The Practice Builders

🎙 Episode 44 – Why Most Doctors Struggle Growing DecompressionIn this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down one of the biggest frustrations doctors face after buying a decompression table:“Why isn’t this growing the way I thought it would?”They explain that success with decompression does not come from owning the equipment alone. It comes from building the right system around it, including clinical confidence, patient selection, structured exams, a strong report of findings, and a proven treatment protocol.You’ll learn:• Why buying a decompression table without a complete system is a major mistake• How weak clinical confidence hurts conversions and patient trust• Why world-class exams are essential for identifying the true pain generator and positioning yourself as the expert• The problem with treating on day one before fully evaluating the patient and ruling out contraindications• How a structured Report of Findings creates clarity, certainty, and confidence for the patient• Why poor patient selection and unrealistic expectations can sabotage outcomesDr. Leone and Dr. Pankonin also emphasize that spinal decompression patients are often comparing your recommendations against surgeons, physical therapists, other chiropractors, and countless online solutions. That means doctors must elevate their expertise, systems, and communication if they want to stand out and consistently grow.If you already have a decompression table, or you’re considering adding one, this episode will help you identify the bottlenecks that may be holding your practice back and show you where to focus next.

In this solo episode of The Practice Builders Podcast, Dr. Vince Leone breaks down one of the most common questions chiropractors ask when entering the decompression space:“Which decompression table should I buy?”Dr. Leone reviews several of the most common systems on the market — including Chattanooga, DOC Table, Hill DT, AccuSpina, and DRX9000 — explaining their approximate price points, functionality, and key pros and cons so doctors can make an informed decision.You’ll learn:• The major decompression tables available and their general price ranges • Key differences between cable-based and actuator-based systems • When entry-level tables make sense vs. investing in premium equipment • Why clinic space, workflow, and growth plans should influence your decision • The most important takeaway: the doctor’s expertise matters far more than the table itselfDr. Leone also emphasizes that success with decompression comes from mastering disc diagnosis, world-class exams, treatment protocols, and patient communication, not just purchasing equipment.If you’re considering adding spinal decompression — or upgrading your current table — this episode provides a practical overview to help you choose the right system for your clinic.

In this episode of The Practice Builders Podcast, Dr. Vince Leone interviews Dr. Bao Thai, founder of Simplicity AI and former seven-figure neuropathy clinic owner, about one of the biggest hidden profit leaks in modern practices: poor lead management.After building and scaling large cash-based clinics with massive overhead and staff stress, Dr. Thai shares how he turned to AI to eliminate bottlenecks, reduce chaos, and dramatically improve speed-to-lead — without hiring more people.You’ll learn:Why speed-to-lead is the #1 reason practices waste marketing dollarsHow missed calls after 5pm silently cost you tens of thousands per monthThe real problem with relying on staff to manually follow up with every leadHow AI can answer calls, qualify prospects, book appointments, and send nurture content automaticallyWhy tracking lead response and follow-up data is critical for real growthA case study where better systems — not more ad spend — generated an extra $80,000 in one monthIf you’re running ads for decompression, neuropathy, or any high-value service and suspect leads are slipping through the cracks, this episode will open your eyes.🎧 Tune in to learn how better systems, smarter automation, and consistent follow-up can help you squeeze more revenue and profit out of the marketing you’re already paying for — while making practice enjoyable again.

🎙 Episode 42 – Spinal Decompression Report Review - Part 1In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin introduces the State of Spinal Decompression 2026 Report: benchmarks, insights, and predictions for chiropractors who want to build a real decompression niche.Dr. Leone explains why decompression has been too inconsistent across the profession (random visit counts, inconsistent protocols, dabbling). The goal is to professionalize decompression using proven systems, market research, and published evidence so clinics can deliver consistent outcomes and stand out as specialists.You’ll learn:Why decompression adoption is growing ~4% per year and why competition is comingThe real differentiator isn’t owning a table, it’s mastery: world-class exam, protocols, and trained staff executionWhy patient demand is massive (surgery volume + patients actively seeking non-surgical options)Pricing benchmarks (most clinics land around $3K–$7K, commonly $4.5K–$5K) and why just 3–10 starts/month can be practice-changingWhy marketing must be diversified (multiple “buckets,” not one fragile channel)A key clinical insight: research suggests lower-force decompression can perform as well or better than heavy pull in some cases.Give it a listen — and start thinking like a specialist, not just a table owner.

