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People hear me say I see patients for just four hours a week and immediately ask:
In this episode of Boutique Practices, I’m taking you behind the scenes — from the crash-and-burn season where I nearly lost my practice to how I rebuilt it with intention, and exactly what my four-hour workweek looks like now.
You’ll learn:
How I went from 8+ hours/week to scaling too fast… and why it failed
The simple, lean model that lets me cover my monthly overhead in one patient shift
How I work just 6 total hours a week (4 seeing patients + 2 admin) and still generate $6–7k/month to put toward profit, debt paydown, or salary
Why you can’t just “cut hours” and expect this to work — and the 5 essential puzzle pieces that make the boutique model successful
How to set fees with both compassion and profitability in mind
If you’ve dreamed about a practice that gives you more freedom without sacrificing income — or if you want to rebuild from burnout without starting over — this episode will show you it’s possible.
💡 Next Step:
boutiquepractices.com/bootcamp
boutiquepractices.com/mentormind
📲 Let’s Connect:
If this episode encouraged you, please leave a review — your words help other Christian women in healthcare find the strategies and encouragement they’ve been praying for.
This Ain’t That
This episode wasn’t on the calendar. But I felt an urgency to pause and record a different kind of message — one that may sting a little, but also might be exactly what you’ve been praying for.
I’m pulling back the curtain on the why behind Boutique Practices, and the hidden danger I’ve seen in the way so many healthcare providers are building their businesses. If you’ve ever felt a quiet unease about the rooms you’ve been learning from, the advice you’ve been following, or the direction your practice has been drifting… this is for you.
Fair warning: it may ruffle feathers. But clarity is worth it.
🎧 Listen now, and if this episode speaks to you, share it with a friend who needs the reminder too.
🔗 Resources & Next Steps:
Join the Boutique Practice Bootcamp → boutiquepractices.com/bootcamp
Apply for the MentorMind (1:1 + community coaching) → boutiquepractices.com/mentormind
Leave a review + screenshot it to [email protected] for a chance at a free 1:1 coaching call
If your practice feels heavy, misaligned, or dependent on the wrong patients, this episode is your reset. Dr. Alex and Dr. Lauren break down the ideal patient avatar—beyond demographics—into psychographics, values, pain points, and aspirations so your brand, offers, pricing, and operations attract the right people (and repel the wrong ones). You’ll hear real examples (moms, athletes, birth preferences), how client vs. patient mindset changes everything, and why alignment is the fastest path to a low-maintenance, profitable, all-cash boutique practice.
Inside, we cover:
How psychographics shape messaging, website, visual brand, workflows, and hours
The “stage of change” filter to stop handholding and start serving the ready
Practical tweaks to make your practice social-media-optional and 20-hours-a-week (or less)
Turning alignment into conversions without pressure or gimmicks
👉 Want step-by-step help? Join the Boutique Practice Bootcamp beginning September 22—five days of live, faith-fueled, action-packed training for Christian women in healthcare. Show up live to be entered for daily prizes and the grand prize: a private coaching package with Dr. Alex. (Replays will be available later, but prizes are live-only.)
Have you ever panicked when life slowed you down — because you’ve only ever known how to go full speed?
In this episode of Boutique Practices, Dr. Alex unpacks the high-achiever mindset, how our cultural upbringing can keep us running at a pace God never intended, and why “slowing down” might be the exact move that propels you into your next season of calling.
You’ll discover:
Why many Christian women in healthcare feel torn between ambition and alignment
The difference between being anointed and being appointed — and why timing matters
How cultural narratives have shaped (and sometimes distorted) our view of success, motherhood, and practice ownership
The biblical blueprint for building a boutique practice in the right season
Practical ways to create margin, sustainability, and profitability without sacrificing your God-given assignments
If you’ve been striving, scaling, or sprinting outside of God’s pace — and you’re ready to build a part-time, cash-based, low-maintenance, transformational practice that fits both your calling and your season — this conversation will bring peace, clarity, and permission to move differently.
💡 Next Step: Join us for the Boutique Practice Bootcamp — starting September 22nd! In 5 days, you’ll learn the exact steps to build or realign your practice so it’s profitable, sustainable, and aligned with your God-given calling.
👉 Join the Boutique Practice Bootcamp for $17 - boutiquepractices.com/bootcamp
💬 Apply for the Boutique Practice Mentor Mind – One-on-one coaching + community for Christian women in healthcare who want to grow profitable, faith-led practices.
