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.

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.

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 2025
• The exact clinical and marketing systems being taught at the Summit
• New additions this year: breakout sessions, advanced protocols, and real-time implementation tools
• How the certification will position you as the go-to disc specialist in your area
• What to expect from the 3-day immersive experience — including hands-on training, staff workshops, and strategic growth plans

Whether 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 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.