Dr. Tony DeRamus built Sandstone Chiropractic to 10 locations (currently 6) as a self-described introvert. His secret? Neurotic focus. He locks himself in his office all weekend, goes deeper than most can, and leverages introversion as an edge. Here's his playbook for quiet leadership, AI strategy, and why 5-year exits beat 10-year plans.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Tony DeRamus is the founder and CEO of Sandstone Chiropractic with 6 locations around Houston, Texas (previously 10). He's an admitted introvert who turned neurotic focus into a competitive advantage. His early practice story: underfunded, 12 bank rejections, stacks of denied insurance claims, and growth that outpaced his ability to manage it. But he didn't quit.

In this episode, Tony breaks down why business is a brutal "no off-season sport," the skill gaps versus branding strengths that got him through, and why mentors and humility matter before you leap. He explains his "pro sports team, not a family" culture (A-players only), why mission attracts talent (the Elon principle), and the hard lessons from opening location #2 (mistakes, going belly-up, defining the mission). We dive into financing growth from 2 to 10 clinics, navigating "the swamp" of management complexity, and his introvert CEO playbook (deep work, fewer meetings, better leverage).

Tony also shares Disney's "wow factor" presentation standard, why consistency beats everything, the chiropractic consolidation wave (private equity, roll-ups), and healthcare's next models (direct-to-employer, subscription care). His AI toolkit: custom GPTs, image ads, voice automation, ranking in AI search (Bing, Reddit, citations), and Google Business Profile tactics (reviews with keywords, photos, replies, GBP posts). Final wisdom: know what "enough" is (the "are you sure?" moment), aim for 5-year exits not 10, and define your Vail/Aspen/Monte Carlo number before you kill yourself chasing more.

TIMESTAMPS:

00:00 Neurotic Focus: Turning Introversion Into an Edge

00:21 Meet Dr. Tony: Quiet Leadership

00:59 From Chiropractor to CEO

01:39 Early Practice Hell: Underfunded and Denied Claims

04:19 Why Business Is a No Off-Season Sport

06:21 Skill Gaps, Branding Strengths, Don't Quit

08:58 Mentors, Humility, Learning the Ropes

10:08 Not a Family—A Pro Sports Team Culture

13:27 Mission Attracts Talent

19:48 Scaling to Multiple Locations

22:52 Hard Lessons Opening Location #2

26:20 From 2 to 10 Clinics: The Swamp

30:38 Introvert CEO Playbook

34:24 The Disney Wow Factor

36:14 Consistency and Sticking Power

38:53 Chiropractic Consolidation

41:02 Healthcare's Next Models

44:37 AI, Marketing, and Leverage

48:26 AI Tools for Clinics

53:39 Ranking in AI Search

57:06 Google Business Profile Pitfalls

01:00:32 Reviews That Rank

01:04:22 Closing Advice: Know What You Want

01:06:54 Exit Timelines and Defining Enough

01:10:15 Where to Find Tony

CONNECT WITH DR. TONY DERAMUS:

Instagram: https://www.instagram.com/drtonyderamus/

Website: https://sandstonechiropractic.com/

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/

#introvertleadership #multilocationchiropractic #AIforchiropractors #chiropracticconsolidation #10clinicceo

Dr. Savannah Ford runs the math: 50 new patients at 12 visits = $36K. But 25 new patients at 40 visits = $60K. Half the patients, double the revenue. Here's her retention playbook, community-driven event strategy, and why patient visit average (PVA) beats new patient acquisition every time.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Savannah (Savy) Ford owns Blossom Family Chiropractic in St. Petersburg, FL, specializing in perinatal and pediatric care. She built a high-retention practice by shifting from treating patients like transactions to building actual community. Her retention playbook maps every touchpoint (Google to Day 2 education), uses gifting to build belonging (welcome kits, postpartum care packages), and celebrates milestones with certificates, prizes, and local vendor pop-ups during Patient Appreciation Week.

In this episode, Savy breaks down her Women, Wine & Wellness event strategy (VIP experience + targeted ads) that generated $27K in 2.5 hours, why she fired a high performer who poisoned the culture, and how she hires for core values using specific interview questions. We dive into her A-player recruiting system (video/cover letter → Zoom → in-person shift), how she uses AI for hiring and operations, and the Pickle Club origin story that taught her early entrepreneurship.

