The Wealthy Practitioner

Dr. 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.

  1. 22 HRS AGO

    How We Scaled From One to Five Clinics in Four Years with Alejandro Elias

    In this episode, TWP coach Alejandro pulls back the curtain on how he and his wife Emily went from a single clinic in Abilene, Texas to owning five clinics across multiple states — all in just four years. He shares the real mistakes, hard lessons, and systems that made it possible. If you've ever wondered whether scaling is right for you, or how to build a business that doesn't need you to survive, this episode is a must-listen. In This Episode, You'll Learn: 1. Why W2 Doctors Kill Growth Alejandro's second clinic failed within 90 days — and he traces it directly to putting a doctor on a straight salary with no stake in the outcome. Learn why profit-sharing and equity change everything. 2. The Power of a Big Mission He wanted to build the "Chick-fil-A of upper cervical chiropractic." Discover how a compelling mission attracts the right people, keeps your team obsessed, and creates consistency across locations. 3. High Risk Tolerance Is Non-Negotiable Scaling isn't for everyone. Alejandro gets real about what it means to pull from personal savings to keep a clinic afloat — and how to know if multi-clinic ownership is truly for you. 4. The Culture Person (It's Not Who You Think) Every clinic has a designated culture keeper — and it's usually not the chiropractor. Learn how weekly and quarterly check-ins keep the team aligned and thriving. 5. Level 10 Meetings Borrowed from the book Traction, this meeting structure is the backbone of Alejandro's entire operation. He now runs all five clinics in a single 90-minute meeting every Tuesday. 6. Day-to-Day Systems That Scale From a patient lying on the floor to Arkansas staff knowing exactly what to do — Alejandro explains why documenting everything (Loom videos, Google Drive playbooks, Circle app) is what lets you truly step away. 7. Right Person, Right Seat Forget resumes. Alejandro hires for core values, learning speed, and natural strengths — and he shares why putting a talker on the front desk is a recipe for chaos. Key Takeaways: Don't explore new ventures until your main business is truly scalable (he learned this the hard way with two Airbnbs)Working 80 hours because you have to is very different from working 80 hours because you love itSystems aren't just for multi-clinic owners — even a solo practice needs documented processesLast days to sign up for 90 day sprint!! Use this link to sign up!

    21 min

  2. FEB 23

    You Are Not Average - So Stop Building Like You Are

    This isn’t about motivation.   It’s about calibration. Too many business owners are quietly building toward “industry average” while telling themselves they want expansion. And those two things cannot coexist. You don’t want:   • Average growth   • Average income   • Average leadership   • Average impact You want expansion. And expansion requires:   • Different standards   • Different metrics   • Different conversations   • Different rooms In this episode, we break down what actually separates average operators from exceptional ones — practically, not theoretically. We talk about:   • Why “industry average” becomes a ceiling   • The difference between potential and execution   • How decision-making shifts at higher levels   • Why proximity changes performance   • What recalibrating your standards really looks like If you felt exposed listening to this…   If something in you knows you’ve been negotiating with average… That tension isn’t random. It’s awareness. Ready to Recalibrate? Join the live masterclass using this link where we’ll walk through the real metrics, capacity shifts, and execution standards that separate stagnant growth from expansion. It is Wednesday, February 25th at 1pm EST and it costs you nothing to show up and engage in a meaningful conversation! And if you already know you’re wired for more… The 90 Day Sprint is the container for that. Join us using this link! It’s for business owners who are done negotiating with average. Because average is available to everyone. But you weren’t built for that. I’ll see you inside.

    11 min

  3. FEB 16

    How We Hit $500K in 18 Months (All Cash): The 10 Moves That Changed Everything

    How do you grow a cash practice to half a million dollars in less than 18 months -without burning out or sacrificing your life? In this episode of The Wealthy Practitioner Podcast, Gabrielle Manto breaks down the 10 foundational decisions that helped her and her husband scale their pediatric, perinatal, and family wellness practice to $500K fast. This is not hype. It’s clarity, systems, community, and mentorship done right. If you are under $300K, hovering around $500K, or pushing toward your first million, this episode will show you exactly what moves the needle. In this episode, you’ll learn: • Why vision must come before strategy • How mastering one market at a time accelerates growth • Why relationships are true business capital • The power of visibility without perfection • How building community increases retention • Why simplicity scales and confusion kills conversions • How certainty directly impacts your close rate • Why results must be non-negotiable • The importance of a clear patient journey • How mentorship collapses years of trial and error Most practices stay stuck because they lack clarity, structure, and support. These 10 moves are still the foundation behind our growth toward seven figures and beyond. If you are tired of white-knuckling growth and want 2026 to look different than every year before it, this is your invitation. Enrollment is now open for the 90 Day Sprint — the only time it will be offered in 2026. Inside the 90 Day Sprint, you’ll receive: • Live coaching on finances, marketing, team, and capacity • CEO mindset development • A custom roadmap • Accountability and implementation support • Access to our powerful mastermind community This is where you 2–10x your business and step fully into your CEO role. Click the link to join us in the 90 Day sprint!  Your next level requires clarity, systems, and proximity. We’ll see you inside.

