

Ph.D., Clinical PsychologyUC BerkeleyTEDxGoogle MentorExpert Witness
Steven Lockhart
Partner — Scaling · The Action

Steven Lockhart

The machine that runs without the owner

Founder/CEO of Healthcare Marketing and Psychiatry Telemed. Took 12 companies public via reverse mergers; previously led a digital marketing company with 8,000+ clients. Lean Six Sigma Black Belt and author of The Ultimate Guide to Digital Marketing. Steven owns the production system, the web architecture at scale, and the operational discipline that turns strategy into return.

Six Sigma Black Belt12 IPOs8,000+ clientsAuthorFounder/CEO
On stage & on camera

We teach the method in public.

Conviction, not secrecy, is what sells a method. Between keynotes, TEDx, workshops, and a library of video, the partners have taught this thinking to tens of thousands of owners — and every talk is proof the arithmetic holds.

2×TEDx talks
35K+owners educated
12+books authored
David Mitroff and Steven Lockhart presenting together
▶
“

Most businesses don't have a marketing problem. They have a scale problem. We fix the arithmetic first.

The operating thesis of Growth-Scaling
Where we go deep

General-market thinking. Vertical depth.

The method works in any industry. These three are where we've built dedicated playbooks, compliance fluency, and search dominance — with more verticals on the way.

David and Steven in a healthcare clinic Flagship
01

Healthcare & Medical

HIPAA-aware, E-E-A-T content, 32+ specialties. A dedicated healthcare arm behind it.

Explore healthcare → David and Steven in a retail and trades setting
02

Construction & Trades

Local SEO, contractor lead generation, and a pipeline that survives busy season.

Explore construction → David and Steven in a law firm
03

Legal & Professional

Qualified-matter generation over raw volume. Systems that replace the founder's billable hours.

Explore legal →
Two nights in Orange County · September 2026

Come meet us in person.

Two rooms, back to back. One open to anyone building in healthcare, one by invitation. Pick the one that fits — or take both nights.

Open registration

Healthcare & Beauty Business Mixer.

Sept 232026 · 6–8 PM
HabanaIrvine, CA
Freeearly bird · $25 after

A networking room for owners, founders and executives across healthcare, aesthetics and wellness — practice owners, physicians, dentists, med spa operators, advisors and investors.

  • Two hours of real conversation — no stage, no pitch deck.
  • Meet operators building in the same market you are.
  • No MLM or network marketing businesses.
  • Order a drink and tip generously — Habana is hosting us.
Hosted by Growth ScalingOpen to the healthcare, aesthetics & wellness industry
Register on Eventbrite →

708 Spectrum Center Drive, Irvine, CA 92618. Capacity is capped — registration is free while early-bird tickets last.

Invitation only · Limited capacity

A private dinner with David & Steven.

Sept 242026
Costa Mesavenue on confirmation
Dinnercomplimentary

An intimate, educational session for healthcare practice owners and decision-makers who want to grow revenue, expand capacity, and scale without burning out. Not a pitch — a working conversation.

  • David leads the business-growth strategy: the goal, the model, the one path that scales.
  • Steven leads the marketing engine: the systems that fill your calendar predictably.
  • Real frameworks you can apply the next morning — plus the room to ask your hardest question.
David Mitroff Steven Lockhart
David Mitroff, Ph.D. & Steven LockhartYour hosts for the evening
Request an invite →

Seats are confirmed by the hosts. You will hear back within two business days.

Request your seat at the Sept 24 dinner

We'll send an email & text confirmation if you're invited. Capacity is limited — all fields required.

Please complete all required fields with a valid email before submitting.
Arithmetic over adjectives

Every claim has a number, a name, or a date.

"We grew their business" isn't allowed here. "Census went from 15 to 60 in five months" is. The numbers below reflect the partners' combined track record.

15+
Companies started or co-founded
12
Companies taken public
8,000+
Marketing clients served
32+
Healthcare specialties served

Figures reflect the founders' combined career track record across prior ventures. Client-specific results vary by market and engagement.

In their words

Owners who stopped guessing.

★★★★★
Right away things started to happen. Business is booming. More than a consultant — a business confidant.
DR
David RosenbaumPartner, McDowall Cotter
★★★★★
He strives to deliver value first. He's earned my business and my trust — a natural connector.
PS
Patrick SchwerdtfegerBusiness Futurist · TEDx Speaker
★★★★★
The most responsive consultant I've ever worked with. His follow-up was absolutely impeccable.
JS
Judith Szepesi, J.D.Partner, BSTZ LLP

Testimonials reflect prior engagements of the founding partners. Full references available on request.

The seats are limited. The math isn't.

If you run a healthcare practice and you're done guessing what your marketing produced, the September 24 dinner is where it starts. Request your invitation while capacity lasts.

Request an invite → Call (949) 628-6500
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