MILLION DOLLAR CHIROPRACTIC

May 1 2004
MILLION DOLLAR CHIROPRACTIC
May 1 2004

Steven Wind,wer'- PERSONAL: Married to wife, Joan for 13 years and has 3 children (Taylor, 12; Alexandra, 9; and Nicholas, 7). Recreation and Leisure: "I exercise ev­eryday, either running, weight lifting, playing basketball, spinning or cycling. I love to spend as much time as possible with my family and enjoy coaching my kids in basketball and soccer." Professional Affiliations: American Chiropractic Association, Massachusetts Chiropractic Society, American Physical Therapy Association. Seminar Attendance: The Masters Circle. Vacations: "We love Martha's Vineyard and Cape Cod, Waterville Valley for ski­ing and, the Caribbean." PRACTICE PARTICULARS Clinic: "We are located next to Home Depot on a main Street in Quincy, MA. This office has approximately 4000 square feet. We have 3 other offices in Massa­chusetts." Office Hours: The Clinic is open from 8:30 AM until 12 PM and then reopens from 3 PM until 7 PM, Monday, Wednes­day and Friday; 3 PM to 7 PM on Tues­day and Thursday; and 8:30 to 12:00 PM on Saturday. "However, someone is al­ways here to answer your questions from 7:00 AM to 7:00 PM Monday through Friday and 8 AM to 12 PM on Saturday." Techniques: Diversified, SOT, Nimmo, Flexion/distraction. Staff: Dr. Windwer's office has approxi­mately 22 employees. The professional staff includes 5 DCs, 4 PT's, 2 massage therapists, an accupunturist and a po­diatrist. The office also has adminis­trative staff in management, reception and billing. riginally from Neiv York, Dr. Steven M. Windwer, began work­ing as a physical therapist in the Boston area before moving back to Long Island and attending New York Chiropractic College. He has played competitive basketball and soccer and now is the official chiro­practor at Northeastern University, where he works with the athletic train­ers and cares for athletes in all sports. Having practiced in Massachusetts for the past thirteen years, Dr. Windwer has 4 offices that all offer chiropractic and physical therapy care. In his main office, Dr. Windwer has a family practice with an empha­sis on sports medicine and trauma. He is the past president of the South Shore chiropractic Society and is very involved in the community. He is married with 3 children and coaches all of them in basketball and soccer. Dr. Windwer has recently lectured nationwide on The Business of Chiropractic and has developed a product called Systems for Success. This CD contains downloadable forms such as organizational charts, employee handbook, policy and procedure manual and position contracts and performance review tools. In an interview with The American Chiropractor (TAC), Dr. Steven M. Windwer answers our Million Dollar Chiropractic (M&C:) questions about running his multioffice I multidisciplinary practice while maintain­ing the chiropractic philosophy throughout his offices. : What influenced you to be­come a chiropractor? Windwer: When I was in high school and was injured playing sports, my dad took me to his athletic trainer, who took great care of me and got me interested in the medical field. He later went on to become a chiropractor. I had decided to become a physical therapist and, midway through my training, my dad called me at Boston University and told me of this great experience he had had with a chi­ropractor and suggested I really consider becoming one myself. I finished PT school and began working in the field, but 1 was moderately unfulfilled and de­cided to go back to school. And, from day one in chiropractic col­lege, I knew I had made the right decision. IV!SC: What type of practice do you have? Windwer: Our prac­tice is a "mu 11i-disciplinary" practice. We have integrated chi- ropractors, physical therapists and mas­sage therapists into our clinic. The chi­ropractic philosophy is the common theme and culture in our office among all therapists, doctors and staff. We have a general practice with an emphasis on sports medicine and trauma. Give us a physical descrip­tion of your office facility. Windwer: I started with a 1200-square-foot space located in an old school build­ing that had been redone as an office condo. The office consisted of a recep­tion area, three adjusting rooms, an exam room and a billing area. Over time, I ac­quired another office down the hall of 1200 square feet that housed our physical therapy center. We later added another condo with 900 square feet, which became our central billing area. Staff meetings, and patient education classes are presented ► ► here. Finally we obtained another condo down the hall. This one has 900 square feet and houses our massage thera­pists and acupuncturists, as well as a podiatrist to whom we rent space. : What's the income service level that you provide annually? Windwer: Our income service level has consistently risen in practice; however we had our biggest increase when we added our physical therapy services. Utilizing economies of scale and having several offices has increased profits. In our main office we have been able to collect $l,000,000-plus for the past three years. Do you have a set profit-standard or margin for­mula for the business? Windwer: This is a great question and difficult to answer. For a single office, we would want to be as close to 50% of our overhead as possible. With a multiple office scenario, you are looking for around 25-27% margin. This can fluctu­ate greatly, depending on the maturity of all of the practices. We have benchmarks and standards that we look at monthly, quarterly and yearly. Goal setting, incentives and continual coaching and mentoring are the keys to our success. : Is there anyone in particular to whom you attribute your professional success? Windwer: Firstly, my mom has blessed me with an incredible work ethic and value system. My dad is one of the healthi­est guys I know and has been a great ex­ample of the importance of proper nutri­tion, exercise and personal development. My professional mentors include Dr. Ri­chard Vincent, who taught me to always do the right thing the first time. Also, Drs. Dennis Perman, Robert Hoffman, and Larry Markson of The Masters Circle have taught me so much about communication, personal growth and relationship build­ing, as well as the importance of being a leader, and being committed to ongoing patient education. TVI&C: What marketing strategies do you use to attract new patients, and to keep current patients? Windwer: We track where all our new patients come from. I think that is the first key. If you are not tracking, you