The $100K Subluxation in Your Practice

Dr. Josiah Fitzsimmons joins The Squadcast to break down why so many chiropractic practices underperform financially despite delivering a genuinely life-changing product. Drawing on Lucro's 2026 Industry Report, he explains how most practices are paying for far more capacity than they use, and what it takes to build real structure, teams, and leadership to close that gap. The conversation gives chiropractors a practical financial and operational lens for scaling their business without losing sight of purpose.

Dr. Josiah Fitzsimmons shares what he believes is one of the most overlooked subluxations in chiropractic practices today: the gap between a clinic’s capacity and its actual utilization. Drawing from financial data, operational benchmarks, and years of consulting experience, he explains how many offices leave significant impact and profitability on the table not because they need more resources, but because they are not maximizing what they already have. The discussion digs into capacity, team performance, compensation, and key metrics, reframing business data as a tool for identifying interference rather than simply measuring revenue. What becomes evident is that when doctors understand the numbers behind their practice, they can make better decisions, serve more people, and create greater alignment between mission and execution.