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Hosts Dr. John Reuter and co-host Dr. Kendall Price share a practical four-part plan for chiropractic practices preparing for year-end and Q1 2027: care for the team, strengthen the business, plan taxes with a CPA, and review marketing. They also show how seasonal patient events and community giving can make the practice experience more memorable. Keywords chiropractic practice management, year-end planning, practice marketing, tax planning, team appreciation, patient engagement, practice growth Key topics Dr. Kendall Price lays out four planning categories: self, practice and team; business; taxes; and marketing. Plan team appreciation early, from gifts and bonuses to holiday dinners or gatherings that suit the team's style. Avoid coasting or postponing business decisions until January; use the remaining year to set goals and implement plans. Review leads, patient arrivals and care-plan starts, then use KPIs and year-to-date results to guide marketing decisions. Price compares marketing to investing: consistency and long-term averages matter more than reacting to short-term fluctuations. Discuss tax planning with a qualified CPA before year-end; Price mentions Section 179 and prepaying services as topics to review with a tax professional. Consider practical practice improvements, such as equipment or refreshing the office environment, when they fit the plan. Create memorable patient experiences through seasonal events, including pumpkin-pie giveaways, ugly-sweater contests and a community giving tree. Reuter describes how his team supported him through burnout and emphasizes recognizing the people who help sustain the practice. Takeaways I'm gonna put this into four categories. The best time to do it was a year ago. The next best time is right now. You have to move with speed and intentionality. If you don't have the data, you're just reacting based on emotion, based on gut feeling, and based on vibes. You need to base decisions on numbers, on metrics. What we care about is the averages. Have fun with your patients. Make sure you're having fun in your practice. Key frameworks Four year-end planning categories: self/practice/team, business, taxes and marketing Attraction, retention and conversion of patients Marketing performance tracked through leads, office visits and care starts Sound bites "The next best time is right now." "Have fun with your patients." "give back to your community" Chapters 00:00 Why November is the time to prepare for 2027 02:05 Four categories for year-end practice planning 03:07 Set goals now instead of coasting into January 04:33 Tax planning and year-end purchases to discuss with a CPA 06:07 Why successful practices make decisions quickly 09:06 Use KPIs, not vibes, to choose your next moves 11:03 Measure marketing and give it time to work 12:01 Review taxes, business investments and the office environment 14:23 Recognize your team and make the holidays enjoyable 15:58 Use patient events and giving to build community

This episode emphasizes the importance of supporting and investing in your state chiropractic association. Dr. John and Dr. Kendall discuss how these organizations protect your rights, foster community, and drive professional growth, especially for subluxation-based chiropractors. Keywords chiropractic, state associations, professional growth, community, advocacy, subluxation, chiropractic politics, Illinois, COVID-19, lobbying Key topics The role of state associations in legislative advocacy The importance of community and camaraderie among chiropractors How associations help during crises like COVID-19 Differences between large and small state associations The impact of funding and resources on association quality Encouraging chiropractors to get involved and give back The significance of subluxation-based organizations Strategies for strengthening local chiropractic communities Takeaways Supporting your state association helps protect your practice rights. Community and camaraderie are vital for chiropractor well-being. Involvement in associations can influence legislation and policy. Small, subluxation-based associations are powerful and resourceful. Active participation ensures the organization serves its members effectively. Sound bites "We protect your billing and your rights" "You're not alone in what you're going through" "Support your state association to protect your practice" Chapters 00:00 Introduction and episode overview 02:04 Legislative protection and advocacy during COVID-19 04:55 Voluntary nature and skin in the game in associations 07:20 The quality of conferences and education in associations 08:19 Finding and supporting subluxation-based organizations 09:40 The role of leaders and big names in chiropractic 11:56 Growth and self-improvement within associations 12:54 Getting involved to improve your community 15:47 The impact of lobbying and funding during COVID-19 16:51 Call to action: support your local association

