Find the constraint. Install the system. Grow the practice.
The coaching exists so the Blueprint actually gets installed, not so you leave with more advice. BPA is a practice growth and implementation system: we install high-value niche cash services in your clinic, then coach your doctors and staff through executing them.
Book a 15 Min Call →Individual results vary and are not guaranteed.
These are not the problems a marketing brochure says practices have. They are the problems practice owners raise in their own words on calls with our team, ordered by how often each one comes up.
Turnover, thin training, no accountability, and no one who actually owns the process when the doctor is in an adjusting room. This is the most common constraint by a wide margin, and it is the reason BPA trains your staff directly rather than training the doctor and hoping the message survives the relay. Related reading: how to stop being the bottleneck in your practice.
Fees anchored to an insurance schedule, case value too low to fund the practice, and collections that stay flat no matter how many patients come through the door. Related reading: the five levers that actually move collections and how to raise fees without losing patients.
Money going out to ads, agencies, and events, with leads that never turn into scheduled, kept, converted new patients. Usually this is a conversion problem wearing a traffic problem's clothes. Related reading: how to get more chiropractic patients.
A weak report of findings, a case presentation that changes every time it is delivered, and care plan conversion that reflects it. Patients who do not understand their own condition do not commit to care. Related reading: the three leak points in patient retention.
Everything is improvised. Nothing is documented, nothing is repeatable, and the practice runs on the owner's memory. Growth in this state adds chaos instead of profit. Related reading: the five-system framework for systematizing a practice.
This is the chiropractic consulting half of the engagement: the diagnostic that decides what gets built first. A practice is never held back by ten things at once. It is held back by one, and everything else is noise until that one is removed. Working the list in the wrong order is how practice owners spend years busy and flat.
From your clinic's real numbers, not a questionnaire. New patient volume, Day 2 conversion, case value, plan completion, and collections each tell a different story about where the practice is actually leaking.
Install the specific system that fixes that constraint and train the people who will run it. One constraint at a time means your team is never absorbing six changes at once.
Removing a constraint always exposes the next one. Re-read the numbers, find where the practice is now pinched, and repeat. Read what constraint-based growth is and the BPA Revenue Pyramid.
A method is only worth as much as the people who run it week to week. This is what makes the diagnostic above actually happen inside your clinic, by role and by cadence. One integrated program, not tiers and not a-la-carte.
For doctors and for staff. The people who run the system get coached on the system, not just the owner.
A recurring session for doctors, working through implementation problems alongside other practice owners at the same stage.
Covering marketing, sales, patient education, Day 1 training, Day 2 training, and the other constraints that show up during implementation.
Where clinical and educational questions get answered, including the ones that come up mid-patient rather than mid-session.
Available to doctors or staff to resolve questions and unblock progress as obstacles come up, rather than waiting for the next scheduled call.
Daily support, accountability, and progress tracking. Your RAM is the person whose job is to notice when implementation has stalled and do something about it.
Underneath all of it sits the constraint diagnostic. BPA tools analyze your clinic's actual numbers to identify the core constraint, and your coaches then work on solving that specific constraint. The program adapts to what your practice measures, which is why two clinics starting the same month do not work on the same thing.
Coaching alone leaves you with a list. What follows is what actually goes into the clinic. These are categories, not a menu, because the specific mix depends on your license, your market, and the constraint your numbers show first.
The high-value cash service itself: the clinical protocol, the delivery model, and the patient journey that goes with it. The specific programs are listed on the niche programs page.
The education sequence that carries a patient from first contact through the report of findings and into care plan compliance, delivered automatically instead of depending on who is at the front desk that day.
The creative, landing pages, funnels, and campaign structures built to generate qualified demand for the niche program you are adding, rather than generic practice awareness.
Day 1 and Day 2 structure, report of findings, case presentation, and the financial conversation. Delivered the same way every time so the result stops depending on the doctor's mood.
The practice operating system that captures the numbers, surfaces where the practice is leaking, and gives your coach the same view of the clinic that you have.
Direct training for the staff who run all of the above every day. This is the piece most programs skip, and it is the reason most installed systems quietly stop working.
If the laser, the decompression table, or the shockwave unit is sitting idle, the constraint is not the equipment. It is the patient pipeline and the education process that fills it.
Roughly a third of the practice owners who call us already own the hardware. The gap is never the device. It is the marketing that creates qualified demand for it, the education that gets a patient to understand why they need it, and the enrollment conversation that turns understanding into a signed care plan. Those three things are what BPA installs.
Individual results vary and are not guaranteed.
