the next generation of chiropractic performance metrics

Performance Metrics That Actually Matter. AI Coaching to Take Action Fast. Real Growth. Measurable Results.

is not your grandfather’s reporting.


It’s a living, breathing pulse check of your practice performance—with the clarity your software forgot to deliver.

The 12 That Will Drive Your Practice Growth

VITALS doesn’t overwhelm you with vanity metrics.

It focuses on the 12 numbers that matter most—the ones that drive growth, profitability, and patient retention in your practice.

We organize these into 3 core performance domains: Momentum, Efficiency, and Revenue.

Efficiency

4. Schedule Utilization

If this number is low, you're leaving money—and patient outcomes—on the table.

5. % of Missed or Cancelled Visits

A high no-show rate means wasted time and lost revenue. This KPI helps you fix it fast.

6. Visit Lag

If this starts creeping up, it’s a sign patients are disengaging—and need a follow-up.

7. Unscheduled Active Patients

Patients seen recently, but with no future visit scheduled. These are easy wins for reactivation.

Momentum

1.Net Momentum

Your weekly growth rate. If this number is flat or negative, your practice isn’t growing—it’s shrinking.

2. New Patients

The baseline measure of growth. A consistent flow of new patients keeps your practice healthy and your impact expanding.

3. % of Patients with Next Visit Scheduled

If your patients don’t leave with a next appointment, don’t expect them to come back. This KPI keeps your schedule on track.

Revenue

8. Collections

Your top-line number. When you see it next to utilization and missed revenue, you’ll know exactly what’s helping—or hurting—your income.

9. Average Visit Revenue

Are you getting paid what you’re worth per visit? This KPI gives you clarity.

10. Patient Lifetime Value
How much is each patient worth to your practice? When you know this, you can confidently set growth goals and marketing budgets.

11. Missed Revenue Gap
See exactly how much revenue you’re losing from missed visits. This one number will change how you manage your schedule.

12. Customer Acquisition Cost
Know how much it actually costs to bring in a new patient—and whether your marketing is paying off.

Each of these KPIs is updated weekly inside your VITALS dashboard—so you always know what’s working, what’s not, and what to focus on next.

“Over the past decade, I’ve built tools to help chiropractors grow without burning out. If there’s one thing I’ve learned, it’s this:

Most chiropractors think they have a new patient problem.
But more often than not, there's something deeper going on: a data problem.

You’re either flying blind or trying to make decisions from clunky EHR reports that don’t actually tell you what to do.

That’s why I built VITALS.”

- Dr. Jeff Langmaid

VITALS is your next-generation practice dashboard, updated weekly, that shows you exactly where your practice is doing great, where it's leaking, and what to do about it.

It tracks the 12 key metrics that actually matter—things like:

  • Net Momentum

  • Schedule Utilization

  • Missed Revenue

  • % of Patients Scheduled for Their Next Visit

This is NOT another EHR report.

EHRs were built for compliance.

VITALS is built for chiropractic practice performance.

No data entry. No spreadsheets. No learning curve.

We build it. We update it. You grow.

Simple to start. Powerful every week. Built to grow with you.

1. You Get Your VITALS Dashboard

Once you join, we build your VITALS dashboard—tracking the 12 key metrics that actually move the needle in your practice.

It’s available 24/7/365, updated weekly, and delivered to your inbox every Monday morning.

No spreadsheets. No setup. No stress.

2. See Where You Stand

Your VITALS dashboard instantly shows you:

  • Whether you're on track or off track

  • How you compare to industry benchmarks

  • How you’re progressing toward your personal goals

Green means go. Red means fix. It’s that simple.

3. Take Action and get Real-Time Coaching with VITALS+

But here’s where it gets next-level:

With VITALS+, you unlock your personal AI Coach—trained on everything I’ve created to help chiropractors grow.

If something's off—Net Momentum drops, collections lag, or your schedule isn’t full—VITALS+ gives you clear, actionable recommendations to fix it.

That means you’re not just told what’s wrong…
You get coaching on how to fix it. Instantly.

Ask the AI Coach anything:

  • “How do I improve patient retention next month?”

  • “What can my team do to reduce cancellations?”

  • “What’s a realistic collections goal based on my numbers?”

It’s like having a coach, strategist, and marketing brain on call—24/7.

No guesswork. No delays. Just the next best move. Every time.

This isn’t just a dashboard.
It’s the operating system for growing your practice.

PERFORMANCE DASHBOARDS + AI COACHING = YOUR GUARANTEED GROWTH SYSTEM

Most dashboards stop at showing you what’s happening. VITALS+ goes one step further—by helping you know exactly what to do next.

