Afleveringen
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Many owners spend years building a successful practice only to discover they've built a business that still depends entirely on them. The result is a hidden ceiling on growth, freedom, and impact. Dr. Pete and Dr. Stephen challenge the conventional obsession with scalability and introduce a more powerful objective: durability. Through the concept of Week 13, they reveal how scheduled vacations become a leadership accelerator, a business stress test, and a catalyst for developing stronger teams, stronger systems, and greater trust. The payoff is a practice that continues to create value, serve patients, and grow even when the owner steps away.
The most expensive vacation is the one that you never take. The second most expensive vacation is the one that you have to shut the practice down to take it. Build DURABILITY into your practice so that you don’t have to pay for your vacation twice. Spend the money that you are going to lose.
In This Episode You Will Discover:
Why taking time away may be the fastest path to building a stronger business A leadership challenge that exposes whether a practice is truly durable The hidden cost of becoming indispensable to patients and team members How a vacation can become a transformational opportunity for an associate doctor A simple framework that turns time away into a catalyst for growthEpisode Highlights
02:59 - A surprisingly simple recommendation reveals whether a business is truly built for growth.
03:43 - The distinction between scalability and durability changes the way success should be measured.
04:44 - One overlooked business metric dramatically impacts long-term value and freedom.
06:17 - A concept called Week 13 challenges conventional thinking about productivity and success.
08:27 - The most effective growth strategy may look suspiciously like stepping away.
08:36 - A powerful question exposes what must be true for a business to thrive without its owner.
09:29 - The connection between personal energy and business performance becomes impossible to ignore.
10:49 - Patient behavior often reveals a leadership issue hiding beneath the surface.
15:06 - An uncomfortable contradiction challenges the way many health-focused professionals live their lives.
17:37 - A decision that feels expensive in the short term may create outsized returns everywhere else.
18:58 - One experience can accelerate an associate doctor's growth faster than months of training.
21:21 - A looming deadline creates the kind of urgency that leadership development requires.
22:38 - The difference between being away and truly disconnecting becomes crystal clear.
25:38 - Dr. Chris is joined by Success Partner, Dr. David Fletcher of CLA to explore how neurocentric scanning technology transforms chiropractic communication and practice growth. They discuss using objective nervous system data to improve retention, scale with team leverage, increase PVA, and strengthen certainty in care planning. CLA’s technology enhances attraction, conversion, collections, and long-term scalability.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about CLA please visit: https://insightcla.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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The biggest choke on your growth probably isn't a lack of New Patients. It's the invisible money constraints hiding inside an otherwise successful practice. Dr. Pete and Dr. Stephen unpack how flawed pricing strategies, broken money beliefs, and ineffective money models quietly choke growth, reduce profitability, and limit impact. Through real-world examples, practical benchmarks, and a powerful reframe around value, conviction, and outcomes, they reveal how remarkable businesses create the resources needed to expand their mission. The payoff is a clear framework for identifying hidden revenue opportunities, strengthening confidence in recommendations, and building a business that can sustainably serve more people.
In This Episode You Will Discover:
Why a seven-figure practice uncovered an additional six figures of annual revenue without adding a single new patient The uncomfortable truth behind underpricing and the stories that keep doctors stuck there A powerful distinction between charging for services and charging for outcomes How weak conviction silently shows up as poor conversion and inconsistent collections The money mindset shift that transforms profit from a guilty topic into a mission multiplierEpisode Highlights
03:27 - The breakthrough starts by identifying the single constraint that makes every other problem look bigger than it is.
05:13 - A thriving seven-figure practice discovers hidden revenue simply by delivering and charging for overlooked value.
08:24 - The difference between growth and profitability turns out to be smaller than most owners think.
09:40 - An industry-wide statistic exposes just how much untapped potential is sitting inside existing practices.
10:54 - Growth accelerates when attention shifts from solving five problems to eliminating one bottleneck.
17:14 - A common leadership habit quietly prevents owners from seeing money that's already available.
18:16 - The stories doctors tell themselves about pricing may be costing far more than they realize.
19:40 - A simple benchmark challenges whether value and fees are actually aligned.
22:15 - The real value gap isn't what is being delivered. It's what is never being communicated.
26:01 - One subtle shift in how recommendations are presented can completely change the response.
29:00 - A lesson about commitment, value, and human behavior reframes the entire money conversation.
30:27 - The distinction between selling a service and creating an outcome changes everything.
31:29 - A powerful distinction challenges the conventional relationship between service, value, and transformation.
33:23 - Dr. Lona sits down with Dr. Brian Capra from Success Partner ClinicMind to explore how chiropractic practices are evolving beyond traditional EHR systems into fully integrated growth platforms. They discuss how AI, automation, patient communication, and practice management are transforming attraction, retention, and scalability for modern clinics. Dr. Brian also shares how ClinicMind is helping practices simplify operations, improve patient experiences, and prepare for the future of chiropractic growth through one connected platform.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about ClinicMind please visit: https://www.clinicmind.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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Zijn er afleveringen die ontbreken?
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What if the future of chiropractic growth has less to do with hiring more people and more to do with freeing the right people to fully serve? Dr. Pete Camiolo and Dr. Eric Kowalke, Founder and CEO of SKED, unpack how AI, automation, and operational systems are reshaping the modern chiropractic office without sacrificing the human connection that makes chiropractic powerful. From front desk overwhelm and rising operational costs to predictive retention technology and smarter patient communication, the episode reveals how technology can eliminate distraction, improve efficiency, and create a more remarkable experience for both patients and teams. The payoff is a compelling blueprint for scaling family-based care while protecting the heart of the profession.
