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Selling Your Chiropractic Practice: Dream or Delusion?

Writer's picture: Dr. Lucas MarchandDr. Lucas Marchand

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Selling Your Chiropractic Practice: Dream or Delusion?

When you think about retirement, does selling your chiropractic practice feel like the golden ticket? After years of cracking backs and changing lives, it’s tempting to picture that final paycheck as the culmination of your career. But is selling your practice a pot of gold at the end of the rainbow—or just a shimmering mirage?

The truth lies somewhere in between. Let’s explore why selling a practice isn’t always the windfall we hope for, the pitfalls of relying on it for retirement, and how to make your practice more valuable and saleable.


 

The “Personality Practice” Trap

Think of your practice as a beloved local diner. Regulars don’t just come for the food—they come for you, the chef who knows their order by heart and always asks about their kids. Now imagine the diner changes ownership. The menu stays the same, but the new chef doesn’t have your charm. Suddenly, the regulars aren’t so regular anymore.


This is the challenge of a “personality practice.” Patients are loyal to you, not the practice itself. When you leave, so does a big chunk of your business. In fact, statistics suggest that 40-60% of patients leave after a practice changes hands. That’s a tough pill to swallow for any buyer.


A practice built around your personality, relationships, and style is like a one-person band. It’s amazing to watch, but when the original performer steps off stage, the music changes. And that can make it tough to sell.


 

Banking on Clients: Why Relationships Don’t Count as Collateral

A friend once bought a lawn care business. The seller had a loyal client base built over 15 years, yet the bank refused to factor those clients into the loan. Instead, the loan was based solely on the value of the physical assets—mowers, trucks, trailers. The bank’s reasoning? Clients could leave anytime.


It’s the same for chiropractic practices. Banks don’t value client loyalty because it’s intangible. Patient relationships are fluid, and there’s no guarantee they’ll stick around for the new owner. Selling a practice without strong systems in place is like selling a car without gas. You’re selling potential, not certainty.


 

Why Many Practice Sales Are Seller-Financed

Because banks see client loyalty as a risk, many practice sales are seller-financed. This means you, the seller, become the lender. It’s like handing over the keys to your house and hoping the buyer pays you back over time. Sounds risky, doesn’t it? That’s because it is.


Seller financing comes with higher default rates, and you’re emotionally tied to the buyer’s success. If they fail, you’re left holding the bag. It’s not just about money—it’s about legacy. Watching your practice struggle under someone else’s ownership can be heartbreaking.


 

Building a Saleable Practice: From Personality to Business

If your practice is a one-person show, it’s time to think bigger. Imagine turning it into the chiropractic equivalent of Starbucks. People visit Starbucks not because they know the barista personally, but because they know what to expect—consistent service, standardized procedures, and a brand they trust.


Here’s how to transform your practice into a business that can thrive without you:

  1. Standardize Procedures: Create workflows and systems that any chiropractor can follow. From patient intake to treatment protocols, consistency is key.

  2. Focus on Branding: Build a brand identity that’s about the practice, not just you. This could include a memorable name, logo, and patient experience.

  3. Diversify Services: Offer a range of services to appeal to broader demographics. Acupuncture, massage, or nutritional counseling can attract new patient types.

  4. Own the Building: If your practice includes real estate, banks are more likely to finance a sale. They love tangible assets, and owning the building adds value.


By making your practice less dependent on your personality, you increase its appeal to potential buyers.


 

The Harsh Reality: Selling Isn’t a Sure Bet

Selling a chiropractic practice is like selling a custom-made suit. It’s tailored to one body, and finding someone who fits perfectly is rare.


First, you need a buyer whose personality and approach match yours—or who’s willing to adopt your methods. Second, financial hurdles come into play. New chiropractors are often burdened with student loan debt, making it difficult to afford the practice.


Even if you find the right buyer, patient retention is a challenge. Unless the buyer mimics your style exactly or introduces new services, they risk losing patients. The transition period can feel like trying to plug a sinking ship.


 

Diversify Your Retirement Strategy

Think of retirement as a sturdy table. Selling your practice might be one leg, but you need others to keep it stable. Traditional retirement savings, like IRAs and 401(k)s, should be part of the plan. Investments in stocks, real estate, or other ventures can also provide financial security.


While a practice sale can provide a significant influx of cash, it’s risky to rely on it entirely. Plan for the worst-case scenario: What if your practice doesn’t sell? What if it sells for less than you hoped? Having multiple income streams ensures you’re not left scrambling.


 

Conclusion: Building for the Future

Selling your chiropractic practice can be a dream come true, but it’s not a guaranteed path to retirement riches. A personality-driven practice, client loyalty risks, and financial hurdles make it a challenging proposition. The key is to build a business that thrives without you—a legacy, not just a gig.


So, is your practice ready for the future? It’s never too late to start building for tomorrow, one adjustment at a time.


Portrait of Dr. Lucas Marchand
Dr. Lucas Marchand - MyChiro

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