This episode explores the importance of service over revenue in chiropractic practice, emphasizing how reconnecting with the core purpose can lead to greater success and fulfillment. Keywords Chiropractic, Service, Revenue, Practice Management, Patient Care, Burnout, Leadership, Mindset, Business Success Key topics The importance of service over revenue in practice How burnout affects chiropractors and solutions Recalibrating practice focus towards patient care Using team culture and communication to reinforce service The role of leadership and mindset in practice success Takeaways Focusing on service helps prevent burnout and increases fulfillment. Recalibrating your practice around patient care can improve outcomes. Celebrating wins and sharing success stories boosts team morale. Aligning your practice with core values attracts more patients. Taking time for introspection can realign your purpose and passion. Sound bites "Money is not evil, the love of money is." "The more disciples you create, the more your practice grows." "Caring for your team and patients is acts of service." Chapters 00:00 Introduction: The importance of service in practice 00:24 Balancing service and revenue in entrepreneurship 01:20 Reigniting the fire for patient care 02:00 Making decisions based on values and service 03:45 The impact of focus on patient care and practice success 06:10 The role of systems and over-delivering in service 07:25 Burnout signs and the importance of service-centered practice 10:20 Creating a culture of service and celebration 15:01 Using internal communication to reinforce wins 21:25 Signs of burnout and how to recover 23:25 The power of service in transforming practice and life

Summary In this episode, Dr. John Reuter and Dr. Kendall Price explore the importance of coachability, adaptability, and effective implementation in building a successful chiropractic practice. They discuss how embracing change and learning from experience can lead to sustained growth and success. Keywords coaching, adaptability, practice growth, implementation, chiropractic success, business systems, self-reflection, digital marketing, leadership, continuous improvement Key topics The importance of coachability and listening to advice Adapting to changing industry landscapes and technology The difference between practice and business systems The significance of self-reflection and continuous learning Strategies for effective implementation and follow-through The analogy of the practice as a duck with paddling feet Overcoming analysis paralysis and taking action The importance of foundational systems before scaling Building trust and rapport with patients and staff The mindset shift needed for long-term success Takeaways Coachability is the key to adapting and thriving in a changing industry. Successful practices focus on implementing systems, not just ideas. Self-reflection helps identify disjointed areas in practice and business. Building a solid foundation is essential before scaling. Embrace change and take calculated risks to grow. Sound bites "If you're not willing to be coached, you won't succeed" "Chaos can be tamed with filters and discipline" "Your practice is the duck, the business is the feet" Chapters 00:00 Introduction and episode overview 00:28 Defining coachability and its importance 01:07 The success difference between coachable and non-coachable practices 02:07 Adapting to industry changes and avoiding complacency 03:12 The chaos of entrepreneurship and the need for filters 04:34 Processing information and overcoming analysis paralysis 05:33 Building Rome one step at a time 06:30 Implementation challenges for veteran doctors 08:00 Taking leaps of faith in new initiatives 09:13 The importance of systems and execution 10:37 The practice as a duck and the business as paddling feet 12:20 Stabilizing the foundation before scaling 14:43 The role of filtering and tweaking systems 15:40 Self-reflection and continuous learning 16:36 Creating margin in life, practice, and business 17:42 Distinguishing practice from business 18:39 Investing time in all aspects of practice and business 19:15 The value of self-evaluation and learning from success 20:15 Encouragement to implement and engage 21:13 Closing remarks and call to action

In this episode, Dr. John Reuter and Dr. Kendall Price discuss strategies for chiropractors to effectively plan for the fourth quarter and set up for success in the new year. They emphasize the importance of mindset, team management, financial review, and long-term goal setting. Keywords chiropractic practice, business planning, team management, financial strategy, goal setting, burnout, marketing, practice growth Key topics Quarter 4 planning and strategy Team ownership and responsibility Financial review and budget optimization Long-term goal setting and vision Burnout prevention and motivation Marketing review and ROI analysis Importance of team culture and accountability Adjusting goals based on realistic expectations The power of small tweaks for big results Maintaining passion and purpose in practice Sound bites "Small tweaks can have the biggest impact" "Not having crucial team conversations costs money" "Practice growth is a long-term process" Chapters 00:00 Introduction and episode overview 02:28 Aligning your vision with your daily actions 03:26 Financial review and cutting wasteful expenses 04:34 Setting long-term goals and making small adjustments 05:02 The impact of team ownership and responsibility 06:58 The value of having honest conversations with your team 07:56 Identifying and developing A, B, and C players 09:20 The cost of not having crucial team conversations 10:39 Revising goals to match reality and capacity 11:09 Focusing on service and purpose over ego 12:52 Celebrating long-term patient relationships 14:19 Staying present and appreciating current patients 16:12 Reigniting passion and purpose in your practice 18:44 Reflecting on success and building for the future 19:52 Understanding the long-term nature of practice growth 21:06 Analyzing past marketing efforts for future success 22:28 Budgeting and ROI analysis for marketing strategies 23:23 Thinking long-term and building for the future 24:50 The importance of vision and purpose in entrepreneurship 25:07 Closing thoughts and encouragement for practice owners

