Built to run without you.
Most chiropractic practices are worth less than their owners think, for one reason. The revenue depends on the owner being in the building. Foundry works with practice owners on the disciplines that change that: revenue per location, referral architecture, and the systems that let a business hold value on its own.
Take the Practice Pulse Check15 minutes. Enter your email at the end and your results appear on screen immediately.
Three things that quietly cap what a practice is worth
Revenue per location stops climbing
The first clinic works because the owner is in it. The second one rarely performs like the first, and the gap is usually structural rather than a marketing problem.
The referral engine is a person
Most practices have three relationships producing the majority of new patients, and all three live with the owner. Buyers price that as key-person concentration and lenders read it the same way.
The margin is unpaid labor
An owner-dependent practice often shows a strong margin. Normalize the owner's clinical work back to market rate and much of it disappears, which is what a buyer does on the first pass.
What happens after the Pulse Check
The Pulse Check names one constraint and sizes it. What you do with that is your call.
Foundry runs a monthly working group for chiropractic owners on exactly these problems: revenue per location, owner dependency, referral architecture, and the disciplines that make a practice transferable. The current cohort is a founding group, which means preferred pricing, direct access, and that members will shape how the program develops.
For groups running three or more locations there is a smaller program, by application.
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Brent Williams
Founder
I have run what you run.
I spent years as Chief Executive and Chief Revenue Officer of a 30-plus location injury care platform in Central Florida, at roughly $80 million in revenue, across chiropractic, physical therapy, imaging, interventional pain and orthopedics. I know what breaks at four locations, what breaks at twelve, and what a buyer actually looks at.
Most advice available to practice owners comes from people who have coached practices. Very little comes from people who have operated them at scale. That difference shows up in the Pulse Check, which asks about lien portfolio aging and case mix rather than mindset.