Articles on practice growth, service line economics, technology integration, and the strategic decisions that separate practices that scale from practices that plateau. Written by Dr. Jerry Relth, DC.
Per-visit pricing makes you re-sell care at every appointment. Why program pricing wins on revenue predictability, case acceptance, and lifetime value, and how to structure it without overpromising.
Read article →Churn rarely shows up on the P&L, but it quietly caps growth. The real cost of losing patients, where they leak, and the retention systems that close the gaps.
Read article →The service line itself rarely kills the launch. The operational load on a team already at capacity does. A pre-launch playbook for adding a new offer without breaking the team that has to run it.
Read article →Standard operating procedures are the boring discipline that lets a practice scale past the owner. What to document first, how to write SOPs people use, and why it matters.
Read article →How a practice blends cash-pay services with insurance to grow and stabilize revenue. The tradeoffs, where to start, and the mistakes that quietly sink hybrid models.
Read article →A practical guide to reading a practice profit and loss statement the way an operator does, not an accountant, so the numbers actually drive monthly decisions.
Read article →The phased build order that lets a single-provider clinic add three revenue streams in a year without breaking operations or hiring more staff.
Read article →A clear-eyed look at recurring-revenue membership models: where they create durable income, where they backfire, the compliance layer, and how to structure one.
Read article →Your lapsed patient list is the cheapest growth channel you own. A practical playbook for reactivation campaigns that bring dormant patients back without discounting.
Read article →Most practices fail at multi-service expansion not because the services are wrong, but because no one owns the integration between them.
Read article →The signals that tell you a practice is ready for a dedicated manager, the real cost of the role, and how to hire one without creating an expensive empty seat.
Read article →Why most financing programs sit unused at the front desk, and how to structure and present financing so it lifts case acceptance instead of gathering dust.
Read article →Why a built referral system out-earns paid ads for most practices, and the five-part structure that turns happy patients into a predictable new-patient channel.
Read article →A week-by-week operating plan for the first quarter of a new service line, with the milestones that tell you it will work and the ones that warn you to stop.
Read article →Why buying equipment first is the most common (and most expensive) mistake in healthcare practice expansion, and the order that produces durable revenue.
Read article →A six-question framework for evaluating any new healthcare service line, with the math behind which questions matter most for ROI.
Read article →Insurance, cash-pay services, and recurring programs. The portfolio mix that separates resilient practices from fragile ones in 2026 and beyond.
Read article →After 15 years of working with healthcare providers, I see the same five plateau patterns repeatedly. Here's what causes them and the structural fix for each.
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