THE REAL CONVERSATION
You have already built something great. Now you are building what is next.
At this stage, the practice is no longer the question. The team is in place. The numbers work. The systems run. What you are thinking about is different.
You are thinking about being more present with your family.
You are thinking about other businesses you want to build, inside chiropractic and outside it.
You are thinking about whether to open another location or invest the cash flow somewhere else.
You are thinking about how much you actually want to be in the chair versus how much of your time you would rather spend somewhere else.
These are not coaching questions. They are strategic decisions. And they are best made with experienced advisors who are working in the business with you, week after week, helping you choose well.
Time is everyone's most valuable resource. At the Legacy level, it is the one you are most ready to start spending differently. We help you do that with intention.
WHAT LEGACY IS
Three senior advisors. Direct access. Custom engagement.
Legacy is not a cohort and not a program. It is a custom engagement designed around what you are actually building. All three of us are in the work — Dave, Stephen, and Mary — and you have direct access to each of us.
We are in your numbers. We are on calls with your team. We are at the table for the decisions that matter, including the next clinic, the next hire, the next fire, the next investment, and the conversation that is sitting in front of you and needs to be had.
What it looks like is different for every Legacy client. Some are still adjusting patients full-time and love it. Others are pulling back from clinical to spend more time on other ventures. Most are doing some of both. What they share is that they want the practice and the life around it, and they want experienced strategic counsel helping them build both.
ON VISION
Your vision. Built with you.
Some people think in months. We want to help you think in years — so that every week and every month is building real momentum toward a specific vision that takes years to fully realize.
Vision is different for everybody. At the Legacy level, your vision is bigger and more specific to you than it has ever been. Our work starts with helping you establish what that vision actually is. Then it shifts to helping you get there.
The path requires three things working together: strategy, accountability, and wise counsel. We bring all three to you, and we bring all three to your team. The team has to know the vision, own it, and operate inside of it, because they are the ones who keep the practice running while you build everything else.
We are deliberate with the time we spend with you and your team. Every conversation, every adjustment, and every decision is pointed at the same destination. That is how progress compounds.
HOW WE WORK
Strategy and accountability across the three core areas.
Even at this level, the same three areas determine whether the practice continues to scale: strategy and vision, team, and numbers. The depth of the work is different at the Legacy level, and the decisions are bigger.
Strategy and Vision
Dave works with you on the bigger questions. Where you are going. How you spend your time. Which opportunities to chase and which to leave alone. There are only so many hours in the day, and at this level the discipline is choosing right, because almost any of these opportunities would be reasonable.
Team
Mary works directly with your office manager and your team. She handles hires and fires, role clarity, culture, and leadership development. The team is going to run the practice, and at the Legacy level the work is making sure they can run it without you, even as you build other things.
Numbers
Stephen lives in your numbers. He is watching the trends, identifying the levers, and designing the financial structure that funds the next chapter, whether that is another clinic, real estate, private equity, or something else entirely.
The work is collaborative and ongoing. We are talking with you regularly. We are working with you in the business. We are holding you accountable to the things that matter most. We are adjusting as the conditions change.
OUR METHODOLOGY
Four pillars. Applied at the CEO level.
The same four pillars our advisors work in, applied at greater depth. The foundational work is largely behind you. We are doing the strategic work that comes after.
01
Vision and Strategy
Not just a vision for the practice. A vision for the life and the portfolio you are actually building, and the strategy for how to get there. It shapes everything else.
02
Building Trust and Raising Up Leaders
We deepen the trust you have built with your team and your patients, and we keep raising up the leaders inside the practice, so the business continues growing whether you are in the building or not.
03
Business Rhythms
We build the operating infrastructure that lets a CEO step into and out of the day-to-day at will, without anything falling apart.
04
KPIs and Scorecards
We build the dashboard and accountability layer that gives you confidence in the numbers from anywhere and frees you to focus on what comes next.
YOUR ADVISORS
Three advisors. All of us, in the work with you.
Strategy and Leadership
Dave
Dave is a Doctor of Chiropractic who has built several large businesses. He has developed growth strategies for some of the largest brands in health and chiropractic. His work with clients is focused on the highest-leverage discipline a CEO has: where you spend your time. There are only so many hours in the day, and almost any CEO could spend them on almost anything. Choosing right is what separates practices that scale from practices that stall.
Growth and Profitability
Stephen
Stephen has spent seventeen years building, scaling, and exiting businesses, including multi-location chiropractic practices into the $6–7M range. He lives in the numbers and designs the financial structure that funds what you are building.
Team and Operations
Mary Quense
Mary has spent seventeen years in chiropractic. She has managed two high-volume clinics and built team programs for some of the largest organizations in the industry. She works directly with your team to build the culture where people stay, grow, and lead.
CREDIBILITY
Our advisors have helped build some of the largest companies in health and chiropractic.
A partial list:
TESTIMONIALS
Real practices. Real CEOs.
"Working with 3xPractice has been transformational in building trust within my team. The clarity and systems we have gained have completely changed how we operate together."
Dr. Brandon S.
Clinic Owner
"3xPractice has transformed the way our office operates. Mary has been a huge blessing to our CAs and OM by meeting regularly and helping us hone in on operational routines and systems to help our office run with efficiency."
Matt P.
Clinic Owner
"This is the only group I have seen where they actually meet with you one-on-one when you need them. The hands-on help is better than I have ever seen before."
Dr. Brian C.
Clinic Owner
"They helped my team in ways I could have never done on my own. I have clarity in my vision moving forward. They helped me see things I just did not see."
Josh W.
Clinic Owner
HONEST QUALIFICATION
Is Legacy right for you?
Legacy is right for you if
- You already have a full team in place, including a second doctor or associate team
- If you took two weeks off, the practice would keep running at the same level
- You are ready to scale out of the day-to-day of the practice and into building what is next
- You want experienced strategic counsel helping you choose well across hires, fires, investments, and direction
Legacy is not for you if
- You are still primarily generating the practice's revenue yourself
- You do not yet have a team that can run without you
- Your main problem is "I need more new patients" or basic team issues — the Accelerator is the right engagement for that stage
- You want a coach to fix tactical problems, not strategic advisory