As I age and get a few more years in practice, I’m finding that there a things that you just have to let go and there are certain things that you can genuinely have a pulse on and control.  Life can be this way in general, I’m learning to step back on certain aspects and go full bore ahead on the things you can get ahead on.

A patient showing up late or scheduling at weird times is one of those weird quirks that is hard to control in order to run an office. We try to be as accommodating as possible but with small kids and a family life, there are times that I need to get out of the office for any number of things.  Working early and getting out of the office early is normally preferred.  Sure, there are days that are more flexible than others but when daycare calls about a sick kid, you have to respond.

Sickness and health is another obstacle. We are coming out of a COVID pandemic and it still circulates throughout the communities. If a flu bug or COVID hits the office, you don’t really have a good option.  Either you close the office, if you are unable to work or if it’s someone else in the office that is sick, well it looks like I’m a one man show from time to time. It’s not necessarily impossible to do, but there are some tasks that get put on the back burner for the day. Family illness and colleague illness also happens. Adapting and working with patients that are looking for a fix while their normal chiropractor is out with illness does happen and we try to accommodate those situations the best we can. Kids or parents do need you from time to time and flexibility is the key to operating the office how I see fit.

If a piece of equipment is broken and a part is on back order for a few weeks, there really isn’t a whole lot we can do to expedite that process. Spare tables and equipment is used from time to time but patience is the key. I don’t own a shipping company so, if a shipment gets lost and we can’t get a product in for a month as opposed to a week, we’ll all have to just live with that.

Continuing education is another obstacle that many people don’t understand.  As a healthcare professional we are required to obtain certain types of hours.  Is this a fun thing to do, not normally. It’s just something you have to do in my position.  This coming two year cycle I’m actually going to change it up a little bit and get out of the office a little more to obtain different types of continuing education, things that interest me and the practice a little more professionally than just what I can get by going to Omaha twice a year. Will this cost me and the office a little more than normal, sure, but I feel that I will grow personally and professionally if I get out of my comfort zone every once in a while.

I’m writing this piece more as a reminder for myself.  There are times when frustration sets in and you just want to get out of the office.  The mind is on other things and the clock doesn’t seem to move fast enough, I need to get into the mental mindset that work until your done and move on.  The business has been awesome and it has been growing the past few years but everyone that owns their own business will tell you that being a business owner is an awesome blessing and a terrible curse, because while you may own the business it also owns you. If I’m not in the office, it doesn’t bring in revenue.  Having a work life balance is tough when you own the practice but stepping back and putting everything in perspective is nice sometimes because it shows you where you were and how far everything has come all while leading a life that I can be proud of.

If anyone ever says that running a small business, balancing a family life, making patients happy all while trying to turn a profit while living a comfortable life, boy do I have news for you. I wanted to kind of elaborate about what goes into the scheduling, getting the best results and finding a work-life balance.

For the past year and a half we have been closing early on Fridays. It has become apparent that this is not a new phenomenon but we still miss a lot of phone calls on Friday afternoon and have a hard time getting out of the office at a decent time.  I started doing this in order to get out of the physical office.  I get a lot of quips about how I need to get to the golf course, which is the case some of the time but a lot of times I end up having to come home and finish up paperwork from the week. Whether it is insurance paperwork or a daily note, all of this has to get done in order for the staff to take care of their daily tasks.

The end of the day is a lot like this as well. By the time 4 o’clock rolls around, we are pretty much wrapping things up for the day. We are not opposed to taking later appointments than that but calling after 4 to get in that same day is probably not going to happen.  Sticking around and waiting for a walk in appointment is crazy, most of the time I need to go pick up boys, finish up with some paperwork and get on with my day.  I have always told people that I am an early bird. I would much rather start early and leave the office early, than start early and leave late.

Now time is just one aspect of people pleasing in this office, another thing is trying to figure out exactly what patients need/want in order to get the best results. Finding a happy medium with people is tough.  Most people will come in with a specific complaint and will want it addressed, but most will have a pre-conceived notion as to how long it should take to fix.  Balancing that is the trick, the patient thinks one time and you should be good to go.  I’ve reached a point that I no longer feel guilty telling people to follow up with their care, if they need it, the patient gets to make the ultimate decision about scheduling, I get to make the recommendation.