When your dashboard reveals a problem, like low schedule utilization or missed revenue, you don’t have to guess how to fix it.

Just ask your AI Coach.

VITALS+ includes direct access to the Dr. Jeff AI Coach, trained on over a decade of my strategies, scripts, campaigns, and coaching.

This is the power of VITALS+:

  • The VITALS dashboard shows you what matters

  • The AI Coach helps you act on it—instantly

Examples:

Your Net Momentum is negative → Ask: “What’s a good reactivation campaign I can run this week?”

Your schedule is 65% full → Ask: “How can I increase my schedule utilization fast?”

You’re collecting less per visit → Ask: “How do I raise my average visit revenue without turning patients away?”

You’ll get clear, specific, practice-tested answers. Not fluff.

Most coaches charge $2,000+/month for strategic guidance. With VITALS+, you get real-time clarity and coaching for a fraction of the cost—available 24/7, whenever you’re ready to grow.

Choose Your VITALS Plan

  • VITALS dashboard

  • 12 essential KPIs in 3 Practice Domains (Momentum, Efficiency, Revenue)

  • Built and updated by our team

  • Benchmarks so you always know where you stand

  • Zero tech skills required

  • Everything in VITALS

  • PLUS: Access to Dr. Jeff AI Coach

  • Personalized goal-setting and step-by-step guidance

  • Get answers and action plans in seconds—not weeks

  • Coaching without the contracts or cost

When you know your numbers—and you know what to do about them:

  • You grow faster

  • You lead better

  • Your team gets focused

  • You stop guessing

VITALS isn’t just data. It’s direction.

And when paired with your AI Coach? It becomes your weekly growth engine.

This isn’t a spreadsheet. It’s not a generic report.

VITALS is your practice performance system.

It’s how you make better decisions, lead your team, and grow without guessing.

And with VITALS+? It’s like having me as your coach—but for 90% less.

Let’s do this.

Cancel anytime. No contracts. Just results.

 VITALS FAQs

  • Vitals is your custom practice performance dashboard. It tracks the 12 key metrics that actually impact your growth, efficiency, and revenue. You know whether you are on track or off track, and what to do about it.

    We build it. We update it. You use it to grow smarter, faster, and easier.

  • Chiropractors who want to grow smarter, not just harder.

    Whether you're solo, scaling, or leading a team, Vitals gives you the tools to see what matters—and act fast.

  • Nope. Not even close.

    Most stats software gives you a flood of numbers—often disconnected, hard to interpret, and buried in your EHR or a clunky dashboard.

    Vitals is different.

    • It shows you only the 12 metrics that actually matter.

    • It tells you if you’re on or off track—based on industry standards and your personal goals.

    • And if you’re off track? It gives you step-by-step recommendations to fix it.

    If you’re a Vitals+ member, you also get real-time access to your AI Coach so you can ask questions, build strategies, and take action instantly.

    So while your stats software might show you the “what,”
    Vitals shows you the “what, why, and what to do about it.”

    That’s not redundant.
    That’s essential.

  • Vitals gives you the dashboard.
    Vitals+ gives you the dashboard and the strategy.

    Vitals+ includes your AI Coach—trained on everything Dr. Jeff has taught over the past decade—to help you set goals, run campaigns, fix problems, and grow. It’s like having a $2,000/month coach in your pocket—for $197/month.

  • Anything related to growing your practice.

    • “What’s a realistic collections goal for me next month?”

    • “How do I reduce no-shows?”

    • “What’s a good reactivation campaign I can run?”

    • “Why is my Net Momentum dropping—and what can I do?”

    Your coach answers instantly, using real data from your dashboard and proven strategies from Jeff’s library.

  • When you know what’s working and what’s not, you can take action fast. Most docs using Vitals improve rebooking rates, reduce missed revenue, increase collections, and finally stop feeling in the dark about their numbers. We expect practices to increase their collections by $10K+ if they are using VITALS+ consistently.

  • Not yet—and that’s a feature, not a bug.

    Our team pulls your data and updates your dashboard weekly which is email to you, along with suggestions on action steps to improve. No integrations, no headaches, no tech skills needed. This keeps things simple, secure, and actionable without relying on unreliable EHR exports.

  • Yes—a one-time setup of $199. This covers your dashboard build, onboarding, and full system configuration.

    ✅ Launch promo: we’ll waive this fee if you join this week.

  • Nope. No contracts. No lock-in.

    Vitals is month-to-month. Cancel anytime. But most docs stay—because once you have clarity, it’s hard to go back.