In This Episode You Will Discover:
Why the most overwhelmed practices are often drowning in operational distraction instead of patient demand A smarter approach to using technology without sacrificing human connection or chiropractic culture How rising staffing costs are forcing practice owners to rethink scalability and efficiency The surprising role front desk presence plays in retention, energy, and patient experience What predictive AI may soon reveal about patient behavior, follow-through, and long-term retentionEpisode Highlights
04:15 - A scheduling challenge uncovers a bigger mission to help technology create more meaningful human connection inside the practice
08:00 - Why patient experience often suffers when team attention is pulled away from the people standing right in front of them
11:15 - A powerful self-audit challenges leaders to identify the one operational weakness they already know needs attention
13:00 - The family atmosphere found in thriving practices is traced back to something far deeper than systems or procedures
16:45 - Growing operational demands expose the difficult balance between staffing needs, profitability, and expansion
19:15 - Rising payroll and benefit costs reveal why many traditional growth strategies are becoming harder to sustain
22:30 - A new approach to technology emerges as a way to amplify chiropractic impact without compromising core values
26:00 - Visionary growth goals collide with team capacity, creating a challenge familiar to many practice owners
29:00 - A series of "what if" questions reframes how offices think about administrative workload and operational efficiency
33:30 - Unexpected scheduling data reveals when people are most likely to seek help and take action on their health
39:00 - Artificial intelligence uncovers surprising retention patterns that may help practices identify patient drop-off before it happens
45:36 - Dan Anticich from Success Partner Twoconnect, joins Dr. Andrew to discuss how chiropractic practices can improve lead conversion, patient reactivation, and operational efficiency through dedicated offshore support. They explore how virtual team members help practices protect marketing investments, strengthen patient communication, reduce administrative workload, and create scalable systems that support sustainable growth.
Resources Mentioned
For more information about SKED please visit: https://sked.life
\To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Two Connect please visit: https://twoconnect.com.au/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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Most practice owners think team struggles come from staffing shortages, difficult personalities, or lack of motivation, but Dr. Pete and Dr. Stephen challenge that assumption head-on. Dr. Pete frames the conversation around identifying the primary constraint limiting growth, while Dr. Stephen focuses on accountability as the force that turns busyness into productivity. Together, they unpack the “four rights” of building a high-performing team: right people, right positions, right work, and right way. Getting these “4 Rights” right starts with your hiring process. Set Expectations and Agreements early in the relationship - and make sure that they understand that your business is a “High Accountability" environment.
Along the way, they reveal why A-Players thrive in accountable cultures, how unclear expectations quietly sabotage scalability, and why stronger leadership systems create greater focus, healthier culture, and sustainable growth.
In This Episode You Will Learn:
Why many teams stay busy all day while producing surprisingly little movement The hidden reason accountability systems fail even when leaders think they’re “clear” A sharper framework for identifying whether the issue is the person, the seat, or the work itself What happens when A players are surrounded by unclear expectations and weak ownership The surprising connection between focus, productivity, profitability, and team alignmentEpisode Highlights
01:35 - A powerful vision emerges around identifying the single team constraint quietly limiting growth and scalability
02:43 - Counterintuitive insight reveals why most practice owners have a focus problem instead of an effort problem
04:21 - Accountability gets reframed as the force that transforms motion into measurable movement
05:44 - A deeper look at A players exposes why great team members actually demand accountability
07:07 - Positioning takes center stage as leaders confront the costly mistake of placing people outside their zone of genius
08:37 - Practical strategy separates roles, responsibilities, and outcomes into a framework teams can actually execute
10:56 - A sharp hiring distinction reveals why CEOs should stop selling candidates into the job
14:45 - A compelling leadership challenge emerges around creating measurable ownership instead of vague expectations
16:49 - Early hiring mistakes expose how fast-moving CEOs unintentionally sabotage team quality
21:00 - Vision for a world-class team comes alive through the metaphor of a band where every player owns their role
22:35 - The real financial cost of weak accountability surfaces through productivity, profitability, and team optimization metrics
27:58 - Stephanie Dove Blake from Success Partner Social Sparrow joins Dr. Pete to share her personal journey from witnessing the impact of chronic pain to helping chiropractors reach more patients through digital marketing. They discuss lead generation, patient conversion, AI, and the systems Social Sparrow uses to help practices attract, book, and serve more people.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Social Sparrow please visit: https://socialsparrow.com
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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Why Retention Is The Real Growth Strategy
Most practices assume retention problems start when patients stop showing up, but the real breakdown happens much earlier. Dr. Stephen and Dr. Pete unpack why patient compliance is the hidden constraint limiting growth, referrals, scalability, and long-term impact. Through a practical framework built around strong starts, clear agreements, and patient understanding, they reveal how retention is not a motivation problem but a communication and systems problem. The conversation explores how practices create “wanting,” why compliance drives every major business metric, and how better patient stewardship creates stronger outcomes, deeper loyalty, and sustainable growth.
In This Episode You Will:
Why many practices mistake new patient problems for the real operational leak quietly draining momentum and revenue The hidden reason patient retention collapses long before someone officially drops out of care A smarter way to think about compliance that transforms it from pressure into partnership What happens when patients fully understand the cause of their recurring health patterns An important distinction between setting expectations and creating true agreements inside the patient journeyEpisode Highlights
02:01 - A compelling challenge emerges to stop chasing every problem and identify the one constraint capable of pulling the entire practice forward.
02:48 - Retention takes center stage as the overlooked driver behind better outcomes, stronger referrals, and sustainable revenue growth.
06:25 - An uncomfortable truth surfaces as retention is exposed as the area where even high-performing practices often struggle most.
08:03 - A deeper look at compliance reveals why patient follow-through is the leading indicator of long-term retention and retained revenue.
13:33 - The conversation introduces four critical agreements that determine whether a patient relationship begins with alignment or hidden friction.
15:50 - A sharp distinction reveals how weak retention is often the symptom of a weak start rather than a failure later in the patient journey.
19:18 - Dr. Stephen reframes conversion as a dialogue built around ownership, goals, and a clearly defined path forward.
21:12 - The hidden power of “wanting” emerges as the bridge between patient interest and long-term commitment to care.
23:23 - A practical metaphor illustrates how consistent momentum compounds when patients understand the value of staying in rhythm.
24:18 - The real breakthrough appears when patients connect recurring health challenges to the daily habits and stresses that keep recreating them.
29:53 - A deeper understanding of care becomes the turning point where compliance evolves into genuine belief and long-term retention.
31:19 - Scalability is redefined through retention as the conversation connects compliance, patient loyalty, and sustainable business growth.