🎙 Episode 40 – When To Add A Second Decompression Table or LaserIn this episode of The Practice Builders Podcast, Dr. Kyle Pankonin lays out a clear, practical framework for one of the biggest decisions growing clinics face:When is it actually time to buy another decompression table, laser, or piece of tech?Most chiropractors assume their next leap comes from buying more equipment. But in reality, Dr. Pankonin argues that the real problem in most clinics isn’t capacity… its utilization.This conversation is a short but high-impact breakdown of how to scale intelligently, avoid shiny-object purchases, and expand only when the demand is real.You’ll learn:Why most clinics have a utilization problem, not an equipment problemThe 70–80% rule: the real threshold that signals it’s time to expandHow to spot true bottlenecks like waitlists, peak-hour overbooking, and scheduling pressureWhy buying more machines too early won’t fix lack of confidence, protocols, or marketingA real example of a doctor ready to sell a $60k laser… when the issue wasn’t the laser at allWhy laser therapy is often the first and smartest expansion (before decompression)How robotic laser systems allow staff delegation, reduced doctor strain, and faster ROIThe difference between scalable therapies (laser) vs selective therapies (decompression)Key business considerations: staffing, space, financial readiness, and timingWhen NOT to add equipment: boredom purchases, marketing gaps, staff burnout, and underused assetsThe exact next steps doctors should take to track utilization and make the right callIf you’re debating a second laser, another decompression unit, or the next big investment in your clinic, this episode gives you the clarity to expand with confidence, not impulse.🎧 Tune in to learn the smartest growth path: optimize first, scale second, and build capacity only when demand forces your hand.

🎙 Episode 39 – How To Add Knee Pain NicheIn this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down why chronic knee pain is one of the most overlooked and profitable niches chiropractors can add once spinal decompression is dialed in.They unpack the data, clinical realities, equipment, pricing, and simple internal marketing strategies that make a knee program a powerful second niche without ads, funnels, or added burnout. This is a practical, experience-driven conversation rooted in real clinic outcomes, not theory.You’ll learn:Why chronic knee pain affects nearly 25% of U.S. adults and represents a massive, underserved patient baseWhy knee osteoarthritis is especially well-suited for non-surgical, technology-driven careThe essential tools for an effective knee protocol (knee decompression, laser, shockwave, and supporting therapies)What a typical knee decompression care plan looks like and how practices price single vs bilateral casesThe most common clinical and perception-based pitfalls doctors face when adding knee careWhy internal marketing beats paid ads for launching a knee programSimple systems to identify knee pain in existing patients and stack revenue sequentiallyHow addressing knee and hip issues can dramatically improve spinal decompression outcomesWhy knee patients are often highly motivated, active, and ideal candidates for careHow a staff-driven, technology-forward knee program protects the doctor’s energy while adding a strong revenue streamIf you’ve optimized spinal decompression and want to add another high-impact, high-demand niche without complicating your practice, this episode lays out exactly why knee care deserves serious consideration in 2026.🎧 Tune in to learn how a dedicated knee program can help patients avoid surgery, restore activity, and create a simpler, scalable growth path for your practice.

🎙 Episode 38 – Protecting the ThoroughbredIn this episode of The Practice Builders Podcast, Dr. Vince Leone pulls back the curtain on a members-only micro training designed to help doctors build a practice that grows without burning them out. Using the “thoroughbred” analogy, he explains why the doctor is the seven-figure asset that must be protected first, and how energy, recovery, and role clarity directly determine the ceiling of the practice.You’ll learn:Why most burnout comes from mismanagement, not weakness (over-racing, poor fuel, wrong work, no recovery)How your energy and decision-making drive practice growth more than any system or tacticThe simplest ways to improve performance through sleep, nutrition, training, and recovery rhythmsHow to identify and eliminate the tasks that drain your energy (and what to delegate instead)Why planned downtime and true separation from work is disciplined maintenance, not indulgenceThe “protect the asset and the practice will follow” framework for long-term success and longevityIf you’re planning for your best year yet, this episode will help you grow revenue without sacrificing your health, clarity, or happiness.🎧 Tune in and learn how to protect the doctor first so the practice can thrive for the long haul.

