092 - How to Hire Ahead of Growth Without Blowing Up Your Payroll

4 Dec 2025 · 33 min
Episode

4 Dec 2025 · 33 min

0:00

Podcast episode ("092 - How to Hire Ahead of Growth Without Blowing Up Your Payroll") aimed at chiropractors building practices. Main segment (hosts Dr. Lona Cook and Dr. Bobby): introduces a practical hiring framework using "revenue per employee" — roughly $250,000 in annual collections per full-time-equivalent (FTE); use collections ÷ $250k to estimate required FTEs (e.g., $1,000,000 → 4 FTEs). Key advice: hire ahead of growth for needed skill sets, avoid owner-as-bottleneck, audit capacity vs. over-hiring, and define roles carefully; good hires can add ~ $250k top-line each if the role is correct. Bonus interview (Andrew Wells & Chad Wolner, Simplified Functional Medicine): SFM helps chiropractors bolt-on functional medicine with team-driven delivery (minimizing CEO bandwidth). Specifics: onboarding target ~30 days (observed avg 27.2 days); financial breakeven ≈ helping 6 patients/year; reported average additional revenue ≈ $178,000 per practice; some practices achieve six-figure monthly FM revenue. SFM emphasizes turnkey curriculum, team training, and AI-resilience via behavior-change/community elements.

Questions this episode answers

December 4, 2025.

Approximately $250,000 in annual collections per full-time-equivalent (FTE).

Four full-time-equivalent employees (1,000,000 ÷ 250,000 = 4).

Target ~30 days; observed average ~27.2 days to get a practitioner up and running.

Break-even if they help ~6 patients in a year; average additional revenue ≈ $178,000 per practice; some practices report six-figure monthly revenue from functional medicine.

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