Full capacity is when you are serving as many people as possible, given the available space, equipment, and staff. In other words, what is the maximum number of people you can see in a day – comfortably – given full support? This number will vary, of course, depending on how you practice. Full capacity is a vital goal for financial survival. You are already paying full price for your space, equipment, and team. With lower production, your overhead rises and your profits dec

56 delegates from 13 colonies got together in 1776 in a sweltering building in Philadelphia. Reports indicate there was a lot of bickering and that the delegates were pretty much a bunch of radical nonconformists. I can't help but see the connection between what these brave men fought for and what the brave men and women continue to fight for today in chiropractic and independent, integrative health care professions.

What the heck? What is wrong with people nowadays?? No… “Howdy partner, what brings you into town?” “You from these parts?” Is everyone scared or angry? So, this takes to me to the point of this newsletter... your Front Desk.

Communication is the operating system that allows all the other "applications" in your practice to function. When patients feel understood, trust grows. And when trust grows, recommendations are accepted more readily, appointments are kept, referrals occur naturally, and relationships strengthen. The same principle applies inside the practice. When the quality and quantity of communication in your practice improves, the practice numbers will go up.

A sport is an activity you play to win. The keyword is PLAY. Not fight, not stress —but play. When work becomes too serious, mistakes multiply and stress fills the room. In a chiropractic practice, patients feel that. Trust me — I've seen it work both ways. A too-serious office, and numbers go down. A focused but playful office, and numbers go up.

But when you are "dangerous" — when you stand firmly for the truth that the body is designed to heal, not to be a lifetime customer of the pharmaceutical treadmill, you become a beacon. Patients today are not looking for more of the same. They are looking for a doctor who stands for something real, regardless of the P.R. cost. Being dangerous is your greatest marketing asset. It builds a level of trust that no institution can break. The patients who are waking up to this rea

I don’t recall a single doctor telling me they wanted to be chained to their practice so they could never leave it. Nearly every doctor I’ve worked with wanted a business that was not entirely dependent upon their daily production or constant supervision. Michael Gerber (The E-Myth) wrote about the system-driven business. I talk about a Goal Driven Practice. In every case, the objective is the same: The business should not depend on the personality of the owner.

Two Hidden Benefits: First, they reinforce wins for your patients. Second, patient reviews keep the WHY in mind for you and your team.

He had his son focus on the phrase “green and clean.” Not rules or steps, but an image. A purpose. Over time, once his son truly understood that the end in mind was green and clean, he could do the job on his own. The lesson is simple: when the goal and purpose are clear, performance follows.

Stay true to your purpose. Stay true to your soul. You create your future. You are the driver to your goal.

The benefits of gratitude may seem obvious and something we already know, but they can be easily overlooked. We focus on our daily challenges and can take for granted the people who support us, and who have done so in the past. Faced with patient and practice demands, we can under-appreciate the opportunity we have to live an extraordinary life helping others. So it is good to take time – right now -- and then to give thanks.

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.

2026 is going to be a pivotal year for every healthcare business owner. Perhaps more than any other year before. I’ll explain more about this in upcoming newsletters, but please note: 2026 can be the year you see your Best Ever. BUT FOR NOW, let’s get your marketing structured and stronger than ever. In healthcare marketing, you are selling the invisible.

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

Many offices we work with now generate most of their new patients through relationship marketing, though I doubt if they call it such. They do not pay for advertising and have all the patients they can handle. This is very cost-effective! My definition of relationship marketing: Relationship marketing involves creating trust-based relationships with patients and referral sources, generating loyalty and organic referrals through genuine care and ongoing connection.

We’re about to enter the final quarter of 2025. Will 2025 be a “winning” year for you? Are you set to beat last year? Will the next 3 months be better than in earlier years? It can be. IT STARTS WITH A PLAN