34:06 - Dr. Lona sits down with Glen David from Success Partner Davlen Designs to explore how smarter clinic design can drive practice growth without adding square footage. Glen shares how strategic use of space, workflow optimization, and data-driven planning help practices improve efficiency, enhance patient experience, and create greater capacity to serve more people while scaling sustainably.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Davlen Design please visit: https://www.davlendesign.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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What if the biggest growth opportunity in a chiropractic business isn’t more marketing, more hours, or more staff, but simply maximizing what already exists? In this episode, Dr. Josiah Fitzsimmons, joins Dr. Pete to unpack the financial blind spots holding chiropractors back from greater profitability and impact. As the co-founder of Lucro, Dr. Josiah shares insights gathered from years of analyzing financial and operational data across hundreds of chiropractic clinics. Together, they explore the operational patterns, team utilization gaps, and decision-making frameworks that separate stagnant practices from scalable businesses. The conversation reveals how CEOs can use data to increase confidence, unlock untapped revenue potential, and build healthier, more profitable practices without immediately increasing overhead.
In This Episode You Will:
Understand why most chiropractic practices are dramatically underutilizing their existing capacity Discover the hidden revenue opportunity already sitting inside the average clinic Learn how data-driven decision-making creates stronger operational confidence Clarify the difference between fixed costs, variable costs, and scalable profitability See why growing a business requires different leadership at every stage of scaleEpisode Highlights
01:50 - Explore how combining business performance and clinical excellence creates a more complete framework for sustainable growth.
05:24 - Recognize why many practice owners struggle to scale when decisions are driven by opinions rather than operational clarity.
09:44 - Discover why maximizing existing resources often creates greater profitability than immediately expanding capacity.
11:32 - Examine the surprising revenue patterns that separate top-performing practices from the average clinic.
12:53 - Clarify the three-step scaling framework built around capacity awareness, optimization, and strategic expansion.
15:21 - Understand why team performance is often a reflection of systems, training, and operational structure rather than talent alone.
18:12 - Uncover how underutilized teams can quietly limit revenue growth despite significant investment in personnel.
24:15 - Identify how doctors performing non-essential responsibilities can become the primary constraint to business growth.
27:16 - Explore why long waitlists may signal operational bottlenecks rather than evidence of business success.
29:56 - Examine the profitability sweet spot where efficiency, capacity, and overhead reach their strongest alignment.
32:01 - Discover why the strategies that create early growth often become the very obstacles to reaching the next level.
34:55 - Learn how better data creates greater confidence when navigating complex business decisions and growth opportunities.
39:19 - Dr. Chris sits down with Dr. Steve Tullius of Success Partner Waitlist Workshops to explore how practices can attract the right patients through education-first marketing. They discuss how workshops build trust, create demand, and position doctors as the preferred solution. When communication creates certainty, growth becomes more intentional, predictable, and sustainable.
Resources Mentioned
Learn more about Lucro and schedule a strategy call, visit: https://morelucro.com/
Get Your Copy of the 2026 Lucro Industry Report here: https://report.morelucro.com/To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Waitlist Workshops please visit: https://waitlistworkshops.com
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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spent $135,000 to spend the day with Alex Hormozi. Here’s what he taught me about the conversion process and selling chiropractic care.
If patients are not saying yes to care, the problem may not be your passion, your systems, or even your recommendations - it’s your offer.
Dr. Pete and Dr. Stephen break down why so many chiropractors struggle to convert despite deeply believing in what they do. Drawing from Dr. Stephen’s recent coaching experience with Alex Hormozi and the framework of the irresistible offer, this conversation unpacks the four factors that shape every conversion decision: dream outcome, perceived likelihood of achievement, time delay, and effort and sacrifice. From learning how to stop selling process and start selling transformation to creating a patient journey that feels clear, trustworthy, and achievable, this episode gives chiropractors a practical roadmap for increasing conversion, strengthening certainty, and helping more people commit to care with confidence.
Understand why conversion constraints often begin with an unclear offer. Learn how to sell the transformation instead of the process. Discover the four parts of an irresistible patient offer. Clarify how trust, proof, and certainty increase patient belief. See how a clear roadmap makes care feel easier to commit to.
In This Episode You Will:Episode Highlights
01:04 - Identify why the question is not whether conversion has a constraint, but where that restraint is showing up.
04:12 - Discover how an irresistible offer becomes the first lens for diagnosing a stalled conversion process.
05:55 - Clarify why patients do not buy services, systems, or procedures before they believe in the transformation.
09:36 - Recognize how selling the outcome changes the emotional weight of the entire conversion conversation.
13:10 - Explore the four-part value equation that shapes whether a patient says yes or hesitates.
18:26 - Understand why conversion becomes a skill when the dream outcome is made specific, emotional, and compelling.
23:32 - Reveal how proof, testimonials, and certainty increase a patient’s belief that care can work for them.
27:05 - Examine how time delay becomes a conversion restraint when patients cannot see a faster path to results.
29:19 - Differentiate between a hard process and a supported process that makes commitment feel possible.
34:42 - Recognize how the right offer combines accountability, support, and clarity into a decision patients can trust.
36:15 - As a Success Partner, Chiro-Ads Academy brings a powerful, in-house approach to digital marketing that helps practices take control of new patient acquisition. As Dr. Eric sits down with Dr. Travis Stewart, the conversation reveals how early struggles with inconsistent agency results led to a proven system that lowers lead costs, improves conversion, and drives predictable growth through trust-based advertising and data-driven decision-making. If you are ready to create consistent, scalable growth you will want to explore how this system can transform your practice.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Chiro Ads please visit: www.makingmuvs.com/TRP
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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Your practice is stuck because you don’t have enough Qualified Leads to take you to the next level. In this episode, Dr. Stephen and Dr. Pete unpack the first and often most common bottleneck in practice growth: the inability to consistently attract the right people with the right message at the right time. Through the lens of the Theory of Constraints, they reveal why marketing struggles are rarely solved by simply “doing more marketing” and instead require deeper clarity around purpose, messaging, ideal patient profiles, and measurable systems. From refining the market message that cuts through the noise to understanding Marketing Spend, CAC (Cost to Acquire a Customer) and “Buyer Readiness”, this episode provides a strategic framework for chiropractors who want to stop spraying and praying and start building predictable attraction systems that scale influence, income, and patient impact.
In This Episode You Will:
Understand why attraction constraints are often the hidden bottleneck in practice growth. Discover how purpose, mission, and vision shape effective marketing systems. Learn how to create messaging that cuts through marketplace noise and increases readiness. Clarify the difference between random marketing activity and measurable lead generation. See how metrics like CAC and LTV create confidence, scale, and strategic decision-making.Episode Highlights
01:44 - Identify how one primary constraint can quietly suppress growth across an otherwise healthy practice.
