Chiropractic Marketing | Chiropractic Advertising | Chiropractic Ads

As I was doing my daily searching on Google.com today, I noticed a strange graphic:

The Google image is blacked out. By clicking on the image you’ll end up on their Take Action page which deals with the new SOPA/PIPA legislation before Congress.

Then later today I was reading over at Ryan Healy’s blog and noticed quite a few websites are protesting. Here’s what you’ll see at Wikipedia:

What is SOPA/PIPA and what does it have to do with your website?

Do you market your practice on Facebook, Twitter, or Youtube?

Watch this short video to understand why you should fight against this legislation.

What can you do to stop this censorship, which if passed, will eventually effect your business?

Sign Google’s petition here. And contact your representative. If you’re not sure who your rep is, go to Wikipedia today and they have a neat popup that will look up your representative by zipcode.

Have you set up your 2012 chiropractic marketing calendar yet?

I know it’s already 2 weeks into the year, but if your holiday season is anything like mine, it takes the first week or two in 2012 to actually relax and catch up from the end of the previous year.

One of the things you must do is write down all your plans and goals on a yearly calendar.You can not just wait until you need new patients, and then figure out what to do. This is reactive marketing and you want to be proactive this year.

For years, I used a monthly calendar on the wall that my staff and I could write marketing events down and see what was coming up.

But the furthest you can see on these types of calendars is only 30 days at a time. What we need is a “year at a glance” type of calendar.

Well thankfully this year I found the NeuYear Calendar, which is a complete year at a glance. This will hang great on the wall or back of my door.

I recommend you grab one too, and start planning your monthly marketing events, promotions, ads, etc.

Here’s some benefits listed on their site, which led me to buy one immediately:

• It’s big, coming in at 27″ x 39″ this means you can see the whole year at once. “You no longer have to page through a traditional calendar (or on your small computer screen), to see the whole year. You can layout your goals for the year, set future deadlines, and clearly see the passing of time. Also, it has bigger squares so you can write more.”
• No space between months. “The week is the currency we think in, so this calendar focuses on presenting 52 weeks, rather than 12 months.”
• Brilliant aesthetics. In Making Ideas Happen, author Scott Belsky says “the design of your productivity tools will affect how eager you are to use them; attraction often breeds commitment.”
• 2 calendars in 1! It has a horizontal orientation that fits perfectly above your desk, or you can flip it over for a vertical orientation that fits perfectly on your door.

Now that I shown you which calendar I think is best, what do you do with it?

Call a staff meeting one day during lunch. Start by explaining your mission for your practice and the goals you have for this year.

Then begin brainstorming with your staff about the different types of marketing ideas they have. Make sure to give them room and freedom to talk. Even if they have a bunch of bad ideas, just write them down. You never know when they’ll say something you’ve never thought of.

My staff would often come up with many successful in-office marketing procedures from the past that I had totally forgotten about.

Once you have written down, everything you can think of, start prioritizing your list. Put a “1″ by the most effective, “2″ be second most effective, and so on.

Side note: Do not base effectiveness on what feels like it did the best last year. Feelings do not turn into dollars. Measure effectiveness based on your return on investment numbers you recorded for all marketing last year. And if you didn’t keep good records, go back and see if you can figure it up now. Remember, ROI equals the amount you brought in from a given marketing campaign divided by the money spent on it.

You might want to throw in something new for 2012 that you haven’t tried before. A few suggestions would be:

• Neuropathy or decompression newspaper ads
• Google Adwords
• spinal screenings (but with a caveat, see here)

Then begin writing on your calendar all the 1′s, 2′s, etc. spread out somewhat evenly throughout the year. So you don’t want all your ads to come out in March and have the rest of the year empty.

If you wanted to do it according to budget, you should write the amount to spend beside each campaign to. For example, on February 20th you might write “Run Neuropathy Ad for $1000 or less”. (To see how to save money on running your monthly newspaper ads, watch this free webinar.)

If a month get’s too busy, slide things forward into the next month. You should be marketing every month of the year, no exceptions.

