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June 2002

Stepping up to the plate
Dr. Craig Cook’s Focus Helps Pro Athletes,
Weekend Warriors, and Everyone in Between

By Todd Stumpf

There never seems to be a dull moment at Dr. Craig Cook’s Procare Sports Chiropractic offices in San Diego and Encinitas, Calif. Big-name athletes, weekend warriors, and all sorts of patients seeking chiropractic treatment for acute conditions and wellness care come in droves to Cook’s two-office, seven-doctor practice. To keep things even more interesting, Cook also does occupational consulting for Kaiser Permanente, the country’s largest non-profit health maintenance organization.

This year, Cook estimates that gross collections for his two offices will reach about $800,000. He’s worked hard to make his businesses visible, both to individuals and to the entire community. Cook has carved out a niche despite fierce competition from chiropractors and other health-care providers in San Diego County. He says there are more than enough patients to go around, and the key is for patients to find the office where they feel there’s a good “fit.”

As the team chiropractor for the San Diego Padres, Cook has major league baseball players coming to and fro’ on a regular basis. Interestingly, it was Cook’s treatment of several Padres executives that initially got him in the baseball team’s door. His focus on sports healthcare and sports-related injuries is what led them to make him a “part of the team,” so to speak.

By becoming a certified chiropractic sports practitioner, Cook’s niche in the community is with the athletes - from pros to preps to weekend warriors who throw their bodies out of whack playing miniature golf. He has marketed himself as such over the years, using his affiliation with the Padres as a means of promoting himself and elevating his practice.

That said, Cook insists one needn’t be the DC for a professional team to gain credibility in the local athletic community. In fact, since pro teams are limited to large cities, it’s more logical to zero-in on the beer leaguers and the local high schools, colleges, and rec leagues, which actually provide far more potential patients with far more potential problems, given the pros are typically in top shape.

Cook, in fact, took that route, getting into a sports-focused practice before becoming affiliated with professional sports.

“It’s how you market yourself after that to your patients,” Cook says. “How do you differentiate yourself from the chiropractor down the street?"

Marketing Matters
Cook speaks of developing a patient base through referrals. He estimates 40% to 50% of his patients come from referrals. Now that he’s established such a strong reputation for his practice, Cook’s marketing budget consists primarily of only $1,300 per year in Yellow Pages ads and not a whole lot more. But it wasn’t always that way.

When Cook was working to make his name known, he focused on marketing himself directly - live and in person - to as many people as possible. “I was a marketing maniac years ago,” Cook says. “I would join up with other DCs around San Diego and set up spinal screening booths at street fairs.” Even if I got one or two patients it was a growth.”

He also suggests joining local service organizations. Cook started with and eventually became president of a local chapter of the Lions Club. All of which, of course, leads to a chain reaction of new patients.

“You develop that patient base and referrals,” he says. “The local people just start to know about you. Inevitably it comes up that one person says, ‘My neck or back is bothering me,’ and the answer comes back, ‘Go to my chiropractor.’ ”

When it came to marketing himself as a sports-minded chiropractor, Cook spent a lot more time than money. He made himself and his practice visible by getting involved. He did it because he loves the games. He saw sports as a way to involve that passion in his professional life.

When Cook initially had the chance to see professional athletes as patients, he saw it more as a marketing opportunity than a financial opportunity. “Eventually it turned into a paid position when the quantity of time they needed started cutting into my time with my regular patients,” Cook says. “They offered to reimburse me for my time with them.”

Meanwhile, Cook saw a huge opportunity to garner new patients via his affiliation with the Padres, and he has leveraged that as a marketing tool whenever possible. He simply has made it a point of order to let anyone and everyone know, “I am the Padres’ chiropractor.”

Press releases were issued about a chiropractor being hired to treat the Padres - which is noteworthy in that a minority of professional sports teams have DCs among their health-care staff - and Cook immediately posted the releases and/or related articles on his office walls, so incoming patients would make the connection.

Leveraging Opportunities
Cook has learned a lot when it comes to press releases and getting news disseminated to the local media. He believes all DCs can take simple steps to get their names out to the masses with a little persistence and some media savvy.

“I always used to think when I first started in practice that the things in the local newspapers or on the news, ‘These people must be important,’” Cook recalls. “These (media) people are always looking for heart-warming stories, local stories about something great that happened. If the star quarterback on the local high school team came into office, this is something special.”

He started by asking that star quarterback if he could use his name in a press release to send to the local papers. Occasionally, it would result in a short blurb on the community pages. “It’s not the cover story,” Cook says, “but you build on that.”

For doctors who have recently opened new practices, Cook says direct marketing becomes even more important. “When starting a practice, you have plenty of time and minimal income,” he says. “ Don’t get sucked into long-term advertising contracts or equipment leases. Get out and meet people. Never miss an opportunity to let someone know what you do for a living.”

