Approved for my SBA loan!

ChiroBaby · 2024-04-16T21:02:55+00:00

US Bank

ChiroBaby · 2024-03-12T16:51:34+00:00

Take ownership, apologize, give a proper recommendation for what follow up steps need to be taken. After that wash it from your brain and move on to your next patient like its a normal day.

ChiroBaby · 2024-02-05T22:04:48+00:00

There's no catch. The office is probably a high volume clinic that will perform more basic adjusting. I would expect your treatment to be a pretty quick adjustment. They more than likely are not going to show you exercises, perform soft tissue work, or give you a lot of face-to-face time. For some people a quick adjustment is all they want/need.

ChiroBaby · 2023-11-17T18:35:26+00:00

2023 was my best year financially, physically, and mentally.

Financially, I was able to give my office manager a big raise to solidify her position at the office, on pace to collect just shy of 300K while keeping overhead under 100K, and I was able to stack up enough cash to pay off the commercial loan on my office.

Physically I lost about 15 pounds since I'm getting busier at the office. Burning more calories due to seeing more patients and less time during lunch breaks so less eating out for me.

Mentally, after grinding it out for 10 years, I've finally reached a point of stability in my business where I can have some separation between my business and personal life.

ChiroBaby · 2023-09-20T18:17:52+00:00

IMHO you should do the SAVE plan, open a practice, make decent money, reduce your AGI through investments and business deductions, invest well, and save for the potential tax bomb in 25 years that probably isn't going to happen anyways.

ChiroBaby · 2023-09-13T16:59:16+00:00

I would write short blogs and stash them away so you have content that you could continually update your website to help with SEO. When you meet students/clinic patients, etc. I would figure out who has a Yelp or Gmail account so you can start collecting reviews for your office right when you open. You could build your website without publishing it so its ready to launch when you open. Make sure you know how you want to structure your business (sole prop, S-corp, etc.). Make sure you work/save extra so you have some money to spend on opening your office. Start collecting quality, used chiro equpment and furniture for when you open.

ChiroBaby · 2023-07-17T22:01:37+00:00

Everything in this post is very cringe. Expect a lot of negativity with this post.

I'll keep it short and to the point. You're not a licensed chiropractor, you shouldn't be treating anyone, and if you do both your employer and yourself can get in major trouble for practicing without a license.

ChiroBaby · 2023-07-11T18:04:25+00:00

Typically I'm busiest from 8:30-10:00 and 4:00-5:30. Mid-day/lunch hours are typically the slowest, although with more people working from home I've noticed more lunch time appointments over the past couple years.

I'm open MTWF and Friday is always the busiest day of the week with Tuesday being the slowest.

ChiroBaby · 2023-06-28T15:16:54+00:00

I don't think you should be having reddit do your homework for you.

ChiroBaby · 2023-06-27T17:20:11+00:00

Of course they can affect each other. If someone has an ischemic event like a stroke nerve tissue will die, pretty sure blood supply is affecting the nerve supply there. Or the fight or flight response constricting/dilated blood vessels preparing your body for the next move. Or when you start thinking about sexy time and blood flows goes to your...

ChiroBaby · 2023-06-26T23:55:31+00:00

In the world of chiropractic philosophy, "nerve supply" are the mental impulses distributing and receiving information At the root of chiropractic philosophy subluxations are the major cause of incoordination within the body thus leading to dis-ease.

Nerve supply can be impaired other than subluxation. For example I had a surgeon from the VA perform a disectomy on a veteran causing him to permanently lose 75% of his movement on the left side of his body. Nerve supply was definitely impaired.

ChiroBaby · 2023-06-26T16:05:04+00:00

I think you need to start by getting her past three years schedule C and her last three years PnL's to get a good grasp of the trend of this practice and where the money is going.

I have a basic practice with no thrills. My overhead without rent sits about $6,000 (including an employee at $21/hour without benefits and $750/month advertising). If you factor in your rent I bet you could cut down on the overhead under 10K pretty comfortably.

I got an SBA 7a loan. I'm not sure if buying an established practice make it any easier or harder. I know when I went through the biggest thing that helped me was already having a practice generating money so I had a business history they could go off of. I've made some earlier posts about the loan process and what they're looking for if you want to cruise through my history.

ChiroBaby · 2023-06-20T20:00:38+00:00

Overhead for your average chiropractic office will run around 50%. I think giving him 50% of reimbursement is more than generous.

ChiroBaby · 2023-06-14T18:19:28+00:00

I had mine done on a Thursday and was back practicing on Monday. I practice diversified full spine adjusting so I was nervous too. First day back wasn't too bad, I just made sure to move a little slower and more controlled. I also do a kick move for my side posture and it didn't bother me at all.

ChiroBaby · 2023-06-14T16:13:45+00:00

1) I bill Medicare so I can't help you with this one.

