Take over an established 40-year patient base. Four-day week. Earnings over $220,000 at current volume.
Most chiropractic jobs ask you to build a book from nothing and hope the new patients show up. This one is different.
We're looking for one chiropractor to take over an established, four-decade-old patient base in Lithgow — a book already running at around 167 office visits a week, with a steady 3–5 new patients arriving weekly. Your job isn't to start from zero. It's to look after the people already in the practice, stabilise the base, and help us grow it back into the two-doctor clinic it's built to be.
That's an unusual opportunity. You walk into volume from day one — the kind most DCs spend two or three years trying to reach. At the current base, this role pays over $220,000 a year. Grow it, and it grows with you.
But volume on its own isn't the reason to take a job. Here's the rest of it.
Lithgow is one of our longest-standing practices — over 40 years serving the same community, with patients who've trusted the clinic across generations. It's currently a two-doctor site, and we're consolidating to a single chiropractor who can hold the whole base steady while we rebuild toward two doctors again.
So this is a stewardship role first, a growth role second. You're inheriting relationships, not chasing leads. The work is to care for that base to a high standard, keep patients progressing and on their programs, keep the forward book healthy, and be the clinical anchor the community already knows to expect. As the base strengthens, you help us bring a second doctor back in — and you'll have shaped the practice they walk into.
Reports to: Practice Development Manager Structure: Solo-DC clinic with on-site Chiropractic Assistant support and a full back-office behind you Week: Four clinical days
Every group's careers page promises the same four things: training, mentorship, marketing, a great team. The words have stopped meaning anything because everyone uses them. So instead of claiming, here's how it actually works.
You're never left to sink or swim. Support here is structural, not a promise made at interview and forgotten by month two. There's a real training rhythm — onboarding modules plus weekly live sessions focused on getting better at the craft — and a separate accountability rhythm: daily huddles, a weekly team meeting, and a monthly one-on-one. That rhythm exists to show you what to focus on, how to do it, and to keep you on track. You'll have access to experienced clinicians and your wider Aligned team whenever you need them. You are part of a group of sixteen clinics, not alone in a room.
We'll say the quiet part out loud: we want chiropractors who want to be held accountable and want to keep getting better. If being left completely alone is what you're after, this isn't the fit — and that's okay. If you want to grow, it's exactly the fit.
Adjusting is the craft, and we revere it. It's the core of what we do and how we change people's health, so we treat it as the most important skill you'll ever develop — and we help you get genuinely world-class at it. There's always another level to reach on the table, and getting deeper and better at adjusting is a destination in its own right. As you grow, leadership and added responsibility layer on around that mastery — expanding what you do, never replacing it.
A real path, without the risk of ownership. There's a genuine leadership ladder — Senior DC, Clinic Director, Practice Development Manager — and real people on it. As the group grows toward 25+ clinics, so does the ceiling. In Lithgow specifically, you're not just filling a role; you're rebuilding a practice, which is leadership in its own right. Leadership here is added on top of your clinical work as scope and recognition — never an exit from it.
Perform well, earn well — securely. This is a salaried role with real super and real leave, plus an uncapped performance bonus. The better and busier you get, the more you earn. At Lithgow's current base you're already over $220,000; because the bonus is uncapped, growing the practice grows your income directly. It's a secure structure with real upside — not a contractor gamble where the risk sits on you.
You're likely a year or two into practice, clinically capable, and ready for a place where the support is real and the numbers actually add up. Maybe you've been somewhere that promised a lot and delivered little — under-supported, under-volume, underpaid. If so, you'll appreciate what's here more than most, because you've seen the alternative.
You care about doing the work properly: evidence-based, corrective care that gets people well and keeps them well. You see chiropractic as a long career, not a quick earn. And you want to grow — in skill, in earnings, and eventually in responsibility.
On volume, honestly: 167 visits a week is a lot of care, and we'd rather you know why that's a strength, not a red flag. It comes from an organised clinic and a base of patients who stay because they get results — not from pressure or churn. Our model is built around keeping people well over the long term, not pushing bodies through a door. That's exactly why the base has lasted 40 years.
Lithgow sits on the western edge of the Blue Mountains, and it's genuinely one of the better regional bases in NSW for anyone who likes being outdoors.
Getting to Sydney is easy. It's roughly a two-hour drive on the M1/Great Western Highway, and NSW TrainLink runs regular services from Lithgow Station to Sydney's Central Station — around two and a half hours by rail. Close enough for a weekend in the city; far enough that your money goes a lot further and the bush is on your doorstep.
The outdoors is the real draw. Lithgow is ringed by national parks and state forests, so if you're into bushwalking, camping, or four-wheel driving, you'll struggle to run out of options:
- Bushwalking and lookouts — Hassans Walls is the highest lookout in the Blue Mountains with sweeping views across the valley and escarpment, and the Gardens of Stone pagoda country nearby is some of the most distinctive walking terrain in the state.
- Camping — Lake Lyell offers lakeside sites right by the water for swimming, kayaking and fishing, while Turon National Park (about 45 minutes out) delivers remote, rugged bush camping along the Turon River, with gold-rush history to explore.
- Four-wheel driving — the Capertee Valley (billed as the world's second-widest canyon), the Wolgan Valley, and the Turon River crossings are all serious 4WD country, with tag-along tours available if you want to learn the tracks.
- And more — Jenolan Caves is about an hour away, Lake Wallace is popular for paddling and camping, and there's fishing, mountain biking, rock climbing, canyoning and abseiling all within easy reach. The heritage Zig Zag Railway and a growing local food scene round out the weekends.
If a four-day week and a garage full of camping and 4WD gear sounds like the life you want, Lithgow is hard to beat.
We're a sixteen-clinic group across regional NSW, built on one idea: transformational care, not transactional care. We're here to move people toward lifetime wellness — better function, better quality of life — not to treat a symptom and move on. Everything about how we train, support and run our clinics comes back to that.
If this sounds like the kind of practice you've been looking for, we'd love to talk. We're happy to show you the clinic, walk you through how our training and support actually work, and answer the real questions — the ones about volume, earnings, and whether the leadership path is genuine. We'd rather prove it than pitch it.
Apply now, or reach out for a confidential conversation.
