The Wealthy Practitioner
Business & Finance
About
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.
Episodes
- One Bad Week Does Not Mean a Bad Business
Nikki discusses a stressful week and the mindset shifts that helped her navigate leadership pressure and business challenges. She emphasizes that tough weeks are temporary and do not define a business, highlighting the importance of resili…
- What I Learned About Money at 15
This episode shares personal experiences with money, including losing everything as a teenager and dealing with identity theft, highlighting how these events forced a change in perspective. It explores how childhood experiences shape money…
- The 5 Phases of Scaling with Alejandro
In this episode of The Wealthy Practitioner, Alejandro discusses the five phases of business scaling from his book, Scale or Fail. He details The Seeker, The Pioneer, The Ringleader, The Co-Creator, and The Visionary phases, offering a roa…
- Q1 Audit: How to Enter Q2 on Track and on Fire
In this episode, Gabrielle details a 7-area business audit framework used quarterly to track progress towards yearly goals. The episode covers marketing, financials, team, and personal alignment, emphasizing data-driven decisions over gues…
- How to Work With Your Spouse (or Business Partner) Without Losing Your Mind — or Your Margin
This episode of The Wealthy Practitioner features coach Gabrielle Manto discussing how she and her husband, both chiropractors, built a profitable practice by establishing clear roles. They utilize a framework where one partner focuses on…
- Decisions Love Speed. Until They Don't - with Nikki Cottis
This episode discusses the common advice that 'decisions love speed,' but explores moments when intuition, not fear, signals the need to wait. Host Nikki Cottis shares a personal story about a house decision, illustrating how honoring an i…
- 4 Steps to Grow Your Business: From Growth Mode to Scale Mode with Alejandro
Alejandro, co-host of The Wealthy Practitioner Team, outlines four essential qualities for business growth: Sacrifice, One Coach/One Voice, Obsession, and Consistency. He explains the difference between growth and scale, emphasizing that s…
- Inside Acquisition.com: What We Learned From Alex Hormozi’s Team
Nikki and Gabrielle share their experiences from Acquisition.com, highlighting key lessons on business constraints, intentionality, data, and systems learned from Alex Hormozi's team. They emphasize that clarity, not motivation, is key to…
- My Top 3 Lessons from 2025 with Gabrielle
Gabrielle outlines three leadership lessons learned from 2025 mistakes, focusing on avoiding unnecessary change, managing reactions, and prioritizing fundamental strategies for business growth in 2026. The episode emphasizes stability, tho…
- Adaptability: The Skill That Builds Great Businesses
This episode of The Wealthy Practitioner focuses on adaptability as a key entrepreneurial skill. Nikki explains why businesses need to evolve, drawing lessons from 2020 and her experience coaching chiropractors. The discussion highlights t…
- How We Scaled From One to Five Clinics in Four Years with Alejandro Elias
Alejandro Elias shares how he and his wife grew their business from one clinic to five in four years. He discusses critical lessons, including the importance of profit-sharing, a strong mission, high risk tolerance, designated culture keep…
- You Are Not Average - So Stop Building Like You Are
This episode of The Wealthy Practitioner challenges business owners to stop building toward industry average and instead pursue expansion. It explores practical differences between average and exceptional operators, focusing on standards,…
- How We Hit $500K in 18 Months (All Cash): The 10 Moves That Changed Everything
In this episode of The Wealthy Practitioner Podcast, Gabrielle Manto shares the 10 key decisions that enabled her and her husband to scale their practice to $500K in under 18 months. The discussion covers crucial elements like vision, mark…
- From Pop Up to Tour - Identity and Expansion with Nikki and Gabrielle
This episode reviews The Wealthy Practitioner's first official tour, focusing on the identity and leadership shifts required for business expansion. It explores how developing self-trust and leveraging community can facilitate growth, emph…
- An Introduction to a Different Conversation
