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Pelvic PT Rising

Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along the way!

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Pelvic PT Rising

Revenue vs Profit - Where you Need to Be

May 14, 2026 • Nicole Cozean, PT, DPT, WCS & Jesse Cozean

0:00 | 23:13

Revenue is vanity. Profit is reality.

And most business owners are focused on the wrong number.

In this episode, we break down one of the biggest mindset shifts in business:

👉 Revenue is how much money your business brings in
👉 Profit is how much actually ends up in your pocket

And the difference between those two numbers determines everything about your life.

This conversation started after a high-level business conference in Vegas where someone asked:

“How do you improve profitability in an insurance-based business?”

The answer?

“If you can’t control your pricing… there’s only one game to play:
you have to ruthlessly cut costs.”

And honestly?

That’s not a business most of us want to run.

We break down:

Why profit margin is the metric serious business owners actually care about
The huge mistake most people make when trying to improve profitability
Why you cannot save your way to a successful business
The difference between finite expense cuts and uncapped revenue growth
How small increases in patient volume massively outperform tiny cost savings
Why business model determines lifestyle more than almost anything else

And then we get into the contrast that changes everything:

🏥 Insurance-based model
~10% margins
~42 visits/day to make $100k

💰 Cash-based model
~66% margins
~3 visits/day to make $100k

Same income.

Completely different life.

This episode is about more than money.

It’s about:
👉 Burnout
👉 Freedom
👉 Control
👉 And building a business that actually works for your life

If you're ready to build a business with stronger systems, better margins, and more freedom…

The Business Accelerator is where we help pelvic rehab business owners grow intentionally—without burning themselves out.

👉 Learn more here:
www.pelvicptrising.com/accelerator

About Nicole & Jesse Cozean

Pelvic health is hard. We want everyone in this field to have a joyful, impactful career. And for business owners to build something that truly works for them.

🎙️ Rising Podcast – Leading pelvic health podcast with 1M+ downloads
👤 Founder – PelvicSanity clinic in Southern California
🎙️ Co-creator – PelviCon, the first-ever pelvic rehab conference
📚 Author – The IC Solution, helping 20,000+ patients worldwide
🎓 Clinical Educator – Trained 3,000+ pelvic PTs & OTs globally
💼 Business Coach – Guided 900+ pelvic rehab businesses to grow, thrive and enjoy their business

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!