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Three Things to Consider When Hiring a Pelvic PT Business Coach
- Nicole Cozean
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- 2 days ago
- 6 min read
There’s a lot of talk right now about business coaching for pelvic health professionals — and a lot of people calling themselves “coaches.” So how do you know who to trust and whether it’s the right move for your practice? In this post, we’ll walk through three key things to consider when hiring a Pelvic PT business coach so you can make a confident, informed decision.
Business coaching is everywhere these days. You’ve probably seen the ads, the success stories, and maybe even felt a little FOMO about whether you should hire one. And truthfully, when done right, coaching can be absolutely life-changing. At Pelvic PT Rising, we’ve helped more than 800 pelvic PTs and OTs start and grow their pelvic rehab practices. We’ve seen how the right coaching can transform a business — helping owners increase revenue, build systems that give them time back, hire and train the right people, and even fall back in love with running their business. But not all coaching programs are created equal. Some are worth every penny… and others? Not so much. So how do you know the difference? Here are three things to consider before hiring a Pelvic PT business coach.
Is the Business Coaching Program Financially Safe?
The first question to ask yourself is simple: Can you actually afford this coaching program right now? Business coaching can stretch you — but it shouldn’t break you. Too many programs out there charge $2,000 or more a month, even for solopreneurs who are still trying to fill their schedule. That might be more than your rent! If joining a coaching program would mean going into debt, draining your savings, or creating constant financial stress, that’s not a smart move — no matter how flashy the promise. Ask yourself:
How many new patients would I need to break even?
How much is one new patient worth to my business (usually around $1,500)?
Can I make this investment safely without putting my business or family under pressure?It shouldn’t be a choice between paying rent and hiring a coach. The right program will make you money, not cost you money in the long run.
For example, in our Business Accelerator Program, participants average a 29.6x return on their investment. For every $1 they put into coaching, they get back nearly $30. Before you sign on the dotted line, do this quick ROI calculation: > How many new patients would this investment need to generate to pay for itself? If that number feels realistic — and you have a plan to make it happen — you’re on solid ground.
Is There High Potential ROI in Your Business?
Next, think about the growth potential in your business. We call this your growth delta — the gap between where you are and where you could be with the right systems, strategy, and support. If your business has room to grow — you’re not fully booked, your systems are messy, or you’re ready to hire but unsure how — business coaching can have a massive impact. It can accelerate your trajectory, get your schedule full, and help you bring on your next clinician with confidence. Here’s how a strong ROI often shows up:
Filling your own or your team’s schedule
Reducing cancellations and forfeits
Bringing on your first (or next) clinician sooner
Increasing plan of care length or consistency
Optimizing pricing for profit
In our Business Elite Program, owners on average more than double their revenue during their first year. Why? Because they had a clear gap between potential and performance — and the right coaching closed that gap fast. However, if you’re a solopreneur who’s completely full and not planning to grow beyond yourself, coaching might not offer a high financial ROI right now. You might instead focus on clinical mastery or leadership development until you’re ready for the next phase. The takeaway: the bigger your growth delta, the bigger your potential ROI from coaching.
Does Coaching Lighten the Load of Business Ownership?
Let’s be honest — business ownership can be lonely. Even when things are going well, it’s stressful, confusing, and full of high-stakes decisions. No one really prepares you for the emotional side of running a practice. That’s why one of the most important questions to ask is: > Will this coaching make my life easier? A great coaching program doesn’t just make your business better — it makes your day-to-day experience of owning it better, too. It can:
Reduce overwhelm by helping you prioritize
Give you accountability so you actually follow through
Offer community with like-minded owners who “get it”
Provide perspective so you can stop overanalyzing everything alone
Make business ownership more fun again
The intangible ROI is huge. Imagine feeling confident instead of constantly questioning yourself. Imagine having people to celebrate with — and vent to — who truly understand what you’re building. That’s why we believe so deeply in the group component of our programs. The right community reminds you you’re not crazy, you’re not alone, and you’re not supposed to have it all figured out yet.
Business Coaching Is More Than Information
Most people think business coaching is just about getting information. “Tell me what to do, and I’ll do it.” But the truth is, you can find information anywhere — podcasts, blog posts, YouTube, even AI.
Information isn’t the problem. Implementation is.
Great coaching provides so much more than knowledge:
Clarity: What actually matters right now for your business?
Accountability: Someone to push you toward uncomfortable but necessary actions
Perspective: Knowing what’s “normal” and where to focus your energy
Personal Growth: Because your business can only grow as fast as you do
Vising: Your business should be a vehicle for living an extraordinary life, but sometimes it's hard to see that through the day-to-day grind.
Running a business is one of the hardest — and most rewarding — things many of us will ever do. The biggest roadblocks usually aren’t external; they’re internal. Imposter syndrome, fear of failure, perfectionism, and lack of boundaries can all hold us back.
Good coaching helps you work through those. It gives you the structure, tools, and encouragement to design a business that works for your life — not the other way around.
Ultimately, business coaching should expand your vision. It’s not just about hitting revenue goals; it’s about building a business that gives you more time freedom, financial security, and space for your family, health, and happiness.
Choosing Your Pelvic PT Business Coach
We hope this gives you a framework for deciding whether business coaching is right for you — and how to find the right fit. When evaluating a potential coach or program, look for these three things:
They’ve done it themselves. They’ve built what you want to build — not just read about it.
They’ve helped others do it too. Real, repeatable results with people like you.
They share your values. If someone markets with manipulative sales tactics, that’s probably how they’ll teach you to market, too.
The right coach should align with your ethos and help you grow in ways that feel authentic and sustainable.
Business Coaching for Pelvic Floor Therapy Practices
At Pelvic PT Rising, we’ve built PelvicSanity, our own brick-and-mortar clinic, into a seven-clinician practice generating more than $1 million in annual revenue for seven consecutive years. More importantly, we’ve helped 800+ pelvic PTs and OTs start and grow successful, value-aligned practices all over the world.
If you’re dreaming of starting your own pelvic health business, check out the Business Kickstart Program — a step-by-step roadmap to launch with confidence.
If you already own a practice and are ready to scale, systematize, or hire your first clinician, explore our Business Accelerator Program to take your business to the next level.
Other Resources for Pelvic PT/OT Business Owners
Thriving Practice Index – See How Your Business Is Working for You!
Big Ways You’re Wasting Money in the Business (and What to Do Instead)
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.
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