The CEO Code, Part 5: The 12 Numbers Every Chiropractic CEO Must Know

If you want to step into the role of CEO and lead your practice with confidence, you need to know your numbers. In this episode, we cover the 12 most important financial metrics every chiropractor should be tracking.

 Whether you love spreadsheets or avoid them like the plague, this episode will help you cut through the noise and focus on the numbers that actually move your practice forward.

 We begin by discussing how often to track each metric—weekly or monthly—and why tracking gives you back control. Then we walk through each number, what it tells you, and how to start using it in your decision-making process.

Here’s a snapshot of the 12 metrics:

1. Weekly Overhead – How much it costs to keep your practice running, including a fair wage for yourself.
2. Break-Even Point – How many visits you need to cover your weekly overhead. E.g., $4,000 ÷ $75 = ~54 visits/week.
3. Rebooking Rate – What % of appointments are being rebooked before the patient leaves. Aim for 85%+.
4. Cancellation/No-Show Rate – Are patients showing up? Keep it under 5–7%.
5. New Patients – Track how many people are coming in, and where they’re coming from.
6. Retention (PVA) – Average visits per new patient over 90 days. Reflects trust and long-term value.
7. Average Case Value – Revenue per new patient in the first 90 days. Helps track short-term ROI.
8. Lifetime Value (LTV) – Total value of a patient over their time with you. Encourages long-game thinking.
9. Referral % – How many new patients come from word of mouth. A great trust indicator.
10. Staff Cost as % of Revenue – Is your team size sustainable? Aim for 20–30%.
11. ROF Acceptance Rate – Do people follow through on your recommendations? Track % reaching the 12-visit re-exam.
12. Monthly Profit – What’s left over after everyone is paid—including you.

We also share:

• How to collaborate with your CA, accountant, or bookkeeper to make tracking easier
• Why most chiropractors only track one or two of these—and what that’s costing them
• A simple action plan to start tracking and using your numbers without overwhelm

This episode gives you a clear financial dashboard to run your practice like a true CEO.

Action Step: Create a spreadsheet with all 12 metrics. Don’t try to master them all at once—just start tracking. Clarity comes from data. Confidence comes from consistency.