The entire point of running a successful small business is to make people feel better and to make sure that if they have the same problem again that they return to your office. Being available and making sure that you provide value are the keys to making the business run efficiently. I’m huge of efficiency, we don’t like sitting around waiting on for the phone to ring at the end of the day and we are not big on making people come back for unnecessary/unwanted care, the philosophy of giving value to patients between care and price while limiting waiting time is a key for us. We feel that happy patients refer other patients and this is ultimately how you build a small chiropractic office in central Nebraska.

In ending, are we people pleasers in the office, absolutely we are.  There is a point to this as well. Taking time for my family and professional life is always a priority and I try to take the opportunities as often as I can because they don’t come about all that often. I’m not out of the office much for personal time so if I’m able to get out of the office 30 minutes early during the week, I’m going to take it. Come in or call early, we are available.

We genuinely appreciate all of our patients and look forward for the years to come.

I’m an early riser, most people in my life know this about me.  I feel that it’s the only legitimate time that I get to myself.  I workout, watch the television shows that I want to watch and drink coffee while the house is quite and everyone else is asleep.

A couple of days ago, I was working out in our basement.  Normally I will turn on some YouTube videos, sometimes I watch financial advice, motivation videos or sometimes just music videos.  This particular day, I wasn’t feeling anything in particular so I just turned on a mix video of classic rock.  One of the first songs that came on was “Thunderstruck” by AC/DC. Everyone knows this song but something hit me different this time.

Between the ages of 14-18 I played legion baseball back home and the CD that was played at the field before every game and between innings was AC/DC Live, basically their top hits blasted over a loud speaker.  I think I could recite the entire CD verbatim.

As I’m in my basement working out all of a sudden I have a tear running down my eye because I started to think about all of the good times and situations that I grew up with based around a CD that has not a lot of meaning to anyone. The primary position that I played/excelled at was pitcher, I was always instructed that as the pitcher you are essentially in control of the game.  The pace in particular, everything revolves around how fast or slow you want to work.

As you age, things start to get more complicated.  Adult responsibilities start to pile on (mortgage payments, running a business, kids and everything in between). I think the thought process that was going through my head with a tear running down my face was, life was so simple when you are in high school, you may not realize it but it really is. I woke up in the morning, maybe mowed a yard or two and then went to the baseball field and did this for years.  Nothing really complicated about that.

Practice can be the same way.  You can make it as simple or as complicated as you want it to be.  More, more, more in every sense is common place in the profession. More patients, more therapies, more services and always looking for the next best thing is normal within the profession.  I think we have found our happy place and plan on staying this way for many years to come but the pull and temptation is always there.

Simple is actually easier to operate and keep track of. We offer things in the office that I feel benefit a wide variety of patients without high pitch sales and pretty much explain themselves.  Living simply as a business owner can be a little more complicated, you have responsibilities and other people’s livelihoods depend on you showing up to work and providing quality care for patients.  It’s a little bit of pressure that can get to you at times.

I have heard “Thunderstruck” many times since I quit playing baseball but there was something about it on an early Thursday morning that caught me.  Life can be as simple or as complicated as you want it to be and there are unforeseen circumstances that arise but I’m finding out that just rolling with it is probably your best option.

Business ownership can be a lonely place, not a lot of people truly understand business ownership especially healthcare, but we will aim to keep it simple for everyone and makes everyone’s life a little easier along the way.

10 years into practice and we are FINALLY starting to hit our stride with the business, we have had our roller coaster of times but ultimately things have been wonderful.  One of the things that I have noticed over the years, we get asked all the times about techniques and how we perform certain things.  Other chiropractors perform different things and this is actually one of the weird things about the profession because a lot of times the right hand may not know what the left hand is doing between different offices.

In the state of Nebraska our scope of practice is fairly wide open and in general chiropractors have a good base of knowledge of health, whether they use it or not is another argument. Chiropractic schools do teach a broad base of knowledge across numerous fields, the vast majority just don’t use the knowledge on a daily basis.

If you bring in an MRI report, x-rays, lab results or any other main stream lab report, can we interpret them, sure we can but I just don’t do it every day, for most of these things you should stick with the person that does this specifically for a living.

Back to the initial rational behind this post, patients come in all the time and will say to me, well my previous chiropractor didn’t do it that way or do you perform such and such procedure. The way I run the business or purchase equipment is done on a very intentional level and with a specific purpose. I don’t look at purchasing equipment as a money making tool, obviously I need to have equipment, but I’ve intentionally told myself that I purchase equipment because it will benefit people not necessarily as a means to more income.

