📅 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 money
• The “Four Horsemen” questions that defuse resistance in advance
• How to create buy-in around time, support, and urgency
• Simple language and timing tips to insert these seamlessly into your ROF
• How this pre-frame strategy creates clarity, commitment, and conversions

🛠 The Four Questions Covered:

1. Does this seem like a good fit for you so far?
2. Are you able to make this type of schedule work?
3. Do you have the support of your spouse or anyone else involved in your decision-making?
4. 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.

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.”

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 hiring
• Key metrics to evaluate (volume, collections, conversion rates)
• Red flags to avoid when interviewing candidates
• How to structure compensation to protect your margins and incentivize performance
• Why most associate hires fail—and how to set yours up for long-term success

Perfect For:

• Chiropractors nearing capacity and feeling overworked
• Owners looking to scale operations and free up clinical hours
• Practices that have hired in the past but struggled with retention or results