    14 min

  4. FEB 9

    From Pop Up to Tour - Identity and Expansion with Nikki and Gabrielle

    This episode is a behind-the-scenes debrief of our first official Wealthy Practitioner Tour - and a conversation about growth that goes far beyond business strategy. What started as intimate pop-ups has evolved into something much bigger. With over 250 practitioners in the room, this event marked a clear shift: not just in scale, but in identity, leadership, and responsibility. In this episode, we unpack: Why this season required us to stop calling these events “pop-ups”The energetic difference between consuming information vs. making decisionsWhy identity work always precedes business growthHow sales becomes effortless when self-trust is solidThe role of proximity and community in collapsing timelinesWhat this next chapter of The Wealthy Practitioner really demands This wasn’t about learning more tactics.  It was about letting go of who you’ve been so you can lead as who you’re becoming. If you’ve felt the pull to expand — in your business, your leadership, or your life — this episode will help you name it, trust it, and move with it. Ready to Go Deeper? Join the 90 Day Sprint Waitlist  Build the systems, capacity, and identity required to scale without burnout.   Join the 90 Day Sprint Waitlist Get on the August Event Waitlist  Be in the room for the next Wealthy Practitioner live experience.   Join the August Event Waitlist! You don’t reach the next level by doing more.  You reach it by becoming someone who can hold more.

    18 min

  5. FEB 2

    An Introduction to a Different Conversation

    This episode marks the beginning of a new chapter! Aligned for Success was exactly what it was meant to be - and now, the conversation is expanding. In this announcement episode, we share the evolution of The Wealthy Practitioner - not just as a business, but as a platform and now a podcast. This next season reflects growth, and the reality that leadership is better explored through multiple perspectives. The Wealthy Practitioner Podcast will be hosted by: Nikki Cottis - business owner, mom, and leader who rebuilt her practice from the ground up with sustainability and real life in mind  Gabrielle Manto - fast, clean growth built on clarity, execution, and aligned decision-making  Alejandro Elias - multi-clinic owner with a bold vision rooted in standards, systems, and leadership at scale  Each host brings a different path, season, and lens- but a shared commitment to truth, integrity, and honest conversations about building a business that actually works. In this episode, we talk about: Why this evolution happened  What changes, and what stays the same  The power of multiple voices in leadership conversations  What listeners can expect from the new Wealthy Practitioner Podcast  This isn’t a goodbye.   It’s a broader, deeper conversation- built for where the work is now. Welcome to the new Wealthy Practitioner Podcast! Follow us on instagram: @wealthypractitioners Join the 90DS Waitlist!

    11 min

  6. JAN 26

    The Version of Me That Built It... Won’t Take It Where It’s Going

    Growth doesn’t just stretch your business - it stretches you. In this episode, I talk about the quiet evolution that happens when the version of you that built your success can’t sustainably take it where it’s going next. We cover: ● Why growth creates internal tension ● What it really means to outgrow old identities ● The difference between effort and evolution ● Why hustle and over-responsibility eventually stop working ● How identity lag is a normal part of becoming This episode is for business owners who feel the shift happening and know the next level requires more than just doing more. The podcast is evolving. New conversations begin soon- make sure you’re subscribed! 🚀 Ready to evolve your business too? Join the 90 Day Sprint waitlist

    13 min

  7. JAN 19

    Culture is Built in the Everyday

    In this episode, Nikki breaks down what workplace culture really is - and why it’s shaped by daily actions, not mission statements. This episode explores how standards and ownership define culture over time. Nikki explains the difference between meeting minimum expectations and true ownership, and why what leaders tolerate ultimately becomes the standard. The episode closes with a reminder on the importance of clarity and consistency - plus a teaser for an upcoming pivot in the podcast. In This Episode, You’ll Learn: Why culture is something people experience, not something you explain  How standards - spoken and unspoken - shape behavior  The difference between compliance and ownership  Why what you tolerate becomes your culture  How clarity and consistency build trust  Key Takeaway Culture isn’t created in meetings.   It’s created in the everyday.

    9 min

  8. JAN 12

    Why Most of My Travel is an Investment - Not a Vacation

    People often tell me, “You travel so much.”   But what they see from the outside doesn’t tell the full story. The truth is, nearly 85% of my travel isn’t vacation - it’s work.   It’s leadership.   And it’s a direct investment into myself and the businesses I’m responsible for. In this episode, I’m sharing the honest perspective behind why I travel the way I do, how I think about self-investment as a mom, and why occasional work trips can create long-term stability, clarity, and presence - not distance. This conversation is especially for you if you’ve ever: Felt guilty investing in yourself or your business  Questioned whether growth opportunities are “worth it” as a mom  Worried about what people think when your ambition is visible  Wanted to build something sustainable without burning out  What we cover in this episode: Why most of my travel is intentional work, not leisure  How investing in yourself directly strengthens your business  What it really looks like to be “still working,” just in a different capacity  The myth that being away means being less present  How short-term absence can create long-term stability and freedom  Why self-investment and business growth are not separate- they’re inseparable  I also speak directly to moms who are carrying the mental load - the ones building businesses, leading teams, and still questioning whether it’s okay to want more. Here’s the truth I want you to hear: You’re not choosing yourself instead of your family.   You’re choosing the version of you who can lead all of it well.  Ready to Make a Strategic Investment? If this episode resonated, and you know your business needs a stronger, clearer version of you in the next 90 days, I want you to join the 90 Day Sprint waitlist. The 90 Day Sprint is a focused container for business owners who want to: Strengthen their leadership  Clean up their finances  Reduce decision fatigue  Build momentum without burning everything down  This isn’t about doing more.   It’s about investing at the right level. Join the 90 Day Sprint waitlist! And if you’ve been waiting for permission to invest in yourself, consider this it!

    16 min
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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.

Information

  • Creator
    Dr. Nikki Cottis
  • Years Active
    2025 - 2026
  • Episodes
    52
  • Rating
    Clean
  • Copyright
    © Copyright Nikki Cottis
  • Show Website
    The Wealthy Practitioner

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