03:54 - Discover why true transformation begins when education unlocks awareness rather than simply delivering information.
05:28 - Recognize how unresolved attraction constraints keep practices stuck even when effort and intention remain high.
08:16 - Explore why great coaching often reveals hidden solutions that were already within reach.
11:12 - Clarify why the problem behind the problem must be solved before marketing tactics can produce meaningful growth.
14:23 - Uncover how defining an ideal client profile changes the precision and effectiveness of attraction strategies.
16:36 - Examine the three-part messaging equation required to cut through marketplace noise and create urgency.
18:06 - Reveal how trust-building systems increase patient readiness long before a conversion conversation begins.
20:38 - Differentiate between inconsistent marketing activity and the disciplined repetition required to create momentum.
27:31 - Understand why data-driven marketing eliminates stress and creates confidence in scaling patient acquisition.
28:43 - Dr. Rachel is joined by Dr. Kendall Price of Success Partner Elevate Marketing to unpack what it really takes to turn marketing into a true growth system for modern practices. They explore how Elevate moves beyond generic campaigns by blending brand identity with proven strategies, building trust through every step of the patient journey, and optimizing for real outcomes like patient show rates, not just leads. When marketing becomes intentional, relational, and data-driven, growth shifts from unpredictable to scalable and sustainable.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Elevate Marketing please visit: https://goelevatemarketing.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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You don’t have an effort problem - you have a FOCUS problem.
Most practices aren’t stuck because of a lack of effort, they’re stuck because they’re solving the wrong problems in the wrong order. In this episode, Dr. Stephen and Dr. Pete introduce the concept of the primary constraint and challenge the idea of “priorities” by reframing success around singular focus. Through the lens of the accountability grid and the five domains of business, they lay the foundation for a new way of thinking about growth: identifying, sequencing, and solving the one constraint that matters most right now. This episode sets the strategic framework for eliminating overwhelm, creating clarity, and unlocking the next level of performance. The payoff is a shift from reactive problem-solving to intentional, CEO-level decision making that drives real momentum.
In This Episode You Will:
Understand why solving multiple problems keeps you stuck Learn the difference between constraints and symptoms Discover how to identify your single primary constraint See why sequencing problems is the key to growth Clarify how to think like a CEO instead of an operatorEpisode Highlights
01:55 - Recognize that every business faces multiple challenges, yet one primary constraint ultimately determines growth trajectory
03:55 - Understand the distinction between having many problems and identifying the single priority that creates leverage
08:40 - Discover that most growth plateaus are caused by a lack of focus rather than a lack of effort
09:05 - Explore the CEO’s role as the “human magnifying glass” directing energy and resources toward one outcome
11:10 - Examine how concentrated focus ignites momentum instead of spreading effort across multiple weak initiatives
16:03 - Identify the importance of sequencing constraints rather than attempting to solve everything simultaneously
17:31 - Differentiate between symptoms and true constraints when moving to the next level of growth
18:21 - Clarify how the five domains of business align with the patient journey and operational structure
22:12 - Reveal the hidden cost of ignoring constraints in both impact and income
25:21 - Uncover the most common primary constraints across attraction, conversion, retention, team, and money
27:48 - Dr. Eric DiMartino is joined by Mark Murdock of Aspen Live Well to explore how light therapy expands chiropractic impact and revenue. They discuss class IV laser, full-body photobiomodulation, and scalable business models that generate recurring income without requiring doctor time. Light therapy accelerates healing, attracts new patients, and creates a profitable business within a practice.Resources Mentioned
Download your copy of the Accountability Grid here: https://go.theremarkablepractice.com/remceo-ep357-acctgrid
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Aspen Live Well please visit: https://aspenlivewell.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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From Motivation to Incentivization: How PPFG Changes Everything
Most practice owners try to motivate their teams, but motivation is unreliable and short-lived. Incentivization, on the other hand, is structural and drives consistent behavior. When incentives are unclear or misaligned, teams default to average effort instead of tapping into discretionary energy.
Dr. Pete and Dr. Stephen break down how to intentionally connect outcomes, behaviors, and rewards so that performance becomes predictable and scalable. By aligning incentives with what truly matters and using the PPFG (Personal, Professional, Financial Goals) framework to uncover what drives each team member, leaders can create an environment where people are fully engaged, retention improves, and growth becomes inevitable.
In This Episode You Will:
Understand why incentivization drives performance more than motivation. Learn how to connect behaviors to outcomes through clear KPIs. Discover how discretionary energy separates good teams from great ones. Clarify how alignment unlocks higher performance and fulfillment. See how personal, professional, and financial goals fuel retention and growth.Episode Highlights
02:23 - Explore how alignment between purpose, performance, and profitability unlocks sustained energy and engagement.
03:43 - Discover how discretionary energy represents the hidden performance multiplier inside every team member.
04:50 - Examine the structured process of linking outcomes to behaviors as the foundation for effective incentivization.
06:26 - Differentiate alignment as the true driver of success beyond effort or activity alone.
09:02 - Uncover how removing judgment allows leaders to better understand what truly motivates individual team members.
11:05 - Identify the importance of creating mechanisms that ensure consistent and meaningful incentivization conversations.
14:15 - Reveal how lack of clarity around personal, professional, and financial goals leads to disengagement and eventual turnover.
17:26 - Clarify how a humble, relationship-first approach strengthens trust and opens the door for deeper alignment.
21:31 - Understand that helping people achieve their goals becomes the strongest driver of long-term retention.
22:41 - Recognize that failure to grow is the most expensive outcome, reinforcing the necessity of aligned incentives and performance systems.
25:06 - Dr. Chris is joined by Success Partner, Dr. David Fletcher of CLA to explore how neurocentric scanning technology transforms chiropractic communication and practice growth. They discuss using objective nervous system data to improve retention, scale with team leverage, increase PVA, and strengthen certainty in care planning. CLA’s technology enhances attraction, conversion, collections, and long-term scalability.
