Dr. Vince LeoneOwner, Consultant, Specialized Practice · Owner, Consultant at Specialized Practice

14 Years of Frustration: Dr. Kyle's Switch to Cash-Based Practice

5 Jun 2026 · 1 min

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1:06

In this interview excerpt, Dr. Vince Leone reflects on his first meeting with Dr. Kyle in 2020, noting that Kyle was seeing roughly 50 patients per month with a team of five to seven staff members. Despite maintaining a patient volume well above national averages for chiropractors, Kyle felt physically exhausted and financially stagnant after 14 years of focusing solely on increasing volume. Recognizing that his bottom line wasn’t improving, Kyle decided to pivot his practice strategy by leaning into niche specialties and introducing cash‑based services as a more sustainable revenue model.

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I remember when we met first in 2020, you know, you were at that kind of 50-ish a month, something like that. And you were working your tail off and you had a good-sized team, I think 5 or 7, you know, team members, something of that nature. And you were frustrated, you know, and you were feeling it physically. And that's when we really leaned into the niches.
That's when we leaned in the niches. It took me, I'm a little slow learner, as I say. No, you're not. And, uh, the first 14 years of practice, I, I just— I did everything I could to increase volume. And, and historically looking at national averages of what chiropractors do for volume, the average doc, I was, I was well above it. So I thought, you know, I'm doing pretty good. But when I look at my bottom line, I'm like, good night, I'm getting nowhere. So after about 14 years of doing that, I decided, you know what, There's gotta be a better way. And that's when I started exploring the avenue of adding cash-based services.