Acquiring Minds Buying to $4m Across 7 Sites in 3 Years
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Nov 13, 2025 Gail Hamilton-Azoto, an entrepreneur who built a $4M revenue business in audiology, shares her journey from brand management at Procter & Gamble to owning multiple practices. She discusses the innovative financing model using manufacturer supply agreements to acquire audiology practices with 100% financing. Gail emphasizes the life-changing impact of hearing aids, the challenges of managing remote operations, and the potential for rapid growth in the industry. Her insights into the economics of audiology and unique strategies for scaling will inspire aspiring entrepreneurs.
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Tearful Patient Moment That Sealed The Deal
- Gail watched an older man brought in by his wife and cry when he first heard clearly with hearing aids.
- That moment convinced her the industry was life-changing and she committed to buying practices.
Distance As A Growth Constraint
- Gail sought remote practices deliberately to force scalable systems instead of owner-operated fixes.
- Physical distance prevented her from becoming a temporary front-desk operator and drove process building.
Hearing Aids Are The Clear Revenue Driver
- Audiology revenue centers on high-ticket hearing-aid sales rather than complex insurance billing.
- The patient journey is simple: screen, diagnose measurable loss, recommend amplification when indicated.