One Doctor’s Solution to the Insurance Problem

Increase Your Practice by Expanding Your Focus from the 7% to 12% of Your Town Who Seek Chiropractic Care, to the 66% to 86% of Your Town Who Are Seeking This…   

toddsingletondcTodd Singleton, D.C., is an author, speaker, consultant and a practicing doctor.  He graduated from Los Angeles College of Chiropractic in 1990.  For many years he ran the largest MD/DC/PT clinics in the state of Utah, until he switched to an all-cash, nutrition model in 2006.  Dr. Singleton has a busy nutrition practice in Salt Lake City, Utah where he specializes in Weight Loss, Neuropathy, Fibromyalgia, Diabetes and other nutritional problems.  He also speaks around the country and holds a monthly seminar in his office teaching other chiropractors how to add Weight Loss, Neuropathy and other nutritional programs into their offices. In an interview with The American Chiropractor, Dr. Singleton shares some of the perspective he has gained over the years, working within his own clinic, as well as consulting others on theirs.

AC: Can you explain why you have set up a practice that doesn’t utilize insurance?

Dr. Singleton: Well, my experience has been that insurance companies don’t always play fair.   So after years of dealing with the headaches that come along with an insurance-based practice, I became passionate about practicing without insurance. I decided I wanted to develop my dream cash practice.  In order to do that, I knew I’d need to help more people than just the patients who seek chiropractic care.  We know that only 7% to 12% of the population utilize chiropractic, and I wanted to attract the rest.    My real passion has always been nutrition, but I had never really made great money doing it.  It was actually my wife who suggested that I take the things I loved about nutrition and help patients with specific conditions like weight loss.

I spent several years putting together a weight loss system.   Once I opened up a weight loss business, I immediately saw people coming in who would have never come to me for chiropractic, but were thrilled to come to me to lose weight.  Of course, weight loss is just one of the many nutritional things we as chiropractors can help our patients with.  Offering life-changing nutritional programs to help patients with weight loss, neuropathy, fibromyalgia, diabetes and more can transform a practice.   This gives the chiropractor the freedom to practice without relying solely on insurance…in fact, you can practice this way without utilizing any insurance.  The interesting thing I have found is that once I gain patients’ confidence helping them nutritionally, they are also interested in how I could help other things…like their back pain, neck pain, etc.  

TAC:  When did you start sharing this with other chiropractors?

Dr. Singleton:   I opened up a weight loss practice in 2006.  I made terrific profits from the very first month and had overwhelming success with my patients.  I knew right off the bat I had to share this discovery.  So I did my first weight loss presentation at a Parker Seminar in 2008.   I was surprised to see how receptive doctors were to adding additional services to help their patients.  Doctors said things like, “My patients have been asking me how to lose weight for years, but I haven’t had anything organized to give them.”  That is probably the biggest hurdle to overcome…having a system that works.  It seems so easy, right?   Just eat less and exercise more.  But if it were that easy, we wouldn’t have 66% to 86% of our country that is overweight.   Patients need help!   They need a system that works.  There are many things that need to be addressed in a weight loss program, like finding the cause of their weight gain, what foods should they eat, what supplements should they take, the services we perform to aid in the process, how they can overcome their emotional eating, and the best exercises for them.  

:dropcap_open:Some chiropractors say they are afraid to do anything but adjust, feeling that they’ll lose credibility. :quoteleft_close:

All of these things need to be addressed, and if something gets left out, the program probably won’t be effective.   The work and effort that would be required for a doctor to set up comprehensive nutritional programs and systems by himself or herself would be very overwhelming and time consuming.   That is probably the reason most doctors don’t do it.  They think it is too much work.  The good news is it isn’t impossible.  Chiropractors know how the body works and they can help these patients.  Some doctors will do this on their own.  But there are a lot of doctors that are looking for a system that is already proven to work.  Those are the doctors that come to me for help.  I would advise all chiropractors to seriously consider adding weight loss, because 66% to 86% of their current patients want it now. 

TAC:  What is the common problem you see among chiropractors today?  

