Build to Scale

Chiro Match Makers

Build to Scale is the weekly podcast for chiropractors who want to hire smarter, lead better, and grow faster. Join Dr. Allen Miner and Dr. Mark Mouw as they share proven strategies, expert interviews, and real-world insights to help you build a high-performance team and scale your practice—without the burnout. Whether you’re hiring your first associate, leveling up your office team, or expanding to multiple locations, this podcast gives you the tools to create the freedom, impact, and income you deserve.

  1. 4d ago

    The Hiring System Behind 1 Million+ Candidate Interviews

    Hiring isn't your biggest problem. Hiring the wrong person is. Most chiropractic clinic owners focus on experience, resumes, and interviews. But those only tell you what someone has done. They don't tell you how they're wired. In this episode of the Build to Scale Podcast, Dr. Allen Miner and Dr. Mark Mouw break down one of the biggest competitive advantages they've used for over a decade: Behavioral hiring. After interviewing more than 1 million candidates and placing thousands of chiropractors and team members, they've learned one simple truth: The best teams aren't built by hiring people who are all alike. They're built by hiring people whose strengths complement each other. In this episode, we dive into the four cornerstone behavioral traits that shape every successful practice: ⚠️ Dominance ⚠️ Extroversion ⚠️ Patience ⚠️ Conformity Because every role requires a different combination. A great associate doctor. A front desk CA. An office manager. A marketing coordinator. None of them should be hired the same way. We unpack: ✅ Why most chiropractors accidentally hire people just like themselves ✅ The difference between an entrepreneur, business builder, and caregiver ✅ Why some associates thrive while others leave to start their own practice ✅ How behavioral assessments reduce costly hiring mistakes ✅ Why personality diversity creates stronger teams ✅ Matching the right behavioral profile to the right position ✅ The leadership lessons that come from understanding how people are naturally wired One of the biggest takeaways: A practice built around one personality will always hit a ceiling. The practices that scale the fastest build teams with different strengths—people who challenge each other, balance each other, and fill the gaps. Because great businesses aren't built by finding clones. They're built by putting the right people in the right seats. Hiring:  Build your dream team to help more people and make more money.  Click below to schedule a complimentary Discovery Call for:  Associate DC Hiring  Chiropractic Assistant Hiring Virtual CA Hiring Get Hired:  Want a better job? Submit Your Resume (no cost, no obligation) Check out our Job Board with over 100 open positions paying $85K+  Let’s Connect on Social (we’ll follow you back!)  Instagram |  Facebook |  LinkedIn

    20 min
  2. Jun 24

    From Cash Flow to Legacy: Smart Strategies for Exiting Your Practice Successfully

    Most chiropractors think their exit plan is selling the practice. But what if that's the wrong goal? In this episode of the Built to Scale Podcast, Dr. Alan Miner and Dr. Mark Mouw tackle a question every clinic owner eventually faces: Do you sell your practice… or build it to pay you forever? After decades of building, scaling, buying, selling, and operating businesses, we unpack the realities of retirement, succession planning, private equity, and what it actually takes to create long-term freedom. Because here's what most owners discover: The business isn't the problem. It's what happens after you leave it. We discuss:  ⚠️ Why many entrepreneurs never truly retire ⚠️ The hidden downside of selling for a one-time payout ⚠️ How cash flow can create more peace of mind than a big exit check ⚠️ Why purpose matters more than most people realize ⚠️ The mistakes chiropractors make when planning their exit And one of the biggest lessons: A clinic that's dependent on you isn't a business. It's a job. Whether you're planning to sell, transition to family, bring in partners, or simply step back from patient care, the goal is the same: Build something that works without you. In this conversation, we break down:  ✅ How to prepare your clinic for a future transition ✅ Why systems, procedures, and leadership matter so much ✅ The difference between a Main Street exit and a private equity exit ✅ How to think about practice valuation ✅ Why diversification matters inside and outside your business ✅ Creating a family legacy versus selling outright ✅ The mindset shift from owner-operator to business builder One theme kept surfacing throughout the episode: Freedom doesn't come from exiting. Freedom comes from building a business that no longer depends on you. For some doctors, that means selling. For others, it means creating a long-term asset that generates income for decades. The key is being intentional before the decision is forced on you. Hiring:  Build your dream team to help more people and make more money.  Click below to schedule a complimentary Discovery Call for:  Associate DC Hiring  Chiropractic Assistant Hiring Virtual CA Hiring Get Hired:  Want a better job? Submit Your Resume (no cost, no obligation) Check out our Job Board with over 100 open positions paying $85K+  Let’s Connect on Social (we’ll follow you back!)  Instagram |  Facebook |  LinkedIn

