Austin Cohen on Franchises, Freedom, Recurring Revenue & The Black Hole Number

On this special episode of Twisted Toast, Tristan sits down with Austin Cohen for a real conversation about what’s actually working in chiropractic right now — and what isn’t.

They unpack:

• Why the franchise model often breaks in chiropractic
 • The difference between visionaries and integrators
 • What “Contract to Expand” really means
 • Redefining freedom beyond beaches and lifestyle hype
 • How recurring revenue changes stability
 • What private equity actually looks at when buying clinics
 • The Black Hole number and why clinics quietly bleed

This isn’t surface-level motivation. It’s operational truth, leadership mindset, and real math.

If you’re building a clinic, scaling a team, or trying to stop restarting at zero every month — this one’s for you.

Follow the show and share with a doc who needs to hear it.

Chapters

00:00 Hair routine and opening banter
 02:05 The franchise lesson
 06:15 Culture split: corporate vs franchise
 09:30 Should chiropractors franchise?
 12:10 Non-chiropractor ownership debate
 15:00 Visionary vs integrator reality check
 19:20 Would some docs be better off as operators?
 22:40 Contract to Expand mindset
 27:05 Growth Summit reflections
 29:30 Redefining freedom
 34:40 Family, boundaries, and calendar design
 38:10 Rewarding yourself properly
 40:20 Ruthless meeting cleanup
 44:10 Recurring revenue and MRR
 47:30 How buyers value clinics
 50:50 The 10,000 file myth
 53:40 When to shut down a clinic
 57:10 The Four Agreements
 59:40 Protecting access and time
 1:03:00 Adventure Summit and doing hard things
 1:06:40 The Black Hole number explained
 1:10:00 Systems and retention
 1:12:20 Closing thoughts

The #1 Chiropractic Growth Coordinator 

TheSpizz.com

ChiropracticResults.com