Scaling Smart: Build Seven Figure Clinics

In today’s competitive healthcare market, growing a chiropractic clinic beyond six figures and into the seven-figure realm demands more than just clinical expertise. It requires smart systems, intentional processes, and scalable strategies. On this episode of the Seven Figure Chiro Podcast, Dr. Jeff Berard and Kristin dive deep into the operational backbone of a thriving chiropractic practice, revealing the essential systems that drive sustainable growth.

Many chiropractors start off wearing every hat from adjusting patients to answering phones and that’s manageable, for a while. But if your phone goes unanswered, your calendar is a mess, and your team is confused about their roles, you’re not scaling you’re surviving. Dr. Jeff shares real pain points from his own clinic’s early years, like missed calls (aka missed opportunities), scheduling bottlenecks, and team confusion, all of which signal a desperate need for better systems.

You can’t serve more people if you can’t see them efficiently. Online booking, automated reminders, and pre-visit onboarding aren’t just conveniences they’re necessities. Using tools like Jane App helped Dr. Jeff’s team streamline operations and minimize chaos. Mapping out every touchpoint, from first visit to care plan, creates clarity and consistency for both staff and patients.

Don’t wait until your schedule is empty to market. Stay visible and valuable even when business is booming. A successful marketing system includes:

• Consistent lead generation (SEO, Google Ads, community events)
• Automated follow-ups (email, text)
• A monthly marketing calendar with clear accountability

Kristin emphasizes the importance of social proof, like Google reviews, and recommends automating review requests to keep your reputation growing along with your clinic.

Clear communication prevents fires before they start. Dr. Jeff recommends:

• Daily 5-minute huddles
• Weekly KPI-driven team meetings
• Documented SOPs for everything from onboarding to billing
• Role clarity so every team member knows their lane

Tools like Basecamp help separate work life from personal life and make it easy to assign tasks with clarity and track progress.

You can’t grow what you don’t measure. Weekly financial scorecards allow you to track key metrics, forecast profitability, and align team bonuses with clinic performance. Transparency with your team builds trust and ownership. Kristin points out that when staff understand the numbers, they make smarter decisions that support the clinic’s goals.

It’s not just about getting new patients, it’s about keeping the ones you already have. Smart practices implement:

• SOPs for missed appointment follow-up
• Automated reactivation campaigns
• Referral incentive programs
• Consistent patient engagement via newsletters or texts

Keep your patients connected and your practice top-of-mind, even when they’re not currently in care.

Dr. Jeff wraps up with a simple, actionable framework:

1. Start with what’s broken – Identify your biggest bottlenecks by asking your team or sending a survey.
2. Create one SOP per week – Use templates or AI tools to make documentation manageable.
3. Delegate with clarity – Assign responsibilities with clear expectations and check-ins.
4. Hire a consultant when needed – An outside perspective can spot issues you’ve gone blind to.

Scaling isn’t about adding more, it’s about doing better with what you already have. With the right systems in place, your clinic can grow in revenue, reputation, and impact without burning you out in the process.

Ready to scale smart? Start with one system today. And remember: document everything, simplify often, and delegate with clarity.