🎙 Episode 37 – Marketing From Inside the TrenchesIn this episode of The Practice Builders Podcast, Dr. Kyle Pankonin breaks down a proven, multi-channel marketing strategy for chiropractors who want consistent patient flow without relying on one platform or trend.This episode addresses a common mistake: over-reliance on a single marketing channel, often social media, and why that approach leads to frustration and inconsistency.Instead, Dr. Pankonin outlines how to build an education-based marketing system that positions the doctor as the local expert and compounds over time.You’ll learn:Why diversifying marketing channels creates stability and predictabilityHow education-first marketing builds trust and long-term demandHow to combine external marketing (Facebook, radio, newspaper) with internal systemsWhy community involvement often outperforms paid ads for trust and referralsThis episode is a must-listen for doctors who want steady growth, stronger visibility, and a marketing strategy that holds up long-term — even as platforms and algorithms change.🎧 Tune in to learn how to build a marketing engine that compounds year after year.

🎙 Episode 36 – Let's Play Ball - Singles, Doubles, Homeruns, and Grand SlamsIn this episode of The Practice Builders Podcast, Dr. Pankonin introduces the “Let’s Play Ball” strategy — a simple, proven framework for growing your practice by focusing on Singles and Doubles instead of chasing rare “Home Run” cases.This episode breaks down how consistent revenue is built through smaller, more frequent cash-based care plans, not just big decompression cases.You’ll learn:Why 6–12 visit packages are the real driver of sustainable growthHow recommending laser or shockwave to nearly every patient increases cash revenue without increasing volumeThe hybrid care model that combines insurance services with cash-based technologyHow acute, chronic, and decompression cases fit into one simple growth frameworkWhy consistent wins build trust and make larger care plans easier to enrollThis episode is a must-listen for doctors who want predictable growth, stronger patient buy-in, and higher cash collections — without working more hours.🎧 Tune in and learn how to stop swinging for home runs and start building a practice that wins consistently.

🎙 Episode 35 – Process Over ResultsIn this episode of The Practice Builders Podcast, Dr. Vince breaks down why most practices stall despite having ambitious goals — and what actually drives sustainable growth instead.Using lessons from elite coaching and real-world practice building, this training introduces the “Process Over Results” framework and shows how consistent daily execution, not outcome chasing, creates predictable growth in spinal decompression and other high-value niches.You’ll learn:Why goals without systems create frustration instead of progressHow focusing on daily inputs builds a growth “flywheel” that compounds over time The exact high-value processes that drive decompression starts, conversions, and revenueHow to simplify your clinic by running Day 1, Day 2, ROFs, and staff roles the same way every timeWhy internal marketing, follow-up systems, and staff execution matter as much as adsThis episode is a must-listen for doctors planning for 2026 who want cleaner systems, stronger teams, and growth that doesn’t require working more hours.🎧 Tune in and learn how to stop chasing goals — and start building a practice that grows by design.

🎙 Episode 34 – Future of Spinal Decompression (Part 2)In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin break down the newest research in spinal decompression and what it means for clinical results, care plans, and patient expectations.✅ Learn why the minimum effective dose is 20–24 sessions and how a 267-patient study showed 90.5% success at this level✅ Understand why lower pull forces (10–15%) outperform high-force protocols, reducing iatrogenesis and improving long-term outcomes✅ Discover why modern decompression isn’t just traction and how dynamic pull-and-release cycles create true negative intradiscal pressure✅ Get clarity on case selection, including why even large herniations (10mm+) can often be treated successfully✅ Improve patient retention with better pre-framing: most patients feel meaningful relief in 3–6 weeks, not 3–6 visitsPerfect for chiropractors who want science-backed protocols, stronger ROFs, and more predictable outcomes with complex disc cases.🎧 Listen now to understand the real biomechanics behind decompression — and how to use the research to elevate your clinical expertise and patient results.

