Recently, I was having a conversation with a chiro student who stated, "I was told that most high-volume practices aren't very profitable because it takes such a big team to run them and they usually don't charge as much as other practice models."

***My response + rebuttal (aka actual experience instead of theory), "Well, how could they afford such a large + impactful team if they weren't wildly profitable and charged the exact right amount with their fees?"

I don't speak to profit or money much at all in this group, but I'm feeling a bit compelled to do so more and more here lately as the chiropractic profession seems to have a tougher time with true business metrics, math , and money... because we get just poor advice from those who purport to be business + financial experts, but just maybe aren't there yet themselves. So in turn, the confusion and subluxated realities get passed down and spread around.

Here are my 3 foundational takes on profit that have fueled me and served me...

Nothing fires me up more than connecting with them.Knowing that I can help to instill confidence and share tried and true TRUTHS with them right out of the gates so they never have to “start over” makes my heart sing with JOY!!!

Here are my top 7 pieces of advice for students and startups….

1. You don’t have to start small. Plan to succeed and work that plan.
2. You can be all cash. Cash-based care is the MOST patient-centric care because no extra “cooks in the kitchen” are disrupting the doctor/patient relationship.
3. You can be wildly successful right away.
4. You can see “only kids and families” while still absolutely crushing practice.
5. You don’t have to offer anything else besides chiropractic. Chiropractic is MORE THAN ENOUGH to achieve mind-blowing outcomes and profitability!
6. Team is a necessary INVESTMENT, not a luxury or negotiable expense!
7. You need a great chiropractic community; we have enough chiropractic...

Please take 5 minutes to read :

Compared to getting moms + kids under real neurologically-based chiropractic + wellness care, dads are freaking tough.

They think different, operate different, and just flat out are vastly different. And as a result, they can be tougher to connect with + convert into care if you don't take the right approach.

Unfortunately, most of my early mentors in my Pediatric Cert + Training programs had spent their entire careers making the same mistake we would for the first phase of PWC, and they just gave up on dads.
They made excuses (their "too skeptical" or "too medical") and said they'd never get it.

And the worst + weakest of these early mentors and colleagues I was exposed to would even call then names and make fun of them.

Then about 7 years ago we were about to launch a Father's Day internal referral special and our team got together and collectively got our head out of you know what!

We made a commitment that June to completely switch over from our weak...

Looking back on the last 7.5 years I can think of many times that a family called to get information but didn’t book right away. Or called and booked but then had a change of heart only to call back again months later to make an appointment. I can even think of many families who came in a couple of times for a Day 1 & 2 but did not start care.

But eventually, they come back and stay for good. They do it when they are ready. When the struggle has gotten to be too much. When they can no longer tolerate more of the same each day. When OUR VOICE is the loudest voice in the room. When they dare to dream in a way that they have not done in a really long time, if ever.

That there is Hope..
That there are Answers…

That WE CAN HELP!

It’s natural to feel disappointed when a family doesn’t start care but at the same time it’s the best damn fuel there is to be obsessed with delivering the highest level of clinical care possible.

And to never stop creating...

Here are the Top 10 Things We See Costing You Money (that you think are saving you money):

1 Having no staff to help with scheduling, office systems, etc.
2 Having low-quality staff instead of A+ players only
3 Buying a used, old INSiGHT or X-ray unit
4 Using the cheapest EHR possible
5 Running your own INSiGHT Scans
6 Doing your own Financial ROFs
7 Not spending money on social media (team, running ads, etc.)
8 Renting a smaller space that you’ve already outgrown or soon will
9 Buying cheap tables, furniture, and office decor
Using YouTube + Podcasts to piece together your mentorship + strategic planning

Please know there is zero judgment to anyone who’s done a single one of these things, or all ten. You likely were taking action on advice that seemed legit and logical at the time.

Important heads up here — if you take advice from folks who’ve never actually built anything really, actually BIG… then even the best advice they have to offer can only take you...