Dr. Singleton:  I’m on the phone daily with chiropractors and there are definitely two camps out there…those who are thriving and those who are really struggling.   The good news is that many chiropractors have figured out a way to serve more people, and that has caused their practices to expand.  Some chiropractors say they are afraid to do anything but adjust, feeling that they’ll lose credibility.  My experience has been that you actually become much more credible as a doctor when you can solve the health problems your patients have in addition to their back or neck pain.   In fact, I am making a much bigger impact on my patients’ lives now treating patients nutritionally than I ever did in the past.  

TAC:  How is a busy chiropractor supposed to add something new into his or her practice?

Dr. Singleton:  Some doctors are very intimidated by the work they think they’ll have to do or everything they’ll have to learn or relearn by adding a weight loss program, neuropathy program or some other nutritional program.   The ironic part is that they’ve already spent many, many years to become a doctor, and they already know how the body works.   Anything new they add will be easy compared to what they’ve already done.  

The great thing about the way I practice is that I developed computer programs and procedural systems that allow me to delegate the bulk of things I do to my staff.  It’s possible to delegate all of the weight loss.  I do stay involved in neuropathy and some tougher nutritional cases.   I do know that a lot of doctors who have learned my system have delegated the weight loss portion 100% to their staff.  We have reports back from staff members who are bringing in from $40,000 to $90,000 a month doing weight loss for their doctors.

TAC:   It doesn’t seem like weight loss and neuropathy would be practiced out of the same office.  Why that combination?

Dr. Singleton:  Actually, I just wanted to help patients nutritionally.   Initially, I just wanted to help people who weren’t healthy, to get healthy.  But patients are driven by their conditions or symptoms.   So I initially targeted weight loss and that was a slam dunk.   Then, we actually started helping so many overweight patients get relief from their neuropathy problems, that it was a natural market to help.  The bottom line is, as chiropractors, we know that the body will heal itself given the proper environment.   So helping people nutritionally gives you the opportunity to help all types of people…those suffering from obesity, neuropathy, fibromyalgia, diabetes…and the list goes on!   Adding nutritional systems into the chiropractic office just expands the people in the community that can be helped.

TAC: Aren’t there already a lot of weight loss programs out there?  Why weight loss in a chiropractic office?

Dr. Singleton: I agree that you’ll see a lot of ideas about losing weight out there.  The reason for all the weight loss hype is that currently 66% to 86% of the population needs to lose weight.   The number increases year after year.  It’s a huge problem for the majority of Americans.   

:quoteright_open:The reason for all the weight loss hype is that currently 66% to 86% of the population needs to lose weight. :quoteright_close:

This is a terrific business to be in, so of course, there are others doing this.  However, we do weight loss very differently than anyone else does.  Nobody is out there doing what we are doing, so that sets us apart.   We offer hands-on, effective weight loss services, pure supplementation, eating programs, emotional eating help, and complete patient systems and tools.   You see, our main goal is to get people HEALTHY.   

You get someone healthy, and they absolutely lose their weight.  We aren’t about some quick fix, like a 500 calorie diet, or magic drops that will get the weight off.  We are helping people to change their lives, helping them get over problems, get their energy back, and making lifestyle changes so they become healthy, happy and have a new outlook on life.   I’ve never felt so fulfilled as a doctor.  My patients think I am a genius, yet it’s really just that their bodies are getting healthy and working properly.   Quite frankly it’s very basic, but patients just don’t know what to do unless you teach them.

TAC: What advice would you give doctors who want to start doing nutrition out of their office?

Dr. Singleton: I would advise them to go on a nutritional program themselves.  They need to find out if something really works.  Unfortunately some doctors use products simply because they can make money on a down line.  It seems wrong to me that a doctor would be selling something in his or her office that a patient can get from their neighbor who also sells Tupperware and Avon out of their garage.  I am very careful to sell only supplements that are pure and available to doctors only.   I use one line more than any other because it is made according to Japanese standards. 

