“The next revolution in chiropractic care”

- John Leonesio, CEO The Joint

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WWW.CH I RO E CO . COM NOV EMB E R 1 , 2 0 1 0 • CH I RO P RACT I C E CONOM I C S 7978 CH I RO P RACT I C E CONOM I C S • NOV EMB E R 1 , 2 0 1 0 WWW.CH I RO E CO . COM

Innovative Ideas from the Franchise Experts EDITORIAL SERIES SPONSORED BY THE JOINT

AS A CHIROPRACTOR, IT’S ESSEN-TIAL TO WEAR MANY HATS. Youhave to be a doctor, an entre-

preneur, a marketer, and at times, acreative guru. The weight of a chiroprac-tor’s daily duties can be intimidating forgraduating students and exhausting foreven the most seasoned professionals.While some doctors may thrive off

the constant pressure, most desire aschedule that allows them to focus thebulk of their time on adjusting patientsand improving lifestyles.Fortunately, making the decision to

become involved with a franchise can bethe solution to many of these problems.“Chiropractors have long since strug-

gled with opening and running success-

ful chiropractic businesses,” said LarryMaddalena, DC. “The main benefit fora doctor to open or work for a franchiseis simple: they provide a successful busi-ness model that’s been tested andproven in the market place.”Fred Gerretzen, DC, agrees: “You

give them all the business systems, allthe marketing systems, the model andconcept, and all the stuff they didn’tlearn in chiropractic school and helpthem be successful and develop abrand for chiropractic.”Another big advantage to franchises,

according to Gerretzen, is the consis-tency of care patients are afforded.“You know what you’re going to get,”

said Gerretzen. “Whether they

[patients] are going to a different partof town, or different state or countrythey can get the consistency of care inthe product and service. Each patient’sdocuments, records, and original intakeforms are available and networked.Even if someone moves they can justpick right up where they left off.”Maddalena says patients are

constantly thanking him for makingchiropractic affordable — anotherbenefit he says is the result of the fran-chise model.‘“I love to get adjusted, but I can’t

afford too.’ This is what new patientstell us,” said Maddalena. “The numberone benefit for patients to visit a fran-chise is affordability of chiropractic

care. Healthcare costs are escalating;most chiropractic offices charge onaverage $60 per treatment.”Gerretzen says that chiropractors

need to understand that while a fran-chise helps relieve some of the pres-sures of opening and running asuccessful business, it doesn’t meanyou can’t be the doctor you want to be.“You can still be an individual within

your own business,” said Gerretzen.“That really is up to the chiropractor.Any kind of tricks the chiropractor hasin his bag — more power to him.”As with any new business, there is

always a concern surrounding start-upcosts for interested doctors. Maddalenasays, however, this isn’t the case withfranchises.“The number one reason for busi-

ness failure is a lack of working capi-tal,” said Maddalena. “A franchise isactually less expensive to open andoperate than going it alone. Advertis-ing co-ops can be formed between

franchisees to create even biggersavings. I actually saved more than halfof my franchise start-up fee because ofprice negotiations made available tome by the franchise.”In addition to low start-up costs,

Maddalena says marketing is madeeasier through franchises.“A franchise provides a significant

advantage when it comes to marketing,”said Maddalena. “The franchisor is ableto bring in a better marketing supportteam/staff, with experts who negotiatesuperior ad price-points.“And branding is another significant

advantage because it conveys a consis-tent message to your customers.”Like anything else, both Maddalena

and Gerretzen recommend educatingyourself on the ins and outs of eachfranchise and making sure it fits withyour chiropractic philosophy.“They first need to investigate the

model thoroughly and make sure thatresonates with their philosophy and

the type of chiropractor they want tobe and how they want to deliver chiro-practic to the public,” said Gerretzen.“If that fits, then encourage them tovisit a location and talk to some of thedoctors involved.”Maddalena says the most important

thing to remember when making a deci-sion about joining a franchise is to staytrue to yourself as a doctor and to chiro-practic as a profession.“I have been a chiropractor for 13

years,” said Maddalena. “During thattime, I have seen colleagues struggle inbusiness. All too often, we are sold ongimmicks or devices to make moremoney. But if we simply focus on whatit is we do, be chiropractors and adjustour patients, a lucrative career willpursue.”

MELISSA HEYBOER is theassociate editor of ChiropracticEconomics. She can be reached at904-567-1540 ormheyboer@chiroeco.com.

Secrets to a successfulfranchise partnershipIf you are frustrated spendingmore time trying to squeezepayments out of insurance companies than you do sharingthe benefits of chiropractic, The Joint may be your solution.

The Joint is led by John Leonesio, former CEO of the highlysuccessful Massage Envy franchise. A team of nationallyrecognized operations and marketing professionals will guideand support you in building a thriving practice.

Sustainable membership model: The Joint’s membershipproposition makes it as appealing to patients as the removalof insurance claims and paperwork to you.

