top of page
  • Writer's pictureNicole Cozean

7 Things That Change When You Have Employees

The journey from solopreneur to business owner as you hire is filled with challenges and responsibilities you may not expect. In this 'sode we attempt to shed light on the significant changes you'll encounter when you decide to grow beyond yourself.

5 Reminders When Treating Chronic Pain

Pelvic PT Rising: The pelvic health tools to make you a better clinician and/or a more successful business owner. We want every single pelvic health practitioner to be more confident and successful in your practice and career!

  • Clinical Courses: Game-changing online courses to make you more confident, challenge your thinking and improve patient outcomes

  • Business Resources: Helping 500+ pelvic health practitioners confidently start, grow and build their dream business!


We decided to stop the list at 7, because we could have listed literally everything ;). But here are some of the biggest ways things change:

  1. Your Role. You'll transition from being the treating clinician to being more focused on filling your clinician's schedule, training, marketing, and building systems; skills you may not have needed to hone as you grew your own schedule.

  2. Your Responsibilities. It's different when you need to guarantee someone else's livelihood. You can't take off for vacation without a plan to keep things running. You'll need to think about admin coverage while they are working.

  3. Legal Requirements. This is an area where you should be consulting an employment attorney in your state. There are a lot of technicalities and these change state-by-state with hiring.

  4. Creating Systems. The business organization can't just live in your head anymore. How do you answer the phone? How do you greet patients? What is your Clinic Ethos? You'll have to create systems around everything in your business.

  5. Profitability. Your profitability will dramatically decrease when you bring on employees. Hopefully you've planned for this and the extra volume makes up for it. But some practices have been in the position where they hire and fill someone's schedule, only to see their take-home pay go down!

  6. Onboarding, Training & Mentoring. You'll be responsible for ensuring your hire is providing the highest level of care. This is going to mean a huge time investment in their success as you train them and continue to mentor them through growth.

  7. Hard Conversations. You'll dramatically increase the number of hard conversations you'll have. And these aren't 'bad' conversations, you're just introducing conflict whenever you have another personality in your business and you'll have to grow to manage them.

As Nicole said on the full 'sode of the topic...

"You'll dramatically increase the number of hard conversations you'll have... and these aren't 'bad' conversations, you're just introducing conflict whenever you have another personality in your business and you'll have to grow to manage them." - Nicole Cozean

Learn more about pelvic health with our Clinical Courses

All of the Rising clinical courses are designed to:

  • Challenge the way you think

  • Make you more confident in your clinical practice.  

  • Allow you to go-at-your-own pace (all online!)

  • Let you go back to your work: you'll have lifetime access to the lectures and handouts.  Check out all the clinical courses we offer (

Curious about private practice? Check out our Business Resources

  • We've now helped more than 200 cash-based pelvic health practices start and grow.  

  • We want to make sure you're building a business that works for you (instead of vice-versa) and actually enjoy the process along the way!  

  • See all the business resources we offer (, tailored specifically to pelvic health!


Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.

bottom of page