EPISODE · Jun 11, 2026 · 33 MIN
From Clinic Floor to Coaching Chair, Karen Elliott on Building a $4M Practice and Walking Away
from In The Pocket with Alisha Esmail · host Alisha Esmail
Karen Elliott built a one-woman physiotherapy practice into a 35-person, $4M multi-disciplinary clinic. Then she sold it.Not because it was failing. Because she realized she had become the bottleneck in the thing she built.In this episode, Karen talks about what it actually felt like to let go of something she poured 20 years into, why she went right back into the clinic world as a coach instead of walking away, and what she sees clinic owners getting wrong when it comes to keeping their best patients and their best people.Karen is the founder of Lead With Purpose and is known as the Queen of Difficult Conversations. She now coaches clinic owners and business leaders across North America on team alignment, operations, and stepping into the visionary role without burning out.We get into:The moment she knew the way she was running things couldn't scaleWhat selling your business actually feels like (not the highlight reel version)Why most clinic owners are hemorrhaging patients without realizing itThe conversations leaders avoid that cost them their best team membersHer Five Tanks check-inFind Karen: toleadwithpurpose.com | @bykarenelliott on Instagram
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From Clinic Floor to Coaching Chair, Karen Elliott on Building a $4M Practice and Walking Away
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