ChiroX: Business Growth for Chiropractors

Imagine building five chiropractic clinics in another country, growing your main location to nearly 1,000 patient visits per week, and then watching everything change overnight. That's exactly what happened to Dr. Colby King.

After fighting a nine-month legal battle to continue practicing in Colombia, COVID brought another major setback. Today, he's back in Texas, helping build Freeform Chiropractic across three locations, and sharing why working harder isn't always the answer to growing your practice.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures

https://www.chiroxmarketing.com/services/marketing-audit?utm_source=spotify&utm_medium=podcast&utm_campaign=ep63

Dr. Colby King graduated from Parker University and moved to Bogotá, Colombia, without speaking Spanish or having any real-world practice experience. Over eight years, he helped build five chiropractic offices, including a flagship location approaching 1,000 weekly visits. But regulatory challenges and the COVID shutdown forced him to rethink everything. After returning to Texas, Colby helped build three Freeform Chiropractic locations in five years.

In this episode, Colby explains why practice owners often get stuck despite working 50–60 hours a week, how to identify the real bottlenecks holding a clinic back, and why team culture and leadership matter more than simply adding more staff. He breaks down his 80% rule for replacing yourself, the importance of tracking KPIs across multiple offices, and how aligning employees' personal, professional, and financial goals with practice performance creates stronger team commitment. He also discusses the advantages and trade-offs of building within a franchise system, why owners must have difficult conversations instead of avoiding them, and the 18-month commitment conversation he encourages doctors to have with their spouses before opening a practice.

If you're a chiropractor struggling to grow beyond one location, feeling stuck despite working long hours, or trying to build a team that can operate without you, this episode offers practical lessons on leadership, accountability, and scaling a sustainable chiropractic business.

TIMESTAMPS:

00:00 Intro

01:22 Colombia Leap

03:28 Five Clinics Growth

03:52 Shutdown and Court Win

05:51 COVID and Coming Home

08:32 Lessons and Risk Mindset

12:22 Why Partner Up

15:30 Franchise Tradeoffs

21:50 Holding the Standard

27:50 Why Practices Get Stuck

29:35 Extreme Ownership Fixes

30:42 Lead by Example

32:15 Personal Goals Buy In

33:44 Incentives and Assessments

38:05 Bonus Structures Check Ins

39:56 Culture and Retention

41:59 Trust Through Connection

44:44 AI to Compress Time

47:45 KPIs That Matter

51:31 Keep Digging Ownership

56:14 Where to Find Coby

CONNECT WITH DR. COLBY KING:

Website: https://www.freeformchiropractic.com/about/our-team/colby-king/

LinkedIn: https://www.linkedin.com/in/dr-colby-king-6a34a39b/

PRO TIP:

Stop measuring your productivity by how many hours you spend working. Colby recommends identifying the specific KPI, process, or team issue that's preventing your practice from moving forward. Make sure your team understands the goal, knows how their role contributes to it, and has been properly trained to execute. And when it's time to replace yourself, remember the 80% rule: getting 80% of your output while freeing up 100% of your time can be an excellent trade-off for a growing practice.

ABOUT CHIROX MARKETING:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit https://www.chiroxmarketing.com/

Your next chiropractic patient might not be searching on Google anymore. They might be asking ChatGPT who the best chiropractor in their city is—and if your practice isn't showing up, you could be missing out on high-intent patients. Dr. Matthew Loop was using MySpace to attract patients back in 2005, long before most chiropractors understood social media marketing. Now, he's explaining why AI search could be the next major opportunity for chiropractic practices and what doctors need to do to stay ahead.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures

https://www.chiroxmarketing.com/services/marketing-audit?utm_source=spotify&utm_medium=podcast&utm_campaign=ep62

Dr. Matthew Loop has spent more than two decades studying digital marketing trends, from the early days of MySpace and Facebook advertising to today's rapidly evolving AI search landscape. In this episode, Matt explains why traditional Google SEO alone may not be enough to get your chiropractic practice recommended by ChatGPT, how patient reviews across multiple platforms can strengthen your online presence, and why recent reviews, digital authority, and a diversified online footprint are becoming increasingly important.

