Now, back to those Christmas catalogues from L.L. Bean and Patagonia. Both show how patient, long-term ownership and excellent management, products, and services can build generational wealth over decades of brand-building and customer loyalty. In both cases, the owners who resist the quick sale and instead focus on purpose-driven growth and lasting customer relationships can build legacy companies that dwarf what any early buyer would have paid.

One of the simplest ways to smooth out that roller coaster is to assign a trusted staff member a small, defined role as marketing coordinator — just four hours a week. Their job isn’t to “do all the marketing.” It’s to make sure your systems keep moving — recalls, referral programs, tracking metrics, and keeping new ideas alive. This small shift removes one of the biggest log jams in most chiropractic offices — marketing inconsistency — and replaces it with predictable, sust

What is the first thing you need to do to improve the number of new patients into your chiropractic and healthcare practice? Before you start promotions, improve what you are promoting – and never stop.

I have known chiropractors who did well with a 3-day onboarding process, as well as a 1-day process. We routinely monitor the following with our clients and discuss them monthly in our management meetings where we set up monthly strategies for improvement. First Visits to New Patient Percent Patient Visit Average (Retention – Visits/New Patients) I want to highlight seven factors that are sometimes overlooked.

Improving productivity through greater engagement. I try to base all my practice and business recommendations on observations I have had...