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

Send us Fan MailOn 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 bleedThis 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.Chapters00:00 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 thoughtsThe #1 Chiropractic Growth Coordinator TheSpizz.comChiropracticResults.com