Matt breaks down the difference between creating authentic, engaging social media content and relying on generic AI-generated posts, why simple videos often outperform heavily produced content, and how sharing personal stories can help doctors attract patients organically. He also shares lessons from generating millions of views on social media, the importance of building a recognizable personal brand, and why practices should consider a presence across Facebook, Instagram, TikTok, and YouTube rather than relying on a single platform.

If you're a chiropractor looking to attract more patients, strengthen your online reputation, understand how AI is changing local search, or build a personal brand that creates long-term opportunities, this episode offers a practical perspective on where digital marketing is heading and how to prepare your practice for the next wave of patient acquisition.

TIMESTAMPS:

00:00 Intro

01:51 From Social to Chat Search

03:13 ChatGPT Ads Opportunity

04:07 Conversational Search Intent

06:55 Ranking Factors for AI

09:22 Schema and Content Recency

10:39 Blog Strategy That Works

11:50 SEO Versus AEO

13:35 Big Levers and Social Proof

16:29 Marketing Mistakes at Scale

19:14 Hate Social Media Now What

21:48 AI Tools Versus Experience

23:18 Personal Brand on Camera

25:16 Building a Sellable Practice

26:34 Buying for Cash Flow

27:52 Sprinkling Growth Magic

28:13 Scaling to Four Million

30:13 Owner Brand and Valuation

31:42 Personal Brand as Capital

33:31 Personal Brand Playbook

36:35 Winning Locally

38:23 Best Platforms Ranked

41:39 Overrated Marketing Trends

45:00 AI Ads First Mover Edge

46:22 YouTube AI Training Setting

47:15 Google vs AI Search Future

48:59 Wrap Up and Where to Find

CONNECT WITH DR. MATTHEW LOOP:

LinkedIn: https://www.linkedin.com/in/matthew-loop-9a20b311

Instagram: https://www.instagram.com/matthewloop/?hl=en

PRO TIP:

Don't rely exclusively on Google rankings or generic social media posts to attract new patients. Matt recommends building a stronger digital footprint through consistent reviews across multiple platforms, authentic video content, and a recognizable personal brand. Start by asking AI search tools to recommend chiropractors in your area and compare the results with traditional Google searches. Look at which competitors appear, where they're being mentioned, and what types of content and reviews support their visibility.

ABOUT CHIROX MARKETING:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit https://www.chiroxmarketing.com/

What does it take to turn an 800-square-foot chiropractic office in a gym basement into a 5,000-square-foot practice with four associates and 600 Google reviews?

For Dr. Jason Ingham, the answer wasn't just getting more patients. It was building a team, creating a five-star patient experience, and developing a business that someone else would eventually want to buy. After 26 years in chiropractic, he's preparing to sell his practice to an associate who's been with him for a decade—and sharing the systems that made it possible.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures

https://www.chiroxmarketing.com/services/marketing-audit?utm_source=spotify&utm_medium=podcast&utm_campaign=ep61

Dr. Jason Ingham started his practice in Lincoln Park, Chicago, with roughly $10,000, an 800-square-foot space inside Bally Total Fitness, and a creative marketing strategy: teaching spin classes while wearing a chiropractic T-shirt. He became profitable in his first month and eventually built a practice that surpassed seven figures.

In this episode, Jason explains why he chose to build a culture around mentoring associates rather than treating them as replaceable employees, how his longest-serving associate became the future buyer of his practice, and why some doctors are willing to accept less money to work in his environment. He also breaks down his concierge-style patient experience, including eliminating the traditional front desk, moving phone responsibilities away from the entrance, creating scripts for common patient questions, and conducting mystery calls to evaluate the team's performance. Jason shares how his staff walks through the entire new-patient journey twice a year, why hiring for work ethic and cultural fit matters, and how he built a practice that can operate without requiring him to manage every interaction.