Savy also explains why niching down to perinatal/pediatric care helped her grow faster (becoming the go-to expert, better referrals, lower CAC, higher LTV), teaching kids high agency through lemonade stand lessons, and her final advice: audit every patient touchpoint and ask "Where are we treating patients like transactions instead of community members?"

TIMESTAMPS:

00:00 Stop Treating Patients Like Transactions

00:50 New Patients Aren't the Goal: The Math

03:56 Retention Playbook: Mapping Every Touchpoint

04:49 Gifting That Builds Belonging

06:31 Milestones and Patient Appreciation Week

08:06 Community as a Core Value

08:43 Women, Wine & Wellness Event Strategy

10:17 Event ROI Breakdown: $27K in 2.5 Hours

13:50 Making Events Sustainable

18:56 Beyond New Patients: Partnerships and Experience

21:50 When a High Performer Poisons the Culture

23:59 Culture Over Convenience

24:55 Hiring for Core Values

27:27 A-Player Recruiting System

29:41 AI in Hiring and Operations

33:31 The Pickle Club Origin Story

35:49 Teaching Kids High Agency

38:56 Why Niching Wins

43:16 Retention Through Community: Audit the Experience

45:08 Final Takeaways + Where to Find Savvy

CONNECT WITH DR. SAVANNAH FORD:

Personal Instagram: https://www.instagram.com/savyirbyford/

Practice Instagram: https://www.instagram.com/blossomfamilychiro/

Website: https://blossomfamilychiropractic.com/

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/

#chiropracticretention #patientvisitaverage #communitybuilding #perinatalchiropractic #pediatricchiropractic

Dr. Michael Henry built TexStar Chiropractic to 4 locations by focusing on systems, not guru status. Here's why doubling your overhead won't double your profit, when you're actually ready for location #2, and the mindset shifts from practitioner to CEO that make multi-clinic growth work.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Michael Henry is the founder and CEO of TexStar Chiropractic with 4 locations around Austin, Texas. He started with a vision of one superstar clinic with every modality, then realized multi-location was the better path. After 15+ years and involvement with the Texas Board of Chiropractic Examiners, he's learned what works (and what kills practices) when scaling.

In this episode, Michael breaks down why rushing to location #2 before you're ready is a profitability killer (doubling overhead doesn't double profit), the owner mindset shifts required (flexibility, coaching, letting go of trenches-level thinking), and when you're actually ready to scale past two clinics (systems, leadership, aligned docs). He explains why he chose multi-location over mobile chiropractic (credibility, scalability, equipment reality) and the metrics that actually matter (upstream vs downstream, leads, visits, collections).

We dive into the three types of associates (caregiver, owner, entrepreneur) and which mix works best, why culture fit matters more than experience, and his biggest scaling pain point (expanding from 2 to 4 too fast without fully trained docs). Michael shares the "wow factor" patient experience strategy, service lessons from hospitality (delight, no-surprises billing, trust), and how his Texas Board involvement keeps him regulation-compliant. His final advice: build reproducible systems (not a guru practice), but don't leave patient care completely or you'll lose why you started.

TIMESTAMPS:

00:00 Don't Rush a Second Location

00:47 From One Superstar Clinic to Multi-Location

02:04 Owner Mindset Shifts

06:08 Scaling Past Two Clinics

07:24 When to Open Location #2

08:44 Why Multi-Location Anyway?

10:35 Why Not Mobile Chiropractic?