In this episode, Dr. John Reuter and Dr. Kendall Price discuss how to build a practice that can run independently of the owner. They share practical strategies for systematizing operations, creating SOPs, and developing leadership within your team to achieve greater practice freedom. Keywords chiropractic practice, systems, SOPs, team leadership, practice management, automation, training, delegation, KPIs, practice growth Key topics Importance of systems and SOPs in practice management Step-by-step process for creating effective SOPs Using AI tools to automate and document tasks Training team members for independence and accountability Tracking KPIs to optimize practice performance Building a leadership culture within the team The importance of documentation for onboarding and training Testing your practice's independence by leaving for 30 days Chapters 00:00 Introduction and topic overview 00:30 The importance of dialed-in systems for practice growth 01:25 Scaling with an associate and systematizing operations 02:11 Key steps to successfully onboarding a new team member 04:23 Creating SOPs through team member role documentation 05:51 Using AI to automate and streamline tasks 07:36 Training manuals and granular documentation for onboarding 08:34 Handling practice challenges through documentation and systems 11:21 Rapid onboarding of new associates with systems in place 12:53 Tracking KPIs and building a management culture 17:45 The ultimate test: leaving your practice for 30 days 22:28 Practice as an asset and the importance of systems 25:07 Personal experiences with practice transition and independence 26:34 Creating leaders through ownership and accountability 27:16 Closing remarks and resources for chiropractors

In this episode, Dr. John Reuter and Dr. Kendall Price explore the complexities of growth in chiropractic practices, emphasizing the importance of aligning growth with personal and business vision, and the pitfalls of scaling too quickly. Keywords chiropractic practice, business growth, scaling, practice management, entrepreneurship, revenue, profit, multiple clinics, leadership, work-life balance Key topics The impact of growth on personal life and practice quality How to evaluate if growth is the right next step The importance of understanding profit margins and cash flow Challenges of scaling multiple clinics successfully Leadership and systems needed for multi-location practices The role of vision in guiding growth decisions Work-life balance considerations for practice owners The significance of hiring the right team and systems Takeaways Growth can negatively impact life if not aligned with personal vision Understanding profit margins and cash flow is crucial before scaling Most successful multi-location practices are run by CEOs, not clinicians Scaling should be done with strong systems and leadership in place Regularly revisiting your vision helps stay on track Family time and personal life should guide growth decisions Hiring the right people and systems is key to successful expansion Growth should be intentional, not just for revenue increase Sound bites "Growth can shoot you in the foot because we get hungry" "Understanding profit margins and cash flow is crucial" "You only scale as far as your best team member" Chapters 00:00 Introduction to growth challenges in chiropractic practices 02:20 The importance of aligning growth with personal vision 03:44 Understanding profit margins and cash flow 04:38 The pitfalls of expanding multiple clinics 07:04 Skills required for practice growth and scaling 08:33 The role of leadership and systems in multi-location success 10:33 Balancing growth with family and personal life 13:27 The importance of vision and recalibration 15:03 Final thoughts on intentional growth and staying present