The Wealthy Practitioner announces its evolution into a podcast, hosted by Nikki Cottis, Gabrielle Manto, and Alejandro Elias. This new season will explore leadership through multiple perspectives and honest conversations about business bu…
- The Version of Me That Built It... Won’t Take It Where It’s Going
This episode explores the internal tension and identity shifts that arise as a business grows. It covers why growth creates tension, how to outgrow old identities, the difference between effort and evolution, and why hustle culture eventua…
- Culture is Built in the Everyday
This episode explains that workplace culture is built through everyday actions and standards, not just mission statements. It highlights how leadership tolerance and the distinction between compliance and ownership shape the experienced cu…
- Why Most of My Travel is an Investment - Not a Vacation
This episode of The Wealthy Practitioner explores how most travel is an intentional investment in self and business, not leisure. It addresses the guilt and questioning surrounding self-investment, particularly for mothers, and explains ho…
- Overwhelm, Ownership and Decision Fatigue
This episode of The Wealthy Practitioner discusses overwhelm, explaining it as a leadership signal caused by unclear ownership and decision fatigue, rather than a lack of time. The conversation focuses on how leaders can step into true lea…
- End of Year Reflections - I Am Just Getting Started
Nikki reflects on her 40th birthday year, detailing shifts in identity, leadership capacity, and the expansion of her role at The Wealthy Practitioner. She discusses how this period, marked by travel and new skills, has led to a confident…
- Why You Need a CEO Day
This episode explains the concept of a "CEO Day" as a dedicated time block for high-level decision-making to grow a practice, rather than just working harder. It outlines a six-step process for conducting an effective CEO Day, focusing on…
- Why Growth Isn’t About More: Post–Ed Mylett Insights
Nikki explores how growth is about raising one's sense of normal, not chasing external success. Inspired by Ed Mylett, she discusses how the internal 'thermostat' or identity-based standard can pull people back to familiarity, even after b…
- The Lie We’ve Been Sold: Circumstances Don’t Decide Your Life
This episode explores the idea that circumstances are neutral and your interpretation and response create your life. Nikki uses personal stories to illustrate how identity conditioning shapes choices and results, emphasizing that you are n…
- The Mindset Shift That Saved My End-of-Year Stress
Nikki explains how shifting from a traditional Jan-Dec business mindset to rolling 12-month and 30-day timeframes eliminated her end-of-year stress. This shift revealed her true growth and showed that she doesn't start from zero in January.
- The Real Reason You're Not Getting Referrals
Nikki Cottis discusses how inconsistent client experiences erode referral trust, even with great work. She explains that a predictable, repeatable client journey, not perfection, builds loyalty and referrals, and shares how to identify and…
- The 5 D’s to Close the Year Clean: Clearing Space for Your 2026 Vision
This episode introduces the 5 D's – Delete, Delegate, Digitize, Document, Decide – a framework for ending the year by editing and resetting rather than adding more. It emphasizes clearing space and simplifying systems to lead from a place…
- Busy or Productive? Knowing the Difference That Changes Everything
Nikki Cottis explains the difference between being busy and productive, noting that hustle culture often glorifies busyness without true progress. The episode offers insights into shifting from chaos to clarity, saying no, and incorporatin…
- When Someone Shatters Your Ceiling
This episode discusses what happens when your perceived limits are broken by others' achievements. It explains how to recognize limiting beliefs, adjust your mindset and nervous system, and use others' success as motivation for your own gr…
- The Threshold: Standing in the Space Between Who You Are and Who You’re Becoming
Nikki explores the threshold between current and future selves, discussing the challenges of commitment during chaos and the nature of growth. The episode emphasizes that the threshold is a sign of expansion, not a setback, and encourages…
- Borrow Belief When You Need It: How to Maintain Momentum
Nikki explains why most practitioners lose business momentum and shares mindset shifts to maintain it consistently, even when unwell, as discussed on The Aligned for Success podcast.