Resources Mentioned
Download your copy of the PPFG Worksheet here: https://go.theremarkablepractice.com/remceo-ep355-ppfg
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceoFor more information about CLA please visit: https://insightcla.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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Dr Peter Kevorkian and Life West: Building the Next Generation of Successful Chiropractors
Great chiropractors don’t happen by accident, they are built through philosophy, precision, and intentional leadership.
Dr. Stephen had the pleasure of sitting down with Dr. Peter Kevorkian, President of Life West Chiropractic College, to unpack what it truly takes to develop chiropractors who are confident, competent, and prepared to succeed. Drawing from decades in practice and leadership, Dr. Kevorkian shares how Life West is redefining chiropractic education through clinical specificity, integrated philosophy, and a commitment to certainty. This episode reveals a clear framework for developing not just graduates, but chiropractors who can lead, communicate, and deliver at the highest level. The result is a compelling vision for the future of chiropractic education, and the role Life West is playing in shaping it.
In This Episode You Will:
Understand how Life West is redefining chiropractic education through clinical specificity Learn why certainty is the foundation of successful chiropractors Discover how philosophy must be integrated into every aspect of training See how communication and clinical mastery work together to drive impact Clarify what it takes to develop chiropractors who are truly practice-readyEpisode Highlights
02:15 - Discover how decades of high-level practice experience now inform a leadership role shaping future chiropractors
04:25 - Understand the shift from personal practice success to developing impact through chiropractic education
06:40 - Recognize the responsibility of educational institutions to perpetuate and strengthen the profession
07:10 - Examine the current challenges in chiropractic education, including declining enrollment and future workforce concerns
08:30 - Reveal how financial support and engagement from practitioners can directly influence the strength of chiropractic schools
10:45 - Differentiate how Life West is prioritizing technical specificity over generalized training approaches
12:10 - Explore how certainty is developed through clinical mastery, not just theoretical understanding
15:20 - Clarify how Life West integrates philosophy into every aspect of its curriculum rather than isolating it
18:15 - Identify how students are trained to think like professionals, not just memorize information
22:30 - Uncover how developing a business mindset early prepares students for real-world success
27:10 - Examine how aligning strengths and roles impacts long-term success for graduating chiropractors
31:45 - Recognize the importance of preparing chiropractors for multiple paths while maintaining clinical excellence
41:41 - Dr. Chris sits down with Dr. Steve Tullius of Success Partner Waitlist Workshops to explore how practices can consistently attract the right patients by leading with education, not promotion. They break down how a proven workshop system fills rooms with high-intent patients, builds trust before the first visit, and positions doctors as specialists in solving complex, meaningful health challenges. When marketing aligns with purpose and communication builds certainty, practices don’t just grow—they attract the patients they were meant to serve.
Resources Mentioned
For further details from Dr Peter Kevorkian's interview, please visit:
East Coast Tour Information: https://lifewest.edu/alumni/presidents-receptions Contributions: https://lifewest.edu/give Life West Details: https://lifewest.edu/ Contact Info: [email protected]To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Waitlist Workshops please visit: https://waitlistworkshops.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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The GWC Framework: Why “Wants It” Determines Everything!
The biggest hiring mistake in a chiropractic business usually is not talent, training, or even culture fit. It is putting someone in a seat they do not actually want.
Dr. Stephen and Dr. Pete unpack the GWC framework from Traction and show why “Wants It” is often the hidden reason behind underperformance, turnover, frustration, and team instability. They break down how to properly evaluate whether a team member gets the role, wants the role, and has the capacity to perform it, while challenging CEOs to stop selling people on positions and start building a stronger hiring process. The payoff is a more aligned team, healthier culture, lower turnover, and a business that can grow with greater clarity and momentum.
In This Episode You Will:
Understand why “Wants It” is often the missing factor behind team underperformance and turnover. Learn how to use the GWC framework to assess role fit with greater precision. Discover why selling people on a role creates costly hiring mistakes. Clarify the difference between the right person and the right seat. See how stronger team alignment protects culture, momentum, and long-term growth.Episode Highlights
03:51 - Recognize that underperformance, quitting, and firing often begin long before the visible breakdown appears inside the practice.
04:46 - Discover how the GWC framework reveals a deeper predictor of whether someone will truly succeed on a team.
06:25 - Understand why a person can clearly get the role and still fail simply because the internal desire to own it is missing.
08:05 - Uncover how misalignment between a position and a person’s real motivation quietly sabotages performance over time.
09:44 - Clarify that wanting the role is what makes hard work sustainable when the pressure and difficulty inevitably rise.
10:41 - Examine why CEOs must stop guessing about role fit and start asking direct questions that expose real understanding and commitment.
12:28 - Reveal the costly mistake of selling people on a role instead of testing whether they will fight for it themselves.
16:03 - Differentiate between moving slowly in hiring and moving precisely by asking better questions that expose fit earlier.
19:23 - Explore how many chiropractors discover too late that loving chiropractic is not the same as wanting to be a business owner.
21:30 - Identify how most persistent business pain traces back upstream to a team issue and, more specifically, a right-seat issue.
24:37 - As a Success Partner, Chiro-Ads Academy brings a powerful, in-house approach to digital marketing that helps practices take control of new patient acquisition. As Dr. Eric sits down with Dr. Travis Stewart, the conversation reveals how early struggles with inconsistent agency results led to a proven system that lowers lead costs, improves conversion, and drives predictable growth through trust-based advertising and data-driven decision-making. If you are ready to create consistent, scalable growth you will want to explore how this system can transform your practice.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Chiro-Ads Academy please visit: www.makingmuvs.com/TRP
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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Most business owners think investing means looking outside their business, but the greatest returns are often sitting right inside it.
In this episode, Dr. Pete and Dr. Stephen break down how CEOs can think differently about money, shifting from passive investing to intentional reinvestment that drives growth, capacity, and long-term wealth. They introduce the concept of ROIC, showing how marketing, infrastructure, profit centers, and people create exponential returns when approached strategically. This is not about spending more, it is about investing smarter, aligning resources with value creation, and building a business that produces both impact and abundance. The payoff is a clear roadmap for where to deploy capital to generate the highest return while expanding reach and influence.
In This Episode You Will:
Understand why investing in your business yields the highest return on capital Learn how to evaluate ROIC across marketing, team, and infrastructure See how data-driven decisions eliminate guesswork in growth Discover how to optimize your current business before expanding outward Clarify how investment decisions directly impact impact, income, and scalabilityEpisode Highlights
02:01 – Discover the early lesson that reinvesting in the business is the most powerful investment a CEO can make.