In this episode, Dr. John Reuter and Dr. Kendall Price discuss the importance of viewing revenue as a vanity metric and focus on profitability and systematizing financial management in chiropractic practices. They share practical strategies for managing overhead, marketing investments, and tracking financial data to maximize practice success. Keywords chiropractic practice, revenue, profit margins, overhead management, marketing ROI, financial systems, practice growth, profitability, practice management, business systems Key topics Revenue as a vanity metric Profit margins and overhead management Macroeconomic impacts on practice growth Strategies for reducing overhead costs Using data and AI tools for financial analysis Balancing growth expenses with operational efficiency Marketing as an investment, not an expense Systematic financial review routines Takeaways Revenue should not be the sole success metric in a practice. Understanding and managing overhead is crucial for profitability. Use data analysis tools to identify and cut unnecessary expenses. Marketing should be viewed as an investment that drives growth. Regular financial review routines help maintain control over expenses. Practice owners should differentiate between growth and operational expenses. Making strategic decisions about office space and investments impacts long-term profitability. Creating a system for tracking financial metrics leads to better decision-making. Chapters 00:00 Introduction to revenue as a vanity metric 00:29 Why focusing only on revenue can lead to burnout 01:28 The impact of macroeconomics on practice growth 02:50 Adjusting practice growth strategies in changing markets 04:07 Overhead management and the challenge of scaling 05:34 Clawing back expenses and managing marketing spend 06:43 Differentiating growth expenses from operational costs 08:15 Making strategic office space and investment decisions 10:13 Creating a system for financial tracking and analysis 15:03 Using AI and data tools to optimize expenses 20:01 The importance of routine financial review 21:10 Practical tips for expense reduction and efficiency

Summary In this episode, Dr. Kendall Price and Dr. Mark Mao discuss the importance of maintaining a lean practice, the role of personal touch in chiropractic care, and how virtual assistants can revolutionize practice management. They explore the benefits of hiring overseas virtual staff, the importance of systems in hiring, and how to leverage technology while preserving the human element. Keywords chiropractic practice, virtual assistants, hiring, practice management, systems, personal touch, overseas staff, team building, AI, compliance Key topics The importance of a lean practice and avoiding bloat The impact of COVID-19 on practice growth and culture The limitations and potential of AI in healthcare How virtual assistants can save costs and improve efficiency The process of hiring and assessing virtual staff Compliance and regulation considerations for overseas staff Building a strong team culture with virtual support The financial benefits of virtual staff compared to local hires Takeaways Maintaining a lean practice is crucial for efficiency and quality of life. Personal touch remains vital in chiropractic care despite technological advances. AI is not yet capable of replacing the human element in healthcare. Virtual assistants, especially overseas, can significantly reduce costs and increase productivity. A systematic hiring process, including assessments, improves the quality of virtual staff. Compliance and proper onboarding are essential when hiring overseas virtual staff. Building a positive team culture with virtual support enhances retention and service quality. Practices can save thousands of dollars annually by using virtual staff instead of local employees. Sound bites "Chiropractic is always going to be personal touch." "AI can't replace the innate intelligence inside of us." "Hiring the right virtual staff saves time, money, and stress." Chapters 00:00 Introduction and guest overview 00:33 Dr. Mao's background and practice overview 02:45 The importance of a lean practice 04:22 The role of personal touch in chiropractic care 05:08 AI in healthcare and its limitations 07:29 Introduction to virtual assistants and their benefits 08:04 The genesis of Cairo Matchmakers 09:24 How virtual assistants are selected and assessed 10:48 The cost-effectiveness of virtual staff 12:11 Building a positive team culture with virtual staff 13:18 The importance of proper hiring systems 16:07 Testing and assessing virtual staff 18:00 Local vs overseas virtual staff 21:01 Compliance and regulation considerations 23:54 The value of virtual staff in practice management 27:16 Final thoughts and contact information

In this episode, Dr. John Reuter and Dr. Kendall Price explore the differences between lifestyle and growth chiropractic practices. They discuss how to define your practice goals, the challenges of each approach, and how personal life stages influence practice decisions. Keywords chiropractic practice, lifestyle vs growth, practice management, business strategies, work-life balance, chiropractic success, practice growth, practice lifestyle, entrepreneurship, chiropractic tips Key topics Differences between lifestyle and growth practices How personal life stages influence practice choices Strategies for building a profitable practice The importance of defining practice goals Challenges of scaling a chiropractic business Work-life balance in chiropractic The role of systems and leadership in growth Financial considerations and profit margins Practice planning for long-term success Sound bites "Your life stage should influence your practice goals." "Revenue is often sixth or seventh on your list." "Ask yourself if the juice is worth the squeeze." Chapters 00:00 Introduction to Practice Types and Goals 01:19 Personal Stories and Practice Aspirations 02:28 Defining Lifestyle Practice Characteristics 03:49 Growth Practice Dynamics and Volume 05:10 Life Stages and Practice Goals 07:29 Aligning Practice with Personal Values 09:16 Vision Casting and Future Planning 11:13 Priorities Beyond Revenue 13:23 Challenges of Scaling Practices 15:29 Importance of Clarity and Planning 17:55 Investing in Systems and Leadership 19:58 Advice for New Chiropractors 21:25 Practice Growth and Personal Fulfillment 23:56 Planning for Retirement and Practice Transition 24:33 Closing Remarks and Final Tips