📲 Let’s Connect:
If this episode encouraged you, please leave a review — your words help other Christian women in healthcare find the strategies and encouragement they’ve been praying for.
Knowing your ideal patient avatar is the key to building a boutique practice that feels aligned, sustainable, and profitable. In this episode, Dr. Alex and Dr. Lauren dive deep into how to identify and define the exact patients you are called to serve — not just by age or gender, but by values, goals, pain points, and aspirations.
We’ll share why this clarity completely changes how you market, price, and package your services, while making your practice flow more smoothly and attract the right people. From real-life examples to common misconceptions, this conversation will help you see how patient alignment impacts every part of your brand and operations.
👉 Want to go deeper? Join us for the Boutique Practice Bootcamp beginning September 22. It’s five days of live training where you’ll learn step-by-step how to build a profitable, part-time, all-cash practice that aligns with your faith, family, and calling. And when you show up live, you’ll be entered to win prizes — including the grand prize: a private coaching package with Dr. Alex. (Replays will be available, but the prizes are live-only!)
Get signed up now: boutiquepractices.com/bootcamp
In this raw, behind-the-scenes episode of Boutique Practices, Dr. Alex gets real about the five biggest mistakes she made that nearly took down her thriving boutique chiropractic practice — and the one God-given blessing that turned it all around.
You’ll hear:
How she went from a multiple six-figure, part-time, cash-based boutique practice during the pandemic… to burnout, debt, and misalignment
The cracks in her business foundation that started forming years earlier
The 5 costly mistakes to avoid if you want a profitable, low-maintenance practice that honors your faith, family, and calling
How comparison, chasing worldly growth, and forcing timelines can pull you off God’s plan
Why surrendering your business to God’s strategy can restore both your joy and your profits
Whether you’re starting from scratch or giving your practice a “glow up,” this episode will help you spot danger zones, protect your margin, and keep your practice aligned with your Kingdom assignment.
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💡 Next Step:
boutiquepractices.com/bootcamp
boutiquepractices.com/mentormind
📲 Let’s Connect:
If this episode encouraged you, please leave a review — your words help other Christian women in healthcare find the strategies and encouragement they’ve been praying for.
If you’re a woman in healthcare who feels torn between your mantle as a healer and everything else God’s called you to — you’re not alone.
In this episode, Dr. Alex unpacks the non-negotiable that every Christian chiropractor, physical therapist, and healthcare provider needs for a sustainable, purpose-led business: margin.
You’ll learn:
Why margin is more than just “free time” — it’s breathing room for your calling
How the world’s definition of success can steal your peace (and how to protect it)
The five types of margin every boutique practice owner needs: time, energy, financial, relational, and spiritual
Practical ways to create space in your schedule, your budget, and your heart so you can run your race at God’s pace
How margin in your practice actually fuels profitability, impact, and long-term sustainability
Whether you’re starting a boutique practice or ready to give your current one a “glow up,” this conversation will challenge the hustle narrative and equip you to build with intention, alignment, and heavenly strategy.
💡 Next Step: Join us for the Boutique Practice Bootcamp starting September 22nd! In just 5 days, we’ll help you design a low-maintenance, part-time, cash-based practice that gives you the margin you’ve been craving while making a life-changing impact.
📲 Let’s Connect:
If this episode encouraged you, please leave a review — your words help other Christian women in healthcare find the strategies and encouragement they’ve been praying for.
SStarting — or restarting — your practice can feel overwhelming, especially if your life looks nothing like the “conventional” model you see everywhere.
In this episode of Boutique Practices, Dr. Alex Pankoke and new co-host Dr. Lauren Collins share their parallel journeys of building boutique practices through moves, motherhood, financial challenges, and unexpected pivots.
Dr. Lauren walks you through:
How she started her first cash-based boutique chiropractic practice with just a $10k and a credit card
Pivoting through life changes: moving cities, pregnancy, and even a pandemic
The realities of launching (and relaunching) a practice in different seasons of motherhood
The underestimated power of networking and building community relationships
Why the boutique model is a sustainable, values-driven way to practice — even in challenging circumstances
Whether you’re starting from scratch, pivoting into a new season, or giving your practice a “glow up,” you’ll leave this episode knowing you’re not alone and that it is possible to build a profitable, part-time, low-maintenance, transformational practice that fits your life.