- You’re Not Supposed to Be the One Doing It All (Even If You Built the System)
Nikki realized she had become a bottleneck in her own business growth by training her team to rely on her for solutions, despite having systems in place. She now redirects her team to existing resources, empowering them to trust their own…
- Someday is Not Coming: Time to Go Full Send
Nikki challenges listeners to make bold, aligned choices and shares personal stories of "full send" moments that changed her life, emphasizing that inaction is the biggest risk. She offers guidance on choosing vision over comfort, taking a…
- The $200,000 Mistake Most Healthcare Providers Make
Colin Carr discusses the significant financial errors healthcare providers often make in commercial real estate, such as lacking professional representation and failing to negotiate terms effectively. He highlights how these mistakes can l…
- My Mom's Corner Office and What It Taught Me
Nikki challenges the notion of mom guilt, drawing inspiration from her own mother's career success. She advocates for work-life integration, prioritizing quality time and memorable experiences with her daughter over constant presence, offe…
- 150,000 Adjustments Later: My Biggest Business Lessons
In her 10-year practice anniversary episode, Nikki reflects on lessons learned from accidental entrepreneurship. She shares insights on leadership, team dynamics, systems, and reinvention, highlighting both triumphs and mistakes made while…
- Record Month, Complete Chaos: Why Perfect Timing is a Myth
Nikki details her practice's record-breaking month amidst significant business chaos, including team issues and system failures. She shares three strategies—solid systems, over-communication, and self-grace—to navigate uncertainty and achi…
- How to Lean Into Change Instead of Away From It
Nikki discusses navigating change by reframing it as a growth catalyst, offering tools like shifting mindset, creating systems, and seeking support. She emphasizes that embracing change leads to freedom and growth.
- How to Pull Yourself Out of a Mental Slump (The 4-Step Framework)
Nikki shares a 4-step framework for overcoming mental slumps, emphasizing awareness audits, state shifting, reconnecting to vision, and simplifying tasks. She reframes slumps as feedback and encourages taking small actions to regain moment…
- When You Feel Like You're Failing (And What to Do About It)
This episode of The Wealthy Practitioner tackles the common entrepreneurial feeling of failure. Host Nikki shares her own struggles and provides a practical four-step framework: pause, reframe, act, and lean on support. The episode emphasi…
- The Three Reasons Your Practice Hit a Wall (And How to Break Through)
This episode of The Wealthy Practitioner identifies three common reasons for hitting a practice plateau: capacity mismatches, avoiding difficult decisions, and outdated goals. Host Nikki shares personal experiences and offers five strategi…
- Success is Never a Solo Journey
Nikki emphasizes that success is a community effort, sharing a personal story of a former patient who helped her overcome financial hardship. She reflects on her journey with various coaches and encourages listeners to practice gratitude a…
- Two Vodka Sodas and One Big Question
Nikki on The Wealthy Practitioner podcast discusses the power of asking and overcoming the fear of rejection. She shares personal stories and provides strategies for making clear, confident asks based on mutual value to claim opportunities.
- I'm a Routine Person in a Non-Routine World
In this episode, Nikki explores the skill of adaptability, sharing how unexpected challenges, like covering patient care during an associate's absence while managing a promotion, tested her ability to embrace flexibility. She contrasts her…
- When You Think You've Hit Your Limit: The Truth About Capacity
Nikki discusses how motherhood helped her redefine capacity, leading to new productivity levels. She also shares strategies for managing overwhelm and pushing past perceived limits to increase impact and fulfillment.
- Success Isn't Geographic: Lessons from Moving South
Nikki recounts her difficult but formative first chiropractic job in Tuscaloosa, Alabama, under Dr. Michael McCracken. Initially feeling crushed by his high expectations, she later realized his belief in her potential and learned that succ…
- Everything Changes: Navigating Life and Business Seasons
Nikki reflects on the natural rhythms of life and business, drawing parallels to seasons as her practice nears its 10-year anniversary. She discusses managing business growth while raising a child, the importance of embracing current life…
- You Don't Have to Be Special: Tom Brady's Success Formula
This episode discusses Tom Brady's success formula, emphasizing consistency, determination, and a willingness to work. Host Nikki shares personal anecdotes and strategies for overcoming comparison and leveraging successful individuals for…
- Betting on Yourself: Dr. Gabrielle Manto's Journey
Dr. Gabrielle Manto shares her journey of co-owning Pax Chiropractic, achieving significant revenue growth by focusing on community building and authentic patient connection. She highlights strategies like hosting events and meeting patien…
- Don't Wait for Perfect Timing: Money Movement and Self-Reflection
Nikki explains the 'money likes to move' principle with a story about booking a flight upgrade, emphasizing decisive action. She also explores the 'world is a mirror' concept, relating her experience of being ghosted to her own past behavi…
- The FOMO Award Winner's Guide to Showing Up and Staying Committed
Nikki discusses personal identity, authenticity, and commitment after attending several events in Nashville. She shares insights on overcoming "FOMO," working with purpose, rewriting one