🎙 Episode 33 – Future of Spinal Decompression (Part 1)In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin break down the future of spinal decompression and why the next 5–10 years will be the biggest growth window the profession has ever seen.✅ Understand why fears of “market saturation” are completely unfounded✅ Learn how 100M Americans with back pain and rising chronic disc cases are fueling exploding demand✅ Get clarity on how modern decompression tables, sensors, and actuators are transforming clinical outcomes✅ See why adjunct therapies like shockwave and Class IV laser are becoming essential partners to decompression✅ Discover the gap in clinical training and why manufacturers can’t provide what real doctors need Perfect for chiropractors who want to stay ahead of the curve, upgrade their clinical certainty, and dominate their market as the go-to disc specialist.🎧 Listen now to see why decompression is entering its next major renaissance — and how to position your clinic to lead it.

🎙 Episode 32 – How to Start a PodcastIn this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin pulls back the curtain on how to launch and systemize your own podcast without adding chaos to your schedule.✅ Learn how to use a podcast as a long-term authority builder — not a quick lead-gen tool✅ See the full workflow: record → delegate editing → repurpose into short-form video✅ Discover why a simple setup and consistent cadence beat fancy gear or big budgets✅ Get clarity on when a podcast makes sense in your marketing strategy (hint: after Facebook and Google are dialed in)✅ Hear how The Practice Builders Podcast stays consistent while avoiding burnoutPerfect for doctors ready to expand their reach, build credibility, and connect deeper with their community.🎧 Listen now to learn how to turn your expertise into a powerful content engine.

In this week’s episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin sit down with Dr. Doug DeSalvo, a 7-figure chiropractor from Northern California who’s mastered the art of combining advanced technology, staff training, and patient education to create a thriving specialty practice.Dr. DeSalvo shares exactly how he doubled his practice in a year after adding spinal decompression and neuropathy treatments, and how he built a team culture that runs like a high-performing business—without sacrificing patient care.💡 In this episode, you’ll learn:✅ How adding specialized services like decompression, neuropathy, and laser therapy can rapidly scale your practice revenue✅ Why ongoing staff training and patient education are the foundation of long-term success✅ How Dr. DeSalvo uses AI (including ChatGPT) to create content and educate patients more efficiently✅ The key to structuring systems, leadership, and compensation to retain top-tier staff✅ How to design treatment plans that drive results and build patient trust🎧 Listen now to learn how one doctor built a 7-figure practice by mastering specialization, systems, and leadership.

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin recap the 2025 Decompression Summit Certification and share the biggest clinical, marketing, and business takeaways from the event.You’ll discover:Why 109 attendees made this year’s summit feel electric—and what’s changing for 2026 with expanded space and Friday afternoon sessionsThe latest decompression research on biomechanics, outcomes, and exam techniques that position you as the true spine expert in your communityHow to contrast medical options like drugs, injections, and surgery with decompression to elevate your authority and attract more disc casesThe 7 marketing pillars from “The Last Decompression Marketing Plan You’ll Ever Need” to dominate your market and avoid ad fatigueThe simple math behind the patient journey—why only 3% are problem/solution aware and 37% are still in research mode, and how to capture bothHow Specialized Practice just had its best month ever with 10 new clients and what that momentum means for doctors in the decompression nicheWhether you were in the room or missed this year’s summit, this episode gives you a front-row seat to the breakthroughs, strategies, and next steps shaping the future of spinal decompression.🎧 Listen now and start preparing for the 2026 Decompression Summit, September 25–27

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin reveal how to confidently overcome the most common objections in Report of Findings for spinal decompression and other niche services.You’ll discover:Why handling objections on Day 1 prevents stalls and rescues on Day 2How to use the Four Horsemen framework to clear non-financial objections before you ever discuss moneyThe right way to respond when patients say, “Let me think about it” or “Can I just do chiropractic?”How to explain session counts using research-backed protocols with an 85–90% success rateProven strategies for reframing financial objections with multiple payment options while keeping the focus on value and outcomesHow to position yourself as the expert by knowing all available options—and why decompression remains the gold standard for disc casesWhether you’re tired of hearing “I need to think about it” or want to tighten up your close rate, this episode gives you the tools to objection-proof your ROFs and enroll more patients with clarity and confidence.🎧 Listen now and start turning objections into opportunities for growth!

