Angus Haack’s Podcast - previously the ”Lean Practice Podcast”
On Instagram I'm mostly trying to help and have a laugh. That doesn't stop here. But the long stuff is where I want to give you the best shot at building your own perspective and actually growing. So things get a bit heavier in here. That's the point. I'm Angus Haack, a chiropractor who spent years as the associate and then the operator sitting between the associates and the owners. This show follows the associate journey in order: the decision to leave, the numbers, the model, the space, the launch, the marketing. Some weeks it's Hotline, where I answer questions you send in. Some weeks it's Whiteboard, one topic taken apart properly. Some weeks it's a Case Study, a real business plan walked through line by line. This is for chiros who want to build a practice with the freedom of doing it the way they want to do it. If you want to work with me DM me "DAY1" on Instagram: https://www.instagram.com/angus.haack/ Hope you enjoy it.
Episodes
Nathan, Aaron, and Angus break down the Single Visit Margin. The one number that explains why busy practices stay broke. Calculate yours here > SVM Calc
The associate who feels like they're holding the place together. The owner who thinks the associate doesn't see the full picture. Both are usually right and both are usually missing something. This one is the honest version of a conversation that almost never gets had early enough.
We cover:
- Why the person doing the most work is almost always the last one to understand what ownership actuall...
No theory. No hindsight bias dressed up as advice. Two people who've actually done it, restarted it, and watched hundreds of others go through it, talking through what they'd genuinely do differently from day one.
We cover:
- Why uni clinic is your first practice and most people waste it
- How to work out where you sit on the spectrum before you waste two years in the wrong place
- Why going regio...
Some owners bring on an associate to buy back time and end up working more, earning less, and running on empty. That's the hollowed out owner.
Nathan breaks down why it happens. Hiring before the model is set, contracts that never spell out what both sides actually owe each other, and a break-even that quietly climbs from 50 visits a week to 80 or more once wages, super, payroll tax and admin costs stack u...
If you're the only one in the room, what happens when you can't be? That's the real question behind every "lean doesn't work" post this week.
Angus and Nathan get into the actual vulnerability, no safety net if you're sick, injured, or having a kid, and why the fix isn't a bigger practice, it's a more adaptable one. Locums, sublease models, reciprocal shifts with another chiro, and running your finances so...
Someone we know owns seven practices. He said he'd be better off with one. Everyone in the room knew he was right.
Aaron joins Angus and Nathan to pull apart the high-volume, multi-associate model and why it's built on a risk most owners refuse to name. Their best associate is one skill-acquisition period away from opening two doors down. They get into buyouts versus file transfer fees, why non-competes fi...
Chiro adjustment prices moved from around $65 to $75 over a decade. Everything else didn't. Most of the reason is fear dressed up as strategy.
We get into what your price says about you before anyone walks in, why low volume doesn't automatically mean high fees, rural versus city ...
What does the worst possible chiropractic practice look like? Shopping centre, second floor, no natural light, four associates on day one, $65 a visit, five year lease, no marketing plan, and a spin-the-wheel care model. We built it. Then we tore it down and built the opposite.
We...
We pulled apart a few pieces of chiro advice going round this week. The $49 offer guy who runs a $49 offer. The whiteboard maths that takes an associate from 30 to 40 PVA with a red marker. The post about why niching is lazy that then describes a niche.
Then we un-rip all of it. H...
Naval Ravikant put it best. If you have to sell, the marketing was bad. If you have to market, the product was bad.
Twelve adjustments over six weeks isn't a product stack. It's one product pulled into pieces and read back as a list. That's why the marketing runs dry, that's why t...
Everyone quoted the dropout stat for a couple of years. Nobody could ever find where the number came from.
We can both see why it happens now. Most of the time it isn't the profession. It's an overcorrection, a model that was never yours, and an identity welded to being a chiropractor instead of the ...
Everyone thinks hiring an associate means stepping back and watching the money come in. It doesn't. In this episode Angus, Nathan, and Aaron break down what an associate actually costs — financially, emotionally, and operationally — and why most owners get blindsided by it.
We cover:
Talking ceilings, what they are and how to get past them.
Good owners, bad associates or bad owners good associates?
Running through old school and new school techniques to run lean marketing for your practice.
Your practice doesn't have a tech problem. It has a subscription problem.
What you actually need, what you're probably paying for that you don't, and the three questions to work it out.
1000 p/w practices to adjustments in the back of a van. In this ep we speak the various types of models and what is actually possible in the chiropractic profession.
We've had some heat in the IG comments from coaches who view lean as a "scarcity mindset", so in this ep we clear up what lean actually is.
Hint: it's a practice so good people say "holy sh*t, how do you do it?".
The only advice anyone seems to give chiropractors is increase your lifetime value. It's not wrong. It's just missing the most important variable, the person doing the work.
Two untested variables. One expensive mistake. Here's why hiring an associate and a marketing agency at the same time is the fastest way to go broke.
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