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

When to Hire an Associate: Chiropractic Business Secrets

21 Nov 2025 · 1 min

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In this segment of his YouTube video, Dr. Vince Leone addresses a key growth decision for chiropractic practice owners: hiring an associate. He outlines the primary signals that indicate it’s time to bring on help—such as reaching certain revenue thresholds or patient volume levels—while warning that many practices have been “burned” by poorly managed associate relationships. Leone then transitions to practical guidance on how to structure the associate arrangement to ensure it adds profit rather than cost, covering compensation models, role definition, and strategies that allow the practice to scale without overburdening the owner.

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Right now, as a matter of fact. And we're calling it When to Hire an Associate and How to Maximize Their Value If You Do. And I think this is kind of a— I don't know if it's a hot topic, but it's, it's certainly a topic, uh, amongst successful chiropractors because I know some have been burned by associates. First, when is it revenue level? Is it volume? Like, what are the indicators that are telling you, 'cause if you wanna scale, you know, and you don't wanna kill yourself, you need an associate, right? So, we need to figure out, okay, well, when and what are the indicators that is your business is telling you that you need an associate? And then, if you're at that point and you pull the trigger, how do you make the best use of that relationship so that they are profitable for the business and you can continue to grow?