Now you have a marketing calendar set up. Try to stick to it as much as possible. You may need to edit and change things throughout the year. That’s fine, but make sure you take a look at the big picture before making rash decisions.

Do you have any other good ideas on planning your marketing calendar? Let us know in the comments below.

How was your 2011? Did you hit all your goals?

Did you learn any lessons along the way?

Because my year started off kind of crazy (see #1 below), I put off setting any specific goals. By the end of the year, I could see that 2011 hadn’t been much of an improvement over my 2010 goals.

That’s the whole point of setting goals, so that you have something to aim at. So by January 2nd of this year, I already had all my goals listed out on paper. No messing around this year.

While on the business side of things my year was about like the one before, 2011 was still a great year! It was very busy, especially on the family side of things. Looking back over the year, I realize that many of these events taught me (or reminded me if I’d already learned them) that running a business is really about something bigger than just the business.
Lesson #1. Children are a blessing.
On January 3, 2011, very early in the morning (3 AM) we were blessed with a new son, Camden Elijah Beck. It’s hard to imagine he was just a tiny little tike, because now he walks around my office hitting things with a toy hammer and trying to unplug all the wires on my computer.

#2. Set a goal for your family and work hard for it.
Autumn and I have been married for 13 years, and we’ve moved 12 times! After moving to the Texas hill country in the beginning of 2009, we had been renting a smaller house in town until we became familiar with the area.

But as our family grew, we knew it was time to look at buying a home, hopefully with some room for the kids to roam. In May we moved into what my wife calls her “dream home”: something large enough for living, homeschooling and me to have a nice home office!

Here’s a view from the front (before the worst drought in Texas history completely wiped out everything green):

#3. Take time to make memories with your family.
A few years ago, I realized my family and I were not taking enough vacations. So we started an annual beach trip to the gulf coast. This year was much nicer without the threat of oil washing up on the beach, as it had been in 2010 with the Gulf oil spill fiasco.

We also decided to try out the Houston Space Center. While the Center was the kid’s favorite, my favorite part was taking a tour of the NASA research facilities. It’s amazing to see the humanoid robots and spider bots that are being built and testing right in front of us.

Here we are on the dunes of Surfside Beach.

These are the lessons and events that marked by 2011 year. (Let me know yours in the comments below).

Also, here’s a neat video showing some major events searched for on Google in 2011. (Notice how fast Google is becoming a major news source? Expect more from me on this blog showing you how to get the most out of Google in 2012!)

1. Monthly print newsletters will be more valuable.

I know, you’re probably thinking print newsletters have gone the way of the dinosaur, and that email, Facebook, etc. are “da bomb!” But the fact is people are starting to demand a more personal relationship with their businesses. All you have to do is look at the Occupy Wall Street movement to sense how people now see a big gap between the products they buy and the companies who provide them. (Also, for more on this, watch the second video here on Dr. Loop’s blog.)

What about email newsletters you ask? You should be sending those too, at least 2 per month. But does it mean more to you to receive a birthday card by snail mail or an e-card? Sending a print newsletter with a real postage stamp is still a very effective way to communicate with current patients and get more referrals.

2. Videos will be more effective on your website.

Video has been around for a number of years on the internet, but it really hasn’t become the norm yet. However I think in 2012 that will start to shift. A few reasons for this are: almost everyone has some type of broadband internet access now, Youtube is more popular than ever, and sites like Facebook are using more video. At the least you should test a video of yourself on the landing page of our website to see if it increases conversions. Using tools like Google website Optimizer will let you easily figure out if videos are more or less effective for your site.

3. Neuropathy, Decompression and other niche specific newspaper ads will continue to get high returns.

Like the print newsletters mentioned above, you may have bought into the lie that newspapers are now extinct. However, in most markets, this is not the case. Many of my clients got their best returns ever on newspaper ads in 2011, especially when using neuropathy and decompression ads. I know there are plenty of other people out there telling you how a jillion internet things will bring in hundreds of patients. And some of it will bring in patients. But don’t neglect the trusted source of patients like the newspaper. The key is using very good copywriting to reach specific niches that are really responsive.