💡 Next Step:
👉 Join the Bootcamp for $17
This episode is a special one — we’re introducing you to the newest member of the Boutique Practices team, Dr. Lauren Collins!
Dr. Lauren is a seasoned chiropractor, entrepreneur, wife, mama, doula, and micro-influencer who has spent over a decade building and running successful boutique practices. With three businesses, four locations, and a specialty in perinatal, infant, and family care, she knows what it takes to create a practice that’s profitable, low-maintenance, part-time, and deeply transformational for patients.
We talk about:
How Lauren built her first boutique practice straight out of school out of necessity — and thrived
The unique value of blending function with the aesthetic and experience of a boutique practice
How creativity, branding, and hospitality can set your practice apart
Lessons learned from multiple seasons of practice, motherhood, and entrepreneurship
Why we’re so excited to bring her gifts to Boutique Practices coaching and the podcast
Whether you’re starting your practice from scratch or giving it a “glow up” to match your current season, you’ll walk away inspired and equipped to bring more excellence, beauty, and intentionality to your own boutique practice.
💡 Next Step: Join us for the Boutique Practice Bootcamp — starting September 22nd! In 5 days, you’ll learn the exact steps to build or realign your practice so it’s profitable, sustainable, and aligned with your God-given calling.
👉 Join the Boutique Practice Bootcamp for $17 - boutiquepractices.com/bootcamp
📲 Let’s Connect:
If this episode encouraged you, please leave a review — your words help other Christian women in healthcare find the strategies and encouragement they’ve been praying for.
Boutique Practice Secrets: Why Your Calling Isn’t the Same as Your Assignment
Show Notes:
Hey friend — if you’ve ever felt torn between your mantle as a healer and the rest of your life, this episode is for you.
In this first episode back after my year-long “sabbatical,” I’m unpacking one of the biggest lessons God has been teaching me: the difference between your calling and your assignment — and how mixing them up can lead to burnout, frustration, and even wanting to walk away from your practice.
Whether you’re starting a boutique practice or your current practice needs a serious glow up, understanding this truth will help you create a part-time, cash, low-maintenance, profitable model that delivers life-changing transformation for your patients and gives you the margin you’ve been craving.
We’ll talk about:
The key difference between your calling and your assignment (and why this matters for Christian women in healthcare)
How forcing the wrong assignment can lead to burnout — even when you’re walking in your calling
Real-life examples from my own journey of starting, growing, burning out, and rebuilding a boutique practice with heavenly strategy
Why your assignment will shift from season to season — and how to build a practice that flexes with it
The foundation you need so your practice can run, rest, or pivot without starting over
💡 Next Steps:
boutiquepractices.com/bootcamp
💬 Apply for the Boutique Practice Mentor Mind – One-on-one coaching + community for Christian women in healthcare who want to grow profitable, faith-led practices. Apply Here
📲 Let’s Connect:
If this episode encouraged you, please leave a review — your words help other Christian women in healthcare find the strategies and encouragement they’ve been praying for.
From the publisher's feed
Welcome to Boutique Practices — the podcast for Christian women in healthcare who want a part-time, cash-based, highly profitable, low-maintenance, social-media-optional practice that delivers life-changing results for patients and leaves margin for marriage, motherhood, ministry, and every other calling God has placed on your life.
I’m your host, Dr. Alex Pankoke — chiropractor, entrepreneur, coach, and busy mama — joined often by my dear friend, colleague, and biz bestie-- Dr. Lauren Collins. Together, we’re here to show you how to use heavenly strategy to build a practice that honors your mantle as a healer while keeping your business simple, sustainable, and deeply aligned with your values.
Inside, you’ll learn how to:
✨ Transform your clinic into a boutique, high-touch, transformational practice.
✨ Build a profitable, sustainable business model without burnout.
✨ Serve patients with excellence — without relying on social media or drowning in overhead.
✨ Create more freedom, impact, and joy in both your work and your home.
💜 Come join the conversation inside our brand-new community on Skool. It’s a distraction-free hub where you’ll find podcast resources, free trainings, Coffee with Dr. Alex sessions, and a network of other faith-led women in healthcare.
Join here!
So whether you’re rocking scrubs, yoga pants, or a spit-up-covered t-shirt, take a deep breath, press play, and let’s build the practice God is calling you to.
📲 Connect with us:
Email: [email protected]
If this podcast encourages you, please leave a review — your words help other Christian women in healthcare find the strategies and encouragement they’ve been praying for.