:dropcap_open:I am very careful to sell only supplements that are pure and available to doctors only.:quoteleft_close:

In the USA, the supplement industry is not regulated.  While that is good because it keeps the costs down, the consumer doesn’t really know what they are getting.  The difference in Japan is that they don’t allow fillers and things in their supplements that don’t actually benefit the consumer.  I would suggest doctors try things out on themselves and their families.  If something is good enough to give to your mother, your spouse, your children, your staff, then it’s good enough to give to your patients.

TAC: Can you think of one change that a chiropractor can do to significantly impact his or her practice’s growth immediately?

Dr. Singleton:  Absolutely, there is a goldmine in every doctor’s practice!  That is, almost all patients have additional conditions chiropractors could and should help them with such as; weight loss, insomnia, depression, fibromyalgia, diabetes, neuropathy, skin problems, low energy…the list goes on and on.   There are nutritional systems for all of these things already available for chiropractors so they don’t have to reinvent the wheel.  Chiropractors can help all of their patients with so much more than just back and neck pain!   Patients want help, they just don’t know where to turn.  

Chiropractors can help them, and in turn, they’ll have the practice they’ve always wanted.  Like Zig Ziglar said, “You can have everything in life that you want if you just give enough other people what they want.”  And one thing is for sure, almost 86% of our country wants to lose weight.  If a chiropractor doesn’t offer a healthy weight loss plan, their patients will most likely do an unhealthy plan someplace else.  There is no reason to not service these patients, and in fact, I personally think it’s my responsibility as a doctor to provide this healthy and life-changing option.

TAC: Do you have any recommended marketing strategies that chiropractors can do to attract new patients? 

Dr. Singleton: Because 66% to 86% of Americans are overweight, I thought weight loss would be ideal to market.  And I was right!   Every year, the percentage of states where the obesity increases goes up.  People get busier and busier, so they eat more food from boxes, bags and cans…and they just don’t get the nutrition their bodies need.  People feel nutritionally starved and eat more and more.   The problem affects all age groups…from children all the way to senior citizens.   Most of the solutions available don’t work, so while there is other competition, the competition is typically not the answer.  The best thing is that patients already trust their doctors

:quoteright_open:That means in addition to adjusting the spine we need to be paying attention to what our patients do nutritionally.:quoteright_close: 

So when a doctor starts to offer a nutritionally sound and effective weight loss program, the patients already trust their doctor and they are happy to get the help. Adding weight loss will get old patients reactivated, existing patients buying more and people who aren’t patients yet into the office.  In fact, most chiropractors who offer weight loss report that weight loss is one of the best ways they’ve ever discovered to get new chiropractic patients.  Again, that’s because for weight loss you’ll attract the masses that haven’t ever been to a chiropractor.  Once the chiropractor helps the patient lose weight, the patient will have confidence in them and want to know about the additional chiropractic services they offer.  I’ve seen this happen over and over and over again.

TAC: Where do you see the future of chiropractic headed?

Dr. Singleton:  I’ve never been more encouraged about chiropractic!  As chiropractors our belief system is that the body can heal itself given the proper environment.  Our job is to help patients get healthy and stay healthy.  That means in addition to adjusting the spine we need to be paying attention to what our patients do nutritionally.  Patients are looking to their chiropractors for the help they need.  I see this role that we have keeps expanding.  It’s an exciting time to be practicing!   I don’t ever wake up dreading to go into the clinic to see my patients.

In fact, I’ve never felt as fulfilled in practice as I do now.  There is something very rewarding and satisfying that comes from having people tell you all day long what a difference you are making in their lives.   The chiropractic profession can do so much to help patients.  Our day has come.  Patients are turning to us as their primary care providers, and we are making an impact for good on the people across the country.  We are making a difference!

TAC:  Any final words for our readers?

Dr. Singleton:  Yes, if you are in practice and you are not passionate about what you are doing, stop and re-evaluate.   There are so many wonderful ways you can help your patients; and in helping them, you will find fulfillment in your work, and you’ll be well compensated for it.  Don’t settle for a practice that doesn’t motivate you and your patients.  Your patients are looking for direction and advice that will change their lives, and you can give it to them!

He and his staff can be reached at (801) 916-9532 or for additional information visit or

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