don't know. Our number one referral source is patient referrals. We ask our patients for referrals regularly and it is part of our expectation that they will refer in new patients. We do a lot of lectures in the community and invite prospective patients to come in and get their spines checked. We visit health clubs regularly and do screenings. We also have our ads in the Yellow Pages and local penny saver. During our report of findings, we educate our patients on the benefits of chiropractic and the three phases. We then explain to them why it is important to go through initial intensive, corrective and, finally, begin tine benefits of wellness care. We believe firmly in telling our patients what is best for them and helping them make the best decisions for them­selves. ; How do you handle problems with patient re- tenbon? Windwer: We believe it is all about the relation­ship with the patient. Each staff member and doctor in our office realizes that people have choices. We want patients to choose us because we are clinically excellent, nice, attentive and caring. We work on quickly building rapport with patients and continually educating them and asking them good questions. We all know that an efficient staff is a crucial component of a successful practice. Tell us what you look for in a staff member. Windwer: The first thing I look for in a staff member is energy. How do I feel in their pres­ence? Do they have good energy? Do I feel com­fortable with this person? I then want to know^ ► what enneagram (personality) type they are, so that I match the right per­sonality with the correct job for them. I also am very sensitive to team chemis­try. I love harmony. Once I have de­cided I think someone may fit our team, I have him or her interview with other team members to get feedback. M$Cs Do you enjoy your work? Windwer: I love what I do. I get to go to work every day to help people natu- rally change their lives and lifestyles, motivate my team and be in an energetic, healthy, lov­ing environment. I can get ad­justed, get some PT for any inju­ries, and go for a massage. Who has it better than me? Having a multi-disciplinary practice, what ad­vice can you offer our readers about setting up and maintain­ing such a practice in today's healthcare system? Windwer: First of all, multi-discipline practices are not for ev­eryone. There are many more managerial and administrative demands in running a bigger practice that may not be what everyone is look­ing for. You will need to have great sys­tems in place to allow you to take on a different role in your practice. Other than traditional chi­ropractic care, do you include any other type of services or products in your clinic which further help your patients as well as bring in additional revenue to your practice? Windwer: We offer physical therapy, massage therapy, acupuncture, podia­try as well as nutritional supplements. We also have cervical and lumbar pil­lows, as well as backpacks for kids. IV'ISC: Any final words for our read­ers? Windwer: I am honored to be inter­viewed by your publication. I would remind anyone reading that success in any endeavor starts with you. Make a commitment to work on yourself and develop yourself in all areas: person­ally, clinically, business-wise, finan­cially, in communication skills, etc. I would also encourage you to get a coach. Get a team of professionals who are interested in growing you and your practice. You may contact Dr. Windwer at 617- 471-4491 oniiiltonchiroi'incto) (snnsn.com. Our sincere thanks to Dr. Windwer and his staff at Milton Chiropractic & Reha­bilitation, located at 111 Willard Street Quincy, MA 02169. EZS Editor's Note: Do you have a million dollar practice that you'd like TAC to highlight in our Million Dollar Chiropractic column! We want your inspiring story. Contact us today. You can reach TAC's editor Jaclyn Busch Touzard on our US direct line: 1-305-716-9212, or by email at: ■ Indyn.kiamchiroprackv.com. TOOL KIT To give you a clearer idea of what a million dollar chiropractor uses to run his practice, we've asked Dr. Steven Windwer to share with us some specific products & equipment that he uses to reach his practice's goal of bringing better health to their community. TABLES: • I have 3 different types of tables in my office that will accommo­date any one of our patients. We have two programmable variable flexion tables, flat benches and an intervertebral traction table: Automatic Flexion tables from HCMI-Back Specialist 1000; stan­dard adjusting benches from Lloyd; and an Intersegmental Trac­tion table from HCMI-ATT300. DIAGNOSTIC EQUIPMENT: • Our clinic has Myovision diagnostic equipment. We have an on-site Bennett high frequency X-ray machine, and also utilize DMX motion X-ray from an outside source. REHABILITATION EQUIPMENT: • Our active rehab area is equipped with various equipment includ­ing exercise, cardiovascular, wobble boards, full range of weights, theraband exercise balls and bands, along with the a pulley reha­bilitation system for a variety of injuries to be rehabilitated. We have an upper body ergometer, an exercise bike, and treadmill, as well as a full line of Nautilus equipment. NUTRITIONAL SUPPLEMENTS: • We use Phytopharmica, Metagenics and Julian Whitaker for supplements. COMPUTER SOFTWARE: • Our billing software is DB Systems. We have used them for thirteen years, and have been extremely satisfied with support and service. We utilize Chiropad for our notes systems. X-RAY EQUIPMENT: We use a high frequency machine by Bennett. Our film processor is a Konica SRX 101a. OTHER COMPANIES I LOVE: The Masters Circle for personal and professional growth Corflex makes great braces and supports. Thanks to all our sponsors! Our front desk was designed by Davlen & Asociates. We offer our patients nutritional products and supports. Our exam room is fully equipped with a high frequency low intensity unit by Bennett, surface EMG and thermography as well as other diagnostic equipment. All our adjusting rooms are equipped with muscle stimulation, hot packs, ultrasound as well as patient education materials. Dr. Steve Windwer & Dr. David Smith are very fortunate to have an empowered and professional support staff that understands and implements the mission of the office. They embody the term "team". Our physical therapy office is fully equipped with a full line of Nautilus, treadmill, bikes, upper body ergometer as well as various exercise equipment. The office is staffed with 2 full time therapists treating patients for a variety of neuromusculoskeletal issues.