I don’t necessarily know what other chiropractors do and honestly I have reached a point that I don’t really care.  This might sound pompous but it’s genuinely not intended to.  Other chiropractors perform detoxification foot baths, applied kinesiology, upper cervical adjusting or even lab testing for specific conditions.  While I understand that this will attract a certain demographic and I have nothing against this but I don’t really understand these procedures and at this point in my practice and life I don’t really have a will to learn.

The therapies that we offer in the offices are proven over time, I’m comfortable with them, easy to explain to patients and are mainstream. I honestly don’t know the mechanism behind a lot of the therapies other doctors perform in their offices.  Stem cells, don’t know the mechanism on a detailed basis, detoxification foot baths, don’t know, shadow adjusting, yes it is a thing, don’t even ask.  Therapies that can be replicated over time are the ones that I am looking for in the offices.

We will continue to build an office around the thought process of taking care of people first and foremost, giving a value for the care that we perform, not dragging people on for the sake of getting more visits out of a patient and to perform quality care.

Staying in your lane can be a wonderful thing, we feel that we bring a value to musculoskeletal care and are fairly good at diagnosing specific conditions and know our limitations.  We are not trying to be everyone’s everything, but we do feel that we can provide quality care to a lot of people with specific back and joint pain.

May 1^st of every year is a little bit of a reflection point for the business and household.  This year actually marks the 10 year mark for me being in practice and 9 years of running a practice by myself.  The course of a practice and the general mindset has shifted slightly over the years.  The first couple of years, you just worry about staying afloat.  I have had my wonderful wife by my side the entire time and while she may not understand exactly what goes on in the practice on a daily basis she supports the process that it has taken.

We have offices and Kearney and Minden, the Arnold office was functioning for roughly 6 years and when our first born arrived it was time that I needed to spend Saturday’s at home with the family.  I miss the people of Arnold and Custer county, I don’t miss the drive.  I get asked all the time about coming up every once in a while, and while I don’t plan on doing this, don’t ever say never.

Business mindsets are constantly shifting.  The first year in practice I was miserable, it was not the kind of practice that I wanted to run. So I started out on my own adventure.  I am comfortable with how I practice and feel that the offices give people what they need in care.  We attempt to offer patients a variety of therapies and treatment options that are utilized and supported by evidence.

Having multiple offices can have its own trials and tribulations.  When we bought the Minden office, I told myself that I wanted mirror offices. Whatever treatment you receive in Minden, the exact same option would be available in Kearney. With this come some financial implications, when you decide to buy one you have to buy two of whatever it is you invest in.  Costs aside, I like how the offices function and feel that we are starting to hit our stride and momentum over the past couple of years.

If someone that operates a business tells you that it is sunshine and rainbows every day, they’re either delusional or lying.  I would tend to lean towards the second option.  As opposed to staying open and afloat, the things that we worry about most now is cash-flow, keeping billing up to date, insurance problems and picturing the exact direction the practice is going.

Kristina & I feel that we have reached a point in the practice that we are really not all that interested in purchasing new and better things but to get to a point where we just build the practice to serve more people. Student loans are paid off (I would highly recommend this) and we can see the light at the end of the tunnel in regards to the business debt. We own both of the buildings that we work out of and the infrastructure is set up so no significant changes need to be made at this point.

Support staff has been absolutely wonderful and I wouldn’t know where the offices would be without Marty and Carol.  They essentially run my world in regards to the office.  They have become very good at talking me off the ledges that I approach or just listening to me vent. I inherited them when we bought the practice in Minden and they have been absolutely amazing.

We could not be in the current situation that we are in without the support of our families, close friends, superb classmates that serve as a sounding board, wonderful support staff, a pretty cool accountant, an understanding/flexible banker and all of the outstanding patients that come through the doors. While we may not be the biggest or most popular (according to Best of Kearney) office in the area, we feel that we have lots of room for growth in a couple wonderful facilities that offers practical chiropractic care for nearly everyone that comes in the door.

Frustration comes and goes in the life of a chiropractor/small business owner but this past week a few incidents struck a little different. I can almost guarantee that this story is fairly common within the healthcare field that the public does not hear much about but I’m going to tell it anyways just based on the pure scummy/frustrating nature of the story.

A little over a year ago a law firm reached out to me about taking on a patient that had been in an auto accident.  (I won’t name the law firm, but it is not local to me by any means) I took the case.  Being in the healthcare field, you understand that when you accept cases like this it may take years to get paid and a reduction in fees is normally going to take place. A couple of weeks later, the same law firm called about another person in a different case.  I took on that case as well.