13:23 His Path from Pre-Med to Chiropractic

16:44 Metrics That Matter

21:39 Green Lights for Location #5

22:44 Types of Associates

25:16 Hiring Associates: Experience vs New Grads

26:19 Culture Fit Matters

27:36 Scaling Pain Point: Expanding Too Fast

29:16 The Missing Piece: Confidence and Support

30:55 Simplify to Scale

32:17 The Wow Factor: Patient Experience

37:12 Service Lessons from Hospitality

39:42 Regulation and the Texas Board

44:32 From Practitioner to CEO

47:36 Closing Advice: Don't Leave Patient Care

CONNECT WITH DR. MICHAEL HENRY:

Instagram: https://www.instagram.com/texstarchiropractic/

Facebook: https://www.facebook.com/TexStarChiropractic

LinkedIn: https://www.linkedin.com/in/michael-p-henry-dc-a729b317/

Website: https://texstarchiropractic.com/

Google: https://g.co/kgs/nWCc23Y

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/

#multilocationchiropractic #chiropracticsystems #scalingpractice #chiropracticCEO #practiceexpansion

Dr. Tabor Smith doubled his lifetime patient value by shifting focus from new patient conversion to retention. Using the dental profession's playbook, he built an automated system that turns believers into understanders and keeps patients for 10+ years. Here's the exact blueprint.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Tabor Smith owns A Better Way Chiropractic (4 locations in Houston, TX) and founded the Spinal Hygiene Movement to solve chiropractic's retention problem. He realized that dentists built lifetime patients by preventing tooth decay, not just treating toothaches. So he applied the same model to chiropractic: prevent spinal decay, not just treat back pain.

In this episode, Tabor breaks down why retention is the foundation (not conversion), the dental hygiene parallel from the early 1900s when industrialization and sugar caused a tooth decay epidemic, and why we're seeing the same pattern now with technology causing spinal degeneration at younger ages. He walks through his 21-day challenge plus yearlong email/text drip system that automates education, the wake-up call testimonial that proved the cost of poor maintenance, and why pain gets them in but education keeps them.

We dive into the ethics and research for weekly/biweekly care frequency, why he almost killed his practice by expanding too fast, and the retention-first new patient flow (Day 1/Day 2 + education-led content). Tabor also shares how to attract wellness patients without talking about pain, the 4 core Spinal Hygiene exercises, and his Certified Spinal Hygienist team training program. His first steps to improve retention: email education sequences and mandatory new patient orientation workshops with philosophy teaching and home care kits.

TIMESTAMPS:

00:00 LTV Breakthrough: Retention Turns Patients Into 10-Year Regulars

00:47 Why Retention Is the Real Foundation

01:29 The Dental Playbook: Prevention-Based Lifetime Care

03:39 Spinal Hygiene Movement: Preventing Spinal Decay

04:58 Do Patients Buy Prevention?

07:08 Coaching the Hustling 7-Figure Doc

10:15 Inside the System: 21-Day Challenge + Email Drip

12:45 The Wake-Up Call: Cost of Poor Maintenance

15:32 Pain Gets Them In, Education Keeps Them

17:00 Ethics and Frequency: The Research Case

18:54 Growing Too Fast: Expansion Pitfalls

20:16 Scaling Risks: Loans and Stability

21:32 Retention-First New Patient Flow

23:09 Attracting Wellness Patients

24:28 Keep It Simple: The 4 Core Exercises

27:22 Training the Team: Certified Spinal Hygienist Program

31:03 First Steps to Improve Retention

34:00 Workshop Playbook: Making Attendance Mandatory

37:17 Where to Find More

CONNECT WITH DR. TABOR SMITH:

Instagram: https://www.instagram.com/drtaborsmith/

Practice: https://www.abetterwaychiropractic.com/

Spinal Hygiene Movement: https://www.spinalhygieneproducts.com/

Documentary: A Better Way

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/

#chiropracticretention #patientretention #spinalhygiene #chiropracticwellness #lifetimepatients

Dr. Justin Moseley was trapped underwater during whitewater rafting, broke free, and asked himself one question: "Why am I still here?" That moment transformed him from comfortable chiropractor to purpose-driven entrepreneur with 750K TED Talk views and a 7-figure practice. Here's how mindset shifted everything.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Justin Moseley co-founded Music City Health Center with his wife in 2012 and built a successful family practice. But in 2018, a near-death whitewater rafting accident changed everything. Trapped underwater between rocks, he lost consciousness, heard "wake up," broke free with adrenaline-fueled strength, and surfaced with one question: "Why am I still here?"

That question led him to exchange comfort for calling. He started creating content, built a Facebook group that hit 1,000 members in the first month, launched a podcast, and eventually delivered two TED Talks (one approaching 1M views). In this episode, Justin breaks down the mindset shift from near-death to 7 figures, why change can happen in an instant (not over time), and how to build a vision bigger than yourself that scales beyond the owner.