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin break down the exact roadmap to scale a chiropractic practice to $100K/month in just 12 months.You’ll discover:Why a spinal decompression table and two high-end lasers are essential for rapid growthHow to structure your team with 3–4 CAs, a patient ambassador, and an operations managerThe three core systems—patient processing, marketing, and financials—that drive predictability and profitabilityMarketing strategies that turn $2K into $20K using Google Ads for decompressionHow to evolve from hands-on adjusting to stepping into the CEO role of your practiceWhether you’re currently at $50K/month or simply want to scale smarter, this episode gives you the clinical, systems, and marketing blueprint to confidently hit six figures in monthly revenue.🎧 Listen now and start building your $100K/month practice today!

In this episode of The Practice Builders Podcast, Dr. Leone and Dr. Pankonin dive into one of the most underrated yet powerful strategies for building patient trust and long-term success in your decompression practice:The Prognosis Playbook.You’ll discover why setting realistic expectations—like aiming for 50% improvement—doesn’t just protect your credibility, it sets you up to over-deliver and blow patients away.In this episode, we cover:✅ The psychology of under-promising and over-delivering in a cash-based decompression practice ✅ Why 50% improvement is a valid benchmark (even in spine surgery studies!) ✅ How to position progress milestones that keep patients engaged ✅ Why training and clinical coaching are critical to building doctor confidence ✅ Case updates from real docs growing to 50–60 decompression visits/month and beyondWhether you’re just getting started with decompression or already seeing solid case volume, this episode will sharpen your communication and help you close more cases with integrity.🎧 Listen now and bring this strategy into your Day 2 and Report of Findings conversations.

Episode Summary: In this powerful episode, Dr. Vince sits down with Dr. Josiah Fitzsimmons—one of the most successful chiropractic practice owners in the country. From humble beginnings to building a thriving, multi-location, staff-driven practice, Dr. Fitzsimmons shares the systems, mindset, and strategies that helped him scale efficiently while maintaining high-quality care.Whether you're just getting started or looking to break through a growth plateau, this conversation is packed with real-world insights you can apply immediately.What You’ll Learn:How Dr. Fitzsimmons positioned his clinic as the go-to provider in his regionThe clinical and operational systems that allowed him to scale without burning outWhy internal leadership development and staff empowerment are game-changersKeys to creating a patient experience that drives referrals and retentionThe role of strategic marketing and reputation-building in his explosive growthHow he balances family life and business successQuotable Moments:“We stopped being just a chiropractic clinic—and became a solution center for chronic pain.”“When your team is fully bought in, you no longer have to carry the entire practice on your shoulders.”“Scaling is about predictability, not just volume.”

In this episode of the Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin sit down with Dr. Matt Houchin — a chiropractor and entrepreneur who owns five clinics across multiple states.Dr. Matt shares his journey from starting as an associate to acquiring multiple practices, and the lessons he’s learned along the way about leadership, financing, and scaling with the right associates.You’ll discover:How Dr. Matt acquired and grew five clinics without private equity backingFinancing strategies that make acquisitions possible (even with student loan debt)What banks and sellers look for when valuing a chiropractic clinicThe biggest mistakes to avoid when buying or transitioning a practiceHow adding decompression and other cash-based services can boost revenue and practice valueBest practices for hiring and motivating associates so they thrive long-termWhether you’re considering your first practice purchase or looking to expand into multi-clinic ownership, this episode will give you practical insights and real-world inspiration.Listen now to learn how you can strategically acquire and scale chiropractic clinics for long-term growth.

In this episode of the Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin reveal how to transform your consultations into efficient, stress-free, and enrollment-driving experiences.You’ll discover:Why your front desk team is the true “ambassador” of your clinic and how to train them for successThe role of paperwork in creating a smooth patient flow (without frustrating new patients)How to leverage CAs or scribes to streamline consults and examsThe importance of creating a wow experience that sets your clinic apart from “every other office”Why most Day 2 problems are really Day 1 deficiencies — and how to fix themHow to build trust quickly so patients enroll with confidenceIf you’ve ever felt bogged down by long consultations or inconsistent results, this episode will help you refine your systems, free up your time, and build deeper connections with patients.Listen now and learn how to optimize your consultations for practice growth and patient success.

