Chiropractic Marketing | Chiropractic Advertising | Chiropractic Ads

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:
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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.

Can you tell me what is the most important point to make in any and all marketing you do?

(Whether it’s your newspaper ad, website, or patient education, you must have this or it will fail every time.)

Before I tell you the answer, let’s see if you can find it in this article about “Burger King decapitating its King”.

After spending millions of dollars to promote cool and hip commercials with the King Mascot, BK is pulling the plug on this marketing failure.

Why would they do this investing so much to “brand” it into the consumers mind?

Simple. It. Doesn’t. Work.

BK’s biggest rival, McDonalds, is gaining market share while Burger King is losing it.

Why? Here’s the key:

This discrepancy in performance is not the result of McDonald’s having more “creative” advertising or a hipper mascot (Ronald Mc Donald is many things – hip he’s not). But while Burger King was trying to sell consumers an edgy brand image, McDonald’s focused on something much more mundane: selling burgers, fries and coffee. The rest is marketing history.

Do you see it?

The most important concept in any marketing you do is providing a solution to the prospect’s problem. The fast food eater’s problem is that he is hungry, and he wants his food fast.

Now who’s going to connect with the conversation going on in the prospects head: the goofy, big-headed King Mascot jumping around or images of juicy, greasy burgers and fries being cooked up.

Yet, even though BK has spent millions running these silly commercials on TV, they realized it wasn’t working. It’s time to pull the plug and start over, focusing on actually selling the product.

In chiropractic, this means you have to focus on connecting the patient’s problem with your solution. Your solution — that’s the product you’re selling. And make no mistake, while you may not be “hard selling”, you are selling something. Everyone in a for-profit business is selling.

So don’t keep running ineffective ads that may look pretty and impress your receptionist, but do not connect to the patients.

I’ve not eaten at either of these restaurants since I started Chiropractic College. But even though I’m not their target audience, I always thought the King commercials were a waste of money. Maybe it’s just my marketing training.

What do you think?

There’s a little-known formula that you should use in all the marketing you do. This formula should be used when speaking, running newspaper ads, sending direct mail, on your website, and more.

It was officially put into writing in 1898, and has been used in almost every industry since. (It’s really been around since the beginning of creation, because the way humans think has not changed!)

This formula has proven successful for many, many decades, especially in direct response marketing. It’s called the AIDA formula. Let me show you how it works…

A = Attention. Your advertising should grab the reader’s attention. The best way to get someone’s attention is with your headline, if an ad, or your opening sentence (if you’re speaking.) John Caples once said that the headline is 80% of the ads effectiveness.

I = Interest. After you’ve grabbed their attention, you want to continue to making it interesting. What we’re doing here is not just putting up big, bold words in the headline just to get their attention.

You may have experienced advertising in the past that did something crazy and shocking to grab your attention, but as soon as that was over and they started talking about their product. You were no longer interested.

There’s advertising that uses words just to get your attention, but then the ad has nothing to do with that word. It almost feels like a bait and switch, where they’ve baited you, you go to look at the ad and it has nothing to do with the headline.

D = Desire. After the reader is interested in your ad, then you want to arouse their desire. The desire of your prospects are simple: they want to be rid of this annoying health problem. They want the benefits you can offer them.

For those who have my chiropractic ads, you’ll notice many of them describe what the reader will experience once they’ve improved their health…like more energy, more golf, etc. (You should continue this type of”conversation” with them during your report of findings.)

A = Action. Action is where you make the offer and then tell them how to place the appointment. In our case, how to schedule the appointment. The prospective patient must be given a reason to come and see you over all the other offices in town.

This formula that has been effectively working for over 100 years. Unfortunately, many chiropractors are not following this simple strategy with their marketing.

Are you really talking with your prospective patient? Or are you talking at them?

The reason that most marketing doesn’t work is because it is outdated. A dinosaur from years gone by. Back when this profession was rather new and people were still discovering what it was. When there was only one chiropractor in town and all you had to do was put out your sign.

But today patients are much more sophisticated. They know about their own health. They have a billion more choices for a health care provider. And they simply ignore most marketing that does not speak directly to the conversation going on in their head.

And each condition is different. A neuropathy patient and a back pain patient can be having two totally different conversations going on with themselves about their problem.

So do how you find out what they’re thinking?

Real life research and discovery. I’ll let  you in on a little secret that I use when I write ads.

I’ve spent a lot of time researching what patients are thinking. Hours with real live patients in my practice. I’ve spoken to thousands of doctors about their patients. Spent time on condition-specific forums and read hundreds of testimonials. And the same words and phrases come up time and time again.