This week, we had a Facebook Reel we made on the PXDocs page of my son's story go viral. In the 8 years he’s been under chiropractic care, 7 of those I have been on the team, we have told his story many, many times. It’s been viewed 1 million times, with over 3k likes and many shares. My heart is swelling with Joy, thinking of all the people who can’t unknow what they now know after seeing it.
It truly never gets old knowing that I have shared Hope, Answers & Help with someone who needs it.

Chiropractic always gets to be the hero of his story because it is just that.

Every write up, Reel, interview, video, new patient phone call…literally every time I share his powerful story of healing and restoration, I know I am making a massive deposit into the future of the people listening.

It’s wild to me that we always get comment after comment from parents who don’t even know that chiropractic can help or that we even exist at all.

I/we are absolutely...

There are two important questions‍ to ask ourselves whenever we are evaluating our systems and procedures.

Am I setting myself up for growth with this system etc?
Am I building my systems with longevity in mind?

Why are these questions important? Because there are few absolutely NOT answers to those questions that must be avoided at all costs if the growth of your practice and impact are your goals.

1. Running as a solo doc/no CA office
2. Manually running/posting payments….no auto-debits, EHR/payment system integration
3. Using paper systems like travel cards, patient document hard copies instead of digital, etc
4. Manually maintaining ledgers/charges/care plans
5. Docs performing scans and presenting your own financials

The great news is that the answer to fix these things is insanely simple: automation and people.

These are both absolutely non-negotiable. Here’s why…

If we wait until we can “afford it” to hire a CA to run our systems, we immediately set...

Each + every day we are dialed in with the best of the best when it comes to social media marketing, from Instagram to Facebook to YouTube to SEO… we’ve got unheard-of access to top experts and folks with insane levels of experience and literal, actual social cred.

We’re talking millions of not just followers, but actual engagement + action… and they do it again and again consistently.

These people are making real, massive impact… and they know their stuff.

When you jam with anyone + everyone who knows their stuff outside of chiropractic, and ask them if it’s “good” to go viral or not… they first look at you like you have 3 heads, and then they question why they have to even be asked this question in the first place. ‍

IT’S GOOD TO GO VIRAL FOLKS. WRITE THAT ONE DOWN.

No local mom is upset when her kid gets to go see a doctor that is internationally known and recognized.

No family feels bad when they’re patients...

This is always the time of year that Perfect Storm parents Hope this will be THE year.

They hope that making friends, going through transitions, and sitting in a classroom all day won't be as hard for their kiddos as it has always been.

They dream that their child will be able to advocate for themselves and that they will be able to regulate when they need to calm down.

That meal and bedtimes won’t be a battle royale.

That they bought all the right clothes and shoes to avoid meltdowns while getting ready.

That they will be seen and heard for the amazing kid they are and not their diagnosis.

That the label of being the “bad or weird kid” is a part of their child's past.

That they have all the right accommodations and supports in place.

That the parent shaming, guilt, mental and emotional load that comes with being a Perfect Storm parent is over.

That their child can finally be happy and relaxed in their own body.

For all these things they dream of, the answer is...

When it comes to starting up a wildly successful + impactful Pediatric, Prenatal, and Family Chiropractic practice in today’s world — there are 6 Core Elements you need to be aware of and take massive action towards.

If you miss out on a single one of these, it tanks the whole thing.

If you’re in the season of starting your practice, soon will be, or recently did and want to keep the momentum up… grab your pen and get ready to take some notes because no one teaches this stuff like Dr. Tony!

Having successfully mentored almost 500 Pediatric Chiropractic startups over the last 10 years, this is not his first rodeo in the space… and the combination of ‘Truth + Targeted Action’ you’ll learn from Dr. Tony and Team PX is truly best in class!

When you’re done and you’ve got your next steps dialed in, please share with another classmate or startup colleague who could also use these core elements!

Don't forget to join our...