You are with a patient. The phone is ringing. The new patient hangs up.
Back and neck pain sends people looking for relief now, and they call whoever answers. Susanoo picks up, books the new patient, and keeps your plan-of-care patients rebooked so they finish their care.
Built for solo and multi-provider chiropractic practices that win patients on speed to the phone.
Free, 15 minutes. You leave with a map of where your practice is losing patients, even if you never hire us.
Live in 10 business days. We take on a limited number of practices a month.
The Problem
Small healthcare practices miss up to 30% of incoming calls during office hours.
The patients are in pain right now, and they book with whoever answers first.
What We Do
- Answers every call.
- Books the appointment.
- Reminds them so they show.
Sound familiar?
Someone wakes up with their back locked and calls three offices. The one that answers gets the patient. You were mid-adjustment.
A patient on a treatment plan misses a visit, nobody follows up, and they never come back to finish their care.
Your front desk cannot adjust patients and answer the phone at the same time, so calls go to voicemail during your busiest hours.
What the 2026 data shows
Why chiropractic practices are losing patients in 2026
We pulled the 2026 numbers on call response, no-shows, competition, and reviews. The back-pain caller wants relief now, and the booking goes to whoever answers first.
30%
of incoming calls small healthcare practices miss during office hours, each one often a new patient lost.
27%
of medical practices reported no-shows increased in 2025, and every empty slot is hard to backfill.
66,061
chiropractic businesses competing for the same local searches, so a missed lead is paid-for demand thrown away.
10%
projected growth in chiropractor employment from 2024 to 2034, much faster than average, so demand keeps rising.
$155 to $610
the range practices pay to acquire one new patient by specialty, so every unworked lead has a real price.
Minutes
the window in which an online lead goes cold, yet most practices respond far too slowly.
- Open hours
You cannot adjust and answer at once.
Small healthcare practices miss up to 30% of calls during office hours, and for a chiropractic clinic each missed call is often a new patient who simply calls the next clinic on Google.
- Within the hour
Speed to lead decides who wins.
A back-pain caller is in pain right now and books with whoever picks up first. When the call goes to voicemail or a form sits for hours, the patient is already on another table.
- After hours
Pain ignores office hours.
Patients call when they hurt, not when you are staffed, so inquiries that arrive at night, on weekends, or over lunch never get a human and never get booked.
- Every miss
No-shows drain a recurring-care model.
About 27% of practices said no-shows rose in 2025, and every empty slot in a plan-of-care schedule is revenue that is hard to backfill on short notice.
The fix
How the Susanoo team and AI fix it
An AI employee answers and books, a managed team runs the follow-up and your reviews, all under one price.
AI employee
Picks up and books, live on the call
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Every call, answered.
Picks up on the first ring at peak hours, at lunch, after close, and on weekends, so the calls a busy front desk drops get captured instead of handed to the clinic down the street.
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Booked while in pain.
Responds in seconds, handles live scheduling, collects intake details, and places the patient on the calendar so they commit to care on the first contact.
Managed team
Runs the follow-up and your listing
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Plans, kept.
Sends confirmations and reminders, and follows up on patients who cancel or miss until they reschedule, protecting the recurring-care schedule that drives revenue.
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Reputation, handled.
Requests reviews from happy patients at the right moment and keeps your profile responsive, so the review profile patients judge you on actually grows.
- Every call answered, 24/7
- Booked while the patient is on the line
- Plan-of-care patients rebooked
- A real person on your account
Your practice, 30 days from now.
- Every call answered, even mid-adjustment and after close.
- New patients booked while they are still on the phone.
- Plan-of-care patients rebooked, so they finish their care.
- Reviews climbing, so you show up first when patients search.
- And you adjusting patients instead of chasing the phone.
The difference
What changes when the whole practice runs as one system
Most practices run on a phone, a calendar, and good intentions. Here is the gap between that and one connected system, across everything that brings patients in.