Efficient, low-overhead practice:With turnkey systems inplace, The Joint delivers time- and cost-efficient ways tobuild your bottom line and lower your overhead.

High volume clinic locations: The Joint team does all the workin finding the right location just for you. The hip, comfortinginterior design and soothing atmosphere attracts patients.

Provenmarketing approach: Strategic marketing programsthat attract new patients and encourage patient referrals.Marketing initiatives include public relations, print

advertising, direct mail, Internet marketing e-mail, socialmedia, TV, radio, professional and member referrals, andlocal clinic marketing.

Profit-building practice management technology: The Joint’scustom designed practice management softwareorchestrates all aspects of business and providescomprehensive financial management and reporting.

To learn more about franchise opportunities, contact Chad Everts,president of franchising, at 480-245-5960, ceverts@thejoint.com,

or visit www.thejoint.com.

Chiropractic made easyWhether you’re a seasoned chiropractor or a recent graduate,joining a franchise could be your ticket to successBY MELISSA HEYBOER

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Top 5 Reasons to Choose The Joint Franchise • Franchised businesses are four times more likely to succeed than non-franchised businesses. • One third of all Chiropractors fail in their own practice. • Sustainable Membership Model • Efficient, Low-Overhead Practice • Hip, Comforting Design • A Sensible Marketing Approach • Innovative Practice Management Technology

"The Joint franchise is a great opportunity! The future of chiropractic care made simple and convenient. Simply put, the best decision I have made in my career."

-Jeremy J. Casagrande, D.C.The Joint Boulder, CO

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Our Mission is to improve quality of life through

affordable chiropractic care.

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Who Can Benefit from Chiropractic ?Everyone. Just like you need to go to the dentist to have your teeth examined, you need to have your spine checked periodically if you want to live an active, pain-free life. A cavity is easier to treat when caught at an early stage and the same goes for any spinal problem: Early detection allows your chiropractor to nip it in the bud. This saves you a lot of unnecessary pain while ensuring a shorter treatment time.

The Three Functions of Chiropractic • Relief of back and joint problems: such as neck pain, shoulder pain, wrist pain, hip pain, sciatica, lumbago, scoliosis, arthritis, herniated disc, pinched disc, numbness and tingling,

whiplash, carpal tunnel syndrome, headaches, migraines, dizziness, work injuries, stress, etc. • Prevention: Good health is much more than the absence of symptoms. A misaligned spine can remain pain-free for years. Taking care of it now will help prevent painful vertebral

problems in the long run. • Wellness: Chiropractic is a long-term investment, whose many benefits you can enjoy right away. Traditional medicine has been able to prolong the average lifespan, but it has failed in

regards to improving our quality of life. We live longer, but do we live better? Chiropractic check-ups increase vitality, quality of life and help slow down the aging process.

“ Chiropractic adds life to your years and years to your life...”

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U.S. Employment Growth 2010-2016

Average Annual Growth Rate

Governorʼs Office of Planning and Budget January 2011 www.governor.utah.gov/deaJanuary 19, 2011

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Utah ranked highest in Health Stats in the

Western USAUtah -7thCalifornia - 26thArizona - 31stNevada - 47thTexas - 33rdColorado - 13thNew Mexico - 33rdIdaho - 9thWashington - 11thOregon - 15thMontana - 25thWyoming - 19th

Which state has the highest level of air pollution? Unemployment? Which is the most active? The healthiest? See how the states stack up on fifty-one health measures by state, specific categories

and time periods.

States are numbered from 1st (best state) to 50th (worst state) for any selected measure

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Population

“Utah’s 2010 total population count was 2,763,885. This represents a population increase of 530,716 people, or 23.8% from 2000, ranking Utah third among states in population growth. Utah grew more than twice as fast as the nation from 2000 to 2010. The total 2010 population count for the United States was 308,745,538. This represents a population increase of 27,323,632 people, or 9.7%from 2000”.

2011 Outlook

“Utah will continue to experience population growth at a rate higher than most states in 2011 on account of strong natural increase in addition to in-migration. Natural increase (births less deaths) is anticipated to add 37,000 people to Utah’s population. While net in-migration has slowed since the peak of the economic expansion, Utah’s net migration is projected to remain positive at 10,000 people”.

Governorʼs Office of Planning and Budget www.governor.utah.gov/deaUpdated January 26, 2011January 2011

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Utah Ranks #2 in the U.S.Ain preventable hospitalizations per 1,000 medicare enrollees

Utah Ranks #1 in the U.S.Ain lowest cancer deaths per 100,000 population

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Utah Ranks #1 in the U.S.Ain lowest cardiac heart disease percent of adult population

ah Ranks #1 in lowest cancer deaths per 100,000 population

Utah Ranks #2 in the U.S.Ain physical activity percent of adult population

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% Percent of Population

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2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Lack of Health Insurance Since 2001

Americaʼs Health Rankings® — 2010 Edition is available in its entirety at www.americashealthrankings.org. Visit the site to request or download additional copies.Americaʼs Health Rankings

