Scaling vs.Growing Your Chiropractic Practice: Why the Difference

Episode 25 of the Seven Figure Chiro Podcast

Every chiropractor reaches a crossroads: keep adding more to grow, or scale smarter? In this episode of the Seven Figure Chiro Podcast, Dr. Jeff Berard and Kristin unpack the crucial distinction between growth and scale—and why understanding the difference could mean the difference between burnout and a truly thriving practice.

Growth vs. Scale: A Game-Changing Mindset Shift

Many practices aim to grow—more patients, more hours, more staff. But growth often comes with matching increases in cost, leaving profit margins flat. Scaling, however, is all about expanding without adding the same level of overhead. It’s how you increase revenue faster than costs by improving systems, leveraging technology, and working smarter.

Why Scaling Wins

Jeff and Kristin share that most chiropractors focus too much on top-line growth. But scaling offers a path to financial freedom and operational sanity. It starts by maximizing efficiency:

• Creating SOPs for every system in your clinic.
• Using scalable EMR and scheduling software.
• Aligning staff schedules with demand.
• Negotiating better rates with vendors and eliminating redundant platforms.

These aren’t just abstract strategies; they are the exact moves Jeff and Kristin made to turn their clinic into a multi-disciplinary powerhouse.

Case Studies from Their Own Clinic

• Physical Therapy: Instead of hiring salaried PTs, they brought in a partner willing to grow with the clinic, aligning compensation with performance.
• Personal Training: Capitalized on patient demand by training current staff to take on fitness clients, keeping care in-house.
• Acupuncture: Added an acupuncturist who worked on a per-service basis, bringing in new clients and boosting overall visibility.

In each case, they scaled without dramatically increasing overhead. The result? A more profitable, less stressful practice.

Leadership Structure: The Secret Sauce to Sustainable Scaling

They didn’t stop at services. Jeff and Kristin emphasize the importance of leadership roles to support growth. Every seven-figure practice needs:

1. A visionary communicator to drive external awareness.
2. A clinic leader to delivers excellent patient care.
3. A backend operator to manage billing, collections, and operations.

These defined roles prevent burnout and keep the business growing without being dependent on one or two people.

Want to Scale Smarter? Jeff & Kristin Can Help

They now offer:

• A self-paced course on integrating PT into chiro clinics (and vice versa).
• Coaching to help you troubleshoot and grow in real time.
• Custom consulting based on your unique goals and market.

If you’re tired of running on the growth hamster wheel and ready to scale with intention, this episode and the support they offers can be your turning point.

Listen to Episode 25 now to learn how to scale smart, stay lean, and build a legacy practice.

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