- The phone Up to 30% of calls missed during office hours while you are adjusting. Every call answered, day or night.
- Speed A back-pain lead books with whoever answers first. First to answer, while the patient is still in pain.
- Follow-up Missed visits go unaddressed and patients drop off plan. Reminders and rebooking keep patients on their care plan.
- Your patients No record, no reason to return after the pain fades. A CRM that remembers every patient and their plan of care.
- Marketing Paid leads leak out with no follow-up. Every lead worked, so ad and SEO spend actually books patients.
- Reputation A thin review profile loses patients before the phone rings. A review requested after a visit, and replies handled.
- Online presence Hard to find among 66,000 competing practices. Found first, with a current profile that earns the click.
- Brand A scattered, inconsistent look across every channel. One consistent brand patients trust before they walk in.
- Scaling The setup breaks the day you add a provider or a second location. One system that runs the same in every location.
See it in action
I am sorry, that sounds rough, and yes we can help. We have an opening at 3:15pm today for a new patient exam and adjustment. Want me to book it?
Booked for 3:15pm. I have your name and number and will text you the intake form and the address. Feel better soon, see you this afternoon.
The math
A whole team for less than the cost of one employee.
Everything that keeps the schedule full and patients on plan, under one price.
- AI receptionist that answers and books, 24/7
- A managed team running reminders, rebooking, and no-show recovery
- Reviews requested after a visit, your Google profile kept current
- A CRM that remembers every patient and their plan of care
- Your listings and online presence, handled
- Reporting, plus a dedicated Account Executive
Hire it out
- Patient coordinator Source: Glassdoor (USD)Payscale (CAD) $46,000$38,000
- Front-desk receptionist Source: Glassdoor (USD)Payscale (CAD) $42,000$37,000
- Follow-up and marketing Source: Glassdoor (USD)Payscale (CAD) $66,000$51,000
$154,000$126,000 a year
Susanoo
$48,000 a year
One subscription. The AI employee and the managed team, all of it.
Less than one of those salaries, and it never misses a call.
The honest comparison
Why not just hire it out?
The honest comparison with the other ways practices try to cover the phone.
Hire a receptionist
A salary plus benefits, out some days, gone by close, and still nothing for nights or weekends when patients hurt.
Use an answering service
Takes a message and hands you a callback list. It does not book the patient or rebook a missed plan-of-care visit.
Susanoo
Answers every call 24/7, captures the intake, and books the patient on the line. Then the managed team runs rebooking and reviews.
Plugs into the tools you already run
Phone and SMS
Every call answered and every text replied to, even mid-adjustment.
Calendar and scheduling
Booked into your real availability, with no double-booking.
CRM and lead inbox
Every new-patient call and web inquiry caught and logged the moment it lands.
Reviews
A review request after a visit, and replies to the ones you get.
Your risk, removed
The Promise
Install Guarantee
Your basics go live in 10 business days, or billing pauses until they are. And within 90 days, if it is not right for your practice, we rebuild it at no charge until it is.
Always-On Promise
A real person on your account responds fast. Your customers get an instant reply, day or night.
What happens next
From call to live in 10 business days.
- Day 0
Discovery Call, 15 minutes
We map where your practice is losing patients and exactly what we would build to stop it.
- 10 business days
We build and install
We connect it to the tools you already use and get your basics live in 10 business days. If we miss it, billing pauses until they are live.
Billing pauses until live - Ongoing
We run it with you
A dedicated Account Executive tunes it and reports, and within 90 days we rebuild anything that is not right for your practice.
90-day rebuild guarantee
Answer first. Keep patients on plan.
- A map of where your practice is leaking patients, with the dollars attached to each gap.
- A specific plan for what we would build, end to end.
- The math against hiring, one price versus the roles you would staff.
The calls you miss go to the clinic down the street, every day. We take on a limited number of practices a month, each with a dedicated Account Executive.