02:57 – Understand the principle that money follows value, reframing income as a byproduct of solving problems and helping people.
03:36 – Recognize that most financial advice does not apply to business owners, who operate with fundamentally different opportunities.
05:18 – Examine the concept of return on invested capital as the key lens for evaluating every financial decision.
05:50 – Compare investment vehicles and uncover why businesses often produce significantly higher returns than traditional assets.
08:27 – Identify marketing and lead generation as the first and most critical area for reinvestment and growth.
10:34 – Clarify the importance of tracking CAC, LTV, and LTV to CAC ratios to eliminate guesswork in marketing performance.
13:20 – Reveal that once marketing is optimized, scaling investment becomes the fastest path to growth.
18:56 – Explore how adding profit centers requires readiness, infrastructure, and disciplined positioning to avoid confusion.
23:29 – Uncover how optimizing physical space and equipment removes bottlenecks and unlocks hidden capacity.
28:39 – Examine how hiring A players creates exponential leverage and higher returns compared to lower-level hires.31:47 - Dr. Rachel is joined by Dr. Kendall Price of Success Partner Elevate Marketing to unpack what it really takes to turn marketing into a true growth system for modern practices. They explore how Elevate moves beyond generic campaigns by blending brand identity with proven strategies, building trust through every step of the patient journey, and optimizing for real outcomes like patient show rates, not just leads. When marketing becomes intentional, relational, and data-driven, growth shifts from unpredictable to scalable and sustainable.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Elevate Marketing please visit: https://goelevatemarketing.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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What if the fastest way to grow your income wasn’t adding more patients, more hours, or more complexity but simply uncovering what’s already there?
Dr. Pete and Dr. Stephen reveal that profit is not automatic in a growing practice, and in fact, it often erodes unless it’s intentionally protected. They walk through seven hidden profit levers already inside most businesses, from undercharging and outdated pricing to inefficient financial models and underutilized capacity. The framework is simple but powerful: reclaim value, optimize what already exists, and align your business model with both purpose and profitability. The payoff is immediate and practical, giving CEOs the ability to find, capture, and multiply profit without starting from scratch.
In This Episode You Will:
Understand why profit is not a natural outcome of growth Learn how to identify hidden profit already inside your business See how pricing, financial plans, and volume directly impact profitability Discover how to optimize your current practice before expanding Clarify how to add value centers without creating confusion or dilutionEpisode Highlights
02:09 - Discover the provocative idea that significant profit may already exist inside the business, waiting to be uncovered rather than created.
02:32 - Understand the distinction that growth is natural for a practice, but profit requires intentional protection and vigilance.
02:56 - Recognize that profitability is not passive and must be actively managed as complexity and expenses increase.
05:06 - Identify how failing to charge for services already being delivered creates immediate and unnecessary profit leakage.
05:42 - Examine how uncharged value quietly accumulates across systems, representing pure profit that is never captured.
10:15 - Explore how stagnant pricing in a rising-cost environment gradually erodes margins and weakens financial sustainability.
12:14 - Uncover how small pricing adjustments can disproportionately increase profit margins without changing delivery.
14:57 - Differentiate between care plans and financial plans, revealing how structure and payment design influence commitment and revenue.
18:13 - Reveal how monthly recurring revenue models dramatically increase both retention and lifetime value.
22:48 - Clarify that increasing volume through efficiency and effectiveness can unlock significant profit without adding overhead.
34:28 - Examine the critical distinction between owning a job and building a business, especially as teams and complexity grow.
40:00 - Dr. Kevin connects with Margaret Rosloniec from Success Partner Fortis to reveal how the right financial infrastructure fuels scalable, sustainable growth for modern practices. They break down how Fortis automates recurring revenue, stabilizes cash flow, and removes front-desk friction so teams stay focused on mission over money. When payments become seamless and reliable, growth stops being limited by systems and starts being driven by vision.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Fortis please visit: https://fortispay.com/chiropractic/
To book a meeting with Fortis, please visit: https://hubs.ly/Q03FRwtC0Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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Growth does not stall because the vision is wrong. It stalls because the systems built for one level of business are being forced to carry the weight of the next.
This conversation unpacks the operational breakpoints that every growing practice faces, showing how pressure moves predictably through marketing, sales, delivery, team, and finances as revenue rises. Dr. Pete and Dr. Stephen introduce a practical framework for recognizing where systems are about to fail, why breakdown is a normal feature of growth, and how CEOs can anticipate stress before it turns into chaos. The payoff is a more mature way to lead a scaling practice: with foresight, better decisions, and the confidence to grow through pressure instead of reacting to it.
In This Episode You Will:
Discover the Operational Breakpoints That Stall Practice Growth and Cost You Money Understand why operational breakdown is a predictable part of business growth Learn how stress moves through marketing, conversion, delivery, team, and finances See why every $500,000 revenue jump demands a new level of operationalization Discover how CEOs can anticipate breakpoints instead of being blindsided by them Clarify what it means to lead through growth with conviction rather than frustrationEpisode Highlights
02:07 - Recognize the sobering premise that many practice owners inherited a broken business model, creating the need for a different path to growth.
03:00 - Clarify that business correction happens in layers, and that each new level of growth exposes a deeper operational issue beneath the surface.
06:12 - Understand the reframing that constant frustration is not evidence of failure, but evidence of being in business and actively growing.
07:46 - Discover why the CEO’s responsibility is not just to cast vision for opportunity, but to anticipate the real challenges coming next.
12:00 - Examine the idea that systems tend to break at roughly every half-million dollars in annual revenue, forcing a new iteration of operations.
13:21 - Uncover how improving marketing can quietly expose weakness in the conversion process, revealing that growth often breaks the next link in the chain.
14:10 - Differentiate the moment when stronger conversion no longer feels like progress because delivery and retention start to deteriorate under the load.
15:10 - Explore how pressure moves linearly through the business like a shockwave, eventually reaching team capacity and financial strain.
21:34 - Identify the shift from spinning plates to coordinated gears, where data and preparation replace drama as the business scales.
26:37 - Reveal the deeper CEO mindset that growth is not about avoiding breakpoints, but about expecting them and leading through them on purpose.
