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

In this episode of the Practice Builders podcast, we share our top book recommendations for personal and professional growth. Between the two of us, we highlight seven impactful books that have shaped our thinking around clinical mastery, business development, and mindset.

We dive into why we often prefer older, time-tested books—written by people who’ve lived what they teach—over many modern titles that feel more like sales funnels. Our conversation emphasizes the importance of lifelong learning and staying growth-minded, both for delivering better care and building a thriving, sustainable practice.

We hope you find value in these recommendations and invite you to share the episode with a colleague who's equally committed to growth and excellence.

To learn more about Specialized Practice, please visit us at: https://specializedpractice.com/

To schedule a 1:1 Free Practice Consultation, use this link: https://calendly.com/drvinceleone/dr-vince-profit-niche-consultation