In this episode, Dr. John Reuter and Dr. Kendall Price explore the importance of systems, prioritization, and team management in chiropractic practice. They discuss how to categorize tasks using the urgent and important quadrangle to reduce burnout and improve office culture. Keywords chiropractic, systems, team management, urgent important quadrangle, office culture, burnout prevention, leadership, workflow, productivity, practice management Key topics The urgent and important quadrangle and its application in practice The role of systems in managing office workflow and culture Strategies to prevent burnout and micromanagement How to prioritize tasks effectively in a busy practice The impact of leadership and team edification on office performance Takeaways Most office issues fall into the urgent and important categories, but not everything needs immediate attention. Implementing systems allows for quick decision-making and reduces micromanagement. Regular review of KPIs and team performance fosters a positive culture and continuous improvement. Delegating and coaching based on system data enhances team performance and morale. Practicing patience and letting go of non-urgent tasks can improve overall office health. Sound bites "Most office issues are urgent and important, but not everything." "Systems run a business, and people run systems." "Micromanaging destroys office culture and morale." Chapters 00:00 Introduction to the topic of systems and office management 00:27 The importance of prioritization and the urgent-importance quadrangle 01:17 Story of backup and analogy to practice management 02:05 Common mistake: treating everything as urgent and important 03:43 The role of systems and structure in decision-making 05:34 Visualizing the quadrangle: urgent vs. important tasks 06:01 Examples of urgent and non-urgent tasks in practice 07:14 Implementing systems for time off and task management 08:07 The power of systems run by people and coaching 09:36 Using post-it notes to manage emotional reactions and systematize 10:31 Self-awareness and leadership in practice management 12:20 Reviewing KPIs and team performance for growth 14:34 Controlling the narrative: ownership and accountability 15:29 Impact of micromanagement on culture and morale 16:54 Creating hierarchical decision-making systems 17:49 Examples of categorizing urgent and important tasks 20:04 The importance of systems in practice success 21:08 Breaking down office flow into smaller systems 22:08 Final thoughts: stress reduction and practice growth

Explore five actionable strategies to combat burnout in chiropractic practice, featuring insights from experienced practitioners Dr. John Reuter and Dr. Kendall Price. Key Points: Understanding Burnout: Recognize signs like emotional exhaustion and depersonalization.Build a Supportive Community: Connect with fellow chiropractors for shared experiences and support.Embrace Your Purpose: Reconnect with your core values and mission.Focus on the Basics: Master foundational skills and celebrate small wins.Prioritize Self-Care: Engage in activities that nourish your well-being.Seek Professional Guidance: Consider coaching for new perspectives and skills.Signs of burnout in chiropractorsBuilding a support networkImportance of self-careBenefits of coachingKey skills for chiropractorsRelated post on stress management techniquesAmerican Chiropractic Association resourcesConclusion:Burnout doesn't have to dictate your career. Implement these strategies to thrive in your practice and celebrate your progress. Hashtags: #ChiropracticCare #BurnoutPrevention #SelfCare

Summary In this episode, Dr. John Reuter and Dr. Kendall Price discuss the importance of tracking numbers in a chiropractic practice. They explore how data-driven decisions can improve practice efficiency, profitability, and patient care, emphasizing the value of coaching and self-investment. Key topics Importance of tracking practice numbers Using KPIs to improve team performance Seasonality and comparing practice data The role of coaching and self-investment Data-driven decision making in healthcare practices Practice profitability and efficiency Patient retention and conversion metrics Implementing systems for tracking and accountability Sound bites "People lie, numbers don't." "In your office, you're just guessing without numbers." "Blind spots in your practice can be costly." Chapters 00:00 Introduction to Tracking Numbers in Practice 00:27 How AI Enhances Data Analysis in Clinics 01:22 The Role of Numbers in Practice and Personal Growth 02:16 Tracking KPIs in Your Practice 03:14 Understanding Call Center Metrics and Efficiency 05:08 Key Practice KPIs: Leads, Bookings, and Retention 06:01 Simplifying Practice Metrics for Better Insights 07:26 The Importance of Consistent Data Review 08:53 Using Numbers to Identify Practice Leaks 09:23 The Value of Tracking for Practice Success 12:42 The Impact of Data on Practice Profitability 13:11 The Analogy of Driving Without a Speedometer 14:08 The Role of Coaching and External Help 16:11 Investing in Yourself and Practice Growth 18:23 The Future of Chiropractic Practice and Data 21:16 Final Thoughts on Practice Data and Success Keywords chiropractic practice, tracking numbers, KPIs, coaching, practice growth, data-driven decisions, profitability, patient retention, practice management