27:38 - Dr. Chris Grier sites down with Dr. Ray Foxworth to highlight how Success Partner, ChiroHealthUSA helps practices operate with greater compliance and financial clarity. Built on a proven DMPO model, it enables smarter fee setting, reduces risk, improves profitability, and keeps care accessible, empowering doctors to grow confidently while serving more families. If there’s uncertainty around fees, discounts, or compliance, this conversation brings the clarity needed to move forward with confidence.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about ChiroHealthUSA please visit: https://www.chirohealthusa.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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In a profession filled with passion for care but confusion around business, the real breakthrough comes from mastering the systems that drive retention and revenue.
Dr. Pete is joined by Dr. Miles Bodzin and Holly Jensen of Cash Practice to confront a hard truth facing many practices: strong clinical skills alone cannot overcome a broken business model. Together, they unpack how flawed financial structures and inconsistent systems quietly erode patient trust, retention, and long-term growth. By reframing care plans, separating financial agreements, and implementing predictable, system-driven payment models, they reveal a clear path to transforming unstable revenue into scalable, recurring income. The result is a practice that delivers better outcomes, creates financial certainty, and gives doctors the freedom to lead with confidence instead of constant pressure.
In This Episode You Will:
Understand why retention is the primary driver of both clinical outcomes and financial success Learn how recurring revenue models create stability and scalability in your practice Discover the critical difference between care plans and financial plans See how poor money systems silently destroy trust and patient relationships Clarify how systems create predictable growth across every stage of your careerEpisode Highlights
0:05:11 - Recognize that clinical excellence alone cannot drive outcomes if the business infrastructure fails to support patient follow-through.
00:10:31 - Clarify why systems, not effort or personality, determine whether patients stay, complete care, and transition into long-term wellness.
00:11:33 - Reveal how a recurring revenue model transforms financial stability and creates freedom to lead, grow, and plan the future with certainty.
00:16:14 - Identify how mishandling financial conversations becomes the fastest way to erode trust and destabilize the doctor-patient relationship.
00:18:34 - Explore how payment structure directly influences patient behavior, retention, and long-term engagement in care.
00:20:40 - Examine how prepayment models can unintentionally sabotage retention by disrupting consistent behavioral patterns.
00:29:49 - Uncover how long-term growth and profitability are primarily driven by retained wellness patients, not new patient acquisition.
00:31:18 - Differentiate between education and behavior, revealing that understanding alone does not drive patient adherence or retention.
00:34:07 - Recognize that scalable systems create predictable outcomes, transforming inconsistent effort into sustained business performance.
42:26 - Dr. Eric DiMartino is joined by Mark Murdock of Aspen LiveWell to explore how light therapy expands chiropractic impact and revenue. They discuss class IV laser, full-body photobiomodulation, and scalable business models that generate recurring income without requiring doctor time. Light therapy accelerates healing, attracts new patients, and creates a profitable business within a practice.
Resources Mentioned
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Aspen Live Well please visit: https://aspenlivewell.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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What if the biggest constraint on growth is not systems, strategy, or marketing, but identity? Dr. Pete and Dr. Stephen unpack the shift required to move from owner operator to true CEO and confront the uncomfortable truth that building a world class business requires building a world class team. Drawing from years of experience leading high-volume practices and coaching hundreds of chiropractors, they explore the ascension from being the machine to building the machine. This conversation challenges outdated mindsets, reframes team building as a core CEO responsibility, and calls leaders to embrace the discipline, clarity, and standards required to create A-Player environments. When identity shifts, teams transform and breakthrough becomes possible.
In This Episode You Will:
Understand the identity shift required to become a true CEO Learn why team building is not optional but foundational Discover how clarity of vision accelerates team performance Clarify the difference between operating a practice and building a business See why A players are the gateway to sustainable growthEpisode Highlights
02:34 - Identity is positioned as the starting point for growth long before strategy or systems are addressed.
03:22 - A familiar metaphor reframes leadership development as transformation rather than improvement.
04:22 - An uncomfortable leadership truth challenges the way hiring and team turnover are viewed.
06:02 - A subtle but profound shift in responsibility separates operators from true CEOs.
09:29 - A baseball analogy reveals why the most important moment in team success happens before the season begins.
10:15 - A clear fork in the road is presented between excellence and long-term frustration.
12:53 - Three distinct professional identities are exposed, each requiring different mastery.
16:29 - Breakthrough is reframed as something that requires internal change before external expansion.
20:58 - Extreme ownership surfaces as the non-negotiable foundation for culture and performance.
24:57 - Dr. Sebastian Bonnin sits down with Success Partner Justin Maxwell of Big Life Financial to explore how chiropractors can turn growing practice income into real wealth. They discuss why many doctors increase revenue yet remain financially stuck as spending rises alongside income. Justin shares how Big Life Financial helps implement financial operating systems that allow doctors to build wealth outside the practice while it grows, along with proactive tax strategies that help them legally keep more of what they earn.
Resources Mentioned
Learn more about the TRP Remarkable Business Immersion on March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Big Life Financial please visit: https://biglifefinancial.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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Designing A Practice That Actually Makes Money: What if the reason your profit feels tight has nothing to do with your effort and everything to do with your model?
Dr. Stephen and Dr. Pete challenge the inherited chiropractic business structure and expose why it works for the owner operator but collapses under scale. They unpack the critical difference between your practice model and your financial model and explain why adding associates or growing volume without understanding gross profit only magnifies the problem. This conversation walks you through the core financial mechanics that drive sustainable profitability and shows you how to reverse engineer your numbers, so you lead as an intentional CEO. When you understand the math behind your business, you stop reacting to leftovers and start designing predictable profit.
In This Episode You Will:
Understand why many inherited business structures fail under growth Learn the difference between your practice model and financial model Discover how gross profit and cost structure determine sustainability Clarify what scaling actually requires financially See how to reverse engineer revenue to create intentional profitabilityEpisode Highlights
02:39 - A deeper motivation behind impact and scale is revealed, reframing business growth as a responsibility rather than a personal ambition.
06:25 - A bold claim challenges the inherited chiropractic business model and surfaces the hidden flaw that appears when complexity increases.
07:16 - The owner operator structure is examined, exposing why it feels stable at first but begins to fracture when additional providers are added.
