Most practice owners set marketing budgets in one of two ways. Either they repeat last year’s number with a small bump, or they react to a slow month with a sudden spending change. Neither is a plan. This fall is a good moment to do it properly, while the year’s data is fresh and before holiday schedules take over your attention.
The process below takes a few hours spread over two or three weeks. You do not need a finance degree. You need your numbers, honest answers, and a clear sense of what you want 2027 to look like.
Step 1: Gather the year so far
Collect a simple set of figures for January through September or October. Where you can, use actual records rather than estimates:
- New patient first visits by month
- Total visits and revenue by month
- Marketing spend by channel
- Leads, bookings, and show rates by channel, where you track them
- Patient retention: how many new patients stayed past a defined point
- Cancellations and no-shows
If some of this is not tracked, note what is missing. Fixing tracking is itself a 2027 priority, and your budget should include it.
Step 2: Calculate your own benchmarks
Industry averages for cost per lead and cost per new patient vary widely by market, specialty, and how patients are counted. Use them only as a rough check, and rely on your own records. Calculate:
- Cost per booked new patient by channel, where you can measure it.
- Average value of a new patient over a period you choose, such as twelve months, based on your actual visit and payment patterns.
- Marketing spend as a share of revenue. Many practices fall somewhere within a broad range, and growth-stage practices tend to spend a larger share than mature ones. Treat any range as context, not a rule.
If you cannot compute a number, mark it “unknown” instead of filling in a guess.
Step 3: Review each channel honestly
For each channel, ask three questions: Did it produce booked patients? At what cost? And would we do it again?
- Keep and grow channels with clear, repeatable results.
- Fix channels with promise and a clear problem, such as a landing page that does not convert.
- Pause or end channels with poor results after a fair test.
- Test one or two new ideas with small, defined budgets and a plan for judging them.
Be wary of vanity numbers like impressions or followers. They are not worthless, but they do not pay the rent.
Step 4: Set goals you can measure
Pick a few specific goals for 2027. Examples:
- A target number of new patient first visits per month
- A target for show rate
- A target for the share of new patients retained
- A target for reviews collected per quarter
Tie each goal to a channel and a metric. Avoid goals that depend on outcomes you cannot control, such as ranking number one for a keyword on a given date.
Step 5: Build the budget in layers
A helpful way to organize the budget is in four layers:
- Foundation. Website hosting and upkeep, listings, reviews, tracking, and the CRM. These are the pieces everything else depends on.
- Always-on channels. Local SEO, Google Ads, and any channel running continuously.
- Seasonal and campaign spending. Events, holiday pushes, and new service launches.
- Test budget. A small share reserved for experiments.
Allocate across layers in the order listed. A practice that spends heavily on ads but has a slow website and no tracking is paying for a leaky bucket.
Step 6: Plan for capacity
More leads only help if you can see more patients. Check provider capacity, appointment availability, and staff coverage. If your schedule is already near full at peak times, the best marketing investment may be in conversion, retention, and scheduling, not more lead volume. Discuss with your team whether you plan to add hours, providers, or a location.
Step 7: Create a calendar and checkpoints
Lay out the year by quarter. Note holidays, local events, planned campaigns, and review dates. At the end of each quarter, compare actual results to your goals, and decide whether to shift money. Build in permission to change course if the data says so, within limits you set ahead of time.
Step 8: Write it down
Summarize the plan on a single page: goals, budget by layer, channels, owners, and review dates. Share it with your team, since everyone from the front desk to the doctors affects results.
Involve your team
Your front desk sees which leads feel real, and your providers see which patients stay. Ask each person for one observation about last year’s marketing. Include their notes in the review. People who help shape a plan work harder to make it succeed.
Common mistakes
- Cutting marketing in a slow month and creating a slower next quarter
- Spreading budget across too many channels to learn from any of them
- Comparing your numbers to someone else’s without checking how they count
- Ignoring existing patients, who are often your best source of referrals and reviews
- Setting a budget without any tracking to judge it
What to do this week
Pull your numbers, build a simple spreadsheet, and write one paragraph on each channel’s results. If you would like a second perspective, our ChiroAuthority® and PatientSurge® programs are built around this kind of annual planning. You can book a strategy call and we will review your year with you and sketch a budget that matches your goals and capacity.