Maybe I’m a sucker at this point, but I treated the patients and they were eventually released from care.  For every auto case there is normally a MedPay amount that auto insurance is required to cover, but as soon as lawyers get involved it can get messy in a hurry.  The cases normally have substantial amount due, because there are no upfront insurance write offs and the goal is to get the patient back to MMI (Maximum Medical Improvement) as soon as possible, so you treat aggressively from the start.

I felt that I took care of these patients very well.  They had been to physical therapy and received minimal benefit, so they wanted to try something else.  Great, send them our way and we will see what we can do. I think the treatment lasted for maybe 10 visits on the first patient and roughly 15 on the second, this is fairly lengthy for our office but they improved and in my professional opinion had reached MMI.

No additional treatment was going to be necessary on our end.  They avoided the medical system to keep them from having injections, surgeries, MRI, advanced imaging or any such things.  I honestly thought that I had done my job to the best of my ability.

This past week, we were trying to clean up some claims in the office and old auto cases always come up.  I periodically send out a few emails just to kind of check on the status of the claims, I understand that they may not be settled yet, but just from a curiosity perspective one want to know where they stand.

A couple days after I get a few emails back, the attorneys that had asked me to take the cases all of a sudden come in and indicate that they have “disengaged” from the case.  The frustration and “dumbfoundedness” hit me like a ton of bricks.  So a patient contacts a law firm, the law firm sets the patient up for additional care and then when it’s all said and done tell them that they will no longer represent the patient.  I’m assuming there was not enough money involved in the cases for the attorneys to profit, so they just drop the case, this is an assumption, but a good one.

All indications are that the lawyers have their butts covered and that I can send the bills to the patient.  I’m not exactly sure what I will do at this point because the patient did everything that they were supposed to do according to the attorney from the start and got left high and dry.

Morals and ethics are something I pride myself on but this situation just kind of struck me a little different. I’m not asking for a pity party but this just screams of a scummy lawyer with little to no ethics or morals.

I get these inquiries all the time when treating patients. While I don’t necessarily mind answering them, it does just seem to be a topic on conversation.  Just because you walk into the office and no one else is there does not mean that we are slow on that given day.  As with any other business, we go through ebbs and flows.  Spracklin Chiropractic has been around for going on 10 years to this point.  I used to ponder about how busy I am on a daily basis but at the end of the month and end of the year the numbers always seem to be just fine and most of the time grows slightly.

There is actually a thought process that you should cluster book patients on the schedule, there is a positive impact on when people come in and see other people in the office.  It gives the office credibility if there are other people seeking services from the office. I whole heartedly agree with this but when we allow for walk-ins in the offices, then there are going to be down times based on certain scheduling quirks that are planned for.

My wife and I are not paupers, of course you always want to see more patients and make a bigger impact in the communities I serve.  By making a bigger impact, normally money will follow.  Making a bigger impact does not necessarily mean taking advantage of people by making them come back for visits that are not necessary or by increasing your charges so that it makes up for the short fall on a given end.

The philosophy of the office is slow and steady, we have been growing consistently over the years but I always say that I’m able to sleep at night. There are days that we see more patients that we really want to in a given day and then the very next day we twiddle our thumbs waiting for the phone to ring…Welcome to Small Business Ownership.

I recently invested in decompression tables in the offices, I tell myself every time I purchase things in to the practice, I’m not doing this to add revenue to the office.  I think of specific patients when I buy things and purchase based on what value it can bring to the office.  A physical therapy office visit may cost you $150 just to walk in the door, if I can keep my costs at a reasonable level and provide the same basic services that other offices offer, but be able to charge $75 a visit, then it’s a win for myself, the office and the patient.

Caring about what your competition used to really work on me mentally but I’ve actually reached a point where working on my own practice and myself has become much more of a priority.  If by taking a day off bothers a few patients, I’m actually okay with that, because taking a day out of the office may actually benefit everyone involved in the practice.  Whether it be continuing education or rest and relaxation time, it will allow patients to benefit as I feel more refreshed or bringing new knowledge to the practice that could potentially benefit more people.

I like to have open conversations in the office, whether it be about the condition that is presented for the office, my life, your life or anything in between.  Don’t get me wrong, I will continue to answer the question about how busy the office is, but just know that you may come in one day and we usher you straight back and then you could return later that week or sometime later and you may wait for 10 minutes because we may be inundated on a given day.  We take the good with the bad but just know that we are happy with the pace of the office but will always strive to be busier.