19 percent increase in the rate of uninsured population from 13.4 percent in 1990 to 16.0 percent in 2010.Data contained within this document was obtained from and used with permission of:U.S. Department of Health and Human Services Centers for Disease Control and PreventionNational Center for Health StatisticsU.S. Department of CommerceCensus BureauBureau of Economic AnalysisU.S. Department of EducationNational Center for Education StatisticsU.S. Department of LaborBureau of Labor StatisticsU.S. Environmental Protection AgencyAmerican Medical AssociationThe Dartmouth Atlas ProjectTrust for Americaʼs HealthWorld Health OrganizationOrganization for Economic Co-operation and Development (OECD)

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Significant Utah Rankings

Outlook 2011

Economic growth in Utah is expected to accelerate during 2011. Employment is forecast to increase 1.4% for the year as a whole, with larger increases as the year progresses. Construction employment is forecast to increase 2.8%, the first year of growth following three years of contraction. Housing permits are forecast to move up slightly from historic lows. As the overall unemployment rate declines to 7.1%, the improving labor market will support increased consumer spending and a broad based recovery.

Overview of the Economy

Utah fared better than the nation during the recession, and is leading the U.S. as the recovery strengthens. Employment, which decreased during 2009 by 5.1%, only declined 0.7% in 2010, but began growing mid-year. The unemployment rate increased from 6.6% in 2009 to 7.6% in 2010. The continuing housing slump combined with business caution about building, resulted in a decline in construction employment of 8.5%, after a decline of 22.1% in 2009.

Demographic State Rank Value Period

Population Growth 2nd 2.1% 2009

Total Fertility Rate 1st 2.63 2006

Life Expectancy 3rd 78.6 years 2000

Median Age 1st 28.8 years 2009

Household Size 1st 3.17 persons 2009

Notes: 1. Rankings are based on the most recent data available for all states and may differ from other data.2. Rank is most favorable to least favorable

Source: Governorʼs Office of Planning and Budget January 2011 www.governor.utah.gov/deaJanuary 19, 2011

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Sugar House Park

Streetcars, a part of Sugar House's history, will return to the Salt Lake neighborhood.

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52,125 cars/day

2100 South

1300 East

52,125 cars/day

21,705 cars/day 21,705 cars/day

Sugar House Commons

Sugar House Commons

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Mayor Ralph Becker: Streetcar success reflects state of Salt Lake City"The Sugar House streetcar won't be just a transit line," Becker said. "It will be a wonderful asset in one of our most treasured neighborhoods. ... The Sugar House area will be enhanced as a 'destination neighborhood,' with bikeways and trails, locally owned eclectic small businesses, restaurants, shops and a wide array of housing options."

Streetcars, a part of Sugar House's history, will return to the Salt Lake neighborhood.

“Once the line opens, east-siders can enjoy a car-free commute. Food lovers can grab burnt ends at Pat’s Barbecue, ribs at Sugar House Barbeque and sushi rolls at Tsunami without having to park. And people from across the Wasatch Front can access one of Utah’s oldest and most eclectic neighborhoods — exclusively by rails.”

Sugar House streetcar to become reality with $26M grantBY DEREK P. JENSEN

The Salt Lake Tribune Updated Dec 22, 2010 09:24AM

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Project Benefits

When the project opens, ridership is projected at 3,000 riders per weekday, rising to more than 4,000 by 2030. This will relieve congestion along 2100 South and I-80and provide improved access to attractions and increased mobility for area residents. The line will provide a connection to more than 130 miles of existing and planned rail service across the Wasatch Front. It is expected that the streetcar will encouragedevelopments along its length that are characterized by a mix of uses, walkable access to transit, and a revitalization of underutilized properties.

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Our Mission is to improve quality of life through affordable chiropractic care.

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Who Can Benefit from Chiropractic ?Everyone. Just like you need to go to the dentist to have your teeth examined, you need to have your spine checked periodically if you want to live an active, pain-free life. A cavity is easier to treat when caught at an early stage and the same goes for any spinal problem: Early detection allows your chiropractor to nip it in the bud. This saves you a lot of unnecessary pain while ensuring a shorter treatment time.

The Three Functions of Chiropractic • Relief of back and joint problems: such as neck pain, shoulder pain, wrist pain, hip pain, sciatica, lumbago, scoliosis, arthritis, herniated disc, pinched disc, numbness and tingling,

whiplash, carpal tunnel syndrome, headaches, migraines, dizziness, work injuries, stress, etc. • Prevention: Good health is much more than the absence of symptoms. A misaligned spine can remain pain-free for years. Taking care of it now will help prevent painful vertebral problems

in the long run. • Wellness: Chiropractic is a long-term investment, whose many benefits you can enjoy right away. Traditional medicine has been able to prolong the average lifespan, but it has failed in

regards to improving our quality of life. We live longer, but do we live better? Chiropractic check-ups increase vitality, quality of life and help slow down the aging process.

“ Chiropractic adds life to your years and years to your life...”

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