So even if I’ve never had migraine headaches, I can totally empathize with those who do. Because I’ve heard so many people (mostly women in the case of migraines), spell out exactly how they feel.

The point is…

Don’t be like the advertiser who thinks you can just throw money at a some fancy ad campaign like Microsoft or Walmart might use. Learn to speak directly to your prospect. Within seconds of reading your ad, you want them to think “Finally, someone who understand exactly what I’m going through!”

Recently on the LinkedIn Chiropractic Professional group Jonathan asked, “Anyone have any good ideas for marketing to attract new patients? What has the best return on investment?”

The answers from different people that came in truly show the confusion in the profession. The 62 comments so far have ranged from “get out in your community” to “Become an MD.”

A doc named Brian has left multiple comments where he gives suggestions for getting more new patients. I’d like to respond to some of them in this blog post. I don’t know Brian, so this is no slight to him personally, but I found his comments summarize the typical DC leaving chiropractic school.

One of the most interesting comments Brian posted was “keep going to school advancing your credentials and until enough of us learn better.” I would have to totally disagree with this recommendation for getting more new patients. Let me explain…

After your initial degree to practice and State/National boards, further schooling is not likely to help you bring in more new patients.

Now you may learn additional skills and become more specialized in the type of patient you see. And this can be a good thing since people have different problems for which they need help with. But really all you’ve done here is slightly shift the type of patient you see. You haven’t really added any additional new patients.

How many patients have ever come to see you because of some specific credential you have? Very few, if any.

Don’t get me wrong. You can use the specialized postgraduate training you received to market to specific conditions, which I highly recommend. But the key here is that you have to market your unique qualifications.

And Brian, along with many doctors, clearly does not want to have any thing to do with marketing or advertising. He goes on to say:

“Trust me, the world would still turn and doctors would still doctor obtaining what’s needed from producers if all marketing disappeared today. Let US hope marketing and other bottom dwelling middle people disappears soon. It’s time for healthy change!”

I’m not certain as to how Dr. Brian is defining marketing here, but he has certainly cast the baby out with the bathwater. Are there bad marketing strategies and outright scammers trying to get your money? Certainly. But is all marketing bad? No. Ambulance chasing is not the same as running an ad on your website.

If you really wanted to help people get better, and make a good living doing it, wouldn’t you use whatever ethical and moral tools you can get your hands on to accomplish that task?

So what is Brian’s solution to getting more new patients? Serving and word of mouth:

“May I humbly suggest; learn to create and maintain healthy relationships with your community. Word Of Mouth is by far much more effective and has far greater benefit than any other scam marketing contrivance that once engaged, One Must Serve.”

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“Go out and open yourself creating loving relationships with “everyone and anyone”, Ignore the sales scam claiming “niche” and or “specific target client” language whether based on geography, issue, etc. (demographic or psychographic)”

It’s interesting that when doctors are so against marketing, and they suggest word of mouth or community relationships…which are both forms of marketing. You see, marketing is the action or business of promoting and selling products or services. So every time you pull out a business card, mention your office name, or speak in the community you are marketing your practice.

Marketing is not always evil. Merchants have marketed their services to customers from the beginning. The only other option today is to simply “put out your shingle” and wait for patients to show up. As many bankrupt doctors have found, this strategy doesn’t work. And gone are the days when there was only one clinic per town and no competition. This type of monopoly is not likely to return to your area either.

Word of mouth referrals are the best. And building relationships in your community is necessary. They may take years and years to properly develop, but they do work. But these two strategies alone will not get you a large number of new patients.

You’ve got to directly speak to those who need your services and tell them why they should come see you. You and I both know most people aren’t going to come see you because of ignorance of what our profession really does — unless you teach them.

Therefore marketing and advertising are not only effective ways to bring in more new patients, but can be used to educate the community on what you actually do. This is the answer to getting more new patients. If you use ads and marketing that speak to the patient where they are at, and focus on offering solutions to their problems, you will have more new patients than you can handle.

SEO is like Hollywood.  in so many ways…

But today this reference is to the fact that seo is going social.

You see Google has added a +1.  Facebook has added “like”.

Twitter has added “tweet”. LinkedIN has a new share button.

All this adds up to links to your site which is called link juice or back links.

Before you had to go comment on blogs or maybe ask to trade links etc.

Now you can get links from these social networks where people actually hand out online.

What is even better is when these links are created they are shared with the Friends, follows, connections etc.

That can add to lots of views and maybe even some re-sharing.

But why is this so important?

Because it should drive home the point that these sites or social networks are not some silly idea of marketing.

NO these are realty sites that can generate REAL targeted and relevant traffic to your site and therefore your office!

BUT imagine sending an automated robot to the chamber of commerce to do your “networking” for you.

You would be the joke of the town.

