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 growth
• How to structure your team with 3–4 CAs, a patient ambassador, and an operations manager
• The three core systems—patient processing, marketing, and financials—that drive predictability and profitability
• Marketing strategies that turn $2K into $20K using Google Ads for decompression
• How to evolve from hands-on adjusting to stepping into the CEO role of your practice

Whether 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 beyond

Whether 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 region
• The clinical and operational systems that allowed him to scale without burning out
• Why internal leadership development and staff empowerment are game-changers
• Keys to creating a patient experience that drives referrals and retention
• The role of strategic marketing and reputation-building in his explosive growth
• How he balances family life and business success

Quotable 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 backing
• Financing strategies that make acquisitions possible (even with student loan debt)
• What banks and sellers look for when valuing a chiropractic clinic
• The biggest mistakes to avoid when buying or transitioning a practice
• How adding decompression and other cash-based services can boost revenue and practice value
• Best practices for hiring and motivating associates so they thrive long-term

Whether 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 success
• The role of paperwork in creating a smooth patient flow (without frustrating new patients)
• How to leverage CAs or scribes to streamline consults and exams
• The 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 them
• How to build trust quickly so patients enroll with confidence

If 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 list
• How to identify low-value, energy-draining activities in your work and home life
• Practical steps for creating your own Not To-Do List
• Real-world examples of how delegating tasks can boost patient volume, revenue, and personal freedom
• How to shift your mindset from “doing it all” to focusing on the highest-value activities only you can perform

Whether 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 overlook
• The 6 pillars of a dominant, long-term decompression marketing plan
• Practical systems to generate high-quality leads, build authority, and increase conversions year after year

If 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 community

Whether 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.

🎙 Episode Title: The Shockwave Sprint & Joint Pain Express: A New Era in Pain Care

In This Episode: We’re pulling back the curtain on two exciting new ventures in the world of cash-based pain care — the Shockwave Sprint and the Joint Pain Express franchise model.

Join Dr. Vince Leone, Dr. Kyle Pankonin, and Dr. Tony DiCesaro as they break down:

✅ The Shockwave Sprint — a 90-day, high-impact program teaching doctors how to implement shockwave therapy clinically and profitably. Learn how one client generated $46k in just two days with this system.

✅ The Joint Pain Express Franchise Model — a scalable, turnkey joint pain business with a $25k licensing fee, 50/50 revenue split, and projected $40k/month per clinic.

✅ Equipment Decisions — comparing StemWave vs. OmniWave for performance, patient experience, and portability.

✅ Marketing & Sales Playbook — from internal launch events to leveraging year-end Section 179 tax deductions for big equipment purchases.

✅ The Vision — targeting 30+ clinics by the end of 2026 and creating a national network of joint pain specialists.

If you’ve ever wondered how to combine clinical excellence with franchise-level scalability, this episode lays out the blueprint.

🎧 Listen now and see how you can get in on the ground floor of this game-changing movement.

🎙 Episode Title: The Shockwave Sprint & Joint Pain Express: A New Era in Pain Care

In This Episode: We’re pulling back the curtain on two exciting new ventures in the world of cash-based pain care — the Shockwave Sprint and the Joint Pain Express franchise model.

Join Dr. Vince Leone, Dr. Kyle Pankonin, and Dr. Tony DiCesaro as they break down:

✅ The Shockwave Sprint — a 90-day, high-impact program teaching doctors how to implement shockwave therapy clinically and profitably. Learn how one client generated $46k in just two days with this system.

✅ The Joint Pain Express Franchise Model — a scalable, turnkey joint pain business with a $25k licensing fee, 50/50 revenue split, and projected $40k/month per clinic.

✅ Equipment Decisions — comparing StemWave vs. OmniWave for performance, patient experience, and portability.

✅ Marketing & Sales Playbook — from internal launch events to leveraging year-end Section 179 tax deductions for big equipment purchases.

✅ The Vision — targeting 30+ clinics by the end of 2026 and creating a national network of joint pain specialists.

If you’ve ever wondered how to combine clinical excellence with franchise-level scalability, this episode lays out the blueprint.

🎧 Listen now and see how you can get in on the ground floor of this game-changing movement.