4. Facebook, Google + and other Social Marketing sites will become more important in your chiropractic marketing plan.

Many chiropractors have heard of Facebook. Less have heard of Google+. Unfortunately, doctors treat these sites like everyone else, a place to post all your personal happenings. The problem is most patients aren’t interested in the fact you just “checked in” at the local burger barn. Sure, some personal interaction is necessary to maintain a following. But, you also need good copywriting and intentional posts to cause new patients to act and pick up the phone to call. Another important and often overlooked aspect of these sites is that they help with your search engine rankings. Having Facebook likes and Google+’s on your website will help it come up higher in Google Search, which will translate into more new patients. Just remember, Facebook and Google+ are effective tools, but they are not the only game in town. So, don’t spend 100% of your time and money fiddling with them.

5. Developing a mobile site will become a necessity.

As my friend Terry Dean recently pointed to, more and more people are using iphones to access websites like Facebook. Look at the stats from the link below, which state that “more than 350 million active users currently access Facebook through their mobile devices “:

https://www.facebook.com/press/info.php?statistics

Also, realize that one of the most common uses for a smart phone is to check email. That means every time you send an email with a link back to your website that person is going to your website on their phone. Even though I prefer to use the internet on my PC, I have an iPhone and iPad that I use often and realize it is just more convenient to click a link now rather than wait until later when I can access the website on my home desktop.

I’ll be working hard to implement these changes in 2012. I recommend you do the same. Also, I’ll keep you updated on any new tools and strategies I’m working on next year. Happy New Year’s.

Let’s see how good your math is today. Prizes go to anyone who gets the right answer!

Math never was my favorite subject in school, but I got by with passing grades at least.

Well, there was that one time I made a D with Mr. Drill Sergent Teacher in college Algebra! But, I retook it later with a different teacher and got an A.

Anyways, enough about my report card. Let’s see if you can do some business math…

Nothing complicated of course. I realize most of my readers are doctors and have other skills sets.

Hang with me here and you’ll see there’s a very important marketing lesson that goes along with this math problem.

The most important number in marketing is ROI (which stands for Return On Investment.) According to Investopedia.com the technical definition is:

A performance measure used to evaluate the efficiency of an investment or to compare the efficiency of a number of different investments. To calculate ROI, the benefit (return) of an investment is divided by the cost of the investment; the result is expressed as a percentage or a ratio.

It’s the money you make back, the return, on what you originally invested. So if you put $1 into marketing and make back $7. That’s a 7:1 ROI, also expressed 700%

This is an excellent return. You made $6 that you did not have when you started. All the big box stores would love to have that kind of return on their merchandise.

Let me make the example a little more complicated.

Let’s say you want to start an egg business. But, you need to invest in getting chickens first, before you can have any eggs to sell. Your first step is to hire a chicken catcher (work with me here, it’s an example!) You find a highly recommended chicken catcher for the nice sum of $100.

You ask Mr. Chickengetter (heretofore known as CG) how many chickens he can catch for you. He says he’s not sure, as those buggers are pretty fast. But he’ll do his best. Tomorrow he comes back with 9 chickens. Now it’s time for the egg laying to begin!

Within the first month these fine chickens produce 300 organic, free-range eggs to sell to Whole Foods, who pays you $700 for them.

Wow, this makes you feel really good about your business.

Let’s throw in a little twist. Let’s say all your chickens burn up in a horrible fire after 30 days (hey, stuff happens)!

You’ve now got to go back to Mr. CG and have him catch you some more chickens. But on your way to meet him, you strike up a conversation with another farmer down the road, Mr. Poach.

He informs you that he never pays more than $5 for a new chicken, never, ever! Even though Mr. Poach’s farm is looking pretty shabby, you thank him for his good advice and go on your way.

You then hire Mr. CG for $200 this time and tell him you need a lot of chickens to restart your business. He brings back 18 chickens. You do a quick calculation in your head, while thinking about your previous conversation you had with Mr. Poach. You just paid a whopping $11.11 per chicken! You feel completely duped.

Doesn’t Mr. CG understand how tight money is after the fire? If he really cared, he would have brought back more chickens. At least 50, or maybe 70 chickens.