Lets get real folks social networking is NETWORKING!

Don’t be the joke of the town.  Take pride is what you put out.

Social networking is not about buttons on your site.

Social networking is not about a fancy designed page.  (not that there is anything wrong with custom pages)

Social networking is about getting good content out that people love and want to share and sharing it!

So be true to the profession.  Take pride in your marketing.

Write and produce good valuable content.

People will share it.

Their friends will like you.  And get links to make your site rank better all at the same time!

You really will become well known and because you added value you will make money.

So if you want links!  Produce good content.

If you liked this post share it, like it, tweet it, email it, google +1 and as many other things as you know how to share it.

Let chiropractors know to stop cutting corners on he marketing.  Tell the story and get patients that pay – stay and refer for life!

Be well.

Matt Prados
CEO ChiropracticTraffic.com

What is the most profitable condition to be marketing to right now? Which of the Ultimate Chiropractic Ads bring in the highest return on investment? What is marketing and advertising anyway?

Check out this short video where I explain the answer to these questions and more.

I just received the DVD set from the NeuropathyDr conference I spoke at last summer. Here’s the first 10 minutes of the talk, where I showed the audience why some chiropractic ads bringing in little-to-no results. I’ll be posting more videos from this DVD in the future, but if you like this one, please click through to Youtube and choose “Like” or thumbs up.

This week I’m in L.A. at a conference, but I wanted you to see one of the most popular blog posts I’ve ever written. It was also the most controversial. Tell me if you agree or not. Read it and leave your comments below.
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Have you ever been told you needed to see a large number of visits per week to be successful in practice? While it’s not going to make some of the coaches who read my blog happy (yes I do look at my subscriber list), I’m going to let you in on a little secret…

You Don’t Need High Volume To Be Profitable In Practice

I’m not certain where this got started.

It was likely back in the early days of chiropractic, where chiropractors only did adjustments and everyone charged the same price. Under those conditions, it makes sense that the more visits you see the more you’ll collect each week.

But to believe that today is simply false.

Every doctor has different prices, different therapies, different equipment.

You see, most chiropractic coaches lead you to believe that high volume (or at least more visits) is the way to go. Some even make you feel bad about your practice if you’re not seeing what the top doctors in their coaching group are doing.

Here are some of the ways the high volume lie is used by coaches to make doctors feel guilty…

-when you do an event like a P.A.D. or dinner workshop and you don’t get 60 new patients from it

-when you’re not seeing 1000 visits per week many will say you aren’t “sacrificing enough” or “you don’t have a big enough mission yet”

- if you’re not getting “x” number of referrals per week like the big guns are, you’re not “on purpose”

Number of visits per week is only part of the practice success formula I teach. Dollars of income per patient visit is a much more telling number.

Here’s how you cut through the fluff and find out how these high volume doctors are really doing. Ask them for their average collected amount per visit. Not there “estimated care plan” numbers, but the real deal. I’m about to reveal to you the secret formula no high volume coach wants you to know….

$collected each month divided by your monthly patient visits= average $ per visit

Wow, eye-opening isn’t it. (But believe it or not, this stat is does not show up on any of the coaching group’s statistics forms I’ve been a part of in the past.) Turns out most high volume doctors are making less than $30 per visit, some even lower than that.

Funny story about coaching groups and high volume real quick…

One group I was a part of did put your monthly collections number on your name badge at the seminars. They did it as a mental boosting type of thing, where you were excited to show up and get your new badge when you hit a certain goal.

The thing I really like about it was this…

No one could come up and B.S. you about their practice. A guy could come up and talk all day about seeing 300 a week, but if his “badge number” was lower than mine, his advice went in one ear and out the other. Turns out high volume guys weren’t the mentors everyone looked up to in this group, it was the “high income” guys instead.

I’ve seen moderately high volume and I’ve seen what most would consider low volume. Guess which practice was more profitable, had lower stress, and allowed me to take time off?

When I was “higher volume”, I was was flat broke making $17 per visit because I was giving away care for free. At the lower volume, I was getting $90 per visit. Maybe I wasn’t making as huge an impact on the planet as the guys seeing 1000 a week, but you know what…I was making a huge impact on the patients I did see each week.

And I was making the biggest impact of all…being there as a father for my children!

What’s really going on here is that these coaches are imposing their values, their goals in life, they beliefs on you. If you really want to see 1000 visits per week, that’s great, go for it. But don’t believe the lie that you can’t be happy without seeing high volume, or that high volume equals high income.

It urns out the low volume practice fit my lifestyle better. I wanted to help people get well, make a good living, and spend time with my family. None of those things require high volume.

What about you? What do you want out of your practice? If you want a high volume practice, tell us why? Let us know in the comments below.