If you're a chiropractor looking to scale beyond yourself, attract and retain great associates, improve your patient experience, or eventually sell your practice instead of simply closing its doors, this episode offers practical lessons on building a business that's valuable to patients, employees, and future owners.

TIMESTAMPS:

00:00 Intro

00:48 Why He Chose Chiropractic

03:44 From Gym Basement to Growth

10:56 Building Associates Culture

15:14 Hiring and Fit Interviews

18:24 Mentoring and Intern Pipeline

27:25 Systems to Run Without You

30:26 New Patient Experience Training

32:32 No Front Desk Phones

33:40 Wowing Every Patient

34:36 Mystery Shopping Your Practice

36:34 Call Center Booking System

40:19 Marketing That Still Works

41:59 Review Engine and Standards

44:59 Shock and Awe Details

48:51 Retention Through Community

51:32 Social Media and Local Events

55:25 Coaching and Management Groups

57:45 Final Wrap and Contact

CONNECT WITH DR. JASON INGHAM:

Website: https://chiropracticsportscare.com/dr-ingham/

LinkedIn: https://www.linkedin.com/in/jason-ingham-64735b2

PRO TIP:

Audit your practice from the perspective of a first-time patient. Jason brings his team through the entire arrival, check-in, and care experience twice a year, documenting everything that could be improved. Start by examining your front desk: is your team focused on welcoming patients, or are they distracted by phone calls and administrative tasks? Small improvements in hospitality and communication can create a noticeably better experience.

ABOUT CHIROX MARKETING:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit https://www.chiroxmarketing.com/

What happens when you build one of the biggest chiropractic practices in your region, only to lose it after a six-year insurance audit battle?

Dr. Matt DiDuro went from aggressive marketing and rapid growth to facing escalating insurance repayment demands, including a $150,000 claim. After more than 30 years in chiropractic, he's sharing the costly lessons that changed how he approaches documentation, marketing, patient retention, and building a sustainable practice.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures

ChiroxmarketingFree Chiropractic Marketing Audit | ChiroX60

Dr. Matt DiDuro built one of the largest chiropractic practices between two major cities in Central New York, but his success came with an unexpected challenge. In this episode, Matt shares how a former associate allegedly triggered an insurance audit in an attempt to purchase the practice at a discount, how the audit expanded from just a handful of patient charts to thousands of records, and why inadequate documentation became one of the most expensive lessons of his career.

He also explains how he grew his early practice through community events, educational talks, and consistent patient acquisition, even after earning only $15,000 during his first full year. Matt discusses his transition into shockwave therapy, why he believes SoftWave has become an important part of his patient-retention strategy, and how real patient demonstrations and before-and-after videos have influenced his marketing approach. He also shares how he now spends much of his time training and educating other providers while remaining involved with his clinical team.

If you're a chiropractor focused on growing patient volume, protecting your practice from costly operational mistakes, improving retention, or exploring additional services that can differentiate your clinic, this episode offers lessons from someone who experienced both major growth and a devastating business setback.

TIMESTAMPS:

00:00 Intro

01:09 Neck Injury Changed Everything

05:06 Early Chiropractic Wake Up Call

06:48 Insurance Boom And Bad Notes

08:19 Audit Triggered By Associate

11:49 Why They Kept Escalating

14:14 Fighting Back With Compliance

17:30 Bulletproof Notes With EHR

19:15 Suing The Whistleblower

22:22 Marketing Cycles And Neuropathy

24:48 SoftWave Pivot During COVID

28:30 Scaling With Facebook Ads

28:52 Pricing the 10 Pack

29:30 SoftWave vs Shockwave

30:06 Avoiding Device Scams

31:32 SoftWave as Practice Engine

33:39 Proof and Pro Sports Adoption

34:33 Inflammation and Drug Cautionary Tale

36:29 Regeneration Science Explained

38:45 Ads That Actually Work

43:45 Documenting Results and HIPAA

47:03 Why SoftWave Refers Better

52:09 Reverse Engineering Patient Growth

55:58 Pivoting to Bigger Markets

56:31 Where to Find Him and Mission

CONNECT WITH DR. MATT DIDURO:

