ChiroX: Business Growth for Chiropractors

Your dedicated resource for actionable strategies and expert insights to scale your chiropractic practice for greater impact and profitability. If you're a chiropractic business owner serious about growth, increasing revenue, and building a thriving practice, you've found your show.

ChiroX: Business Growth for Chiropractors is a business podcast hosted by Corey Hiben, with 57 episodes on record and a Required Pod Score of 80.

Corey Hiben hosts ChiroX: Business Growth for Chiropractors, a business show with 57 episodes published.

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  Episode #58

  Hiring Another Associate Won't Fix Your Practice

  Sep 29, 20261h 1m

  Most chiropractors think hiring an associate will automatically help grow the practice.Dr. Mark Mouw says that’s one of the biggest hiring mistakes owners make: most associates aren’t there to build your practice, you are. After 25 years in chiropractic, hiring 16 associates of his own, and helping place more than 250 chiropractors per year, Mark has learned exactly what separates a great long-term associate from an expensive hiring mistake. Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures https://www.chiroxmarketing.com/services/marketing-audit?utm_source=spotify&utm_medium=podcast&utm_campaign=ep[058] Dr. Mark Mouw started his practice with his wife as a traditional mom-and-pop operation and hired their first associate just 18 months after opening. Today, he has five doctors across two locations in the Omaha metro and co-founded Chiro Matchmakers with Dr. Allen Miner in 2016. Over the last decade, Chiro Matchmakers has built a database of more than 9,000 associates and places 250+ chiropractors every year. In this episode, Mark breaks down the two types of associates, business builders and caregivers, and why roughly 75% of today’s associates fit the caregiver profile. He explains why hiring a “mini-me” can backfire when that entrepreneurial doctor eventually leaves to open their own clinic, why the owner should remain responsible for building demand while associates focus on delivering exceptional care, and when hiring a business-builder associate actually makes sense for leadership, ownership, or succession.Mark also dives into the current recruiting challenge, including the roughly 5-to-1 gap between available chiropractic jobs and associates, why A-players usually aren’t actively searching job boards, and how behavioral assessments can help owners put the right doctor in the right role.If you're struggling to hire or retain associates, planning to scale beyond yourself, or thinking about succession and eventually exiting your practice, this episode will help you understand who you should actually be hiring and what role they should play once they join your team.TIMESTAMPS:00:00 Intro00:59 Why Hire an Associate03:06 Time Freedom Growth Exit04:38 Builders vs Caregivers07:40 Don’t Hire Mini Me08:54 When You Need a Builder11:02 Hiring Assessments PDP12:58 Timing and Profit Margins16:46 Associate Shortage Explained18:45 Finding A Players26:50 Chiro Matchmaker System30:47 What Associates Want Most32:44 Pay to Keep Doctors33:39 Technique and Location Factors34:38 Rural Hiring Reality Check36:37 Pay and Retain Great CAs38:24 KPI Based Bonus Systems39:18 Assessments Over Gut Hiring43:41 Hurdles and Background Checks45:17 Virtual Interview Hiring Funnel49:51 Virtual CAs From Overseas54:02 What VCAs Handle Daily57:11 Build Teams for ImpactCONNECT WITH DR. MARK MOUW:Website: MouwchiropracticAbout Us - Mouw Family Chiropractic LinkedIn: Linkedinlinkedin.com/in/mark-mouw-276182207 Chiro Matchmakers: ChiromatchmakersCorey Hiben - Virtual Assistant PRO TIP: Stop automatically looking for an associate who looks and thinks exactly like you. If you’re an entrepreneurial practice owner, another “mini-me” may eventually want to build a business of their own. Mark recommends getting clear on the role first: if you need someone to care for an existing patient base for the next 10–20 years, look for a strong caregiver, not another business builder.ABOUT CHIROX MARKETING:We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit ChiroxmarketingChiropractic Marketing Agency for $1M+ Practices | ChiroX