    18 min
  3. Jun 17

    Managing Missed Appointments and Reschedules in the Age of Convenience

    Convenience is making life easier. But it might also be making you weaker. In this episode of the Built to Scale Podcast, Dr. Allen Miner and Dr. Mark Mouw unpack a hidden challenge affecting both business owners and everyday consumers: We've become addicted to convenience. Amazon delivers it. DoorDash delivers it. Apps automate it. But every convenience comes with a cost. And in many cases, that cost is discipline, connection, accountability, and growth. The same thing is happening inside chiropractic practices. For years, digital marketing made it easier to attract patients. But now? Everyone is running the same ads. Everyone is using the same strategies. And many clinic owners are wondering why results aren't what they used to be. Because sometimes the easiest path isn't the most effective one. In this conversation, we explore how convenience can quietly create blind spots in both business and life—and why some of the old-school fundamentals are becoming more valuable than ever. Some of the biggest takeaways: ✅ Why convenience always has a hidden price ✅ How digital marketing changed chiropractic—and where it's falling short ✅ Why community relationships still matter more than ever ✅ The danger of making appointments too easy to cancel or move ✅ Lessons learned from scaling successful practices ✅ Why personal connection often outperforms automation ✅ How accountability drives better patient outcomes ✅ The difference between what patients want and what they actually need One theme kept showing up: The things that create long-term success are rarely the most convenient. Whether it's your health... Your relationships... Or your business... Growth usually requires effort. And the more convenience we add, the more intentional we have to become. Because sometimes what's easiest today creates the biggest problems tomorrow. Hiring:  Build your dream team to help more people and make more money.  Click below to schedule a complimentary Discovery Call for:  Associate DC Hiring  Chiropractic Assistant Hiring Virtual CA Hiring Get Hired:  Want a better job? Submit Your Resume (no cost, no obligation) Check out our Job Board with over 100 open positions paying $85K+  Let’s Connect on Social (we’ll follow you back!)  Instagram |  Facebook |  LinkedIn

    15 min
  4. Jun 10

    Building Resilient Chiropractic Teams: Execution, Health, and the Power of Action

    Most entrepreneurs think success comes from working harder. But after 20+ years in business, we’ve learned something different: Success comes from building habits, systems, and people that can carry the weight when life gets messy. In this episode of the Built to Scale Podcast, Dr. Allen Miner and Dr. Mark Mouw reflect on lessons learned from more than two decades of entrepreneurship, leadership, and scaling businesses inside and outside the chiropractic profession. Fresh off a Chiro Match Makers quarterly summit, they dive into the habits, mindsets, and decision-making frameworks that have helped them navigate growth, setbacks, uncertainty, and opportunity. Because the truth is... Business never gets easier. There’s always another challenge. Another pivot. Another unexpected problem to solve. The difference is learning how to respond when those moments arrive. In this conversation, they share candid stories about failed clinics, difficult leadership decisions, surprise resignations, scaling multiple companies, and the lessons that only come from years in the arena. Some of the biggest takeaways include: ✅ Why action is often the fastest cure for fear and uncertainty ✅ The mistake most owners make before opening a second location ✅ How successful entrepreneurs build businesses that don't depend on them ✅ Why finding the right people changes everything ✅ The importance of systems, processes, and execution ✅ How health, fitness, and bloodwork became business performance tools ✅ Why adaptability is one of the most valuable skills in business today ✅ The mindset shift that helps you navigate setbacks without getting stuck One theme kept showing up throughout the conversation: The goal isn't to avoid challenges. The goal is to build the habits and perspective that allow you to keep moving when challenges show up. Because whether you're scaling a practice, building a team, launching a new business, or simply trying to create more freedom... The journey never really ends. And that's what makes it worth pursuing. Hiring:  Build your dream team to help more people and make more money.  Click below to schedule a complimentary Discovery Call for:  Associate DC Hiring  Chiropractic Assistant Hiring Virtual CA Hiring Get Hired:  Want a better job? Submit Your Resume (no cost, no obligation) Check out our Job Board with over 100 open positions paying $85K+  Let’s Connect on Social (we’ll follow you back!)  Instagram |  Facebook |  LinkedIn

    20 min
  5. Jun 3

    Uplevel Your Clinic: Premium Pricing, Patient Value, and Scalable Practice Systems