Website: Dr. Matt DiDuro | Relief from Chemo-Induced Peripheral Neuropathy

LinkedIn: linkedin.com/in/matthew-diduro-11b66ab

PRO TIP:

Reverse-engineer your patient acquisition goals instead of marketing without a clear target. Matt started by calculating the expected revenue from each new patient, working backward to determine how many new patients he needed every month, and then identifying which outreach activities could generate those appointments. Just as importantly, maintain accurate clinical documentation as your practice grows—high patient volume means little if your business isn't properly protected.

ABOUT CHIROX MARKETING:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit ChiroxmarketingChiropractic Marketing Agency for $1M+ Practices | ChiroX

What happens when you're seeing hundreds of patients every week but still don't have money left in the bank?

Dr. Chris Quigley built a high-volume chiropractic practice to roughly 600 visits per week, but low fees and rising overhead eventually exposed a major problem: volume doesn't automatically equal profit. After 36 years in practice, Chris has rebuilt the model around stronger margins, better systems, a great team, and numbers that tell him where the practice is headed before the results hit the P&L.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures ChiroxmarketingFree Chiropractic Marketing Audit | ChiroX59

Dr. Chris Quigley opened his Boston practice in 1990 and spent his early years following a low-fee, high-volume model. He reached roughly 300 weekly visits on his own and later grew the practice to around 500–600 visits per week, at one point handling 500 visits from just 600 square feet. But when associates were added, the margins stopped making sense, forcing Chris to rethink the economics and evolve toward a medium-to-high-fee model.

He also breaks down his five key weekly metrics, including appointments scheduled over the next 7 and 30 days, which he uses as forward-looking indicators instead of waiting for last week's numbers to tell him something went wrong. Chris also shares how his decompression program jumped from roughly 80 to 160 visits in four months, why the practice averages around 50 new patients per month with roughly 75% case acceptance, how associates participate in community outreach, and the hiring red flag he ignored before making what he calls the worst hire of his career.If you're a chiropractor generating plenty of activity but questioning your margins, struggling to build a reliable team, or looking for better ways to predict growth instead of simply reviewing what already happened, this episode offers lessons from more than three decades of running and evolving a practice.

TIMESTAMPS:

00:00 Intro

01:06 Beacon Hill Then And Now

01:39 Low Fee High Volume Trap

03:40 Overhead And Pricing Reality

04:21 Care Plans And Package Pricing

05:45 Charging For Better Outcomes

06:37 Case Study Avoiding Surgery

08:08 Building A Great Team

09:21 Running On EOS Traction

12:26 Office Book Club Culture

13:33 Membership And Maintenance Plans

15:19 Recruiting And Retention Tactics

18:20 Systems For Clinical Excellence

21:30 Close For Chiro Day One

22:39 Finding The Life Effect

24:57 New Patient Growth Numbers

25:34 Close Rate Pricing Check

25:51 New Patient Sources Breakdown

26:25 Digital Marketing Unknowns

27:22 April Surge Then Slump

28:31 Boston Market Underserved

30:43 Time Constraints On Marketing

31:29 Associates Outreach Events

32:21 Recruiting And Retaining Associates

35:56 Hiring Funnel And Preceptorships

37:04 Worst Hire Red Flags

39:20 Rapid Fire KPIs Forecasting

42:23 Boston Favorites Commute Story

45:02 Rules To Live By Wrap Up

46:04 Book Plug And Where To Find Him

CONNECT WITH DR. CHRIS QUIGLEY:

Website: SpinemedbostonDr. Chris Quigley at Boston Spine and Disc Center in Boston, Massachusetts.