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  Episode #57

  He Got Injured. Then He Built a 3-Associate Practice

  Sep 22, 202656 min

  What happens when 75% of your chiropractic practice depends on your own two hands—and suddenly you can’t even get out of bed? After 25 years of treating patients, a serious spinal issue forced Dr. Shawn Finn out of patient care. Today, he has three associates, sees roughly 400 patient visits per week, and hasn’t personally treated a patient in over two years. Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures ChiroxmarketingFree Chiropractic Marketing Audit | ChiroX Dr. Shawn Finn has been practicing outside Pittsburgh for nearly three decades, but an unexpected back injury forced him to completely rethink the business he had built. In this episode, Shawn explains how he transitioned from being responsible for roughly 75% of the clinic to fully committing to running the business, why Noel Lloyd’s Win-Win Associateship model changed how he develops associates, and why he believes a team should normally operate at around 80% capacity instead of constantly running at its limit. He also shares the Thursday morning financial meeting he refuses to give up, why he targets roughly 40% profit margins as a non-treating owner, and why making hiring decisions without knowing your numbers can be dangerous. Shawn also challenges the obsession with extremely high close rates, explains why 70–80% can actually be healthier , and reveals how combining shockwave therapy with decompression helped increase patient value by roughly 40% . If you're a chiropractor whose practice still depends heavily on your personal production, or you're trying to build associates, improve profitability, price your services correctly, and create a business capable of operating without you in the treatment room, this episode is packed with lessons from someone who was forced to make that transition. TIMESTAMPS: 00:00 Intro 01:06 The Injury Turning Point 02:28 Hiring Associates Fast 03:53 Win Win Associate Model 05:51 Commitment To Step Back 07:04 Owner Operator Coaching 07:57 Clinic Director Role 10:59 When To Hire Next 12:39 Thursday Numbers Meeting 14:40 Healthy Profit Margins 16:46 Pricing And Program Growth 19:25 Blending Shockwave Decomp 25:59 Close Rates And Fit 30:16 Marketing Sets Expectations 30:30 Closing Confidence Matters 31:33 Three Pillars Marketing 32:38 External Outreach Referrals 33:55 Digital Storytelling Engine 34:57 Referral Conversations Script 38:27 What Works Now Meta Ads 40:46 Finding Ideal Patient Story 42:44 Lunch And Learns Hurdles 43:54 Collecting Time Of Service 46:11 Buy Now Pay Later Debate 49:02 Rapid Fire Business Hiring 51:28 Fitness Journey And Mindset 52:49 Where To Find Finn 54:16 Ideal Associate Fit Values 56:10 Final Thanks And Wrap CONNECT WITH DR. SHAWN FINN: Instagram: instagram.com/drshawnfinn Website: https://www.finnchiro.com/ PRO TIP: Schedule a recurring financial meeting with yourself and protect it like you would any important patient or team meeting. Shawn reviews his P&L, budget, margins, wins, and losses every Thursday so decisions about hiring and growth come from the numbers instead of emotion. Know your margins before you add overhead. ABOUT CHIROX MARKETING: We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit ChiroxmarketingChiropractic Marketing Agency for $1M+ Practices | ChiroX