A discounted or special offer is when you lower your consult, exam and/or x-ray price for a new patient. Some people think using discounted offers is the bane of chiropractic.

But I’ve yet to hear any good reasons for thinking this. But I’ve heard many myths about discounted offers that would lead people to think they are bad.  Let’s look at each one:

Myth #1: Offers Hurt the Profession

What hurts the profession is when chiropractors are going broke and closing their doors to bankruptcy. And nothing closes the doors faster than not bringing in any new patients. I can understand where this myth is coming from if everyone in the phone book is making the same “free x-ray” offer to the community. But the problem here isn’t that everyone is making a discounted offer. The problem is that they are all doing the same thing, making the same offer. I always recommend my customers and clients make their offers unique, which means different than the competition. This may even mean a higher priced offer! Also, offering something in regards to a specific condition, like neuropathy or fibromyalgia,  is much more effective than a generalized “free chiropractic exam”.

Myth #2: Offers Are Illegal in the U.S.

I’m not an attorney, so check with yours regarding your state laws. In the United States, there had developed a long held view that professionals should not advertise at all. A few lawyers challenged this in the Bates v. State Bar of Arizona Supreme Court case, which said that advertising was a kind of commercial speech protected by the First Amendment. Also, the Goldfarb v. Virginia State Bar established that was a violation of the antitrust laws for anyone to restrict competitive pricing with professionals. Many chiropractors will tell me it is illegal in their state to make special offers, but when they actually research it and ask their state boards they find out that’s not the case. Sure there are some insurance carriers like Medicare and other federal plans may require you not to make special discounted offers to their members. Yet, surely you want to see a mixture of patients in your office. I’ve yet to meet a chiropractor that makes 100% of their monthly gross income from Medicare payments.

Myth #3: Offers Makes You Look Sleazy

A carefully written offer in your advertisement is not “sleazy.” What makes an offer look sleazy is the use of hype in your ad (which can make it illegal in some cases.) To say that you’re giving a limited-time, reduced price on a special “herniated disc” evaluation is not sleazy. And the thousands of patients who come in each month to chiropractor’s offices don’t think so either. This relates back to Myth #1 above and the whole “it’s not professional.”

Myth #4: My Area is Too Wealthy to Respond to Discounted Offers

This myth is interesting. I practiced in a high income area ($90k+ average income) and when I ran ads I’d have people drive up in Jaguars and almost beg to be scheduled for the special we were running that week in the newspaper. A friend of mine practices in an even higher income area, and he once said he had quite a few billionaire’s wives coming in responding to his special offers. There’s two things to keep in mind when dealing with high income areas: (1) in a time where people have more debt than ever, the appearance of wealth and true wealth are not the same, and (2) many wealthy people got that way be saving money where they could. I would almost venture to say people with high income respond slightly better to special offers.

Myth #5: It Will Bring in Lower Quality Patients

This myth can become reality if you don’t word your offer correctly, or you advertise in the wrong locations. Usually a slight price adjustment can correct this. One doctor told me that he was getting tons of decompression patients with an offer of a free exam and x-ray. Others have told me this “freebie” offer brings in too many lookers — people who simply waste time for a free exam and have no intent of wanting any care. In this case, a price increase of $25 or $35 can make a huge difference. By charging a little more for the offer, only those most interested will take you up on it. Of course, there is a place of diminishing returns where you can go to high with your price and kill the effectiveness of the ad.

Myth #6: Your Offer Price Must End in 7

Did you know there was magic in the number 7? Twenty or so years ago, the genius marketer Ted Nicholas ran some direct mail tests. He tested prices ending in 7 verses prices ending in 9. The 7′s outperformed the 9′s. Since then, this strategy has spread through most professions. Sure, it worked for Nicholas back then, but does it work for you? The only way to find out is to test. I know plenty of markets who have tested $7 offers against $10 offers, and the $10 almost always wins. So are we going to say all offers must end in 0′s now? You should try $17 or $27, but since I’m not superstitious I suggest keeping it simple by using multiples of 5 ($15, $25, $30, etc.)

Myth #7: Must Be Able To Pay with a Single Bill

This isn’t as common as the myths above, but in some coaching circles it’s somewhat popular. The thought is that when a person sees your offer, they think it’s not really that much money if they only have to pull one bill out. So they recommend you do offer prices at $5, $10 and most often at $20. I’m not sure what they would say about $100 offer, since after all it’s still just one bill the patient has to pull out of their pocket. In a society that pays with credit cards, checks, debit cards, and more, the “one bill strategy” is pretty much useless. It may have worked 50 years ago when $5 was a lot of money to most folks, but today it’s just not a big deal.