In addition to working with the media, Cook believes in going to athletes, rather than waiting for them to come to you. In the mid-90s, Cook sought out a San Diego-area Olympic athlete in training. Knowing finances for Olympians can be thin, he sent a letter to the athlete offering complimentary care. He tried this several times before connecting.

“...I was really sincere and I explained to them that I was trying to build a practice and asked if I could let people know about it,” Cook says. “Why wouldn’t they say ‘yes’?”

Once he had the Olympic athlete in the fold, Cook went to the local papers. “They’re always looking for these things,” he says of editors. “If they don’t use it, you send it again – and again. Thousands of press releases are coming in to these agencies every day. Sometimes they need something....” That makes every reader a potential patient, Cook says. He believes in capitalizing on those types of opportunities whenever possible.

Occupational Consulting, Getting MD Referrals
Likewise, a growing number of employees in Southern California are potential chiropractic patients, thanks to an innovative arrangement that Cook enjoys with California-based Kaiser Permanente. The non-profit health maintenance organization was starting the first managed-care workers’ compensation program in the state, when the head of occupational medicine asked Cook to be one of two DCs to provide chiropractic care for the department. California law mandates that if workers’ comp is going to be provided in a managed-care environment, a chiropractor must be available.

This arrangement translates into referrals from MDs, DOs, and physical therapists. While it’s not a given thing, Cook leveraged the opportunity to earn the trust and respect of the MDs with whom he worked. “If (patients) have something the MDs know a chiropractor is effective at treating, they will refer to me. Now, they refer patients to other chiropractors as well, because they trust chiropractic more.”

The relevant laws vary by state; California law states that if a patient asks to see a chiropractor in a managed-care environment, one must be provided. That, Cook says, is where the opportunity to market lies.

“If you could just get in and show once that they can trust you, and you tell them you will refer patients back and ensure them they’re not going to lose a patient, you’re in,” Cook says of MDs.

Any doctor of chiropractic can do this, Cook says. It’s just a matter of persistence, keeping after medical directors or MDs, and merely asking them to think of you when a chiropractic problem arises with a patient. “You’re going to strike out 10 times before one of them hits,” he says. “I wish I could say what I did worked every time, but I just wouldn’t give up.”

Conversation Starters
That type of stick-to-it-iveness led Cook to the San Diego Padres, which in turn led him to have some of the biggest names in sports come in for care. Their pictures are hung on his office walls for every patient and office visitor to see. Cook says the pictures lead patients to tell their friends about him and his practice.

But when the team players are in the office, they’re treated just like any other patient. Although they may be expedited in terms of how fast they are seen, they still wait in the reception area and fill out the same forms. And like the rest of the patient base, the superstars aren’t asked to sign autographs for the staff.

“We try to accommodate them so they aren’t hassled,” Cook says. “When it comes to my office, everything is professional.”

Vital Statistics

Procare Sports Chiropractic
www.procare-chiropractic.com

ENCINITAS OFFICE
1465 Encinitas Blvd., Suite H
Encinitas, CA 92024
760-632-5445

SAN DIEGO OFFICE
6612-B Mission Gorge Road
San Diego, CA 92120
619-640-1995

Team Players
ENCINITAS OFFICE
Craig Cook, DC, QME, CCSP
Sheryl Cook, Ph.D.,
Sports Psychologist
Chris Miller, DC
Ron Plaska, DC
Kerri Bryant, DC, CCN, LMT
Chris Marquardt, CA
Kathy Clark, CA

SAN DIEGO OFFICE
Craig Cook, DC, QME, CCSP
Marc Lewis, DC, QME
Mick Leone, DC
Michael McCright, HHP, LMT
David Tice, L.Ac.
Acupuncturist
Brenda Baddley, CA

Annual Gross Billings
ENCINITAS OFFICE
1991: $62,000
1992: $87,000
1993: $110,000
1994: N/A
1995: $142,000
1996: $346,000
1997: $386,000
1998: $401,000
1999: $412,000
2000: $411,000
2001: $418,000
2002: $425,000 (projected)

SAN DIEGO OFFICE
1995: $227,000
1996: $231,000
1997: $357,000
1998: $371,000
1999: $392,000
2000: $411,000
2001: $418,000
2002: $447,000 (projected)

Annual Gross Collections
ENCINITAS OFFICE
1991: $54,000
1992: $71,000
1993: $91,000
1994: N/A
1995: $118,000
1996: $311,000
1997: $321,000
1998: $340,000
1999: $362,000
2000: $346,000
2001: $367,000
2002: $377,000 (projected)

SAN DIEGO OFFICE
1995: $196,000
1996: $211,000
1997: $326,000
1998: $341,000
1999: $354,000
2000: $340,000
2001: $390,000
2002: $423,000 (projected)

Average Patient Visits Per Week
Encinitas Office: 310
San Diego Office: 275

Average New Patients Per Month
Encinitas Office: 65
San Diego Office: 57

   
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