The Practice Brain
David Stein at the bar of a brewery he ran

For med spa owners who still see patients

You bought a spa. You got ten jobs.

Front desk, schedule, payroll, hiring, marketing, the books. Nobody hands you a playbook, and there's nobody to call. I've worn every one of those hats. Let me help you carry them.

Start with a free checkup Count your hats

100+on payroll across a brewery, a diner and a sub shop 55 of 58staff brought back after the COVID shutdown $79K to $4.5Mgrown at BeerTubes

The ten hats

Which hats are you wearing this week?

You opened the spa to do one or two of these well. Ownership handed you the rest, with no training and nobody to ask. You know what your phone looks like by 9 at night.

9:12

Tuesday

  1. Booking appTech support5:20 PM

    Sync failed. Your calendar may be out of date.

  2. ChartsCompliance6:02 PM

    6 consent forms are still unsigned.

  3. New hireTrainer6:40 PM

    Where do we keep the consent forms again?

  4. ScheduleScheduler7:15 PM

    2 no-shows today. 10:30 tomorrow is double-booked.

  5. InstagramMarketer7:48 PM

    14 new messages and a review to answer.

  6. PayrollBookkeeper8:21 PM

    Payroll is due Friday. 2 timesheets are missing.

  7. JessHiring and HR8:50 PM

    I can't come in tomorrow. So sorry!!

  8. Fridge monitorInventory9:01 PM

    Temperature alert: product fridge is at 47°F.

  9. VoicemailFront desk9:07 PM

    3 voicemails from today still need a call back.

Every one of these is a hat you could hand off.

Position: Med spa ownerHours: All of themTraining provided: None

  1. 1

    Provider

    The work you love. Keep this one.

  2. 2

    Front desk

    Phones, check-ins, the walk-in at 4:55.

  3. 3

    Scheduler

    No-shows, gaps, double books.

  4. 4

    Hiring and HR

    Finding people, keeping them.

  5. 5

    Trainer

    Teaching the same thing twice.

  6. 6

    Marketer

    Posts, promos, reviews.

  7. 7

    Bookkeeper

    Payroll, bills, the numbers at midnight.

  8. 8

    Inventory

    Product, supplies, what ran out.

  9. 9

    Compliance

    Charts, consents, the rules.

  10. 10

    Tech support

    The booking app that won't sync.

The assessment shows which of the other nine to hand off, and how.

I've worn the hats too

Nobody gave me a playbook either.

I'm David Stein. I've spent 25 years running small businesses in Central Ohio, and I learned most of the jobs by doing them.

  1. 2001 to 2006

    The service desk

    Service manager at Clintonville Automotive Repair, my family's third-generation shop. My first front desk.

  2. 2005 to 2017

    BeerTubes

    Co-founded it and ran it as president. I'm a named inventor on its patents. Sales grew from $79K in year one to $4.5M, through more than 100 distributors. I sold it in 2017.

  3. 2017 to 2023

    SBC Hospitality Group

    Two breweries, a diner and a sub shop franchise I co-owned. More than 100 people on payroll. After the COVID shutdown, I brought 55 of 58 back.

  4. Since June 2026

    Inside a working med spa

    I started with one owner's website and ended up helping carry most of her hats: memberships, ads and leads, software, training and staff roles. See what we did together.

  5. Today

    The Practice Brain

    The same hands-on help for med spa owners who still see patients. One practice per area.

Psychology degree, The Ohio State University.

The assessment

How we take hats off your head

  1. 1

    I spend real time in your spa

    Front desk, booking, follow-up, no-shows. I watch a normal day and talk to your team.

  2. 2

    We count what each hat costs you

    Empty chairs, lost rebookings, your evenings. Every number comes from your own books.

  3. 3

    You get a plan and a hand

    At least 3 priced fixes, and an honest call on how much help you need to get them done.

A real example

A med spa in Ohio

Since June 2026 I've worked inside one med spa, side by side with the owner and her team. It started with the website and grew into the whole practice. Here is what that looked like.

Where we started

Strong clinical services and a loyal member base, on tools that had grown one piece at a time. Too much ran through the owner.

  • Most phone menu options ended in voicemail before a person could answer.
  • Membership plans, menus, agreements and billing didn't always agree.
  • Ad leads waited until someone checked by hand.
  • Decisions lived in chats and email threads, so the same questions kept coming back.

What changed for the owner

Every current member kept what they signed up for. Staff have one answer for every plan question. Every ad lead gets a reply within minutes, and ad money is judged by booked visits.

[HER QUOTE, in her words, once she approves it]

The hats I took off her head

  • Bookkeeper

    Traced every membership price back to the clinic's own numbers and set a clear pricing rule. Checked the signed agreements against what members actually get. Built call scripts, a staff price guide, an exit survey and a cancellation process, then helped launch a new membership program with printed agreements.

  • Front desk

    Every ad lead now gets an automatic first reply and lands on one tracked follow-up sheet, with message templates so staff answer the same way every time. Studied months of call data and laid out a call path so a person answers first.

  • Marketer

    Rebuilt the website with a page for every key service and fixed what hid it from Google. Launched Meta and Google ads with a tracking code on every ad, set up a social calendar with clear roles, and planned a photo day so new materials show the clinic's own people and rooms.

  • Tech support

    Compared practice systems side by side, then built the move plan to the one the owner chose: plans, policies, payments, booking links and the phone line, so nothing drops in the switch.

  • Trainer

    Wrote the front desk cheat sheet, a patient answer bank and a new-member checkout script. Set up an internal assistant that answers staff questions from owner-approved documents only.

  • Hiring and HR

    Mapped the front desk roles, named who owns lead follow-up, and defined a sales seat before any hire. Set a staff meeting rhythm and a written growth path for the team.

How it unfolded

  1. June to August

    Website and search

  2. August

    How the clinic really runs

  3. September

    Ads and lead capture

  4. Late September to October

    Memberships fixed, then rebuilt

  5. October on

    Systems the team runs every day

The rules I work by, there and with you

  • No patient data goes into cloud tools.
  • Nothing is sent, published or spent without your OK.
  • Ads get paused, never deleted.
  • Your pay and finances stay between you and me.

Details stay private. Numbers, prices and patient information never leave the practice.

Crest: one practice per area

My promise to you

I won't work for the spa down the road.

Once you sign, I turn down any spa that competes for your clients within 15 miles of your practice, and farther in small towns, for as long as you're a client. We put the exact distance in writing. You get all of my attention, and nobody nearby gets your playbook.

Map: one protected circle around your practice

Pricing

Straight answers on price

Start here

The practice assessment$1,500

I walk your floor, count what each hat costs you and hand you at least 3 priced fixes.

My guarantee

If the fixes don't add up to at least $1,500 in confirmed savings or recovered revenue within 6 months, you get the $1,500 back.

Request the assessment

Then, help sized to what you need

Starter5 hrs a week$1,500 /mo

A few fixes; your team does most of the work.

Core10 hrs a week$2,500 /mo

Several fixes I build with your team and train them on.

Full15 hrs a week$4,000 /mo

A long list, or more than one location.

Step up or down with 30 days' notice. Sign within 30 days of your assessment and the $1,500 comes off your first 3 months, $500 at a time.

Free checkup$1,500 assessmentmonthly help, if you want it

David Stein

Free checkup

Hand me a hat or two.

A few quick questions. It comes straight to me, not a sales team. I read every one myself and send back the three things I'd fix first.

David

Please don't include patient names or any patient information.

Which hats do you most want off your head? Pick any.

I only use this to reply to you. I don't sell or share it.