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

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 staff
• Why throwing bodies at problems is NOT the solution
• How to scale profitably with lean, efficient teams
• When to bring on an operations manager vs. a virtual assistant
• The “traffic light framework” for making smart scaling decisions
• Tools and tech that actually save you time (and which ones to avoid)
• Real-world lessons from practices that scaled too early—or too late

Whether 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 Kit
• Our Hiring Funnel Walkthrough (free video)

📌 Connect With Us

• Website: specializedpractice.net
• Facebook Group: Specialized Practice Inner Circle
• Instagram: @drvinceleone