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  Episode #56

  Why Most $1M Chiropractors Never Stop Working IN Their Practice

  Sep 15, 20261h 3m

  How does one chiropractor handle 1,000 patient visits per week without feeling burned out? Dr. Erik Kowalke did it for three years—and says it was actually a blast. Today, Higher Health Chiropractic has two locations, six doctors, and around 100 new patients per month, while Erik has successfully handed off virtually every part of the business except the vision. Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures Dr. Erik Kowalke runs Higher Health Chiropractic in West Michigan, where his journey started with just 13 patients booked when he opened on August 1, 2011. Within three weeks, the practice had grown to roughly 300 visits per week, eventually reaching 1,000 weekly visits with Erik as the sole chiropractor. In this episode, Erik explains why focusing on lifetime family wellness care became one of his biggest growth levers, how extreme attention to efficiency made high-volume care possible, and why a shingles infection in 2016 unexpectedly showed him that he had become the bottleneck in his own business. He also breaks down how he gradually delegated everything except vision, why Higher Health completely changes its office theme every 4–6 weeks to create an experience families and kids actually want to return to, and what 10 years of appointment data revealed about allowing patients to reschedule their own appointments. Their data showed no correlation between appointment changes and patients dropping out of care—in fact, greater scheduling flexibility tracked with higher visit volume. If you're a chiropractor trying to increase capacity, build a family-focused practice, develop leaders, improve retention, or create a business that no longer depends entirely on you, this episode offers a completely different perspective on what’s possible. TIMESTAMPS: 00:00 Intro 01:07 Solo 1000 Visits Week 02:35 Efficiency and Office Energy 05:25 Family Wellness Niche 08:55 Designing for Busy Families 12:13 Burnout Myth and Capacity 14:50 Spouse Alignment and Vision 20:55 From Bottleneck to Scale 22:43 Coaches and Wise Counsel 26:20 Hiring and Paying Associates 29:38 Team Practice Culture 31:06 Negotiation Win Wins 32:54 Owner Leverage Shift 34:07 Delegation Wake Up Call 37:27 Hiring Right Leaders 40:15 Culture And Accountability 41:44 Theme Driven Experience 47:01 Scheduling Control Data 51:02 Active To Wellness 55:33 Referral Engine Playbook 57:45 Google Reviews System 59:35 Community Marketing Mix 01:01:23 Clarity And Closing CONNECT WITH DR. ERIK KOWALKE: Website: https://gethigherhealth.com/ LinkedIn: https://www.linkedin.com/in/drerikkowalke/ SKED Website: https://sked.life/ PRO TIP: Before assuming you've reached your practice's capacity, look closely at your systems. Erik’s experience shows that the ceiling is often not the building, the market, or even patient demand—it can be the owner's assumptions about what is possible. Simplify every unnecessary step, empower the right people, and stop holding onto responsibilities your team can successfully own. ABOUT CHIROX: We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit https://www.chiroxmarketing.com/

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  Episode #54

  Stop Being the Bottleneck. Here's How to Build a Practice Without You

  Sep 1, 20261h 9m

  What happens when a family emergency pulls you out of your practice for almost four straight weeks — and the business actually grows without you? Dr. Andrew Oteo experienced exactly that, and it completely changed how he thought about systems, leadership, and scaling. After spending his first six years making mistakes in practice, he built Stonebridge Health into a multidisciplinary operation combining chiropractic, physical therapy, and medical care under one roof. Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures https://www.chiroxmarketing.com/services/marketing-audit Dr. Andrew Oteo runs Stonebridge Health in The Colony, Texas, holds both a DC and an MBA, and serves as President of the Texas Chiropractic Association. In this episode, Andrew explains why his first practice inside a medical doctor's office failed within a year, how years of getting systems wrong eventually shaped the operation he runs today, and why being forced away from the practice for nearly a month proved his team could succeed without him. He breaks down the EOS principles he uses from Traction, weekly multidisciplinary grand rounds, quarterly alignment meetings, and the custom Power BI dashboard he built after realizing traditional EHR dashboards couldn't give him the numbers he actually needed. Andrew also explains how he tracks gross vs. net conversion and retention, uses Claude as an operating system for his team, approaches marketing through an “air, land, and sea” strategy, and why identifying bottlenecks is one of the most valuable things an owner can do. If you're a chiropractor who feels like everything still depends on you, struggles to understand the numbers behind the practice, or wants to build systems that create predictable growth without constant owner involvement, this episode gives you a practical look at how to transition from being the bottleneck to becoming the leader of the business. TIMESTAMPS: 00:00 Intro 01:11 Stop Being The Bottleneck 02:21 Hospital Wake-Up Call 03:26 Bottlenecks Inside And Outside 06:18 Ego And People Problems 11:33 Six Years Of Hard Lessons 18:16 Systems That Built Stonebridge 23:48 EOS Scorecards And Dashboards 27:01 Conversion Retention Metrics 31:11 What The Numbers Revealed 33:58 AI Enters The Practice 34:20 Deep Dive Your Tools 35:13 AI For Team Goals 36:21 HIPAA And The AI Race 39:40 AI Agents In Everything 44:11 Claude As Business OS 47:44 Master Your Tech Stack 52:02 Referral Engine Basics 55:37 Modern Marketing Mix 59:04 Why Associations Matter 01:01:00 Protecting Chiro In Texas 01:05:07 Member Value And Advocacy 01:08:34 Where To Find Dr Teo CONNECT WITH DR. ANDREW OTEO: Website: https://www.stonebridgept.com/ LinkedIn: https://www.linkedin.com/in/andrew-oteo-10b81717/ PRO TIP: Don't just track the numbers your EHR happens to give you. Decide which metrics actually tell you whether your practice is improving, then build a scorecard around them. Andrew separates gross conversion from net conversion — specifically tracking whether patients who actually have to reach into their own wallet still say yes — to get a clearer picture of how well the practice is communicating value. ABOUT CHIROX MARKETING: We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit https://www.chiroxmarketing.com/