I get comments from time to time saying that I don’t need to worry about money: “You see plenty of people, you must have a fancy car, mini mansion and take nice vacations a couple times a year.”

I want to kind of get back to the roots of this blog and talk to a younger demographic for a second about the finances that go into becoming a chiropractor, the numbers that come along with running a practice and how young chiropractors make a living.

I’ve said this before and I will continue to preach it, if you think you are going to become a chiropractor to become rich, I have some news for you.  The average American chiropractor makes between $70,000-90,000 a year.  Most have to take out student loans in order to finish the degree.  I graduated almost 10 years ago now and my loans were close to $180,000.  There are stories out there with people in the 250-300K range.  There are ways around making very minimal payments but the interest continues to accumulate and if you are looking for income based repayment, I hope you have done your research on the tax implications if you just make minimum payments for the next 20 years.

I’m a huge advocate for being as aggressive as you can, getting the loans paid off as fast as possible and from a bare minimum, you at least own your brain. Kristina and I made some very strategic moves in order to get the loans paid down, waited to start a family, worked relentlessly/obsessively to make extra payments and lived fairly minimal for the first couple years out of school to get them paid off.

Most chiropractors coming out of school end up working for someone for at least a little bit of time, while this is not the rule, some people do start practices right out of school.  Associate positions normally pay minimally and normally pad the pockets of the practice owner.  Starting a practice is expensive, more loans are probably necessary and the building period to making a profit can take a little while, if at all.  If you can keep your overhead to less than 50% you are doing well, but I caution when the bills start rolling in, your bank account never seems to get ahead.

If you think that you will make six figures, drive a luxury car and take a couple of weeks off a year your first couple years out of school, I want to know what you are smoking or what you are doing because I want what you got.

I’m going to preface this with, Nebraska, where I practice has a pretty good situation to practice in. The state association is very well organized and insurance reimbursements are reasonable for the area.  Chiropractic schools seem to be putting out more and more chiropractors with no sense of running a business, so unless you know the insurance game and have a little bit of business sense, it can be a rough go starting out.

Just some very simple numbers on a monthly basis: Rent ($1500), Utilities ($200), Software($200), Minimal Salary ($2000), Student Loans ($1000), Bank Loan for Practice ($1500), Advertising ($100), plus you will have random stuff that comes up.  Let’s say that you can keep your practice overhead to around $6000-7000 a month which includes paying yourself, at an average visit of $55 a visit, you will need to see roughly 35-50 patients per week to make a bare minimal lifestyle. These numbers will fluctuate greatly, you may hire help, you will pay payroll taxes and other practice related expenses are not included but you get the picture.  This doesn’t include saving for retirement, a building, a home or a car.

When someone says you must be rolling in cash because the practice is always busy, the thing that people don’t normally take into consideration ,is the pure cost of running an office, paying people and still having enough meat on the bone so that your own family can survive.

I’m not writing this for a sympathy vote, my wife and I live a fairly comfortable life with two young boys.  She works and probably always will, she worked hard for her degree as well and we feel that she should use it. The way the business is structured will actually benefit myself and Kristina in the years to come but it can get tight at times because the ebb and flow of patient visits on a given week or month.  We are ten years into practice so the ups and downs are expected but it does make you think a little bit when patients think that you are getting rich off of them.

I chose the chiropractic profession because I knew that I would be able to help people and I could ultimately be my own boss.  The sky is the limit, but right now I’m comfortable driving an eleven year old car that is paid off while trying to get ahead in life.  Like I said, this is not a sympathy blog but more of a put the numbers into perspective so people can wrap their minds around them.

If you are a young chiropractor with the world at your finger tips, there are a lot of different ways to make the numbers work and I have some good ideas that I keep to myself unless asked about but just know that knowing your numbers is a must, it will be a grind and that if you keep all this in mind, odds are you will be okay in life, not poor, not rich but okay.  People will always have more that you, so be comfortable with who you are and own it.

Questions are welcome and we will see everyone in the weeks to come.

Health insurance in general can be fairly tricky to navigate.  This is not a new phenomenon in chiropractic office either.  We have numerous people that come into the office indicating that their previous doctor no long accepts a particular form of insurance.  While I don’t necessarily fault the doctor for not taking certain insurance, I understand that this can be super frustrating from the patient perspective.

That’s why at Spracklin Chiropractic we essentially take every different health insurance, you name it, I can almost guarantee that we are in network or at least work with them. At the end of the day, the offices are a business and needs to generate some form of revenue, but and there is a big but in this statement, people need help at inopportune times in their lives.

