As the cost of groceries, housing, insurance, gas and practically everything else continues to climb, people are making different decisions about where their dollars go. Some of your chiropractic patients are genuinely struggling financially. Others have plenty of money but are becoming more selective about how they spend it. Then, you have a portion who aren't feeling the pinch much at all. The mistake is assuming everyone is in the same financial situation.
However, here's something I've saying for years.
If 100% of your income depends on patients walking through your office doors, you're leaving yourself financially vulnerable, especially during uncertain economic times.
Now, in no way am I suggesting you abandon your practice or stop focusing on patient care. Quite the opposite. You need to start thinking like an entrepreneur who happens to be a chiropractor instead of a chiropractor who happens to own a business.
There's a BIG difference.
Your knowledge, relationships, reputation and professional experience have value beyond the four walls of your practice. Here are some ways to increase profitability and diversify your income:
1. Corporate wellness programs. Local businesses have employees dealing with neck pain, back pain and workplace-related physical stress. Develop educational workshops, ergonomic training or wellness partnerships with employers.
2. Add complementary cash-based services. Depending on your philosophy, training, state laws and patient needs... services like spinal decompression, therapeutic exercise programs, brain health, neuropathy or other appropriate offerings could create additional revenue opportunities.
3. Monetize your knowledge. You've spent years learning about the human body, health and wellness. Educational courses, workshops, speaking engagements, books, and membership sites can create revenue without requiring another patient visit.
4. Build a recurring revenue model. Appropriate wellness memberships, educational subscriptions or other legitimate continuity programs can help create more predictable monthly cash flow. Just make sure the services deliver real value and comply with applicable rules.
5. Build a personal brand outside your practice. Social media, YouTube, podcasts, joint venture partnerships, ChatGPT ads and email marketing can position you as an authority. That audience can eventually open doors to speaking, consulting, education, and other business opportunities.
6. Invest in assets outside chiropractic. Real estate, businesses and other income-producing investments can eventually provide cash flow that doesn't depend on how many patients you adjust that week.
Also, don't forget the other side of profitability.
Sometimes you don't need more revenue. You just need to stop hemorrhaging money through unnecessary overhead, inefficient systems, poor follow-up and marketing that produces little return.
A chiropractor collecting $70,000 monthly and keeping $35,000 is in a much better financial position than one collecting $100,000 and keeping $20,000.
Collections are a vanity metric. Profit trumps all.
Chiropractors should be among the most entrepreneurial professionals on the planet. You already have specialized knowledge, credibility, business experience and relationships that most people would love to have.
Why limit your earning potential to the number of people you can physically see in a day? The economy will always go through cycles. Consumer spending habits will change and patients will come and go.
However, the more income streams you develop the less dependent you become on any single one. Your chiropractic license gives you the ability to practice in this great profession but your entrepreneurial thinking can give you financial freedom.
Your idea is not original. There is someone right now thinking the same thing. The question is this. Will you be the first to bring it to market and gain a massive competitive advantage?
Show up every single day and post on social media. Be an asset to people and help solve their problems. Then, watch how “lucky” you get. More traffic, referrals, speaking opportunities, doors opening up, etc. But, what do I know? I’ve only been doing this since the Myspace days twenty years ago.
A Doc takes my course and makes 14 social media posts during the past year and claims he’s “done the work.” Recently, he requested a refund. At least be honest with yourself, bro 🤦🏼♂️
If your chiropractic practice has a large digital footprint you have an advantage when it comes to ChatGPT search. It's not the only ranking factor but it is important. If you have thousands of content pieces out there like blogs, videos, press releases, guest articles, podcasts and more... it looks good from an authority standpoint.
If you've been slacking or haven't had good systems to consistently push content to the masses, you need to get the ball rolling ASAP. The good news is that even if you're behind the eight ball from the organic content side of things, you can still flip a switch and turn on ChatGPT traffic.
This is where their ads platform comes into play.
We've been helping chiropractors get recommended by ChatGPT and enter the relevant conversations where patients search. If you want to finally start tapping into AI search traffic, let me know. Their ads platform is wide open and it's smart to get there now before this channel gets flooded with advertisers.