After giving Mr. CG a piece of your mind for charging you so much per chicken, you go back home and start producing those wonderful eggs.

After 30 days, you have about 600 eggs, which you sell to Whole Foods for $1400.

How depressing this chicken business is.  Last month you felt good about your business ,but this month you only got 18 chickens from Mr. CG. If only he could have brought you 80 or 90 chickens, you could be feeling good right now. You think to yourself, “maybe the money’s in turkey farming.”

What’s the moral of the story?

It doesn’t matter how you feel about the number of chickens you get, it’s the amount of eggs they produce that matters!

In both scenarios, the return is exactly the same, 7:1 or 700%. In both cases you put in $1 and got $7 back. It doesn’t matter how much the chickens cost, because that’s not part of the ROI formula!

How many investors on Wall Street would be ecstatic about buying stocks for $1 and selling them for $7?

Now for the true test of your arithmetic prowess. Here’s a real life example I got in email form.

“I just ran my first ad. We got 6 calls to schedule and 5 came in. I’ve already done one report and he paid $995 today. If he keeps his treatment recommendations he’ll pay an additional $500 to finish his care. 5 NP’s from a $1000 cost to run the ad is not a very good return, don’t you agree?”

Be one of the first 10 comments to get all of the following questions right and I’ll give you a free video for improving your website ranking on Google.

1. Assuming all 5 patients finish the care plan of $1495 each, what will this doctor’s ROI be?

2. Would you be happy with these results?

3. Multiple choice, choose only one:

Would you:

A. Run the chiropractor’s ad again.

B. Not run the ad again because it only brought in 5 new patients.

C. Not run the ad again because it lost you money.

A struggling practice is typically characterized by low income, low number of new patients and small weekly volume.

This may either be a long term practice that has declined, or a brand new practice that fails to really take off.

To a doctor who’s spent years in training and thousands of dollars to obtain a degree, this can be very depressing.

And to top it off, the doctor who ends up struggling is in the worst spot for making good marketing decisions.

There are 4 areas in marketing that a struggling practice must learn to overcome if they are going to outgrow this slump.

1. Because of mistakes in the past, he’s hesitant to even use advertising. Past failures are not necessarily an indication of future failures.

The point of making mistakes is to learn from them. If you eat bad food that makes you sick, you don’t stop eating food. If you’ve used bad advertising in the past, you shouldn’t stop all future advertising either.Marketing your struggling practice is not an option, but a necessity! The key is using effective marketing.

2. He’s so desperate for a solution that he’ll risk large amounts of money to save himself from going out of business.

This means spending money with any ad rep that comes by the office. Don’t loose our good judgment when you’re face-to-face with an ad rep. Get all the information you need. Ask for a good deal. And don’t make quick decisions.

3. Thinking that advertising costs too much, so he’ll just save his money and focus on “internal marketing” and referrals.

Unfortunately, this is a downward spiral, as a struggling practice is struggling because of the lack of NEW patients.Regardless of what some consultants teach, not every patient in your office is going to refer.

That’s just being realistic. So ONLY relying on referrals from a dwindling patient base is just going to frustrate you. Get referrals plus do outside marketing.

4. Not measuring his return on investment and continuing to make stupid marketing decisions based on feelings (or bad coaching advice) instead of looking at the numbers.

This one is not just a trait of the struggling practice. Many well-off practices still make this mistake, preventing even further success.

A good marketing strategy isn’t “successful” because of how it looks, how it makes your wife fee or even how many new patients it brings in. It’s successful when it brings in a good return on investment (ROI). An ad that “just brings in 5 new patients” isn’t necessarily a bad thing, if you only paid $500 for the ad and each patients ends up paying you $1500 each!

If you’re in this situation, don’t worry, you’re not alone. I was even there at one point in my practice.

But you have to get over these mistakes and advertise your services in an effective way. You should pay special attention to #2 and #3 above. These are deadly.

You can’t afford to waste money on bad advertising. So if you’re currently doing any marketing that’s not been producing in the last 3 months, then stop.

Put your money where it counts, like with running chiropractic ads in the newspaper.

