Cyrus
Greco.
Founder of Keystone Scaling — a growth firm building patient acquisition systems for a small portfolio of independent medical practices.

A decade of pattern recognition, applied to an industry built on craft.
Building businesses before building a résumé.
Started in direct-to-consumer ecommerce — scaling operations, studying paid acquisition, and watching what separates brands that compound from brands that stall.
“Customer psychology and operational discipline matter more than the product on the shelf.”
The real edge in service businesses isn't a new tactic or platform. It's obsessive execution on fundamentals.
Execution over tactics
A new platform won't save a practice with a broken intake. Fundamentals — response time, handoffs, follow-through — outperform every shiny object.
Tight beats big
Independent operators can outperform billion-dollar competitors when their systems are tighter than the competition's budget is deep.
Revenue, not leads
Most agencies are lead brokers. Real growth partners measure success by revenue generated and treatment plans paid — not form fills delivered.
Fewer clients, better work
Building a great company means working with fewer clients well, not more clients poorly. Depth compounds. Breadth dilutes.
A specific way of working.
We take on a small number of practices each quarter.
Thirty-minute discovery call. We'll tell you whether we can help — and whether we're the right fit — before anything else is discussed.