LinkedIn: Linkedinlinkedin.com/in/dr-chris-quigley-ba0697

PRO TIP:

Don't only track backward-looking numbers like last week's collections. Chris tracks appointments already scheduled for the next 7 days and next 30 days because they give him an early indication of where the practice is heading. If those numbers start dropping, he can investigate new-patient flow, case acceptance, or scheduling problems and take action before they show up in revenue.

ABOUT CHIROX MARKETING:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit Chiroxmarketing Chiropractic Marketing Agency for $1M+ Practices | ChiroX

Most chiropractors think hiring an associate will automatically help grow the practice.

Dr. Mark Mouw says that’s one of the biggest hiring mistakes owners make: most associates aren’t there to build your practice, you are. After 25 years in chiropractic, hiring 16 associates of his own, and helping place more than 250 chiropractors per year, Mark has learned exactly what separates a great long-term associate from an expensive hiring mistake.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures

https://www.chiroxmarketing.com/services/marketing-audit?utm_source=spotify&utm_medium=podcast&utm_campaign=ep58

Dr. Mark Mouw started his practice with his wife as a traditional mom-and-pop operation and hired their first associate just 18 months after opening. Today, he has five doctors across two locations in the Omaha metro and co-founded Chiro Matchmakers with Dr. Allen Miner in 2016.

Over the last decade, Chiro Matchmakers has built a database of more than 9,000 associates and places 250+ chiropractors every year. In this episode, Mark breaks down the two types of associates, business builders and caregivers, and why roughly 75% of today’s associates fit the caregiver profile. He explains why hiring a “mini-me” can backfire when that entrepreneurial doctor eventually leaves to open their own clinic, why the owner should remain responsible for building demand while associates focus on delivering exceptional care, and when hiring a business-builder associate actually makes sense for leadership, ownership, or succession.

Mark also dives into the current recruiting challenge, including the roughly 5-to-1 gap between available chiropractic jobs and associates, why A-players usually aren’t actively searching job boards, and how behavioral assessments can help owners put the right doctor in the right role.If you're struggling to hire or retain associates, planning to scale beyond yourself, or thinking about succession and eventually exiting your practice, this episode will help you understand who you should actually be hiring and what role they should play once they join your team.

TIMESTAMPS:

00:00 Intro

00:59 Why Hire an Associate

03:06 Time Freedom Growth Exit

04:38 Builders vs Caregivers

07:40 Don’t Hire Mini Me

08:54 When You Need a Builder

11:02 Hiring Assessments PDP

12:58 Timing and Profit Margins

16:46 Associate Shortage Explained

18:45 Finding A Players

26:50 Chiro Matchmaker System

30:47 What Associates Want Most

32:44 Pay to Keep Doctors

33:39 Technique and Location Factors

34:38 Rural Hiring Reality Check

36:37 Pay and Retain Great CAs

38:24 KPI Based Bonus Systems

39:18 Assessments Over Gut Hiring

43:41 Hurdles and Background Checks

45:17 Virtual Interview Hiring Funnel

49:51 Virtual CAs From Overseas

54:02 What VCAs Handle Daily

57:11 Build Teams for Impact

CONNECT WITH DR. MARK MOUW:

Website: MouwchiropracticAbout Us - Mouw Family Chiropractic

LinkedIn: Linkedinlinkedin.com/in/mark-mouw-276182207

Chiro Matchmakers: ChiromatchmakersCorey Hiben - Virtual Assistant

PRO TIP:

Stop automatically looking for an associate who looks and thinks exactly like you. If you’re an entrepreneurial practice owner, another “mini-me” may eventually want to build a business of their own. Mark recommends getting clear on the role first: if you need someone to care for an existing patient base for the next 10–20 years, look for a strong caregiver, not another business builder.