Independent benchmark
| Metric | BPA practices | Other practices | Difference |
|---|---|---|---|
| Median revenue per practice | $900K | $634K | +42% |
| Top 25% revenue | $1.36M | $975K | +40% |
| Median profit | $126K | $72K | +76% |
| Top 25% profit | $264K | $171K | +54% |
| Practices operating at a loss | 7.9% | 15.5% | Half the rate |
Source: Lucro, an independent bookkeeping platform serving several hundred chiropractic practices. The figures come out of clinic bookkeeping rather than a member survey or BPA's own reporting, which means they reflect what practices actually collected and kept. Individual results vary and are not guaranteed.
Named practitioners, their numbers, and their own words are collected on the member results page.
That is the evidence. The open question is which constraint is capping your practice specifically, and that takes about fifteen minutes to find.
Book a 15 Min Call →A large share of the practice owners who talk to us have already paid for coaching or consulting. Three objections come up more often in the conversations that end in no than in the ones that end in yes. They deserve straight answers, not a testimonial reel.
The most common reason a previous program did not work is that nothing got built. You left with a plan and a login, and the plan competed against a full schedule. BPA reverses that. The niche program, the education sequence, the marketing assets, and the enrollment framework already exist. They get installed. The coaching is what makes sure the installation finishes and holds. See the ten criteria for evaluating any coaching program.
Correct, and the model assumes it. Your Regional Account Manager does the chasing and the accountability, so progress does not depend on you remembering to follow up. The weekly sessions are structured around specific implementation constraints instead of open-ended discussion. And your team is trained directly, so you are not the bottleneck relaying every lesson back to the clinic.
You should be. Test it on specifics: ask what physically gets installed, ask which numbers the constraint diagnostic reads, ask who trains your front desk. A program built on advice cannot answer those. BPA has been named to the INC. 5000 six times and has worked with 3,000+ practices, and the method is documented publicly in what constraint-based growth actually means. The outcome comparison you just read came out of a third-party bookkeeping platform rather than from us.
Those are the three objections we hear most. If one of them is yours, a call is the fastest way to test whether the answer holds.
Book a 15 Min Call →Built for owners of chiropractic, physical therapy, functional medicine and naturopathic practices who are adding cash-pay services to a clinic they already run.
It is a poor fit in three situations. We would rather you know now than find out twenty minutes into a call.
The whole model rests on adding a service patients pay for directly. If you are committed to staying fully insurance-based, nothing further down this page will help you.
This needs control over pricing, scheduling, and the patient journey. Employed providers rarely have all three, and without them the systems cannot be installed.
If what you actually want is material to work through on your own schedule, this is more program than you need. A course will cost you far less and serve you better.
Outside those three, it is worth a conversation. Fifteen minutes is usually enough for both of us to tell.
These are the seven that come up most often on calls about coaching specifically. Broader questions about the programs, the automation, and onboarding are answered on the main FAQ page.
Most practices are implementing within their first month, and some are live in as little as two weeks, because the systems are already built rather than designed from scratch. Beyond that, timelines vary with your team, the systems already in place, and how fast you execute. Business results depend on execution and are not guaranteed on a fixed timeline.
Several roles working together. Doctors and staff receive 1:1 coaching and training. Doctors join monthly group coaching. Weekly Skool coaching sessions cover marketing, sales, patient education, Day 1 training, Day 2 training, and other implementation constraints. A Skool community handles clinical and educational questions. Weekly 1:1 access is available to doctors or staff to resolve questions and unblock progress. A Regional Account Manager provides daily support, accountability, and progress tracking.
Coaches work from tools that analyze your clinic's actual numbers, so the support you get is aimed at your real constraint rather than a generic checklist.
Consulting identifies what is wrong. Coaching helps your team execute the fix. BPA combines both: we diagnose the constraint, recommend the right system, and support implementation inside the practice. If you are weighing the two, we break the distinction down further in chiropractic coaching vs consulting.
Both, and the order matters. BPA is a practice growth and implementation system. The niche programs, patient education, automation, marketing assets, and sales frameworks are already built, and they get installed in your clinic. Coaching is the mechanism that gets them installed and executed correctly by your team. Coaching is not the product by itself, which is what separates BPA from a program whose entire deliverable is advice.
It depends on your license, your state scope of practice, the equipment you already own, and where patient demand already sits in your market. The specific programs BPA installs are listed on the niche programs page, and identifying the right starting niche for your clinic is one of the things a discovery call is for.
Yes. Alongside chiropractors, BPA works with physical therapists, functional medicine practitioners, and naturopathic practitioners who are building cash-pay services. Physical therapy has a dedicated physical therapy program page.
That describes a large share of the practice owners who talk to us. Most programs sell advice, so you leave with a plan and a list of things to build, and the building never happens because the clinic is already full.
The difference here is that the systems arrive already built, your staff is trained directly rather than you relaying what you learned, and a Regional Account Manager does the chasing. If the last program failed because nothing got implemented, that is the specific gap this model closes.
One conversation. We will look at where your practice is actually pinched and tell you honestly whether BPA is the right fit for it right now.
Book a 15 Min Call →