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Foundational Financial Knowledge Every Chiropractic Business Owner Should Have

business goals chiropractic entrepreneurship May 08, 2025
Leslie Roth, host of Financially Adjusted podcast, shares foundational financial advice for chiropractors in private practice

Running a successful chiropractic practice takes more than adjustments—it takes financial clarity. And yet, most chiropractors enter the business world without any formal training on how to manage money in their business.

It’s time to change that.

Here are 5 core financial pillars that every chiropractor needs to build a solid foundation in business

1. Organization

Let’s be real: chaos breeds avoidance. If your documents are scattered and you dread tax time, it’s probably time to streamline your systems. Start with a solid filing system for receipts, statements, and reports. I’ve even created a free Financial Organization Guide to help you get started. 

2. Bookkeeping

Bookkeeping is more than data entry—it’s your single best tax strategy and decision-making tool. If you’re DIY-ing and drowning, it might be time to outsource. But even if you hire a pro, you still need to understand the reports they give you.

3. Financial Reports

You wouldn’t adjust a spine without an exam, so don’t run your business without reviewing your reports. Learn to read your profit & loss, understand your balance sheet, and spot why your net profit doesn’t match your bank account. (Episodes 11 & 12 of the podcast are a must-listen.)

4. Budgeting or Money Allocation Plan (aka Your Business Map)

Budgeting isn’t restrictive—it’s empowering. It’s how you proactively direct money toward your goals instead of wondering where it all went. Create a monthly allocation plan and look 6–12 months ahead. This is what puts you in control of your money!!!

5. Taxes & Payroll

Understand the basics: what you’re taxed on (hint: it’s net profit), how to estimate quarterly taxes, and how to pay yourself properly based on your business entity. This is where your personal and business goals meet.