ABOUT CHIROX MARKETING:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit ChiroxmarketingChiropractic Marketing Agency for $1M+ Practices | ChiroX

What happens when 75% of your chiropractic practice depends on your own two hands—and suddenly you can’t even get out of bed?

After 25 years of treating patients, a serious spinal issue forced Dr. Shawn Finn out of patient care. Today, he has three associates, sees roughly 400 patient visits per week, and hasn’t personally treated a patient in over two years.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures

ChiroxmarketingFree Chiropractic Marketing Audit | ChiroX

Dr. Shawn Finn has been practicing outside Pittsburgh for nearly three decades, but an unexpected back injury forced him to completely rethink the business he had built. In this episode, Shawn explains how he transitioned from being responsible for roughly 75% of the clinic to fully committing to running the business, why Noel Lloyd’s Win-Win Associateship model changed how he develops associates, and why he believes a team should normally operate at around 80% capacity instead of constantly running at its limit.

He also shares the Thursday morning financial meeting he refuses to give up, why he targets roughly 40% profit margins as a non-treating owner, and why making hiring decisions without knowing your numbers can be dangerous. Shawn also challenges the obsession with extremely high close rates, explains why 70–80% can actually be healthier, and reveals how combining shockwave therapy with decompression helped increase patient value by roughly 40%.

If you're a chiropractor whose practice still depends heavily on your personal production, or you're trying to build associates, improve profitability, price your services correctly, and create a business capable of operating without you in the treatment room, this episode is packed with lessons from someone who was forced to make that transition.

TIMESTAMPS:

00:00 Intro

01:06 The Injury Turning Point

02:28 Hiring Associates Fast

03:53 Win Win Associate Model

05:51 Commitment To Step Back

07:04 Owner Operator Coaching

07:57 Clinic Director Role

10:59 When To Hire Next

12:39 Thursday Numbers Meeting

14:40 Healthy Profit Margins

16:46 Pricing And Program Growth

19:25 Blending Shockwave Decomp

25:59 Close Rates And Fit

30:16 Marketing Sets Expectations

30:30 Closing Confidence Matters

31:33 Three Pillars Marketing

32:38 External Outreach Referrals

33:55 Digital Storytelling Engine

34:57 Referral Conversations Script

38:27 What Works Now Meta Ads

40:46 Finding Ideal Patient Story

42:44 Lunch And Learns Hurdles

43:54 Collecting Time Of Service

46:11 Buy Now Pay Later Debate

49:02 Rapid Fire Business Hiring

51:28 Fitness Journey And Mindset

52:49 Where To Find Finn

54:16 Ideal Associate Fit Values

56:10 Final Thanks And Wrap

CONNECT WITH DR. SHAWN FINN:

Instagram: instagram.com/drshawnfinn

Website: https://www.finnchiro.com/

PRO TIP:

Schedule a recurring financial meeting with yourself and protect it like you would any important patient or team meeting. Shawn reviews his P&L, budget, margins, wins, and losses every Thursday so decisions about hiring and growth come from the numbers instead of emotion. Know your margins before you add overhead.

ABOUT CHIROX MARKETING:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit ChiroxmarketingChiropractic Marketing Agency for $1M+ Practices | ChiroX

How does one chiropractor handle 1,000 patient visits per week without feeling burned out?

Dr. Erik Kowalke did it for three years—and says it was actually a blast. Today, Higher Health Chiropractic has two locations, six doctors, and around 100 new patients per month, while Erik has successfully handed off virtually every part of the business except the vision.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures

Dr. Erik Kowalke runs Higher Health Chiropractic in West Michigan, where his journey started with just 13 patients booked when he opened on August 1, 2011. Within three weeks, the practice had grown to roughly 300 visits per week, eventually reaching 1,000 weekly visits with Erik as the sole chiropractor. In this episode, Erik explains why focusing on lifetime family wellness care became one of his biggest growth levers, how extreme attention to efficiency made high-volume care possible, and why a shingles infection in 2016 unexpectedly showed him that he had become the bottleneck in his own business.