We dive into visualization science (training your brain for success), protecting your inputs (people, media, stories you consume), and why communication is a superpower worth building reps in. Justin explains why personal branding matters for chiropractors (trust before they walk in), why stock-photo marketing kills your brand, and the "silent audience" effect (your content works even without likes). His tactical advice: document don't create, talk to your phone to build reps, and speak to one person (not everyone).

Final wisdom for stuck practitioners: hire coaches to go faster, embrace "Who Not How," and ask yourself the same question he did.

TIMESTAMPS:

00:00 Why Am I Still Here?

00:26 Meet Dr. Justin Moseley

01:02 The Whitewater Rafting Near-Death Story

03:03 From Comfort to Calling

05:06 Mindset Shift: Change in an Instant

08:03 Build a Vision Bigger Than You

10:50 Getting Tactical: What Do You Want?

13:00 Visualization Science

15:57 Protecting Your Inputs

20:36 Communication as a Superpower

24:28 Why Personal Branding Matters

27:02 Why Stock-Photo Marketing Kills Your Brand

28:13 Use Your Personal Profile

29:56 Your Content Works Without Likes

31:58 Keep Showing Up: The 50-Listeners Story

33:48 Document, Don't Create

36:30 Your Uniqueness Is the Differentiator

38:47 It's a Long Game: Value First

44:01 Getting Started: Talk to Your Phone

48:19 Unstuck Mindset: Who Not How

52:02 Where to Connect + TED Talk

CONNECT WITH DR. JUSTIN MOSELEY:

Instagram: https://www.instagram.com/drjustinmoseley/

Website: https://www.drjustinmoseley.com/

Practice: https://musiccityhealthcenter.com/

TED Talks:

Overcoming Fear of Public Speaking: https://youtu.be/aImrjNPrh30

Second TED Talk: https://youtu.be/06-kkd-ns_I

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/

#chiropracticmindset #personalbrandingforchiropractors #neardeath #chiropracticpurpose #TEDtalk

Dr. Chris Zaino survived terminal illness, Mexican prison, and losing over $1M in one year. Then rebuilt one of the world's largest chiropractic practices using one talk, 100% cash-based model, and an unbreakable mindset. Here's the blueprint he used to turn trauma into purpose.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Chris Zaino built Abundant Life Chiropractic into a mega-practice using a single talk that converted patients from symptom-based care to lifetime nervous system care. Despite winning Mr. America and appearing on magazine covers, he battled terminal ulcerative colitis and learned that health isn't how you look or feel, it's how you function. That lesson became the core of his 45-minute talk that he delivered thousands of times.

In this episode, Chris breaks down the exact structure of "the talk" (consult turned stage presentation), how he reframed health from symptoms to function using the nervous system hook, and why storytelling sells in a commodity world. He explains his 100% cash-based model ($4,200 care plans 15 years ago), how he pre-framed price objections, and the shift to lifetime care through membership models that made chiropractic a "utility" like electricity.

Then we dive into his darkest chapter: Mexican prison for 21 days, losing $1M+ in a Ponzi scheme, and $350K in practice losses all in one year. Chris shares the value-as-currency lesson he learned in prison, how he rebuilt after total loss, and why he's grateful for the trauma that stripped him to nothing. His final challenge: answer three questions (Who are you? Why are you? Where are you?) to find your story and rebuild from truth, not perception.

TIMESTAMPS:

00:00 From Rock Bottom to Rebuild

00:20 Welcome + Dr. Chris Zaino's Wild Origin Story

01:09 The One Talk That Built a Mega Clinic

02:16 Reframing Health: Symptoms to Function

04:28 Using Personal Story to Create Belief

06:10 Why Storytelling Sells

09:24 Authenticity Over Perfection

13:36 In-Person vs Digital Patient Acquisition

16:10 Going 100% Cash-Based

19:52 The Shift to Lifetime Care

23:10 Chiropractic as a Utility

25:31 Why Patients Quit

26:24 Building Culture with Workshops

27:12 Health as a True Priority

28:31 Congruency as Leadership

30:19 Hire Former Patients

34:11 Mexican Prison Lesson: Value as Currency

42:20 Rebuilding After Loss

45:02 Action Steps: Who, Why, Where

48:49 Where to Find Him + Final Reflections

CONNECT WITH DR. CHRIS ZAINO:

