Aligned
An intimate mastermind for chiropractic CEOs & their office managers
April 24–25, 2026 | Nashville, Tennessee
Lost per team member, per week, on rework due to misalignment
Of projects fail due to poor communication between leadership
Revenue growth when businesses implement leadership rhythms
You already have great people.
A world-class office manager. A team that shows up every day. People who genuinely care about your practice and the patients you serve.
Now imagine what's possible when that care is fully aligned.
When leadership is steady. When meetings are consistent and intentional. When communication is clear. When you're thinking together instead of carrying it alone.
Strong practices aren't built on hustle — they're built on alignment. When leaders move in sync, the team follows with clarity and confidence. When you protect time to think together, you create momentum. When you operate from shared vision, everything accelerates.
Your practice doesn't have to feel heavy. It can feel unified. Focused. Powerful.
Your practice moves at the speed of leadership alignment.
"If you could get all the people in an organization rowing in the same direction, you could dominate any industry, in any market, against any competition, at any time."
— Patrick Lencioni
Two days to get in sync.
This retreat is designed specifically for the CEO and Office Manager to get in sync — structurally and relationally.
We'll build your leadership rhythm. We'll clarify your weekly 1:1 structure. We'll give you a framework for hard conversations. You'll also walk away knowing exactly what financial levers to move to increase profitability and how to steward margin wisely.
And we'll help you strengthen your internal marketing engine — the one that drives sustainable growth. All while reconnecting to the heart and purpose of chiropractic.
What You'll Walk Away With
- Your leadership rhythm — Clear, protected weekly/monthly structures that keep you proactive instead of reactive
- Financial clarity — Know what levers to move to increase profitability and how to steward margin wisely
- Communication framework — Practical tools for hard conversations and staying aligned under pressure
- Marketing engine — Strengthen your internal marketing systems that drive sustainable growth
- Renewed purpose — Reconnect to the heart and mission of chiropractic
Built for the two of you.
This retreat is designed for chiropractic CEOs and their office managers to attend together.
The CEO#1
- You want to scale out of day-to-day operations
- You want more time with your family and spouse
- You're tired of being the bottleneck
- You want to lead with clarity and confidence
- You're ready to build a practice that runs without you
The Office Manager#2
- You want to lead your team with confidence
- You're tired of guessing what the CEO wants
- You want to be seen as a true partner
- You want clear systems and rhythms
- You're ready to step into leadership
Friday afternoon through Saturday
We'll start Friday with heart and purpose — reconnecting with your why and building a foundation of honor between you and your office manager. Saturday is all business: leadership rhythms, profitability, and marketing systems. Every session ends with breakout time to map out your action plan together.
2:00 PM – 8:00 PM
9:00 AM – 4:30 PM
Breakfast and lunch provided
Hotel Information
Hotel details will be announced shortly.
The Setting
The retreat takes place at a private residence in the Harpeth Hills area of Nashville. With a maximum of 15 practices, you'll have real conversations, real connections, and real time to think and strategize—together.
The 3xPractice Team
Dave Touhill
Co-Founder, Marketing & Strategy
Mary Quense
Co-Founder, Head of Teams
Stephen Camiolo
Co-Founder & CFO
Real results from real practices.
"Through the intensive, me and my team got clearer on roles and it helped my team step up and take more ownership and responsibility within their roles. My team has been able to answer more questions from patients and come to me less for questions and decision making."
Dr. Kristine S.
"Clarity for everyone's positions allowed people to stay in our lane and work together as a team. We're back in the groove of weekly meetings and 1:1s to make sure everyone has the tools and support they need."
Elissa D.
Office Manager
"Working with 3xPractice has been transformational in building trust within my team. The clarity and systems we've gained have completely changed how we operate together."
Dr. Brandon S.
"They guided us with clarity, compassion, and confidence. We've been able to master the fundamentals and lead our team with a level of intentionality we never had before."
Brandy L.
Office Manager
"They took the time to learn about our practice and how we can improve overall. They were able to ask the hard questions and help us answer those hard questions."
Brittany K.
Office Manager
"They helped us clarify priorities, strengthen our systems, and focus on serving our patients with love, excellence, and compassion. Thanks to their structure and guidance, we've gained fresh perspective on how to elevate the patient experience and create lasting impact in our community."
Jessie F.
Office Manager
"3xPractice has transformed the way our office operates. Mary has been a huge blessing to our CAs and OM by meeting regularly and helping us hone in on operational routines and systems to help our office run with efficiency."
Matt P.
"They helped my team in ways I could have never done on my own. I have clarity in my vision moving forward. They helped me see things I just didn't see."
Josh W.