He also breaks down how he gradually delegated everything except vision, why Higher Health completely changes its office theme every 4–6 weeks to create an experience families and kids actually want to return to, and what 10 years of appointment data revealed about allowing patients to reschedule their own appointments. Their data showed no correlation between appointment changes and patients dropping out of care—in fact, greater scheduling flexibility tracked with higher visit volume.

If you're a chiropractor trying to increase capacity, build a family-focused practice, develop leaders, improve retention, or create a business that no longer depends entirely on you, this episode offers a completely different perspective on what’s possible.

TIMESTAMPS:

00:00 Intro

01:07 Solo 1000 Visits Week

02:35 Efficiency and Office Energy

05:25 Family Wellness Niche

08:55 Designing for Busy Families

12:13 Burnout Myth and Capacity

14:50 Spouse Alignment and Vision

20:55 From Bottleneck to Scale

22:43 Coaches and Wise Counsel

26:20 Hiring and Paying Associates

29:38 Team Practice Culture

31:06 Negotiation Win Wins

32:54 Owner Leverage Shift

34:07 Delegation Wake Up Call

37:27 Hiring Right Leaders

40:15 Culture And Accountability

41:44 Theme Driven Experience

47:01 Scheduling Control Data

51:02 Active To Wellness

55:33 Referral Engine Playbook

57:45 Google Reviews System

59:35 Community Marketing Mix

01:01:23 Clarity And Closing

CONNECT WITH DR. ERIK KOWALKE:

Website: https://gethigherhealth.com/

LinkedIn: https://www.linkedin.com/in/drerikkowalke/

SKED Website: https://sked.life/

PRO TIP:

Before assuming you've reached your practice's capacity, look closely at your systems. Erik’s experience shows that the ceiling is often not the building, the market, or even patient demand—it can be the owner's assumptions about what is possible. Simplify every unnecessary step, empower the right people, and stop holding onto responsibilities your team can successfully own.

ABOUT CHIROX:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit https://www.chiroxmarketing.com/

What happens when one bad website decision cuts your Google new patients in half overnight?

Dr. Kevin Farrar watched $40K–$50K in monthly new-patient opportunity disappear, and it took nearly a year to recover. In this episode, he breaks down that costly mistake, how he eventually made Facebook work after 15 years of frustration, and why he believes associates should be hired to be great doctors—not marketers.

🔎 Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures

https://www.chiroxmarketing.com/services/marketing-audit

Dr. Kevin Farrar runs Farrar Family Chiropractic in Plano and McKinney, Texas, and today has seven associates across his practice. But 15 years ago, he started with roughly $65,000 borrowed from family, maxed-out credit cards, furniture from his apartment, and even a second mortgage on his mom’s house to purchase an X-ray machine. In this conversation, Kevin shares how community outreach helped him survive the early years, why he now builds multiple patient-acquisition channels instead of depending on one source, and how bringing marketing management closer to the business finally turned Facebook from a break-even channel into a leading source of new patients.

He also gets into the $1 million in opportunity he believes he left on the table, capacity versus fixed costs, patient retention, and why his job as an owner is to provide associates with the staff, training, equipment, and patients they need to succeed instead of sending inexperienced doctors out to generate their own leads.

If you're a chiropractor trying to scale with associates, diversify your marketing, improve patient retention, or maximize the capacity you're already paying for, this episode is packed with lessons from both Kevin’s biggest wins and some very expensive mistakes.