Instagram: https://www.instagram.com/drzaino/

Website: https://www.drzaino.com/

Men's Program: https://join.stallionproject.com/demowatch

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/

#chiropracticmindset #chiropracticstorytelling #cashbasedpractice #chiropracticphilosophy #rebuildfromnothing

Dr. Ryan Browning had a record year in 2020 despite COVID tanking his practice by 50% in the first few months. His secret? A wellness-based philosophy and smart niches that complemented chiropractic. Here's his blueprint for adding revenue streams without adding chaos.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Ryan Browning runs Browning Family Chiropractic & Wellness in Kyle, Texas, a seven-figure practice built on wellness philosophy and strategic service additions. When COVID hit, pain-based practices suffered while his wellness approach attracted patients who wanted to strengthen their bodies proactively. Despite losing 50% volume initially, he had a record year in 2020.

In this episode, Ryan breaks down the dental profession analogy (tooth pullers vs preventive care), why wellness practices survived COVID while pain-based practices struggled, and how to attract patients who actually value health. He walks through his "smart niches" framework (two tests before adding anything), easy add-ons like spinal decompression and x-ray-driven education, and why gut health and nutrition matter more than "quick buck" traps.

We dive into the Service Pyramid concept (lead with chiropractic, upsell ethically), permission-based communication for add-ons, and selling quality of life instead of pain relief. Ryan also shares the 3 growth levers (insurance, personal injury, referrals), why you should never let insurance coverage dictate care, and how to land PI cases by making quality obvious to attorneys. His team-building philosophy: give ownership, don't micromanage, and always be recruiting with a 1-in-2 hiring rule.

Ryan's final advice: fix your weakest link, delegate everything you can, and use coaching as jet fuel to speed up growth.

TIMESTAMPS:

00:00 Smart Niches for Chiropractors: What to Add Next

00:17 Welcome + Dr. Ryan Browning's 7-Figure Blueprint

01:00 Wellness vs Pain-Based Care: The Dental Analogy

03:13 COVID Case Study: Why Wellness Survived

05:23 Attracting Patients Who Value Health

07:17 Smart Niches Framework: Two Tests

10:02 Easy Add-On Niches: Decompression + X-Ray Education

11:18 Beyond Adjustments: Gut Health and Avoiding Traps

13:42 The Service Pyramid: Upsell Ethically

16:05 Communicating Add-Ons: Permission-Based Offers

21:18 Selling the Outcome: Quality of Life

22:38 Insurance and the 3 Growth Levers

27:24 Insurance Ethics: Don't Sell from Your Pocketbook

29:40 Landing Personal Injury Cases

30:51 Referrals Without the Awkward Lunch

32:22 Marketing Reality Check: DIY vs Hiring Experts

34:33 Boots-on-the-Ground Growth: Community Trust

36:17 Synergy Partners: Build a Referral Ecosystem

38:21 Team Building That Sticks

41:16 Hiring Playbook: Always Recruiting

43:31 Make Growth Simpler with Systems

45:48 Care Cadence That Works

48:13 In-House vs Outsourced Marketing

52:01 What to Do This Week: Fix the Weakest Link

CONNECT WITH DR. RYAN BROWNING:

Instagram: https://www.instagram.com/chiropractorkyletx/

Website: https://www.browningfamilychiropractic.com/

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/

#chiropracticwellness #smartniches #chiropracticgrowth #wellnesspractice #chiropracticbusiness

Dr. Travis Stewart breaks down the exact math: 40 new patients a month at $3,000 average case value with 70% conversion gets you to $1M. Here's his Facebook ads blueprint, why controllable traffic beats organic, and the entrepreneur mindset that actually sustains seven figures.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Travis Stewart is co-owner of MŪV Chiropractic Health Center in Boulder, Colorado, and founder of Making MŪVS, a digital marketing agency teaching chiropractors how to master Facebook ads. He built a seven-figure practice during COVID by reverse-engineering the math first, then executing on controllable traffic instead of hoping organic would work.

