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376 – Cut Payroll Bloat and Build a More Profitable Practice feat. Dr. Mark Mouw

376 – Cut Payroll Bloat and Build a More Profitable Practice feat. Dr. Mark Mouw

Season 1 Episode 388 Published 2 months, 1 week ago
Description

Is your practice generating more revenue while leaving you with less money? Are the team members you hired to create freedom actually increasing overhead, creating bottlenecks, and draining your profit? Dr. Lauryn sits down with Dr. Mark Mouw to examine why growing a practice does not automatically mean building a profitable or sustainable business.

Dr. Mark shares lessons from more than 24 years of hiring associates, replacing himself in patient care, expanding services, and developing a high-performing team. They discuss compensation models, meaningful KPIs, transitioning away from a personality-based practice, and using virtual chiropractic assistants for insurance verification, lead follow-up, scheduling, and administrative work. This conversation will help clinic owners reduce payroll bloat, protect their in-office teams from burnout, and build practices that provide greater financial and personal freedom.

Key Takeaways

  • Practice growth must be measured by profitability, not revenue alone. Clinic owners need to understand their payroll, cost per visit, average collections, profit margins, and meaningful KPIs before adding more people or services.
  • An associate doctor cannot succeed without the right positioning, systems, and compensation model. Patients should be introduced to another qualified doctor, not “the associate,” while the owner remains responsible for creating demand and transferring trust.
  • Expanded services can improve both patient outcomes and practice profitability. Laser therapy, decompression, supplements, and other offerings must remain congruent with the clinic’s philosophy while helping patients receive better results.
  • Virtual chiropractic assistants can reduce payroll bloat and employee burnout. Insurance verification, lead follow-up, scheduling, administrative work, and other non-patient-facing responsibilities can be delegated so the in-office team can focus on relationships, leadership, and patient care.

Guest Bio

Dr. Mark Mouw is a chiropractor, practice owner, and business leader with more than 24 years of clinical and entrepreneurial experience. After building a successful patient-centered practice alongside his wife, Dr. Mark developed extensive experience hiring associate doctors, creating scalable systems, expanding services, and building teams that allow a clinic to grow beyond its owner. As a co-owner of Chiro Matchmakers, he helps chiropractic practices find the right associate doctors, chiropractic assistants, and virtual chiropractic assistants for their specific needs. His mission is to help chiropractors build winning teams, serve more patients, improve profitability, and create greater freedom within their practices.

Real People, Real Affordable: Hire a High-Caliber Virtual CA from $9.87/hr. Check out Chiro Match Makers now!

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Resources:

Rich Doc Summer Series: A FREE summer training lineup for docs ready to use AI, systems, and strategy to create more freedom from the clinic. Register for one, two, or all three. Add 30-day replay access for $47 for all 3.

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