    Most chiropractors think they have a patient problem. But the real issue is usually a value communication problem. In this conversation of the Build to Scale Podcast, Dr. Allen Miner and Dr. Mark Mouw break down the real reason some clinics struggle to grow while others scale to multiple locations, premium care plans, and highly profitable teams. Drawing from their experience scaling multiple practices—including Genesis decompression clinics—they dive deep into why some doctors struggle to close care plans… while others consistently build thriving, highly profitable businesses. And here’s the uncomfortable truth: A lot of chiropractors are still stuck in survival mode. They: • Undercharge for care • Depend heavily on insurance • Overexplain during consults • And feel uncomfortable talking about money Meanwhile, other clinics are confidently charging $4K–$6K+ care plans every single week. Not because they’re manipulative. Because they’ve learned how to communicate certainty, outcomes, and value. This episode breaks down the psychology behind premium care plans, why high close rates can actually signal underpricing, and how the best clinics create trust without sounding “salesy.” Dr. Allen and Dr. Mark also explore the operational side of scaling modern clinics—from hiring and onboarding associates, to building systems that create consistency across multiple locations. Because sustainable growth doesn’t happen through hustle alone. It happens through: ✅ Clear systems ✅ Strong leadership ✅ Better patient communication ✅ And a team trained to deliver certainty at every level They also discuss: ✅ Why most doctors talk too much during consults ✅ The mindset shift required to charge premium fees ✅ How profitable clinics think differently about care plans ✅ Why certainty matters more than persuasion ✅ The role systems play in scaling beyond personality ✅ And how today’s most successful clinics are positioning themselves for long-term growth You can keep competing on price. Or you can build a clinic patients see as truly valuable. Those are two very different business models. Hiring:  Build your dream team to help more people and make more money.  Click below to schedule a complimentary Discovery Call for:  Associate DC Hiring  Chiropractic Assistant Hiring Virtual CA Hiring Get Hired:  Want a better job? Submit Your Resume (no cost, no obligation) Check out our Job Board with over 100 open positions paying $85K+  Let’s Connect on Social (we’ll follow you back!)  Instagram |  Facebook |  LinkedIn

    33 min
  6. May 22

    Navigating Cost, Innovation, and Leadership Changes in Chiropractic Education

    Everybody’s talking about the future of chiropractic… But almost nobody is talking about the REAL issue: The economics no longer make sense. In this thought-provoking episode of the Built to Scale Podcast, Dr. Alan Miner and Dr. Mark Mouw dive into the recent developments surrounding Parker University, including the administrative leave of Dr. Bill Morgan and what the school’s financial challenges may reveal about the future of chiropractic education as a whole. But this conversation goes way deeper than one university. It opens up a much bigger discussion around the pressures building across the profession: ⚠️ Rising student debt ⚠️ Declining enrollment ⚠️ Schools struggling financially ⚠️ Associate salaries that don’t match the investment ⚠️ And a profession being forced to evolve in real time Because here’s the uncomfortable truth: If students are graduating with $300K+ in debt… …but entering a market where many jobs still offer $80K salaries… eventually something breaks. At the same time, clinic owners across the country are desperately searching for great chiropractors. So where’s the disconnect? Dr. Allen and Dr. Mark unpack the operational, educational, and economic shifts they believe the profession must address if chiropractic wants to continue growing over the next decade. Including: ✅ Why schools may need to completely reinvent their model ✅ Smarter and faster pathways into practice ✅ How AI and virtual learning could reduce overhead ✅ Why real-world clinic experience matters more than ever ✅ The importance of building profitable clinics that can support higher salaries ✅ And why the profession needs stronger leadership—not more politics They also share firsthand observations from Parker, UAC, and conversations with clinic owners and leaders across the profession about what’s really happening behind the scenes. And despite the challenges… There's still a massive opportunity for chiropractors willing to adapt. Because thriving clinics still exist. Great businesses are still being built. And patients still desperately need what chiropractic offers. But the future won’t be saved by wishful thinking. It’ll be built by doctors who understand business, leadership, systems, and value creation. If you care about the future of chiropractic, this is a conversation worth hearing. Hiring:  Build your dream team to help more people and make more money.  Click below to schedule a complimentary Discovery Call for:  Associate DC Hiring  Chiropractic Assistant Hiring Virtual CA Hiring Get Hired:  Want a better job? Submit Your Resume (no cost, no obligation) Check out our Job Board with over 100 open positions paying $85K+  Let’s Connect on Social (we’ll follow you back!)  Instagram |  Facebook |  LinkedIn