In this episode, Travis walks through his exact $1M formula: $83,333/month revenue requiring 28 conversions at $3,000 LTV, which needs 40 day ones at 70% close rate, requiring $5,320 in ad spend at $190 CAC for a 15x LTV-to-CAC ratio. He explains why Facebook ads beat organic (30,000 eyeballs vs 323), the principle of "serve the market, not your message," and how value vs price creates customer surplus that drives sales.

We dive into his COVID launch story and why the agency hamster wheel fails, how iOS 14.5 changed targeting forever (creative is king now), and the three big benefits of taking ads in-house (quality, margins, sustainability). Travis also breaks down where organic fits (social as a trust-building landing page), the essentials to get started (CRM, speed-to-lead, sales process), and why the entrepreneur mindset matters more than clinical skill when building to $1M and beyond.

TIMESTAMPS:

00:00 Paid vs Organic: 30,000 Eyeballs or 323?

00:21 Meet Dr. Travis Stewart + The Facebook Ads Blueprint

01:04 Reverse-Engineering a $1M Practice: The Math

03:59 Why Facebook Ads First: Controllable Traffic

07:05 Serve the Market, Not Your Message

09:36 Value vs Price in Sales

16:17 His COVID Launch Story: Why Agencies Fail

19:42 iOS 14.5 Changed Everything

24:36 Taking Ads In-House: The 3 Big Benefits

29:25 Where Organic Fits: Hybrid Strategy

37:02 Getting Started Essentials

42:09 The Real Key to Sustaining $1M: Entrepreneur Mindset

47:59 Where to Find Travis + Man in the Arena Closing

CONNECT WITH DR. TRAVIS STEWART:

Instagram: https://www.instagram.com/travis_thechiropractor/

Practice: https://www.muvboulder.com/

Agency/Course: https://makingmuvs.com/

Podcast: The Arena (formerly Making MŪVS)

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/

#facebookadsforchiropractors #chiropracticmarketing #milliondollarpractice #metaads #chiropracticbusiness

Dr. Chad Woolner warns that chiropractors who don't leverage AI correctly will get "completely dominated and left in the dust." But most are using it wrong. Here's his 4-step framework to actually grow your practice with AI, build high-ticket offers, and create content that converts.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Chad Woolner is the CEO and co-founder of Simplified Functional Medicine and Applied Functional Neurology. He runs Align Integrated Medical in Meridian, Idaho, and has been on the forefront of leveraging AI to build practice systems, create content, and develop high-ticket offers that scale.

In this episode, Chad breaks down the two ways people use AI (abdication vs augmentation), why most chiropractors are approaching it wrong, and the "tsunami wave" analogy that explains where we are in the AI shift. He walks through his 4-step AI framework: Brand Identity (mission, vision, values), Aggregation (SWOT, market intel, research), Curation (becoming a solutions curator), and Creation (packaging, pricing, content platforms). We dive into how he uses AI to refine guarantees in minutes, why constraints kill creativity, and the tactical workflows he uses daily (uploading decks, feedback, studies and turning them into action).

Chad also reveals the two biggest high-ticket mistakes chiropractors make (not knowing their numbers and selling modalities like commodities), how to solve the "we're not integrated" problem with partnerships, and why you should stop selling pain relief and start selling the destination. We cover his content engine strategy (long-form podcast episodes, AI repurposing, lead indoctrination), Google PPC benchmarks, and why intentional content beats generic AI floods every time.