Summary In this episode, Dr. John Reuter and Dr. Kendall Price explore the impact of AI on chiropractic practice, marketing, and office efficiency. They discuss practical applications, limitations, and the importance of human connection in healthcare. Keywords AI, chiropractic, practice management, marketing, automation, healthcare, digital marketing, virtual assistants, SOPs, privacy Key topics AI's role in practice efficiency and automation Limitations of AI in healthcare and marketing Maintaining human connection in a digital age Using AI for SOPs and repetitive tasks Privacy and data security concerns with AI Takeaways AI can assist with repetitive tasks like double-checking notes and creating SOPs, freeing up staff for more patient-focused activities. AI is not a replacement for human connection and hospitality in healthcare. Effective use of AI requires monitoring, understanding algorithms, and managing expectations. Practitioners should focus on their core expertise and use AI to support, not replace, human skills. Data privacy and compliance are critical when implementing AI tools. Titles AI in Chiropractic Practice: Opportunities and Limitations How Chiropractors Can Use AI to Enhance Efficiency Sound bites "AI can make us more efficient but won't replace people" "The more human connection, the more your practice stands out" "Can AI do it well enough to meet expectations?" Chapters 00:00 Introduction and episode overview 00:55 AI's impact on chiropractic and digital space 02:02 Misunderstandings about AI capabilities 03:22 Practical uses of AI in practice management 04:45 Limitations and realistic expectations of AI 06:09 AI and human connection in healthcare 08:33 Using AI to create and automate SOPs 10:28 Automating mundane tasks to improve efficiency 12:23 Maintaining quality and personal touch in practice 14:54 AI in digital marketing and advertising 17:23 Expectations vs. reality in AI marketing tools 19:47 Choosing expertise over DIY AI marketing 23:52 Final thoughts on AI adoption in practice

Summary In this episode, Dr. John Reuter and Dr. Kendall Price discuss the importance of retention, hospitality, and understanding your practice's numbers to build a sustainable and successful chiropractic business. They share practical insights on overdelivering on patient care and emotional connection to enhance loyalty and lifetime value. Keywords Chiropractic, Patient Retention, Hospitality, Business Success, Lifetime Value, Practice Management, Marketing, Patient Care, Emotional Connection, Practice Growth Key topics Patient retention as a key to practice sustainability The role of hospitality and emotional connection in patient loyalty Calculating and leveraging lifetime value for marketing and growth The importance of understanding practice metrics and numbers Strategies for overdelivering on patient care and experience Takeaways Retention is the heartbeat of a sustainable practice. Overdelivering on hospitality creates emotional loyalty. Calculating lifetime value helps optimize marketing spend. Happy patients who feel cared for return and refer. Understanding your numbers reduces emotional decision-making. Titles The Secret to Chiropractic Success: Retention & Hospitality How to Build a Sustainable Practice with Patient Loyalty Sound bites "Retention is the heartbeat of the practice." "Flowers and genuine care bring patients back." "Understanding your numbers makes practice management easier." Chapters 00:00 Introduction to Practice Growth and Hospitality 01:52 The Formula for Practice Sustainability: Resignations and New Patients 04:14 The Importance of Retention in Practice Success 06:00 Creating Emotional Connections Through Hospitality 07:59 Understanding and Calculating Lifetime Value 12:48 The Impact of Personal Care and Gestures on Patient Loyalty 15:11 Marketing, Advertising, and Long-Term Practice Planning 17:06 Key Takeaways and Final Thoughts on Practice Success