If I had only $500 to spend each month on marketing, and had to pick just one form of advertising…I would pick newspapers…and work the newspaper rep until I got a good ad
placement for one of these ads!

This was one of the big strategies that saved my practice from bankruptcy!

It’s often said that to have success in your practice, you’ve got to focus on “a big hairy goal” or see the “big picture” or get “the big idea”.

This is true enough, but not precise enough.

You see, once you have that big picture, then it’s time to get to work. And inevitably as you focus on accomplishing that big picture day by day, you realize there are tons of tiny little steps!

There’s marketing, exams, paperwork, treatment notes, billing, etc., etc. The carpet sure looks dirty and the toilet isn’t perfectly clean either. And who’s going to change that light bulb that’s been out in the closet for 5 weeks?

“No worries, don’t sweat the small stuff” you tell yourself.

But then you begin to realize that big picture isn’t really materializing. And that big hairy goal is looking so hairy you’ve forgotten why you wanted to accomplish it in the first place.

What’s the solution?

I recommend you be more concerned about the details of your business. Someone’s got to sweat the small stuff. It does matter what you wear to your office. (If it didn’t matter you would wear your pajamas.) Patients do care if your breath smells like rotten garlic after lunch.

And you’ve got to make sure your staff understands your high standard of excellence in keeping your office efficient and clean. Nothing turns a patient off more than a dirty, smelly and unorganized office. Does your office smell like greasy fast food after lunch? Is Mary’s perfume at the front desk enough to knock your next patient out?

But here’s the key to “sweating the small stuff”…

You should only be “sweating” about a specific topic only once. As the owner, it is your job to make sure it gets done. Either by you or by someone else.

Make a list of everything you do in your business each month. Then ask yourself what you are good at and what you like to do. You might even give each task a rating of 1 to 5, 1 being something you absolutely love and 5 being something you hate to do.

Then start with the 5′s and ask yourself who else could do those. For example:

Need light bulb change? That’s Carol’s job to take care of. (Make a note to put that on her to do list and regularly check it.)
Billing? Outsource it or hire someone part time in-office.
Marketing? Get a done-for-me marketing program that works (highly recommended: The Ultimate Chiropractic Ads).

Check out my More Tools page to see other examples.

Now once you’ve taken as much off your plate as you can, you should have plenty of time to focus on what really matters. Plus, your office will look, smell and be more efficient as a result.

Regardless of what anyone says, success really is in the details. Yes, have a big goal. That’s not difficult. Lot’s of people have goals.

It’s the getting things done part, the accomplishing of multiple tasks all at once, that is the hard part. This is why most people never accomplish their goals.

Details matter. The whole world is full of details.

Just check out this video and stand amazed at the details of God’s creation (it’s full HD so you can full screen it and enjoy it.).

I frequently get this type of email message…

“Hi Doc. I just ran one of your ads. We got 20 calls and 11 came in for the exam. How can we get better results from the ads?”

Unfortunately this is a huge problem in chiropractic offices (or any health practitioner for that matter!)

The problem here isn’t the ad. After all, it brought in 20 new patients calls! But to have only 55% of those calling in show up for the first visit is ridiculous.

But you want to know the scary part? This is happening in almost every office around the world.

Most doctors never realize this is happening in their clinic. I know I didn’t when it happened to me.

It may not be as bad as the example quoted above, but as you know, every lost new patient is worth thousands of dollars to your clinic.

How many new patients are you missing out on just from bad calls.

Here are a few current numbers on this issue reported in our industry:

• 98% of all new patients call on the phone first to schedule.
• 50% of all lost patients are caused by poor patient handling at the front desk.
• 79% of all advertising is wasted on leads that don’t convert to new patients

Think about it.

You may have spent thousands on marketing in your office which should bring in tons of new patients and revenue, but one person stands between the patient and the doctor; how well are they doing at their job?
For years I’ve urged the doctors using my ads to track their results. Not just from the calls coming in, but the return on investment for each ad campaign run.

Yet, we all get busy and tracking often falls by the wayside.

But finally I’ve found a solution…

Recently I came across a call tracking and call recording application designed specifically for doctors.