TIMESTAMPS:

00:00 AI Warning: Adapt or Get Left Behind

00:15 Welcome + What You'll Learn

01:17 Two Ways to Use AI: Lazy vs Iron Man

04:20 Avoiding Obvious AI Content

05:00 Using AI as Your On-Demand Consultant

05:33 The Tsunami Wave Analogy

06:40 Tactical Workflows: Upload and Turn Into Action

09:36 The 4-Step AI Framework Overview

10:20 Step 1: Brand Identity

12:32 Step 2: Aggregation

13:40 Step 3: Curation

15:52 Step 4: Creation

16:40 Offer Upgrades in Minutes: Real Example

18:11 Constraints Kill Creativity

21:10 Pivot to High-Ticket Services

21:36 High-Ticket Mistake #1: Not Knowing Your Numbers

24:13 High-Ticket Mistake #2: Selling Modalities Like Commodities

26:13 Solve Integration with Partnerships

27:28 High-Ticket Mindset: Charge More by Solving More

29:01 Build a Branded Program

30:56 Packaging, Buy-In, and Placebo Effect

33:26 Stop Selling Pain Relief

37:21 Sell the Destination, Not the Adjustments

39:04 Marketing That Scales: Direct Response + Branding

43:24 Google PPC Benchmarks and Funnel KPIs

45:50 Relevance Content Engine

50:59 Intentional Content Wins

54:31 Where to Learn More

CONNECT WITH DR. CHAD WOOLNER:

Instagram: https://www.instagram.com/drchadwoolner/

Practice: https://alignmeridian.com/

Simplified Functional Medicine: https://simplifiedfunctionalmedicine.com/

Applied Functional Neurology: https://afneuro.com/

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/

#chiropracticAI #highticketchiropractic #AIforchiropractors #chiropracticcontent #practicemarketing

Dr. Paul Shrogin scored in the 97th percentile on the MCATs and was headed to neurosurgery. Then he shadowed neurosurgeons, saw the 90-hour weeks, and chose chiropractic instead. Now he runs a bulletproof practice with 3 income streams (injury, cash, insurance) and the KPIs to prove it's working.

📈 Get Your 2026 AI-Readiness Score: https://chiroxbusiness.com/

Dr. Paul Shrogin runs South Austin Chiro, a practice he bought from his mentor Dr. Lawson using an SBA loan after working there for years. He came from a neuroscience background, aced the MCATs, and was on track for neurosurgery until he realized the lifestyle wasn't what he wanted. Three years into ownership, he's built a resilient practice with multiple income streams, lean operations, and data-driven decision-making.

In this episode, Paul breaks down why he diversifies patient types (injury, cash, insurance) to bulletproof against market shifts, the KPIs that actually matter (visits, mix, referrals, marketing ROI), and how he uses data to reframe "slow" months when feelings lie. We dive into his practice transition story, why staying lean beats growing bloat, and the CEO time blocks he uses for high-impact projects. Paul also shares his hiring tactics (breadcrumb tests, better job titles), how he survived losing a key employee in week one, and why he's not banking on selling the practice for retirement.

His final advice: nail your Google presence, build reviews systematically, and diversify your income streams so one dip doesn't sink the ship.

TIMESTAMPS:

00:00 Why Multiple Income Streams Matter

01:11 Neuroscience to Chiropractic: Why He Switched

01:46 Leaving the Neurosurgery Track

02:48 Ranch Roots and the Chiropractor Who Inspired Him

04:17 Pushback, Stigma, and Proving the Decision

05:33 The Middle Miles of Business

07:24 Director of Ops Lessons

10:38 Staying Lean vs Growing: Avoiding Bloat

13:05 Know Every Part, Then Let Go

15:42 Chiropractic KPIs That Matter

18:46 When Feelings Lie: Using Data to Reframe

22:02 Referral Engine: Patient Experience and Trust

27:47 Practice Transition Story

28:54 Finding the Right Practice Fit

29:44 Business Mentorship: Self-Taught Finance

31:29 Patient Mastery Coaching

32:17 CEO Time: Blocking Big Projects

34:03 Using AI in the Clinic

35:46 Prioritizing Projects: Easy vs Hard, Low vs High Impact

36:52 Hiring A-Players: Screening and Retention

42:26 Tactical Hiring Hacks

45:03 Losing a Key Employee Week One

48:53 Buying the Practice with an SBA Loan

51:18 Making the Practice Sellable (or Not)

54:44 Final Takeaways: Google, Reviews, SEO, Multiple Streams

CONNECT WITH DR. PAUL SHROGIN:

Instagram: https://www.instagram.com/southaustinchiro/

Website: https://www.southaustinchiro.com/

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/

#chiropracticbusiness #multipleincomstreams #chiropracticKPIs #practicetransition #leanoperations