Most people aren’t underpaid. They’re underskilled. My business doesn’t deserve to survive another five years if I don’t know how adapt to the modern world, provide value, build an audience, sell and mass distribute my content online.
The major difference between Google and ChatGPT is how your prospective client or patient searches. For instance, on Google someone with sciatica pain might search "sciatica treatment options in Atlanta." The local search would then pull back business listings, an AI summary, ads, and quite a few typical blue links.
On ChatGPT that prospective patient may say something like this. "I'm a 51 year old male and just stated to experience pain in my left hip. I think it may be sciatica. The pain shoots down my leg and is worse at night. I've been taking Advil and I'm trying to find a non-surgical treatment option in Atlanta. I want a doctor with a couple decades of experience who has a lot of great reviews and who is well known. Who is a good fit?"
Do you see the difference?
Conversational searches are now the holy grail of online traffic and MUCH higher intent for obvious reason. Consumers talk to the AI like they're talking with a real person. Not only that, people are asking several questions in the same thread sometimes which is going to give them a very specific SIMPLIFIED answer.
This is why the geriatric population is flocking to ChatGPT in droves.
If this makes sense to you and you see where the puck is moving, you'd be wise to do two things ASAP. Learn how to dominate ChatGPT search so that the AI recommends you every time and use ChatGPT ads to shortcut your way into those specific conversations.
If you want my team to help you run ChatGPT ads, comment "LET'S GO" below and we'll send you an application to see if you're a good fit and if your zip code is open. If you haven't optimized your practice for organic ChatGPT search yet, I have a training for that as well. Hundreds of chiropractors have went through it.
Any questions?
Whenever we visit London we have a blast. There’s so much to see and do in the city. In two and a half weeks we’re hosting a social media and AI growth training there. We have Docs coming in from Finland, the UK and Ireland. If your goal is to maximize your effectiveness online and find out how the top 1% of practices are using new tech, swing by.
Just finished a call with our DFY ChatGPT ads clients. I do a training once a month for members where we go in-depth on AI search and paid ads. We cover best practices, mistakes to avoid and trends. DM me for an application if you’re ready.
I audited a chiropractors Google Adwords yesterday and he was averaging $25 per click for the last few months! A year ago, it was $13 per click and 18 months ago it was $8 per click. I told him he needs to have a strong word with the agency running his chiro ads.
Looks like they just did the whole "set-and-forget" thing. Now, he should've also been checking in monthly and having a clear picture of his metrics.
Let's do some basic math.
At $8 per click, $1,000 bought him 125 website visitors.
At $25 per click, that same $1,000 buys him just 40 visitors.
That's a 68% reduction in traffic for the EXACT SAME MONEY which is a lot fewer opportunities to convert someone into a new patient every single month.
Now, rising click costs aren't always the agency's fault. Competition, markets and Google go through changes. More expensive clicks can still be profitable if they convert but someone should've been watching, testing, optimizing and asking questions long before costs tripled.
Instead, this went on for months.
The agency kept billing its management fee. Google kept collecting its advertising dollars. This chiropractor kept paying the bill without fully understanding what's happening.
Everybody gets paid except the guy taking all the financial risk! This is why I constantly tell doctors and business owners that you must know your numbers.
Cost per click.
Cost per lead.
Cost per new patient.
Conversion rates.
Patient lifetime value.
Return on ad spend.
You don't have to become a marketing expert but you better understand whether your marketing dollars are producing awareness, traffic, leads and a return.
Also, don't confuse hiring an agency with handing over complete responsibility for your practice. You can outsource some of the work but you still have to have accountability.
What you don't measure can quietly bankrupt you.
I've seen Docs obsess over saving $50 on office supplies while blindly flushing thousands of dollars down the toilet every month on ineffective marketing. It's mind-boggling. The ignorance tax can be a recurring monthly expense if you're not careful.
Celebrating Ethan’s 15th birthday! So proud of my guy. How did we get here so fast? My God… I remember taking him to this restaurant when he was two months old. Now, he’s educating us on the new language of teenagers. It’s been amazing to watch him grow and develop. Cheers, my son. I love you more than you will ever know.