TIMESTAMPS:

00:00 Intro

01:23 Opening With No Plan

02:49 Grassroots Growth Playbook

05:54 Associates Not Marketers

07:48 Multiple Patient Pipelines

10:43 Making Facebook Finally Work

13:24 Speed To Lead Systems

14:49 Capacity And Fixed Costs

17:29 Scheduling And Equipment Limits

20:34 Team Mindset And KPIs

23:04 The Million Dollar Mistake

25:42 Scaling Without Profit

26:16 Adding Services Overload

27:01 Three Part Service Test

29:16 Best Services To Add

31:45 Top Funnel Offers

34:28 Service Margins Breakdown

35:23 Keeping Associates Long Term

38:44 Hiring Red Flags

40:48 Avoiding Bad Hires

44:05 KPIs That Matter

47:06 Retention To Wellness

50:13 Intentional Practice Wrap Up

CONNECT WITH DR. KEVIN FARRAR:

LinkedIn: https://www.linkedin.com/in/kevin-farrar-175a303b/

Website: https://farrarchiro.com/dr-kevin-farrar-chiropractor-plano

PRO TIP:

Don't let one marketing channel become a single point of failure for your practice. Kevin's approach is to keep as many “roads” into the practice open as possible—Facebook, Google, referrals, community outreach, professional referrals, and other channels—so when one slows down, the entire new-patient engine doesn't collapse.

ABOUT CHIROX MARKETING:

We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit https://www.chiroxmarketing.com/

What happens when a family emergency pulls you out of your practice for almost four straight weeks — and the business actually grows without you?

Dr. Andrew Oteo experienced exactly that, and it completely changed how he thought about systems, leadership, and scaling. After spending his first six years making mistakes in practice, he built Stonebridge Health into a multidisciplinary operation combining chiropractic, physical therapy, and medical care under one roof.

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Dr. Andrew Oteo runs Stonebridge Health in The Colony, Texas, holds both a DC and an MBA, and serves as President of the Texas Chiropractic Association. In this episode, Andrew explains why his first practice inside a medical doctor's office failed within a year, how years of getting systems wrong eventually shaped the operation he runs today, and why being forced away from the practice for nearly a month proved his team could succeed without him.

He breaks down the EOS principles he uses from Traction, weekly multidisciplinary grand rounds, quarterly alignment meetings, and the custom Power BI dashboard he built after realizing traditional EHR dashboards couldn't give him the numbers he actually needed. Andrew also explains how he tracks gross vs. net conversion and retention, uses Claude as an operating system for his team, approaches marketing through an “air, land, and sea” strategy, and why identifying bottlenecks is one of the most valuable things an owner can do.

If you're a chiropractor who feels like everything still depends on you, struggles to understand the numbers behind the practice, or wants to build systems that create predictable growth without constant owner involvement, this episode gives you a practical look at how to transition from being the bottleneck to becoming the leader of the business.

TIMESTAMPS:

00:00 Intro

01:11 Stop Being The Bottleneck

02:21 Hospital Wake-Up Call

03:26 Bottlenecks Inside And Outside

06:18 Ego And People Problems

11:33 Six Years Of Hard Lessons

18:16 Systems That Built Stonebridge

23:48 EOS Scorecards And Dashboards

27:01 Conversion Retention Metrics

31:11 What The Numbers Revealed

33:58 AI Enters The Practice

34:20 Deep Dive Your Tools

35:13 AI For Team Goals

36:21 HIPAA And The AI Race

39:40 AI Agents In Everything

44:11 Claude As Business OS

47:44 Master Your Tech Stack

52:02 Referral Engine Basics

55:37 Modern Marketing Mix

59:04 Why Associations Matter

01:01:00 Protecting Chiro In Texas

01:05:07 Member Value And Advocacy

01:08:34 Where To Find Dr Teo

CONNECT WITH DR. ANDREW OTEO:

Website: https://www.stonebridgept.com/

LinkedIn: https://www.linkedin.com/in/andrew-oteo-10b81717/

PRO TIP:

Don't just track the numbers your EHR happens to give you. Decide which metrics actually tell you whether your practice is improving, then build a scorecard around them. Andrew separates gross conversion from net conversion — specifically tracking whether patients who actually have to reach into their own wallet still say yes — to get a clearer picture of how well the practice is communicating value.

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