A new patient will come in the door and we have a short conversation as to what are the expectations on both parties.  I indicate that I am here to help and meet them for their needs; we will not do more than we need be.  Most of the time, I like to start treatment very simply and build care from that point.  If I throw every therapy I have at you and you get better or worse, how are we supposed to know what exactly helped or hurt you?

We have numerous forms of therapy that we have in the office.  Not everyone will get the same therapy or treatment every single visit.  I have numerous families come in and ask why a certain person got treated differently than the other, well, they needed different things.

If you call our office and ask for our prices, we are upfront on the cost.  Are we cheap, NO: are we expensive, NO.  I would say that our office provides value to the patient.  Our fees are just like everyone else and we charge for what we do in the office but we are fair.  We try to maximize insurance coverage in order to get the desired results that the patient is looking for.

Some people will see a benefit within one treatment, some it may take several.  If you think your treatment plan is going to cost thousands of dollars and months of your life, you will not find that here.

DOT physicals are the same way in our office, are we cheap, I don’t think we are but compared to other offices, I’m sure you could make that argument.  We provide a value for a service that is necessary for a certain subset of the population.  We are convenient to get into and reasonably priced for all of our services. We play within the guidelines, whether it’s with the Federal Motor Carriers for DOT’s or with insurance companies for chiropractic care.

Meeting people where they are in their lives and giving them what they want in order to get the relief that they are seeking is kind of the motto of the office.  We feel that we provided numerous services that people can benefit from on a regular basis and we provide those services at a value that doesn’t take advantage of the patient. We are not necessarily that unique of an office but we do find that being truthful with patients, providing a value with care, allowing people to direct care (to a certain degree) and the general laid back feel of the office sets us apart from the other guy.

Let us know if we can be of any assistance in any of the services that we provide and would like to experience the office for yourself.

Another year down and what a year it was.  Every year I like to sit down and write and reflect on the previous 12 months in the offices.

Knock on wood, we did not have to close down this year due to COVID.  We have tried to do just about everything possible to keep Marty, Carol and myself safe during the year.  Sure we had random allergies and colds but as far as we know COVID never crept into the office on a personal level.

Laser therapy and most recently decompression tables were added to the offices this past year. We feel that this will add a dimension to the office, patients that are looking at potential surgery for back and neck pain along with chronic pain patients that have tried just about everything.  We have gotten to a point where both offices have the exact same equipment that I like and prefer in order to achieve the results I would like to see coming out of the offices.

DOT physicals, we do plenty and don’t really want to do them all day but always room for more growth.  We are changing the payment structure of these, as we have been getting eaten alive with credit card fees. Cash, check & fleet accounts won’t be affected but people paying with credit cards for this service will see a slight increase in price.

We changed our hours in the spring and have no intention of changing them back at this time. I initially called the change the “summer of sanity” and it really did turn into that.  I truly enjoy having my Friday afternoons off, most of the time I’m able to catch up with paperwork or just enjoy some down time.  But the greatest thing about it is the fact that we are able to get out of town a couple hours earlier if need be to get back to see family when necessary.

The past couple of years have been kind of interesting in regards to growth, sure we have been growing and seeing more patients in 2021 than we did in 2020 & 2019 this has been while shaping the business how I would like to see in the future while continuing to practice like I have been.  When you purchase a practice, I’m a firm believer that you need to know what you are buying in the first place and don’t change everything on the first day.

The most frustrating aspect of the office is probably dealing with the ever changing aspects that insurance brings to the office. We are in-network with just about every insurance company that is offered in the state of Nebraska.  The marketplace this year is coming out with a couple of new products, as far as I know we are in-network with all of them.  The first couple of months of every year is trying to figure out what each insurance company wants and we spend a lot of time in January through March figuring this out, it’s not new but frustrating.

In summary, the year ended up being a pretty good year with no major hiccups or complaints. As we trek through the years, we are constantly evolving our “why.” This is a little bit of a thoughtful process as I’ve become big into, I know what I do and I know how I do it but figuring out why I show up to work every day is a constant ebb and flow.

I know that I am a chiropractor and I know that I like to help people rid themselves of pain but as the years go my “why” is turning into: providing patients an alternative to the traditional healthcare system by enhancing options that keep people comfortable and moving throughout the stages of the individual life.  It can be all encompassing but I feel that being thought provoking can be a wonderful process for most businesses.

We look forward to seeing everyone in the new year and can’t wait for what lies ahead both personally and professionally.