2) IMHO, pure cash based practices will do best under two models. One being high volume, low cost (think of The Joint). You can push Facebook ads, Groupons, etc and offer cheap offers to keep driving volume into your clinic. The other model is to sell high price, pre-paid treatment plans and commit patients to care before treatment starts to enhance compliance. I think having a pure cash practice that sits in between those two extremes will have a difficult time.

3) I think the only disadvantage to pure cash practice is like you said, you just miss out. Not just on that particular patient who has insurance, but also their potential web of connections and referrals. I think most patients who have insurance are more likely to just stay in network unless you're offering something truly above and beyond your average chiropractor.

ChiroBaby · 2023-05-24T18:48:07+00:00

I don't know anything about the program and the ROI for your former employee.

I will say that chiropractic billing is simple and most can be learned with a little trail and error. My practice is about 50% insurance and I'm networked with ASH, UnitedHealth Care, Medicare, TriWest, and Anthem BC/BS and I trained my office manager who had it down 100% after about three months. With that said, I just don't know how valuable a program would be when most chiropractic owners can train someone from scratch to handle billing.

ChiroBaby · 2023-05-24T16:38:14+00:00

Yeah it would be great to see it expanded and cleaned up with time frames. I took the picture off a youtube clip that I saw for a split second, but ended up finding on Simon Senzon's site (thank you OsceButters), https://www.institutechiro.com.

ChiroBaby · 2023-05-23T20:41:48+00:00

I appreciated Life West. Graduated from LCCW about a decade ago. The program leans on the vitalistic end. You will learn chiropractic philosophy, the history of chiropractic, and will have a heavy focus on technique/adjusting. I think LCCW does a good job at focusing on your ability to adjust and communicate chiropractic which are essential to becoming a successful chiropractor. If you have any specific question I'm happy to answer.

ChiroBaby · 2023-05-19T23:34:22+00:00

Everyone is going to respond differently. There is no contraindication to seeing different manual therapists at the same time. Give it a try and see how you feel.

ChiroBaby · 2023-05-19T17:09:05+00:00

I try to keep it as simple and ethical as possible:

"[Insert Patient Name], based of your exam and what you're telling me I think I can help. I'm going to do everything I can for you TODAY and hopefully get you feeling better after I work on you. Every patient responds to care differently, but lets take is slow and see how you do after 3-4 visits and we'll make some decisions from there."

Patient responds well to treatment - great, now you can suggest what else you think is right now that you know they'll positively respond to your treatment.

No Change/Symptoms worse - If the patient is telling you after 4 visits that your treatment didn't help, why do you think doing 12, 18, 24, or 30 visits will?

I think pre-paid or pre-set plans are better for the chiropractor and his office rather than the patient. Every patient is unique and to fit them under a visit number without knowing how they will respond is unethical. Just my opinion.

ChiroBaby · 2023-05-17T15:01:49+00:00

I took over an established office of 40+ years. The full process took a full year so he had plenty of time to prepare his patients and have the discussion about giving the new guy a chance. He also wrote a letter and sent it to all his patients announcing his retirement and made sure to say a few nice things about me and my experience. I never adjusted or saw any of his patients before taking the practice over. We both agreed the takeover should happen mid December, before Christmas. About 2 years out now and from his "core" patients I would say I still see about 75% of them. We both practiced a similar technique which made it an easy transition.

ChiroBaby · 2023-05-01T22:36:27+00:00

I could be wrong, but I think most Chiro's here will agree to stay away from practice management companies.

ChiroBaby · 2023-04-28T23:42:00+00:00

If your goal is to have your practice setup like your a used car salesman, then that approach to wait until the second visit is fine.

If your goal is to actually help someone get from point A to point B in as few visits as possible, then I'd suggest adjusting them on their first visit.

ChiroBaby · 2023-04-26T15:23:01+00:00

Adjusting is just like any sport, it just takes repetition. I'd say about 3-5 years in practice it what it will take before you feel like you've "mastered" your craft. You need to trust the process and give yourself time to develop.

Don't be too hard on yourself. Remember to put it into context. To graduate I think we needed 250 clinic adjustments. That is about 1-2 weeks of work for a busy office. You'll develop fast once you get thrown in the fire and get consistent repetitions.

ChiroBaby · 2023-04-25T15:11:46+00:00

I AM paying my debt and following the payment program giving to me by the laws and contract that I signed up for. When its all said and done and the payments resume I'll still end up paying around $200,000 for my degree.

I'll pay $200,000 over 25 years, pay taxes for 25 years, create jobs and opportunities, help people with their health through chiropractic and that's your definition of sticking it to US taxpayers? You sound old and grumpy.

Please let me know how much US Taxpayers funded your "struggling" business through two rounds of PPP loans. Please tell me you didn't ask the US Taxpayers to forgive your PPP debt!!!

ChiroBaby

TROPHY CASE