It’s called MyDoctorCalls and it is simply the best solution to tracking ads, staff phone training. In fact, the benefits this application will provide with amazing improvements in your marketing.

While this program is relatively new, I’m hearing reports of a 10% to 50% increase in new patient appointments showing up.

Here are the big 3 benefits you will see with MyDoctorCalls:

1. Increases new patient appointments so you can get more out of what you’re already doing.
2. Tracks the results (especially ROI) of every ad or marketing campaign you run.
3. Brings in more existing patients to stay on their recommended care plan.

Let’s do the math…

If you are currently booking 15 new patients per month without call tracking and call recording, you can expect to see an increase of 2 to 8 new patients per month after implementing the technology.

The same metrics apply to current patient appointments as well.

Here’s what a few big names in the profession are saying about this program…

Daniel Murphy, DC, DABCO – “MyDoctorCalls is the most innovative tool I have seen in years!

Gerard Clum, DC – “Recording your calls with MyDoctorCalls is the single-most important thing you can do for your practice.

John Brimhall, BA, BS, DC – “Doctors can double or triple the amount of new patients they receive with MyDoctorCalls!

I recommend you check out this service immediately. They have three very affordable, customized packages for you to choose from and no contracts.

Go to this website to sign up and use the code BECK100 to get $100 off:
www.MyDoctorCalls.com/sign-up

You can even get a live demonstration of the whole program at the convenience of your own computer. I did a live tour via screen sharing software and it was quick and easy.

I got to see all the benefits this program can provide and I flat out told them they are charging way too little for everything it does.

Go to this website to sign up and use the code “BECK100″ to get $100 off.

I got fed up with marketing, “pushing” patients to refer, hard-sell tactics – honestly I was ready to quit the profession entirely.

It wasn’t that I hated chiropractic. It was that no one could show me an effective way to market and grow my practice. I had spent thousands on marketing systems and coaches, but to what point?

My pregnant wife was struggling up three flights of stairs each day in our new “apartment home” – sometimes having to lug over 50lbs of grocery with two toddlers in tow.

I began to think my uncle was right years ago when he said…

“Why Don’t You Go To Medical School,
Then You’ll Be A Real Doctor.”

This lack of effective marketing tools forced me to look outside the profession for answers. My practice depended on it. I had no time to “hope” something worked. I needed a solution fast!

At the “eleventh hour” of my practice (and just barely in time to save it) I discovered effective marketing strategies and put them into place for my practice. And I began to see results almost immediately. This all lead up to my writing of the Ultimate Chiropractic Ads.

Right now, decide that you will not give up. Work smart, then work hard until you reach your goal. Then set a higher goal and do it again.

Check out this video of a girl who did not know how to give up.

Recently a student from University of California Riverside contacted me for an interview regarding chiropractic marketing. I thought you might be interested in his questions and my answers. It’s a little longer than my usual blog posts, but I didn’t want to divide it up into parts.

Here is the interview:
——

Greg: I’m a student at UC Riverside. I am taking an internet marketing course and we were all assigned a niche (ex. chiropractors, plumbers, dentists) and was told to create an online marketing plan for these professions. I was assigned chiropractors and in my research, I found this site. You seem to be an authority in the industry so would it be ok if I ask you a few questions either through email or phone about Chiropractic Marketing and ROI.

Thank you for taking the time to answer my questions. I really appreciate it. My class revolves around internet marketing and its impact for businesses today. I have a couple of generic chiropractor questions and a few more specific internet marketing questions.

My first question: When you are training to become a chiropractor, do they teach you just what you need to be a skilled practitioner or do they also teach you how to run your own chiropractic business. Basically, do they teach you how to market yourself?

Dr. Beck: No. Most chiropractic colleges have one class on the business side of chiropractic and it is very bland. The teacher is often not in practice or if he/she is in practice, they are reluctant to give too much information on marketing, fearing that the college would not approve. The chiropractic schools do a great job of teaching us how to be skilled practitioners and caring doctors, but the business training is really lacking. And you see this affecting the profession with many chiropractors struggling to make ends meet.