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankenin reveal a powerful yet often-overlooked tool for growing your practice and reclaiming your time — the Not To-Do List.You’ll discover:Why eliminating certain tasks can be just as important as completing your to-do listHow to identify low-value, energy-draining activities in your work and home lifePractical steps for creating your own Not To-Do ListReal-world examples of how delegating tasks can boost patient volume, revenue, and personal freedomHow to shift your mindset from “doing it all” to focusing on the highest-value activities only you can performWhether you’re a solo practitioner or running a busy, staff-driven practice, this episode will help you optimize your time, leverage your team, and create more space for growth and fulfillment.🎧 Listen now and start building your own Not To-Do List today!

In this episode, Dr. Vince Leone reveals The Ultimate Decompression Marketing Blueprint — the same strategy that’s helped scale his own clinic to seven figures and empowered clients across the country to consistently hit $100K/month with spinal decompression.You’ll learn:Why most decompression marketing plans fail (and the fixes that work)How to reach the 37% of your market that most clinics overlookThe 6 pillars of a dominant, long-term decompression marketing planPractical systems to generate high-quality leads, build authority, and increase conversions year after yearIf you’re ready to stop chasing unqualified leads, avoid the race-to-the-bottom on price, and position yourself as the go-to disc expert in your community — this episode is your roadmap.Resources & Links:Learn more about the Decompression Accelerator: decompressionaccelerator.com🎧 Listen now and start building your path to $100K/month.

We just dropped a brand-new episode of The Practice Builders Podcast — and if you’ve ever thought about adding shockwave therapy or expanding your practice with a high-profit cash niche, this is one you can’t afford to miss.In this episode, Dr. Vince Leone sits down with Dr. Kyle Pankonin and Dr. Tony DiCesaro to go behind the scenes on two powerful new initiatives that are helping clinics scale fast — without the insurance grind.Here’s what you’ll learn:💥 The Shockwave Sprint: 90-Day Implementation Program • The exact clinical and marketing systems used to generate $46k in just 2 days • What’s included in the program — from protocols to team training • How to position shockwave as a specialist service in your communityWhether you're exploring new cash services or looking to grow an existing one, this episode will give you a proven blueprint for results.👉 Tune in now and get ahead of the curve.

In this episode, we’re giving you a behind-the-scenes preview of the 2025 Decompression Summit Certification, the most anticipated event of the year for growth-minded chiropractors focused on growing Spinal Decompression.Join Dr. Vince, Dr. Kyle and Dr. Tim Burkhart as they break down:Why decompression is the #1 cash niche to scale in 2025The exact clinical and marketing systems being taught at the SummitNew additions this year: breakout sessions, advanced protocols, and real-time implementation toolsHow the certification will position you as the go-to disc specialist in your areaWhat to expect from the 3-day immersive experience — including hands-on training, staff workshops, and strategic growth plansWhether you’re just getting started with decompression or looking to scale it to 6-figures and beyond, this episode will show you why this Summit is a must-attend event.🎟 Secure your spot now → 👉 https://hilldtsolutions.regfox.com/specialized-practice-decompression-summit-certification-2025

📅 Episode Summary:In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin dive into a powerful strategy that can dramatically improve your patient conversion rates: pre-framing the close. Before ever discussing money, there are four critical questions every chiropractor should ask during the report of findings.These questions are designed to eliminate common objections before they come up — like time, spouse approval, readiness, or overall fit. This episode walks you through how and when to ask these questions, why they matter, and how they help create a smoother path to patient commitment.🎯 What You’ll Learn:Why financial objections aren't always about moneyThe “Four Horsemen” questions that defuse resistance in advanceHow to create buy-in around time, support, and urgencySimple language and timing tips to insert these seamlessly into your ROFHow this pre-frame strategy creates clarity, commitment, and conversions🛠 The Four Questions Covered:Does this seem like a good fit for you so far?Are you able to make this type of schedule work?Do you have the support of your spouse or anyone else involved in your decision-making?If everything makes sense, when would you want to get started?📌 Perfect For: Chiropractors looking to streamline their ROF, reduce objections, and increase starts on high-ticket care plans — especially for decompression and other advanced cash-based services.