    25 min
  7. Mar 25

    From Gas Money to Multi-Million Practice

    They weren’t getting paid enough to live… They were surviving off a mileage check. Let that sink in. In this episode, we flip the mic and put Dr. Mark in the hot seat—and what comes out is one of the most raw, real journeys we’ve ever shared. From grinding through underpaid associateships… To building a clinic from ZERO… To scaling multiple locations and teams… This is what it actually looks like to earn your way up. No shortcuts. Here’s the part most people don’t see: 🚗 3 hours of driving every single day 📍 Screening patients in a mall just to hit quotas 💸 Getting paid so little that gas money paid the bills 📈 Still pushing to 500+ visits per week No complaining. No backup plan. Just execution. And then came the turning point: 👉 “We’re done. We’re building our own.” Two weeks’ notice. No safety net. No guarantees. Just belief—and a willingness to bet on themselves. Here’s what we break down in this episode: ✅ The reality of starting out broke (and why it’s not a disadvantage) ✅ What working under bad leadership actually teaches you ✅ How to scale faster the second time by learning the first ✅ Why most clinic owners stay stuck in “job mode” ✅ The shift from technician → true business owner ✅ How to build a practice that doesn’t depend on YOU This isn't a theory. It’s what happens when you outwork your circumstances and refuse to stay small. Hiring:  Build your dream team to help more people and make more money.  Click below to schedule a complimentary Discovery Call for:  Associate DC Hiring  Chiropractic Assistant Hiring Virtual CA Hiring Get Hired:  Want a better job? Submit Your Resume (no cost, no obligation) Check out our Job Board with over 100 open positions paying $85K+  Let’s Connect on Social (we’ll follow you back!)  Instagram |  Facebook |  LinkedIn

    24 min
  8. Mar 18

    The Chiropractic Industry Is Changing Fast—Are You Ready?

    The chiropractic profession isn’t dying. But it is changing—fast. And most clinic owners aren’t paying attention. In this episode of the Build to Scale Podcast, Dr. Allen Miner and Dr. Mark Mouw talk about what they saw after 4 straight weeks on the road—between Parker, UAC, TRP, and conversations with leaders across the profession. Behind the scenes? There’s a very real shift happening. Fewer students are entering chiropractic. Some schools are struggling to stay open. And for the first time ever, major organizations are being forced to work together just to stay relevant. That should tell you something. But here’s the part no one wants to say out loud: 👉 The future of chiropractic won’t be saved by politics. 👉 It will be shaped by profitable, well-run clinics. Because if clinic owners aren’t winning… Associates won’t stay Students won’t enroll Schools won’t survive And the profession shrinks It’s that simple. But there’s also a flip side most people are missing: We’re still seeing clinics doing $5M–$8M+ per year. We’re still seeing doctors paying $100K+ salaries. We’re still seeing massive growth—if you know how to play the game. And when we stepped into a room full of future chiropractic students? The energy was unreal. They’re not the problem. They’re waiting for a profession worth stepping into. Here’s what we unpack in this episode: ✅ What’s really happening behind the scenes at major events ✅ Why chiropractic enrollment is dropping (and what it means) ✅ The economic pressure shaping the profession ✅ The disconnect between struggling clinics and thriving ones ✅ Why profitability is the responsibility of every clinic owner ✅ The mindset shift that separates growth vs. burnout You can look at chiropractic and see decline. Or you can see opportunity. But you don’t get both. Hiring:  Build your dream team to help more people and make more money.  Click below to schedule a complimentary Discovery Call for:  Associate DC Hiring  Chiropractic Assistant Hiring Virtual CA Hiring Get Hired:  Want a better job? Submit Your Resume (no cost, no obligation) Check out our Job Board with over 100 open positions paying $85K+  Let’s Connect on Social (we’ll follow you back!)  Instagram |  Facebook |  LinkedIn

    21 min
5
out of 5
8 Ratings

About

Build to Scale is the weekly podcast for chiropractors who want to hire smarter, lead better, and grow faster. Join Dr. Allen Miner and Dr. Mark Mouw as they share proven strategies, expert interviews, and real-world insights to help you build a high-performance team and scale your practice—without the burnout. Whether you’re hiring your first associate, leveling up your office team, or expanding to multiple locations, this podcast gives you the tools to create the freedom, impact, and income you deserve.

You Might Also Like