Greg:  Do Chiropractors in large cities charge significantly more/make more than those in smaller cities? Or is it mostly standardized across the nation.

Dr. Beck:  There is certainly more potential in a large city for higher income, due to the higher density of potential patients. However there is more competition in large cities and overhead expenses are much higher. Smaller towns allow lower monthly overhead so that the business can have a higher profit margin. Plus smaller towns can allow for easier referral capacity. So it’s a toss up in my mind. I say live where you want to live and raise your family.

Greg: I saw on your website that you mentioned for one example that the lifetime value of a patient is $1800. Is this factual or was it just used for the example? If the latter, what would you estimate the lifetime value of a patient to be.

Dr. Beck: The term “lifetime value” is a typical marketing term used to estimate marketing costs and return on investment. If you take the lifetime value of a customer, then you can determine how much you can spend on marketing to acquire that customer. The lifetime value of a chiropractic patient is between $1000-3000 on average, depending on the type of practice, location and services offered. Some highly specialized niche practices will make higher than $3000. Anyone making less than $1000 per patient, averaged across 12 months, will find it very hard to be profitable in today’s world, unless of course they are getting hundreds of new patients per month.

Greg: I’ve noticed that in many large cities, the Google PPC ads are about $2-$3 a click. Even with a 10% conversion rate (just a guess by me), $30 for a patient worth $1000+ seems like a steal. What are you thoughts on this? Are chiropractors just unaware of these options in acquiring more patients?

Dr. Beck: A 10% conversions directly from Google Adwords would be quite high in my opinion, for any business. The actual number ranges between .5-2% depending mostly on the landing page copy on the doctor’s website. If we assume a conservative 1% conversion rate and high (in most areas) $3 per click, then it would take $300 to get a new patient. At a lifetime value of $1800, that is still a “steal” as you say. The return on investment (ROI) is quite high, with a $1500 profit per patient. Are chiropractors unaware of this? I don’t think most chiropractors understand Pay Per Click well like Google Adwords and they may have been screwed over by a company running it for them in the past. Also, many chiros have been told bad marketing proverbs like “you should never pay over $100 per new patient”, which causes them to quickly decline paying $300 per new patient.

Greg:  In our study one of the questions that we have to answer is if we had a website that ranked for “chiropractor in city” and was getting 100 targeted clicks a month. Not knowing how many people are going to call the chiropractic business, what should we charge the chiropractor for this website per month. What would be a fair price for the chiropractor as well as the webmaster on a monthly basis?

Dr. Beck: Words like “fair price” will mean different things to different chiropractors. So if asking them directly what they would pay for a website, it would depend on the money they are making at the time. Many chiropractors are paying upwards of $3000-5000 for really bad websites; websites that looks great but fail at getting new patients. Other companies charge a monthly fee like $500 for a website design and maintenance (which does not include an PPC.) I personally think no more than $1000-1500 for a website and additional monthly fees for Adwords management.

Greg: What would be the maximum you pay for the lead. We are going to assume he is a random patient meaning he may only go to the initial appointment or he may stay for a few years.

Dr. Beck: How much would I pay for a lead in practice? Almost nothing since leads do not equal new patients. I once bought a chiropractor’s files who was going out of business and mailed out letters to all 1000 of them. Not one came in. But I assume by the word “lead” you mean new patient. How much would I pay for a new patient? I would pay at least 70% of the lifetime value. But few chiropractors will do this high of a number, because of multiple factors mostly related to now knowing their numbers. (Most physicians and healthcare practitioners are not known for their ability to keep good business statistics.) Many chiropractors have been told they should pay little to nothing to get new patients in. Some have even been taught it’s unethical for a doctor to do any type of marketing. Also as I mentioned above, there is this proverb going around that we shouldn’t pay more than $100 per new patient, so that’s a baseline for you to consider.

Regarding a “random patient” who might stay one or might stay 100 visits, all this is factored into the lifetime value number as it is an average across your practice.

Greg:  I appreciate your time. I’m grateful for any help and I am looking forward to hearing from you. Thank you very much, Greg Larkin, Student at UC Riverside.