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  Episode #53

  12 Chiros in a Town of 7,000. He Opened Anyway!

  Aug 25, 20261h 3m

  How do you open a chiropractic practice in a town of just 7,000 people with 12 competing chiropractors nearby and have 147 new patients already scheduled before opening day? Dr. Andy Armor and his wife built Compass Chiropractic by going all-in on community relationships, then grew it to roughly 450 patient visits per week with a 96% day-one close rate. Free Chiropractic Marketing Audit: Your Growth Roadmap to 7 Figures ChiroxmarketingFree Chiropractic Marketing Audit | ChiroX Dr. Andy Armor co-founded Compass Chiropractic in Whitefish, Montana, after mentors, friends, and family warned him that the market was already too saturated. Instead of relying on a massive advertising budget, Andy says they built the practice on “coffee dates,” spending months connecting with local businesses, the chamber, and the community before the doors ever opened. In this episode, he breaks down what happened when they opened and later closed a satellite location, why he now looks for “intrapreneurs” when building his team, and the freedom model that allows associates to build great careers without taking on the burden of practice ownership. Andy also shares the boundaries that allow him and his wife Kaylee to successfully run a business together, why his prices have more than doubled without destroying patient volume, and the patient experience behind a 96% day-one close rate. We also get into his obsession with “unreasonable hospitality,” from personalized first visits and milestone experiences to building a dedicated Compass app designed to extend the patient experience beyond the physical clinic. If you're a chiropractor entering a competitive market, struggling with pricing, trying to improve conversions, or building a practice with your spouse or associates, this episode gives you a practical look at how differentiation, relationships, boundaries, and patient experience can become serious competitive advantages. TIMESTAMPS: 00:00 Intro 01:30 Why Open Here 02:37 Choosing Whitefish Life 03:46 147 Patients Prebooked 04:32 Coffee Date Marketing 07:10 Scaling Team and Hours 08:49 Satellite Clinic Lessons 11:46 Hiring the Right Docs 17:00 Freedom Model Culture 19:38 Working With Your Spouse 24:36 Pricing Value Mindset 27:49 Training Associates Belief 34:19 Building A Player Teams 35:09 Hiring Connectors 36:40 Incentives And Pay 37:15 Why Close Rates Win 40:25 Price Timing And Concerns 42:36 Follow Up That Works 43:37 Unreasonable Hospitality Playbook 47:14 Digital Experience And App 50:50 Patient Acquisition Mix 54:16 Standing Out Locally 57:41 Community Events And Culture 59:54 Reignite Your Vision 01:02:06 Where To Find Andy CONNECT WITH DR. ANDY ARMOR: Website: https://www.compasschirowf.com/ LinkedIn: https://www.linkedin.com/in/andrew-armor-546957138/ PRO TIP: Before spending heavily on ads, start building relationships where you actually practice. Andy entered a crowded market with limited startup capital and used months of one-on-one community connections to have 147 new patients booked before opening day. His lesson: in a local service business, genuine relationships can become one of your strongest acquisition channels. ABOUT CHIROX MARKETING: We help 7-figure chiropractic practices dominate local search and attract high-value patients through SEO, Google Ads, and website optimization. If you're doing $1M+ and want predictable patient acquisition without social media, visit https://www.chiroxmarketing.com/

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