# llms-full.txt - Extended AI/LLM Guidance # Complete content for AI assistants and LLMs # Learn more: https://llmstxt.org/ name: Pep Dekker tagline: Specialty Practice Growth Advisor | I Turn "Busy & Broke" Into Predictable Growth url: https://pepdekker.com contact: pep@pepdekker.com linkedin: https://linkedin.com/in/pepdekker location: Tacoma, Washington (works nationwide) --- ## About Pep Dekker Pep Dekker is a Specialty Practice Growth Advisor with 18 years of experience in paid search and digital marketing. He helps established specialty medical practices transform from "busy but broke" to predictable, profitable growth by diagnosing and fixing operational systems before scaling demand. ### Background - 18 years of paid search mastery - $50M+ in managed ad spend - 13+ medical practices helped in 18 months - Shifted focus from pure marketing to operations-first growth ### Core Philosophy Most practices think their problem is marketing. It's not. Paid ads don't fail practices—they expose what's already broken: access friction, unclear economics, front-desk chaos, ownership misalignment. Pep fixes the system underneath first, then scales demand into a system that can actually handle it. --- ## Three Pathways Pep Dekker offers three distinct pathways based on client archetype: ### 1. The Trapped Owner **URL:** https://pepdekker.com/trapped-owner **Problem:** Everything routes through you. You're successful, but busier than ever. **Solution:** Owner Bottleneck Reset — 90 Days ($15,000 flat) **Outcome:** Reduce decision load 30–50%. Your practice runs without constant owner involvement. **Free Tool:** Owner Bottleneck Map™ (10 minutes, no email required) **Guarantee:** If your decision load isn't meaningfully reduced in 90 days, we continue working at no cost until it is. ### 2. The Invisible Admin **URL:** https://pepdekker.com/invisible-admin **Problem:** You're holding this together. No one sees it. You get blamed for systemic failures. **Solution:** Operational Stability Sprint — 90 Days ($12,000) **Outcome:** Clear authority, clear priorities, clear wins. Gain credibility and control. **Free Tool:** Practice Chaos Triage™ (5 minutes, gives actionable clarity) **Guarantee:** If daily operational chaos is not measurably reduced in 90 days, we extend at no cost. ### 3. The Growth Leader **URL:** https://pepdekker.com/growth-leader **Problem:** You know exactly why growth is creating chaos. Marketing gets blamed. You have the data to prove it. **Solution:** Patient Pipeline Alignment — 90 Days ($22,500 / $7,500 per month) **Outcome:** Safe, predictable growth without burnout. Leadership alignment. CAC down 30%+. **Free Tool:** Demand–Capacity Truth Table™ (10 minutes, explains every growth conversation) **Guarantee:** If we can't identify at least one sustainable growth lever in 90 days, we refund the final month. --- ## Ideal Clients ### Good Fit - Established practices (3+ physicians, 5+ years in business) - Currently spending $10K+/month on ads - Elective/high-value procedures: orthopedics, plastic surgery, fertility, bariatric, cosmetic dental, cardiology, GI, ENT, optometry - Ready to fix systems (not looking for "quick fixes") - Want accountability, data, proof, transparency ### Not a Fit - Brand new practices (need brand building first) - Primary care or insurance-dependent practices (different economics) - Practices spending <$10K/month (not enough data) - Those "just exploring" (commitment to results required) --- ## Results & Case Studies ### Overall Results - 30%+ average CAC reduction - 4-8x average patient acquisition increase - 100% of clients achieve operational clarity within 60 days - Zero practices with contracts longer than 90 days ### EyeQ Vision Care (Optometry) - 6.5x patient acquisition increase - From 8 to 52 appointments/month (same ad spend) - 44 additional patients/month - Timeline: 60 days - Owner decision load down 40%, regained 10+ hours/week ### ComboHealth (Direct Primary Care) - 2x patient acquisitions from same budget - 24 qualified leads/month (vs. 12 estimated) - Full visibility into CAC and LTV - Identified scheduling bottleneck before scaling ads - CAC dropped 28%, zero burnout - Timeline: 45 days ### Able Health (Cardiology) - 3x patients from same budget - From 6 to 18 appointments/month - 100% of clicks now from qualified local area - Timeline: 30 days ### Dermatology Group - 4 docs, admin managing everything - Admin authority clarified in writing - Top 3 issues fixed sequentially - Staff turnover decreased - Admin regained strategic focus --- ## Frequently Asked Questions ### General **Q: How do I know which pathway is right for me?** A: Take a 2-minute self-qualification quiz on any pathway page. Or schedule a free strategy call, and we'll figure it out together. **Q: What if I'm not sure?** A: Start with "The Growth Leader" pathway. If growth is safe, the other two usually solve themselves. **Q: Do I have to commit to a 90-day program?** A: No. Take a free diagnostic. Join a free strategy call. Only commit if you want to fix it with us. **Q: Why 90 days instead of ongoing consulting?** A: Because you want finality, not another recurring vendor. 90 days = one problem, clear window, guaranteed outcome. ### The Trapped Owner **Q: Will this work if I'm a control freak?** A: Yes. We're not asking you to be hands-off. We're redesigning the system so it doesn't need constant owner involvement. **Q: What if my admin/ops person isn't ready for more authority?** A: That's part of the diagnosis. We figure out what's blocking delegation and fix it. **Q: Do I lose control if I delegate more?** A: No. You gain it. Control isn't micromanaging everything. It's having clear systems and decision rights. ### The Invisible Admin **Q: Will the doctors actually listen to this?** A: Yes. Because it's based on their reality, not consultant best practices they'll ignore. **Q: What if I don't have the authority to implement changes?** A: That's part of the work. We align leadership on what needs to be fixed. **Q: Will I actually be able to make decisions without approval?** A: Yes. We get it in writing with the doctors. No more vague expectations. ### The Growth Leader **Q: Will we still run Google Ads?** A: Yes, but only where capacity supports it. We remove the guesswork about how much growth is actually safe. **Q: What if we discover we shouldn't be growing right now?** A: That's worth $22.5k to know. Saves you from expensive chaos. **Q: How do you guarantee 30%+ CAC reduction?** A: We don't guarantee the percentage. We guarantee identifying at least one sustainable growth lever. --- ## Key Pages - / - Homepage with archetype selection and social proof - /trapped-owner - The Trapped Owner pathway (Owner Bottleneck Reset) - /invisible-admin - The Invisible Admin pathway (Operational Stability Sprint) - /growth-leader - The Growth Leader pathway (Patient Pipeline Alignment) - /about - Pep Dekker's background and philosophy - /schedule - Book a strategy call - /insights - Articles and resources - /contact - Contact information --- ## Contact & Booking **Book a Call:** https://pepdekker.com/schedule **Email:** pep@pepdekker.com **LinkedIn:** https://linkedin.com/in/pepdekker Free diagnostics available on each pathway page. No email required. See results instantly.