Hiring an associate can either be one of the best growth decisions you make—or a costly mistake. In this episode, Dr. Vince Leone and Dr. Kyle Pankonin break down the when, why, and how behind bringing on an associate. From practice structure and revenue benchmarks to onboarding, expectations, and red flags, this episode gives you the playbook for hiring smart.What You’ll Learn:When your practice is truly ready for an associate (hint: it's not just about being "busy")The ideal team structure to have in place before hiringKey metrics to evaluate (volume, collections, conversion rates)Red flags to avoid when interviewing candidatesHow to structure compensation to protect your margins and incentivize performanceWhy most associate hires fail—and how to set yours up for long-term successPerfect For:Chiropractors nearing capacity and feeling overworkedOwners looking to scale operations and free up clinical hoursPractices that have hired in the past but struggled with retention or results

In this episode of The Practice Builders Podcast, Dr. Vince Leone and Dr. Kyle Pankonin dive into one of the most common (and costly) pitfalls growing practices face—scaling too fast or too sloppy. If you’ve ever wondered “Should I hire another CA?”, “When should I invest in better software?”, or “How do I get out of the day-to-day chaos?”—this one’s for you.Inside This Episode:The 3 warning signs you're overdue for new systems or staffWhy throwing bodies at problems is NOT the solutionHow to scale profitably with lean, efficient teamsWhen to bring on an operations manager vs. a virtual assistantThe “traffic light framework” for making smart scaling decisionsTools and tech that actually save you time (and which ones to avoid)Real-world lessons from practices that scaled too early—or too lateWhether you're at $30k/month or pushing $100k/month, this episode will help you grow with intention—not just add overhead.Resources Mentioned:Team Org Chart Template (Download)SOP Starter KitOur Hiring Funnel Walkthrough (free video)📌 Connect With UsWebsite: specializedpractice.netFacebook Group: Specialized Practice Inner CircleInstagram: @drvinceleone

In this episode of the Practice Builders podcast, we share our top book recommendations for personal and professional growth. Between the two of us, we highlight seven impactful books that have shaped our thinking around clinical mastery, business development, and mindset.We dive into why we often prefer older, time-tested books—written by people who’ve lived what they teach—over many modern titles that feel more like sales funnels. Our conversation emphasizes the importance of lifelong learning and staying growth-minded, both for delivering better care and building a thriving, sustainable practice.We hope you find value in these recommendations and invite you to share the episode with a colleague who's equally committed to growth and excellence.To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

