You can have a high-volume, high-impact, large team, that's also wildly profitable

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 3️⃣ foundational takes on profit that have fueled ⛽️ me and served me extremely well for 15+ years now:

1. Don't ever be profit first, always be people + impact 💥 first.

Those that chase money 💰 and status over impact + service to others may achieve some success for a short bit, but they'll be found out, exposed, and burnt out in very short order after.

2. Profit isn't just financial. 

Are you serving only the patients you truly want to, or are you still taking on back + neck pain, PI, etc. because they are a "profit center" for your practice? Are you adding other services and quickly becoming a nail 💅 salon or IV center all so you can make more money, or are you sticking to your principles and mentally + emotionally "profitable" as well!

3. Do you provide + convert actual, proper care plans that they then complete ☑️ as scheduled + on time?

By far + away the most high overhead part of your practice is getting new patients in the door and converting them into care. Being able to get nearly 💯 of your patients to complete their initial care plans on time, bring their whole family and other friends in for care, and then convert to lifetime wellness care and stay there for years on end is where true profit comes from in practice... because it's where true IMPACT (there it is again) happens for THEM.

If your care plans are weak, your conversions + completions percentages are weak, and your transition to wellness + retention are weak... yes you'll have to raise fees again and again to compensate for these weaknesses in your game.

PS. Don't mistake any of my commentary for thinking our fee schedule is "low" by any means. We have patients fly ✈️ into our practice from all around the world 🌎 and pay $100 per adjustment and $300 per scan, because we deliver that exact (actually way more) value to them.
So know this tribe... you truly can have it all! *

You can have a high volume, high impact, large team, wildly profitable practice of your dreams! You've just got to ignore the advice of those who've never actually done it, and learn it from those who have!