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The Wealthy Practitioner
The Wealthy Practitioner
Author: Dr. Nikki Cottis
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© Copyright Nikki Cottis
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Tired of your wellness practice owning you? We help chiropractors, naturopaths, therapists, and coaches build profitable, scalable businesses—without burning out, losing family time, or giving up freedom.
Hosted by Dr. Nikki Cottis, Dr. Alejandro Elias, and Dr. Gabrielle Manto, you'll hear real talk on profits, leadership, ownership, and systems that put your life first.
Subscribe for practical strategies to make your business work for you - even when you’re not in the building.
Hosted by Dr. Nikki Cottis, Dr. Alejandro Elias, and Dr. Gabrielle Manto, you'll hear real talk on profits, leadership, ownership, and systems that put your life first.
Subscribe for practical strategies to make your business work for you - even when you’re not in the building.
80 Episodes
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Most businesses don’t have a strategy problem—they have a truth problem.In this episode, we’re talking about what leadership actually looks like as your business grows: creating a culture where people can tell the truth, putting the right people in the right seats, rewarding your top performers, and confronting problems before they become expensive.We also get into:Why your mission should guide real decisions—not decorate a wallThe difference between loyalty and keeping someone in a role they’ve outgrownWhy treating every team member the same can drive away your best peopleHow great leaders create clarity and energyWhy every team failure points back to a training or leadership gapThe shift from doing everything yourself to building people who can do it even betterYour next level will require stronger decisions, harder conversations, and a new version of you.Ready to stop waiting for permission and go all in?Join Full Send, our 30-day experience kicking off September 23, 2026. It’s time to make the decisions you’ve been avoiding and become the person capable of creating what’s next.Join Full Send here!
What does it actually look like to go all in on your vision?In this episode, Gabrielle shares the story behind her and Trey’s biggest Full Send moment yet: purchasing the future home of PAX. She breaks down the preparation that happened long before they received the keys—from building a clear vision and paying down debt to strengthening their financials and surrounding themselves with the right people.You’ll also hear the step-by-step process of purchasing a commercial space, including finding the right property, making a competitive offer, securing financing, navigating appraisals and underwriting, planning the build-out, and turning the building into a long-term wealth-building asset.Because Rome wasn’t built in a day—but every day, they built.Full Send means no more playing small, no more waiting for permission, and going all in on the life, business, and legacy you know you’re meant to build.Full Send is opening publicly this week! Keep your eyes on The Wealthy Practitioner Instagram page @wealthypractitioners because we’ll be sharing all the details on how you can join us for live trainings, direct support, an incredible community, surprises, giveaways, and so much more.
Working harder isn’t always the answer.In this episode of The Wealthy Practitioner Podcast, Alejandro gets personal about the mistakes he’s made while growing businesses, raising a family, and trying to carry too much himself.There’s a difference between being in a season that requires you to push—and destroying yourself because you haven’t built the systems, support, or capacity to handle the life and business you’re trying to create.This episode challenges you to stop treating every uncomfortable season like burnout, stop waiting to feel motivated, and start looking at where you may need more discipline, better systems, or simply more help.Alejandro breaks down why your first—or next—hire might not even belong in your clinic. A nanny, housekeeper, meal prep service, personal assistant, or someone handling repetitive tasks at home could buy back the hours you need to lead your business AND actually be present with your family.Because the goal isn’t to prove you can do everything yourself.The goal is to build the capacity to carry more without sacrificing everything that matters to you in the process.In this episode, you'll hear:Why motivation is NOT a business strategyThe difference between discomfort and true burnoutWhy taking care of your health increases your capacity to leadHow hiring help at home can be just as valuable as hiring inside your businessWhy buying back your time doesn’t mean delegating your responsibilitiesHow to identify the work that actually moves the needleWhy doing everything yourself can become a leadership problemHow to recognize when you're in a legitimate season of grindWhy capacity has to come BEFORE expansionHow to build a business that serves your family instead of constantly stealing from itQuestions to ask yourself:Where are you calling yourself burnt out when you may actually need more discipline?What are you doing every week that someone else could do 80% as well?Are you tired because you’re working hard—or because you’re working without clear priorities?What habits need to change for your body to support the business you say you want?And most importantly:Are you building a business that serves your family—or one that constantly steals time from them?You don’t need to wear struggle like a trophy.Build the systems. Hire the help. Protect your health. Be present with the people you love.And build the capacity for the next level before you ask for more.
You can have the biggest vision in the world—but without someone who can turn that vision into priorities, systems, accountability, and execution, it stays an idea.In this episode of The Wealthy Practitioner Podcast, Alejandro breaks down the relationship between the Visionary and the Integrator and why understanding which one you are can completely change the way you lead and scale your business.Using the relationship between Walt and Roy Disney, Alejandro explains why some of the most successful businesses weren’t built by two people who thought alike. They were built by people with completely different strengths who trusted each other enough to stay in their lanes. Walt could see the castle before the land was even purchased. Roy helped figure out how to actually make it happen.Inside this episode, Alejandro breaks down:The defining characteristics of a Visionary vs. an IntegratorWhy having more ideas probably isn’t what your business needsHow a Visionary’s greatest strength can become the company’s biggest distractionWhy Integrators create clarity, systems, accountability, and measurable resultsHow to build trust between these two very different leadership stylesWhy your right-hand person shouldn’t think exactly like youThe questions every owner should ask themselves before trying to scaleBecause the goal isn’t to find someone who agrees with everything you say.The goal is to find someone whose strengths fill the gaps in yours.And if you’re ready to identify what’s actually keeping your practice from growing—and make the moves that will change the rest of your year—join us for our 5-Day Grow Your Practice Challenge.Five days. Real coaching. Real strategy. And a chance to look at your practice differently so you can stop solving the wrong problems and start building the business you actually want.Sign up for the 5-Day Grow Your Practice Challenge using this link!
In this episode of The Wealthy Practitioner Podcast, Gabrielle is talking about one of the biggest mistakes practitioners make as they head into the second half of the year: taking their foot off the gas when they should be building momentum.Because your Q4 isn’t built in Q4. It’s built right now.Gabrielle shares why CEO days matter, how she’s using storytelling in her own marketing, and why the stories you tell can be far more powerful than simply sharing facts about what you do. She also breaks down a simple framework for capturing patient and client stories that actually connect with the people you want to reach.Then, she walks you through how to audit your marketing going into Q3 and Q4: identifying where your best leads are already coming from, finding ways to get another 5–10 people from what’s already working, and recognizing the marketing channels you may be underutilizing.You’ll also learn what to consider when building your marketing calendar—from seasonal opportunities and strategic partnerships to campaigns, events, lead magnets, patient appreciation, and the business goal that should be driving your marketing each month.Your Q4 is being built right now. The question is: are you intentionally building it?And if you’re ready to stop guessing and create real momentum heading into the rest of the year, join us for our 5-Day Grow Your Practice Challenge.We’re spending five days helping you get clear, get confident, and make the moves that can change the trajectory of your practice before the end of the year.Sign up for the 5-Day Grow Your Practice Challenge using this link!