12:46 - The illusion that effort and hustle can compensate for structural financial problems is dismantled with direct clarity.
13:45 - Scaling is redefined as preserving or increasing profitability, separating true growth from simply doing more.
16:23 - The concept of reverse engineering profit introduces a proactive approach to financial leadership instead of reacting to year end leftovers.
22:41 - Breakthrough is framed as impossible inside a broken model, emphasizing the necessity of repair before expansion.
27:50 - Accounting is positioned as the language of business, elevating financial literacy from optional to essential.
30:54 - Clear gross profit margin benchmarks are established, providing a measurable standard for financial health and scalability.
33:30 - Dr. Chris is joined by Success Partner, Dr. David Fletcher of CLA to explore how neurocentric scanning technology transforms chiropractic communication and practice growth. They discuss using objective nervous system data to improve retention, scale with team leverage, increase PVA, and strengthen certainty in care planning. CLA’s technology enhances attraction, conversion, collections, and long-term scalability.
Resources Mentioned
Learn more about the TRP Remarkable Business Immersion on March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about CLA please visit: https://insightcla.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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How to Align Your Financial Model with Your Practice Philosophy: Building Recurring Revenue Through Cultural Alignment
If you want to understand the true culture of a practice, follow the money. Show me how the money works in a business and I will show you the culture of that business. Dr. Stephen and Dr. Pete unpack a powerful truth: your financial model is a direct reflection of your philosophy, and any misalignment creates friction that limits growth, retention, and impact. They break down the three primary barriers to long-term patient success—time, convenience, and money—and reveal how mapping, efficiency, and recurring revenue models eliminate friction while reinforcing a wellness-based vision. When your payment structure aligns with your clinical recommendations and your belief about lifetime care, you create a culture where patients stay, teams are energized, and predictable revenue fuels sustainable growth.
In This Episode You Will:
Rethink how your financial structure quietly shapes the culture and retention inside your practice Break down the three hidden friction points that prevent patients from committing long term Explore how mapping, block scheduling, and operational efficiency protect lifetime care Examine the strategic difference between reoccurring revenue and true recurring revenue Walk away with a clearer blueprint for building a membership model that aligns with your philosophyEpisode Highlights
01:07 – A deeper look at why the way money moves through a practice quietly reveals what the business truly stands for.
03:25 – The moment retention shifts from a metric to a responsibility rooted in long-term patient outcomes.
05:31 – Where patient consistency really begins to break down and the subtle friction most practices overlook.
06:47 – The leadership habit that keeps vision alive inside the team instead of slowly fading into the background.
10:35 – What full congruency actually looks like when philosophy shows up in every corner of the practice.
11:35 – Why pre-mapping patient visits changes the entire retention conversation before problems start.
13:08 – The mindset shift that reframes what patients are truly paying for in modern chiropractic care.
14:17 – The quiet power of separating clinical commitment from financial commitment.
18:51 – What starts to break down operationally when friction builds inside long-term patient experiences.
20:56 – How the membership model begins to relieve pressure while creating more predictable growth.
24:44 - Dr. Rachel Hovey is joined by Dr. Naota Hashimoto to explore how Success Partner, TrackStat helps chiropractic practices operate smarter. From AI-driven workflows and no-show automation to real-time stat tracking and recall prioritization, the platform streamlines operations, strengthens accountability, improves retention, and empowers teams to make confident, data-driven decisions that fuel sustainable growth.
Resources Mentioned
Learn more about the TRP Remarkable Business Immersion March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about TrackStat please visit: https://www.trackstat.org/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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For 135 years Chiropractors have been lied to…They’ve been told that you are either in it for the patients - or in it for the money. Nothing could be further from the truth. Where you land on this issue can be the #1 determiner of your practice and business success - and the joy that you experience from both.
Most chiropractors say they want to grow, but very few are truly fluent in the language of money. In this final installment of the five-part series on the two sides of the chiropractic coin, Dr. Stephen and Dr. Pete unpack the financial side of a Remarkable Business and why understanding revenue, margin, and profit is not optional for sustainable impact. They clarify the distinction between a healthy practice and a healthy business, introduce the five essential financial KPIs every CEO must master, and challenge the belief that working harder solves financial problems. When you understand how money works, you stop guessing, start leading, and build a business that funds your mission rather than drains it.
In This Episode You Will:
Understand the difference between collections and revenue in business terms Learn the five essential financial KPIs every chiropractic CEO must track See how gross profit margin determines whether your business is truly scalable Discover why associate doctor models often break financially Clarify how stewardship, pricing, and overhead directly impact your net profitEpisode Highlights
01:53 - Discover the critical distinction between the practice side and the business side of the chiropractic coin and why mastering both is essential for long-term success.
02:30 - Understand that greater impact and greater income are naturally connected when your business is structured properly.
04:40 - Recognize that a remarkable practice does not automatically equal a remarkable business and why both must be intentionally built.
11:40 - Reflect on the limiting belief that making money is enough, when true stewardship requires understanding how money actually works.
12:21 - See how avoiding accounting creates blind spots that prevent optimization and leave profit on the table.
16:09 - Learn why tracking collections consistently is foundational to operational and financial control.
16:39 - Clarify how Collection Visit Average reveals whether you are truly profitable per adjustment.
17:53 - Discover why Monthly Recurring Revenue creates stability, predictability, and long-term sustainability.
22:11 - Understand that gross profit margin determines whether scaling your practice is wise or financially dangerous.
26:28 - Recognize that net profit margin and absolute net profit are the ultimate indicators of financial health and CEO-level leadership.
27:34 - Dr. Kevin Day is joined by Success Partner, Dr. Jeff Langmaid of The Smart Chiropractor to discuss using consistent email communication to improve patient retention, reactivations, and overall profitability. They discuss key metrics like net momentum and lifetime value, emphasizing that keeping and reactivating patients is far more cost-effective than constantly acquiring new ones, leading to stronger, more sustainable practice growth.
Resources Mentioned
To download your copy of the Practice and Business Metrics, please visit: https://theremarkablepractice.com/podcast-ep346-metrics
Learn more about the TRP Remarkable Business Immersion March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about The Smart Chiropractor please visit: https://thesmartchiropractor.com/
Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPC
Prefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1
To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
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