You know the saying, "don't judge a book by its cover?" Well, in healthcare, first impressions really do matter. We're diving into the research and sharing practical strategies for enhancing your doctor's attire, staff presentation, and overall clinic environment.Hey everyone, welcome back to Practice Builders! We're Dr. Vince Leone and Dr. Kyle Pankonin, and today we're tackling a topic that might surprise you: the impact of appearance on your practice.Tune in to discover how simple changes can boost patient confidence, increase conversions, and elevate your practice to the next level!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Want more high quality patients who have the problem, the desire and the means to invest in your protocols? If so, you'll love today's episode!We are excited to share a super important topic with you today: how to attract high-quality patients who are pre-educated, pre-motivated, and ready to invest in their health.We're going to break down a three-part process that will help you create a more successful and fulfilling practice. We'll cover how to use education-based marketing to build trust and confidence in your patients, and how to create a powerful patient packet that reinforces the information and builds trust.Ready to learn how to attract the right patients and stop wasting time with tire kickers? Check out the full episode!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Feeling stuck in the traditional chiropractic model? This podcast episode reveals the top 3 reasons why adding cash-based services can transform your practice. Discover how to break free from insurance limitations, stand out from the competition, and attract a wider range of patients. Get ready to level up your practice and unlock new possibilities!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Ready to level up your chiropractic practice? Doctors Vince Leone and Kyle Pankonin unveil their 7-step blueprint for success, packed with practical strategies to boost your bottom line, build a rockstar team, and achieve your biggest goals. They also share a powerful "one-word theme" concept to keep you focused and motivated. Get ready to transform your practice – listen now!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Ready to take your chiropractic practice to the next level with Laser Therapy? This Practice Builders podcast episode is a must-listen! Discover the MLS laser, "Deep Tissue Robotic Laser" that's changing the game for chiropractors. Learn how to attract new patients, increase revenue, and deliver exceptional pain relief with this cutting-edge technology. Don't miss out on this powerful episode!Thinking about purchasing an MLS Laser? To get the "Dr. Vince Discount" text Harold Kendrick at Cutting Edge (248-760-7217) and give him the code word "Leone"! To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Tired of relying on insurance? Want to boost your chiropractic practice's cash flow? Tune in to this episode of Practice Builders, where Doctors Vince Leone and Kyle Pankonin reveal the secrets to "hitting singles and doubles" with laser therapy and shockwave therapy. Learn how to offer these valuable services, increase patient lifetime value, and grow your practice without breaking the bank!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Tired of insurance headaches and want to boost your chiropractic practice's revenue? This Practice Builders podcast episode dives into the world of laser therapy, specifically the MLS laser, and how it can transform your practice. Learn how this innovative technology can help you treat patients faster, increase patient satisfaction, and generate significant revenue. Get ready to unlock the potential of laser therapy and take your practice to the next level!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Want to take your chiropractic practice to the next level? This episode of the Practice Builders podcast dives deep into the world of coaching, sharing real-life experiences and actionable advice on how to choose the right coach for YOU. From accountability and proven models to accelerating your growth, discover the power of coaching and why it's essential for any chiropractor looking to achieve their full potential. Hit play and get ready to be inspired!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Chiropractors, get ready for the Practice Nirvana Blueprint! Insurance is fading, and the value of adjustments is shrinking. It's time for a new approach to chiropractic practice. Practice Nirvana focuses on cash-based services, niche specialization, and a premium patient experience. Build a team, invest in high-end equipment, and create a practice that thrives. Achieve financial freedom and build a career you love, all while delivering exceptional care. Embrace the future of chiropractic with Practice Nirvana. Ready to ditch the old model and take your practice to the next level? This is the model that has our docs buzzing! To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

This podcast with Sachin Patel is a game-changer! He's a chiropractor who's figured out how to unlock your body's potential through breathwork and functional medicine. He's also got the secret sauce for scaling your practice with simple solutions that actually work. You're going to want to hear this!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Hey chiropractors, want to build confidence in spinal decompression? Here's the secret:Master the exam: Go beyond the basics, show your expertise.Track your wins: See those success rates, build your confidence.Follow a proven plan: Don't reinvent the wheel, use a system that works.Get ready to build a thriving practice and help your patients get the results they deserve! Want to learn more? Check out the full podcast episode for all the details!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

This episode is all about the gear you need to level up your practice and start treating those tough chronic cases! We're talking decompression tables, lasers, shockwave therapy, and even electroanalgesia. We'll break down the different options, their price points, and what makes them stand out. It's all about investing in yourself and your practice to deliver the best possible results for your patients. Get ready to learn how to build a practice that's truly cutting-edge!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Hey everyone, ready to boost your practice with high-value cash services? This episode is all about finding the perfect niche for you. We'll break down why decompression is a top choice, explore other exciting options, and give you the tools to make the right decision for your practice. Get ready to level up and start making a real difference!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

I built a million-dollar chiropractic practice in a town of 850—and you can too! Ten years of traditional practice got me nowhere, but switching to niche care and smart marketing strategies exploded my cash flow. Learn how I went from struggling to six-figures a month, and discover the secrets to building your dream practice, no matter your location. - Dr. Kyle Pankonin.To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation

Chiropractors, want to grow your practice and reduce reliance on insurance? We're Dr. Vince Leone and Dr. Kyle Pankonin, hosts of the Practice Builders podcast, and we're here to share the secrets to building a thriving practice through cash-based services, or "niches." In this first episode, I'll share my journey from struggling to survive to building a million-dollar practice by specializing in neuropathy and decompression. We'll discuss the benefits of niches, how to choose the right one for you, and how to achieve significant growth in just 90 days. The future of chiropractic is cash-based, so join us and learn how to thrive in the new landscape!To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation