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Stop building yourself a busier job.  A business that cannot perform without the owner is not creating freedom. It is creating another job with more responsibility.    Dr. Stephen sits down with Dr. Nick Silveri to unpack his transformation from an overwhelmed owner/operator who suffered a heart attack at 30 to the CEO of two seven-figure businesses built around leverage, durability, and optionality. They explore the transition from doing everything personally to building associate teams, installing reporting systems and meeting rhythms, using data instead of stories to manage performance, and leveraging outside expertise where it creates greater value. Dr. Nick also explains how the same CEO principles accelerated the growth of Leverage Media and why content, authority, and reviews are becoming increasingly important as AI changes the way patients search. The goal is not necessarily to work less. It is to build a business that gives the CEO the choice to spend time, energy, focus, and talent where they create the greatest impact.  In This Episode You Will Discover:  A health crisis forces an owner/operator to confront whether the business he built is compatible with the life he actually wants.  The difference between having to serve patients and getting to serve patients completely reframes the path to becoming a CEO.  What changes when an owner stops expecting other people to simply “do it like I do it.”  Reporting systems, meeting rhythms, and objective data reveal a different way to maintain control without constant physical presence.  The same leverage principles that create a durable practice also shape how a CEO approaches growth, marketing, and AI-driven search.    Episode Highlights   01:42 - One distinction between scalability and durability opens up a much bigger conversation about what business success can ultimately create.  04:30 - An early attempt at expansion reaches a breaking point that forces a completely different approach to building the practice.  06:08 - A common belief about becoming a CEO gets challenged by the difference between having to do the work and choosing to do it.  09:13 - The transition from owner/operator to CEO begins with a decision that proves much harder to execute than it sounds.  12:34 - Hiring more people creates activity and complexity, but an inflection point reveals what actually has to change for leverage to work.  14:39 - A second associate creates an opportunity to test whether stepping away from one role can unlock growth somewhere else.  19:30 - The desire for control gets reframed around two things an owner actually needs before becoming less operationally involved.  22:15 - Stepping farther away from the practice changes the way stories, excuses, and performance data influence decisions.  24:47 - A conversation about leverage raises a critical question about whether the CEO should personally solve every problem the business faces.  26:08 - The difficult work of building scorecards and KPIs begins revealing what becomes possible once the numbers are finally trustworthy.  28:33 - A marketing conversation exposes the problem with trying to accelerate a business that does not yet understand its own performance.  30:14 - Building a second seven-figure company creates a chance to see which lessons from the first business actually transfer.  35:43 - The similarities between patients, clients, and business owners reveal a pattern that can quietly distract companies from the people they can actually influence.  38:52 - A major change in online search introduces a new question about where future patients will increasingly look for recommendations.  40:22 - The AI conversation ultimately returns to a marketing principle that matters regardless of which platform or tactic dominates next.  44:12 - Expanding patient care doesn't have to mean moving away from chiropractic principles. Dr. Pete speaks with Dr. Caleb Braddock from Success Partner Genesis Back and Neck about integrating spinal decompression into existing practices. They explore how a partnership model with built-in marketing, patient management, and clinical protocols can help chiropractors serve patients with complex disc conditions while creating new opportunities for sustainable practice growth.    Resources Mentioned  Learn more about the TRP Remarkable Practice Immersion - Nov 13 - 14, 2026 in Adelaide, 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 Genesis Back and Neck please visit: https://genesisback.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.

Adding more services can feel like growth, but if the practice is already unclear, underutilized, or operationally stretched, more can quickly become a liability.   Dr. Pete and Dr. Stephen challenge CEOs to get clear on the identity of the practice before chasing new modalities, revenue streams, or opportunities, distinguishing between a chiropractic-centric model and a broader wellness model where the adjustment becomes one offering among many. They connect that decision to brand positioning, patient communication, team training, operational complexity, and practice capacity, revealing why clarity must come before expansion. The goal is not to resist innovation. It is to build intentionally, maximize what already works, and ensure every addition strengthens rather than dilutes the main thing.  In This Episode You Will Discover:  The distinction between adding complementary services and quietly changing the identity of the entire practice.  A critical question exposes whether the marketplace actually understands what the business stands for.  Why every additional offering raises the standard required for communication, training, systems, and patient understanding.  The 20% capacity problem challenges the instinct to add more before maximizing what is already there.  A simple motivation test separates services designed to improve patient outcomes from additions intended to rescue revenue. Episode Highlights  01:27 - A growing list of opportunities raises an important question about what should remain at the center of the practice.  02:16 - Two different practice models begin to reveal why business identity has to be decided before growth accelerates.  04:31 - A simple restaurant analogy clarifies what it looks like when one service remains central to everything else.  06:15 - The demands on communication, systems, and training start to change when the business becomes more complex.  09:59 - Looking at the practice and the business as two sides of the same coin exposes a distinction every CEO needs to understand.  12:33 - One question about vision brings the entire conversation back to the kind of practice the CEO is actually trying to build.  13:32 - A branding distinction reveals who ultimately decides what the business stands for.  14:30 - The gap between interest, belief, and understanding becomes much harder to manage as more services are added.  16:06 - A surprising capacity issue challenges the assumption that expansion is the next best move.  17:14 - A vivid analogy captures what can happen when more complexity is added to an already overwhelmed business.  17:31 - The reason behind adding a new service becomes an important test of whether the decision actually supports the mission.  18:47 - A profitability question redirects attention toward what may already be available inside the current business.  20:19 - Better decisions start with better data. Dr. Stephen sits down with Dr. Josiah Fitzsimmons from Success Partner Lucro to discuss insights from the 2026 State of Chiropractic Report and how Lucro helps chiropractors benchmark performance, uncover hidden opportunities, and make data-driven decisions that improve profitability and long-term growth.    Resources Mentioned  Learn more about the TRP Remarkable Practice Immersion Nov 13 & 14, 2026 in Adelaide, 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 Lucro please visit: https://morelucro.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.

Practice profitability improves when CEOs can clearly see what is driving growth, what is limiting it, and where untapped capacity already exists.   Dr. Stephen and Dr. Pete sit down with Dr. Josiah Fitzsimmons from Lucro to unpack findings from the 2025 Lucro Industry Report, including revenue, profitability, loss rates, and the performance of Remarkable Practice clients compared with other Lucro practices. But the numbers lead to a bigger lesson: financial data should tell a CEO what to do next. From identifying changing bottlenecks to measuring schedule capacity, they reveal how greater visibility creates better decisions and why maximizing what the practice already has may be one of the most powerful paths to sustainable growth.  In This Episode You Will Discover:  The surprising performance gap revealed when TRP practices are compared with an already high-performing group of practices using Lucro. What revenue numbers alone can hide, and the financial metric that gives a much clearer picture of business success. A changing loss-rate trend reveals something important about the behaviors producing stronger business outcomes. The three sources of data that can help pinpoint the bottleneck deserving the CEO’s attention right now. One capacity calculation exposes just how much growth may already be available without adding people, hours, space, or another service.   Highlights 00:25 - Measuring outcomes opens up a bigger conversation about the relationship between patient impact, business performance, and sustainable growth.  01:26 - The first Lucro Industry Report offers a new way to benchmark revenue, marketing, team expenses, and other financial metrics across the profession.  03:35 - Practice data becomes more useful when the numbers stop being a judgment and start showing the CEO where to invest next.  06:26 - A comparison of hundreds of practices begins revealing a significant performance difference among Remarkable Practice clients.  09:00 - The million-dollar benchmark uncovers just how differently TRP practices are performing within an already successful group.  10:38 - Looking beyond top-line revenue reveals what is happening to profitability as these practices grow.  12:38 - The percentage of practices losing money adds another layer to the story and exposes a trend worth paying attention to.  14:46 - Investing in coaching becomes a longer-term growth conversation as the value of transformation compounds over time.  16:21 - Finding the next bottleneck requires three specific sources of business data and the ability to continually reprioritize what comes next.  20:04 - A Special Forces analogy makes the consequences of running a business without clear financial visibility difficult to ignore.  22:14 - The conversation shifts from revenue to expenses and introduces a different way to evaluate the growth potential already inside the practice.  24:00 - Understanding schedule capacity reveals what may be possible before hiring another person, working another hour, or expanding the space.  25:34 - The final growth distinction challenges CEOs to optimize the business they already have before chasing another revenue stream.  27:36 - Financial systems can play a major role in both patient retention and long-term practice growth. Dr. Stephen speaks with Dr. Miles Bosman from Success Partner Cash Practice about creating compliant financial plans, simplifying recurring payments, and building systems that help patients stay committed to care while giving chiropractors greater financial stability and scalability.    Resources Mentioned  Learn more about the TRP Remarkable Practice Immersion Nov 13 & 14, 2026 in Adelaide, AUS - https://theremarkablepractice.com/upcoming-events/    Learn more about Lucro at https://morelucro.com/    Get your copy of the Lucro report at https://report.morelucro.com/  To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo  For more information about Cash Practice please visit: https://www.cashpractice.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.

What happens when a software engineer from the bleeding edge of ad tech enters the chiropractic space and realizes the industry is operating years behind modern technology? Dr. Stephen sits down with Gabriel Doty, founder of ChiroHD, for a deep CEO-level discussion on vision, retention, scalability, private equity, AI, and the future of practice operations. Together, they unpack why thriving businesses are built on clarity and systems, why retention is the real growth engine, and how the next wave of AI will reshape operational efficiency without replacing human connection. The payoff is a powerful blueprint for building a stronger, more scalable, future-ready business. In This Episode You Will:  Understand why retention is the true driver of scalable growth  Discover how vision directly impacts team, patient, and customer loyalty  Learn the hidden operational traits shared by the fastest-growing practices  Clarify the difference between technology that looks impressive and technology that creates real business results  See how AI may reshape efficiency, profitability, and patient experience over the next three years Episode Highlights  05:52 - Discover the hidden cost of delaying full commitment when momentum and opportunity are already pulling in a new direction  09:23 - Why building a business that can operate without constant founder involvement changes everything about future growth  11:54 - A deeper look at how the right rooms, relationships, and accountability circles can accelerate leadership development  19:00 - Vision emerges as the real driver behind growth, valuation, and long-term business attractiveness  20:35 - Retention takes center stage as the overlooked force behind sustainable scale and operational strength  22:50 - A sharp distinction reveals why businesses lose people the moment they stop delivering on the promise that created trust  27:36 - Counterintuitive insights expose why larger, more disciplined operations often navigate change with far less friction  30:12 - The real operational cost of inefficient systems becomes impossible to ignore once team energy and scalability are examined  36:43 - Practical AI strategy gets separated from hype through a conversation focused on outcomes instead of flashy features  38:57 - Early AI innovations demonstrate how preparation, efficiency, and patient experience may dramatically improve in the near future  41:45 - Bringing X-ray imaging in-house can improve more than convenience. It can strengthen the entire patient care pathway. Dr. Timay speaks with John Conidi from Success Partner Next Healthcare about radiology reporting, reducing medico-legal risk, improving access to follow-up imaging, and helping Australian chiropractors deliver more timely care while creating additional value within their practices.    Resources Mentioned  Learn more about the TRP Remarkable Practice Immersion Oct 1 – 3, 2026 in National Harbor, MD and Nov 13 & 14, 2026 in Adelaide, AUS - https://theremarkablepractice.com/upcoming-events/    To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo   aFor more information about Next Healthcare please visit: https://nexthc.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.

Patient retention is one of the clearest indicators of whether a practice is actually growing, yet many business owners still measure success primarily through new patients, volume, and collections. Dr. Stephen and Dr. Pete break down the numbers that expose what is really happening beneath those surface-level metrics, including churn rate, total active patients, net momentum, and retained revenue. They connect the clinical cost of patients dropping out with the economic cost of lost recurring revenue, while giving CEOs a more intelligent framework for defining active versus inactive patients and measuring sustainable growth. The takeaway is simple: attracting new patients matters, but the health of the business depends just as much on keeping the people already entrusted to the practice.    In This Episode You Will Discover:  The retention metric Dr. Stephen says belongs on a five-number business scorecard.  What traditional practice stats can miss when determining whether the business is genuinely healthy.  A clear definition of an active patient that gives the entire team a consistent standard for tracking retention.  The calculation that reveals whether all the month’s new patients, reactivations, and dropouts actually produced growth.  A second side of churn that exposes the financial consequences when patients leave the practice. Episode Highlights  01:13 - The environments leaders intentionally put themselves in can accelerate growth by exposing blind spots and challenging the way the business is being run.  04:15 - Patient retention moves from an afterthought to a critical business priority as acquiring new customers becomes more expensive.  05:16 - The transition from launching to scaling changes which numbers deserve the CEO’s attention.  07:08 - One overlooked metric begins revealing what volume, collections, and new-patient numbers cannot show on their own.  08:29 - The two sides of churn give practice owners a way to measure both lost patient impact and lost business income.  13:06 - A five-part definition of an active patient creates a consistent standard for knowing who is truly engaged in care.  14:57 - Facing the inactive-patient list uncovers the “brutal facts” required to measure retention accurately instead of relying on assumptions.  16:31 - Clear definitions give the entire team a way to distinguish active, inactive, on-track, and off-track patients without guessing.  18:55 - New conversions, reactivations, and in-actives come together in a calculation that answers one essential question: did the practice actually grow?  20:57 - Net momentum provides a clearer picture of whether the patient base is expanding, contracting, or standing still.  22:47 - The conversation shifts from patient count to economics, revealing what happens to revenue when people leave care.  23:30 - Retained revenue adds another layer to the retention scorecard by quantifying the financial impact of churn.  24:54 - Our feet play a far greater role in nervous system function than most chiropractors realize. Dr. Malcolm Rudd sits down with Dr. Andrew Powell from Success Partner Better Balance Orthotics to explore how sensory-based orthotics support posture, balance, and adjustment retention while giving practices an easy-to-implement solution that benefits both patients and practice growth.  Resources Mentioned  Learn more about the TRP Remarkable Practice Immersion Oct 1 – 3, 2026 in National Harbor, MD and Nov 13 & 14, 2026 in Adelaide, 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 Better Balance please visit: https://betterbalanceorthotics.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.

A high-performing team does not stay high-performing without consistent team training.   Dr. Stephen and Dr. Pete explain why team fitness is essential for sustainable practice growth, stronger patient relationships, better retention, and scalable systems. They unpack the progression from basic competency to unconscious competence, show how operational drift weakens even good teams, and make the case that training is one of the highest-ROI investments a CEO can make. The goal is not simply to get a team ready when pressure arrives. It is to build a culture that stays ready.    In This Episode You Will Discover:  The difference between getting ready for the next challenge and building a team that stays ready all the time.  What changes when the responsibility for shaping patient beliefs expands beyond the doctor to the entire team.  The competency threshold that allows systems and scripts to disappear into the background so people can become the focus.  Why even great teams naturally drift, cut corners, and lose sharpness without a force intentionally pushing the other direction.  A revealing distinction between businesses that genuinely scale and those simply adding more complexity to manufacture growth.   Episode Highlights  05:44 - What can happen to a strong team when the pressure disappears and staying sharp no longer feels urgent. 08:37 - The influence a practice has on patient decisions begins with something deeper than simply delivering care. 10:25 - A patient’s existing story becomes the starting point for a transformation that goes far beyond getting them to believe in the doctor. 13:37 - A growth threshold reveals when the doctor can no longer be the primary force carrying the practice forward. 17:12 - The difference between getting ready for the next challenge and building a team that is already prepared when it arrives. 20:33 - A different relationship between technology and human connection challenges the idea that a high-touch practice has to remain low-tech. 24:19 - What a team’s relationship with training may reveal about the people, standards, and culture inside the practice. 26:16 - A progression in competency shows what becomes possible when the team no longer has to think about every step of the process. 28:22 - Two paths to multimillion-dollar growth expose a critical distinction between truly scaling a business and simply making it bigger. 30:35 - The subtle signs of operational drift reveal why even a strong team can slowly move off course without a force pulling it back. 33:05 - A thriving practice deserves a financial strategy to match. Dr. Andrew welcomes Bel Gibbons from Success Partner Investorus Strategists to share how personalized financial planning, investment strategies, and long-term wealth creation help chiropractors turn today's success into tomorrow's legacy.    Resources Mentioned  Learn more about the TRP Remarkable Practice Immersion Oct 1 - 3, 2026 in National Harbor, MD and Nov 13 - 14, 2026 in Adelaide, AUS - https://theremarkablepractice.com/upcoming-events/    Want to join us at the Remarkable Practice Immersion? We’re giving away a $1,500 Golden Ticket to the first person who responds. Head over to The Remarkable Practice on Instagram and send us a DM with the words “Golden Ticket.” First one in gets it.  Download your Free Copy of the Team Training Agenda at https://go.theremarkablepractice.com/remceo-ep375-teamtraining      To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo  For more information about Investorus please visit: https://investorus.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.

Why does perfectionism slow business growth, even when the right strategy is already clear? Most practices do not stall because they lack information. They stall because the doctor is waiting for the perfect plan, the perfect script, the perfect team, or the perfect moment to act. Dr. Pete and Dr. Stephen expose the hidden cost of perfection paralysis and show why execution, honest measurement, consistent training, and imperfect action create the momentum that knowledge alone never will. The path to a remarkable business is not getting everything right before moving. It is taking the next step, learning through repetition, and becoming more capable with every rep.  In this Episode You Will Discover:  Why perfection quietly disguises itself as productivity while preventing real progress. The hidden habits that keep capable doctors stuck despite knowing exactly what to do. A simple shift that turns hesitation into consistent execution. How continuous improvement creates momentum that perfection never can. The mindset every growing practice adopts long before results begin to show.   Episode Highlights  03:46 - A conversation about execution exposes the gap between knowing what to do and actually creating change.  04:38 - A familiar phrase gets challenged when perfection begins to look just as dangerous as settling for good.  06:22 - Traits that once looked like strengths start to reveal how they can quietly become constraints.  07:05 - The identity that created past success begins to look different when the next level requires a new way of operating.  10:21 - A team training philosophy reveals why excellence depends more on continual improvement than flawless execution.  11:08 - The desire to feel completely ready starts showing up in places that can delay hiring, coaching, and critical decisions.  12:33 - A discussion about inertia exposes what makes starting something new feel harder than improving it once it is already moving.  13:17 - The fear of being bad at something becomes a surprising clue to why some people never give themselves the chance to become great.  13:56 - The distance between doing nothing and doing something imperfectly turns out to be much larger than most people realize.  14:38 - A different view of failure reframes mistakes as part of the process rather than evidence that the process is broken.  15:27 - The right technology should give chiropractors more time to care for people, not more work to manage. Dr. Pete speaks with Gabriel Doty from Success Partner ChiroHD about building smarter practice management software that streamlines workflows, improves efficiency, embraces meaningful AI innovation, and helps chiropractic practices scale with confidence while preparing for long-term success.       Resources Mentioned  Learn more about the TRP Remarkable Practice Immersion Oct 1 - 3, 2026 in National Harbor, MD and Nov 13 - 14, 2026 in Adelaide, 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 ChiroHD please visit: https://content.chirohd.com/remarkable-practice  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.

The business wasn't missing ambition. It was missing the structure to sustain it.  What happens when a rapidly growing business starts demanding more from its founder than one person can give? In this case study, Dr. Jesse Jacobs of Freeform Chiropractic shares how he transformed a fast-growing franchise organization from founder-dependent momentum into a scalable enterprise built on accountability, structure, and leadership. As Free Form Chiropractic expanded from seven locations to a growing multi-unit organization, Jesse discovered that the next stage of growth required more than vision. It demanded operational discipline, clear systems, and a business that could thrive without depending on him to save the day. The result wasn't just a stronger company. It gave him more freedom with his family, greater confidence as a CEO, and a clearer path toward the future he set out to build. In This Case Study You Will: Follow how Free Form Chiropractic evolved from founder-driven growth to a business built for long-term scale.  Discover why accountability and organizational clarity became the missing pieces behind rapid expansion.  Hear what changed when Jesse stopped white-knighting every challenge and stepped fully into the CEO role.  Explore how leadership systems created greater freedom both inside the business and at home.  Take away the framework that helped transform growth into durability and optionality.   Episode Highlights 01:33 – A fast-growing franchise looked successful on paper, but behind the scenes the founder was carrying far more than the business could sustainably demand. 02:56 – The realization wasn't knowing exactly what needed to change. It was recognizing that growth had exposed problems that couldn't be solved alone. 03:56 – Personal vision became the foundation for business vision, creating clarity that reached far beyond opening more locations. 05:48 – Looking beyond the bank account and into meaningful business metrics transformed how every location was measured and improved. 07:12 – Standards stopped drifting once accountability and clear ownership became part of the organization's operating rhythm. 08:55 – Building a world-class team started with a simple commitment: only world-class people would shape the future of the company. 12:06 – The pursuit of freedom gave way to something even more valuable: building a business durable enough to create lasting optionality. 17:20 – Growth wasn't measured only by opening more locations but by creating businesses that could thrive without depending on the founder. 20:58 – Reclaiming intentional time with family became one of the clearest signs that the business was finally serving the life it was meant to support. 24:30 – The greatest breakthroughs didn't come from having all the answers, but from surrounding the business with people who understood the journey. 28:12 - Technology should make running a chiropractic practice easier, not more complicated. Dr. Bobby sits down with Sam Ogutucu from Success Partner Medic Cloud to explore how specialized IT support and in-house digital X-ray solutions help practices improve efficiency, enhance the patient experience, protect retention, and create stronger long-term profitability.   Resources Mentioned Learn more about the TRP Remarkable Practice Immersion Oct 1 - 3, 2026 in National Harbor, MD and Nov 13 - 14, 2026 in Adelaide, 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 Medic Cloud please visit:  https://mediccloud.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.

Talent can build a busy practice, but talent alone cannot make it scalable, durable, or transferable.  Talent alone will create a job.  Dr. Pete and Dr. Stephen unpack what operational fitness really requires: clear systems, capable people, consistent training, and a patient journey that does not depend on the doctor carrying every detail. From processes and procedures to scripting and mastery, the path forward is a practice that becomes more predictable, more transferable, and far less dependent on one person while creating a stronger experience for both the team and the patients they serve. In This Episode You Will Discover: Why natural talent can become the hidden limitation inside a growing practice. The distinction between the clinical practice and the economic engine supporting it. Five operational systems that determine whether growth remains predictable. What stale, ignored, or poorly trained systems reveal about organizational health. The moment scripting stops feeling restrictive and becomes a source of freedom. Episode Highlights 03:58 - What changes when a practice is treated as something entirely different from the business behind it? 04:15 - Two sides of the same organization may be working toward very different outcomes. 05:10 - The very talent that creates early success can quietly become the thing preventing scale. 07:57 - At what point does a demanding job finally become a durable business? 09:59 - A missing system rarely looks like the real problem until the entire team starts feeling it. 16:11 - Why operational fitness can never become something a practice simply checks off and moves past. 17:33 - Three different roles compete for the doctor’s attention, but only one should be in control at a time. 19:45 - What patients experience is only one layer of the system shaping their results. 22:24 - The path from winging it to mastery passes through a stage most doctors resist. 27:02 - The next level of operational fitness begins when systems, people, data, and automation start working together. 28:03 - Adding the right service can improve patient care while strengthening your practice. Dr. Eric welcomes the expertise of Dr. Dan RuitenBeek from Success Partner Shockwave Centers of America to discuss how regenerative shockwave therapy, staff training, and implementation support help chiropractors expand treatment options, retain more patients, and create new revenue opportunities.   Resources Mentioned Learn more about the TRP Remarkable Practice Immersion Oct 1 - 3, 2026 in National Harbor, MD and Nov 13 - 14, 2026 in Adelaide, 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 Shockwave please visit: https://www.shockwavecenters.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.

The businesses that create the greatest impact aren't built by choosing between principle and innovation. They're built by leaders who know how to unite conviction, vision, and complementary strengths into something far greater than either could accomplish alone. Dr. Pete sits down with Dr. Chad Glines and Dr. Caleb Braddock to unpack how two chiropractors with completely different philosophies discovered that their greatest strengths weren't competing but complementary. What started as a shared desire to help patients avoid unnecessary spine surgery has grown into one of the fastest-scaling chiropractic organizations in the profession. Along the way, they reveal hard-earned lessons about vision, scaling, leadership, innovation, and why protecting quality must always come before pursuing growth. In This Episode You Will Discover: How two completely different approaches became the foundation for extraordinary growth.  The leadership decision that separates businesses that scale from those that stall.  Why protecting quality becomes even more important as momentum accelerates.  A simple mindset shift that makes growth challenges feel like opportunities instead of obstacles.  The unexpected connection between a compelling vision and attracting world-class people.   Episode Highlights 04:33 - Two completely different career paths unexpectedly become the foundation for something neither could have built alone. 05:14 - An overlooked group of patients exposes an opportunity hiding in plain sight. 06:50 - One leadership principle quietly explains why specialization doesn’t have to limit impact. 10:08 - A deeply personal story transforms a clinical focus into a lifelong mission. 15:07 - Three simple questions begin reshaping the way every CEO should think about vision. 18:35 - An unexpected analogy reveals why great leaders rarely see the entire journey from the beginning. 21:26 - One question about scaling uncovers what really fuels extraordinary growth. 23:26 - The easiest part of growing the business turns out not to be the one anyone expected. 26:27 - A leadership philosophy borrowed from mentorship changes the trajectory of an entire organization. 28:34 - The biggest surprise about scaling has nothing to do with opening more locations. 33:01 - A final leadership lesson reframes every challenge that comes with growth. 38:36 - Sustainable weight loss requires more than a diet. It requires the right system and support. Dr. Chris welcomes Dr. Roger Sahoury from Success Partner SprintSet to explore how chiropractors can expand their impact with a guided weight-loss program that attracts new patients, supports lasting lifestyle change, and creates a scalable revenue stream through coaching, technology, and proven business systems. Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about SprintSet please visit: https://sprintset.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.

The strongest businesses aren't built by finding a better marketing tactic. They're built by becoming fit enough to thrive no matter how the marketplace changes. Dr. Stephen and Dr. Pete introduce a powerful fitness analogy that reveals why so many chiropractors have become overdependent on digital marketing while neglecting the foundational systems that create sustainable growth. By rethinking marketing through the lens of balance, resilience, and stewardship, they offer a practical framework for building a practice that's stronger, more adaptable, and far less vulnerable to changing algorithms or market conditions.  In This Episode You Will Discover: Why one overlooked weakness may be quietly limiting the growth of an otherwise successful practice.  A fitness analogy that completely changes how marketing should be evaluated.  The hidden cost of relying too heavily on one source of new patients.  A simple mindset shift that turns marketing from reactive to resilient.  How stronger marketing systems create greater stability, impact, and long-term growth. Episode Highlights 01:18 - A bigger mission sets up a conversation about finding the weak spots that may be limiting practice growth. 03:04 - Marketing gets reframed as an extension of mission, service, and the responsibility to reach more people. 04:19 - The changing digital marketing landscape reveals why relying too heavily on one source of new patients can leave a practice vulnerable. 05:51 - Internal, external, and digital marketing come together as three distinct areas that need strength to create a more resilient growth strategy. 06:41 - The fitness analogy makes it easier to identify which part of a practice’s marketing may be getting overtrained while another is being neglected. 08:03 - A real-world lesson in physical fitness shows what can happen when the strength required to perform consistently begins to disappear. 11:21 - The 1/3, 1/3, 1/3 framework offers a practical benchmark for evaluating the balance between internal, external, and digital marketing. 15:03 - Business fitness requires ongoing investment, and one exercise challenges where marketing time, energy, focus, and money are currently going. 17:05 - The hidden cost of missed referrals and patient churn changes the conversation around investing more heavily in internal marketing. 19:30 - External marketing brings the focus back to building relationships in the community and making sure people know who the practice is, what it does, and why it does it. 21:20 - The “power of one” creates a manageable way to strengthen each area of marketing without overwhelming the team. 22:23 - Breaking an unhealthy dependence on digital marketing starts with recognizing what the practice can control and where it has the greatest influence. 25:05 - Nadine Brunet from Success Partner Platinum Systems joins Dr. Chris to discuss the launch of Platinum Cloud, an AI-powered chiropractic software platform built to simplify workflows, reduce administrative tasks, and improve efficiency for practices. They explore agentic AI, integrated tools, seamless onboarding, and how Platinum Systems is helping chiropractors future-proof their clinics with smarter technology.   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about Platinum please visit: https://www.platinumsystem.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.

The challenge wasn't creating a successful business. It was building one that could keep scaling without the founders becoming the bottleneck.  What happens when a fast-growing company realizes success alone isn't enough to sustain its future? In this case study, Dr. Caleb Braddock and Dr. Chad Glines of Genesis Back & Neck share how they transformed an innovative clinical model into a scalable enterprise by embracing leadership systems, operational discipline, and CEO-level thinking. What began as a single clinic helping patients avoid spine surgery has grown into nearly 100 locations across the country, but their biggest breakthrough came when they recognized that building the next version of the business required more than entrepreneurial instinct. It required the structure, accountability, and leadership necessary to scale without sacrificing culture, quality, or the experience of their partners. In This Case Study You Will: Discover how Genesis Back & Neck grew from a single clinic into a rapidly expanding national enterprise.  Follow the leadership shift that prepared the company to scale without losing its culture or quality.  Hear why bringing in outside coaching became one of the founders' most important business decisions.  Explore how scorecards and accountability created greater clarity across the entire organization.  Gain insight into the executive mindset required to keep growing while delivering an exceptional partner experience.   Episode Highlights 01:23 - Where two very different strengths finally intersected around a problem worth solving. 02:40 - The moment one successful office started pointing toward something much bigger. 04:25 - Why the way the business was structured would become just as important as the service itself. 06:56 - The gap between what had already worked and what would be required for the next stage of growth. 08:36 - What changed when protecting the business gave way to preparing it for what was coming next. 10:16 - The point where rapid growth started exposing the limits of instinct alone. 12:17 - What became visible once the numbers were tied to clear ownership and accountability. 16:25 - The missing ingredient that helped a strong team understand how to win together. 19:06 - What the company’s growth revealed about the breakpoints they had already lived through. 20:41 - The distinction between simply continuing to grow and building the company they actually envisioned. 23:08 - Financial systems can play a major role in both patient retention and long-term practice growth. Dr. Stephen speaks with Dr. Miles Bosman from Success Partner Cash Practice about creating compliant financial plans, simplifying recurring payments, and building systems that help patients stay committed to care while giving chiropractors greater financial stability and scalability.   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about Cash Practice please visit: https://www.cashpractice.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.

Everyone wants a bigger Vision Story of Success, but very few people have a decision-making framework strong enough to protect it. Dr. Stephen and Dr. Pete unpack why core values are the invisible force behind sustainable growth, resilient leadership, healthy relationships, and thriving businesses. Through practical frameworks and deeply personal stories, they reveal how alignment between values, vision, and daily behavior becomes the difference between burnout and peace, between chasing success and actually living it.  If success has ever felt harder than it should, the answer may not be working harder, but getting clearer about what truly matters.  This episode will help you get there. In This Episode You Will Discover: Why some of the biggest business struggles are actually values problems in disguise.  The surprising reason highly successful leaders walk away from opportunities others would chase.  A simple framework that exposes whether daily decisions are building success or quietly working against it.  The hidden difference between having values and actually living by them.  How one deeply personal story reveals the real cost of making decisions that conflict with what matters most. Episode Highlights 01:15 - Core values can shape wealth far beyond finances, influencing business, health, marriage, family, and everyday life. 03:11 - Meaningful growth requires values strong enough to build resilience, character, and leadership capacity. 04:39 - A simple distinction reveals whether core values are guiding the business or merely decorating the wall. 08:04 - Sustainable success looks very different from a short burst of growth followed by exhaustion and burnout. 09:14 - The relationship between core values, vision, and behavior determines whether a leader is truly operating in alignment. 11:47 - Calendars, spending habits, attention, and energy often reveal personal values more clearly than words do. 13:55 - Misalignment between values and daily behavior creates stress, friction, and unnecessary difficulty. 16:49 - Burnout may be signaling something deeper than workload alone. 19:12 - Leaders can use core values as a practical standard for personal accountability, hiring, and team culture. 23:40 - One framework helps organize aligned values across life, marriage, parenting, finances, and business. 27:23 - A major personal dream becomes a real-world lesson in using values to make difficult decisions. 31:23 - Saying no to the wrong opportunity can protect freedom, peace of mind, and long-term success. 33:02 - The right technology should give chiropractors more time to care for people, not more work to manage. Dr. Pete speaks with Gabriel Doty from Success Partner ChiroHD about building smarter practice management software that streamlines workflows, improves efficiency, embraces meaningful AI innovation, and helps chiropractic practices scale with confidence while preparing for long-term success.   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about ChiroHD visit: https://content.chirohd.com/remarkable-practice 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.

Sometimes the reason patients keep losing their progress isn't because the adjustment was ineffective, but because an invisible stressor begins working against it the moment they leave the office. Dr. Malcolm is joined by Dr. Andrew Powell of Better Balance Orthotics to share the journey that led him from rejecting traditional orthotics to embracing an entirely different neurological approach that challenges conventional thinking about posture, spinal health, and rehabilitation. Through decades of clinical observation, research, and objective measurement, he explains how stimulating the feet instead of supporting them may help patients hold adjustments longer while creating better clinical outcomes and stronger practice systems. The conversation ultimately reveals why addressing one overlooked source of stress can change both the patient experience and the economics of a chiropractic practice. In this Episode You Will Discover: Why one everyday habit may be quietly undoing clinical progress between every adjustment.  The surprising story behind a product that almost disappeared before reaching practitioners around the world.  A completely different way of thinking about orthotics that challenges decades of conventional practice.  How one overlooked assessment can reshape both patient outcomes and practice systems. The connection between better clinical certainty and an unexpected opportunity for sustainable practice growth.   Episode Highlights 01:31 - A lifelong physical struggle becomes the starting point for a completely different way of thinking about the nervous system. 03:19 - One mentor’s recommendation leads to an overlooked idea that had been hiding in plain sight. 05:21 - A passing of the torch forces an unexpected decision about responsibility, purpose, and impact. 08:19 - The accepted explanation for scoliosis gets challenged by a question that goes one level deeper. 12:22 - A fundamental distinction between support and stimulation changes the entire orthotics conversation. 19:10 - One provocative idea raises the possibility that the problem may have started long before symptoms appeared. 22:37 - Objective testing begins answering whether patients are truly holding their adjustments better. 26:38 - A realization about day-one care reshapes the entire patient assessment and recommendation process. 29:43 - The barriers that normally complicate implementation turn out to be surprisingly small. 32:25 - An immediate patient reaction reveals why experience can be more persuasive than explanation. 35:12 - Dr. Eric sits down with Jeff Van Kampen from Success Partner Clinic Growth Accelerator to explore how chiropractic practices are using Meta ads, data tracking, and lead qualification systems to create more predictable patient growth. Jeff shares how filtration, conversion tracking, AI follow-up tools, and long-term patient nurturing are helping clinics improve lead quality, increase ROI, and scale with greater confidence and clarity.   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about Clinic Growth Accelerator please visit: https://growyourclinic.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.

Meetings don't consume time. They create leverage. The moment a business begins to grow, the doctor faces a choice: remain the person solving every problem or become the leader who develops people capable of solving them. That transition rarely happens by accident, and it often reveals itself in the way meetings are run.  In this episode, Dr. Stephen and Dr. Pete unpack the Millionaire Meeting Framework, a seven-step process designed to transform meetings from routine conversations into high-leverage opportunities for alignment, accountability, leadership development, and execution. From creating clarity around PRIORITY to empowering team members to think critically and bring solutions instead of problems, this episode provides a practical roadmap for moving beyond owner-operator thinking and building a business that can grow through people rather than depend on them.In This Episode You Will Discover:  Why the most valuable meetings often start with a question most leaders skip  The hidden reason smart teams continue solving the wrong problems  A framework that develops leaders instead of creating more dependence  How one simple question can completely change the quality of team conversations  The difference between a meeting that consumes time and one that creates leverage   Episode Highlights 02:10 - Meetings don't consume time. They create leverage, and the best leaders know how to multiply their impact through them.  05:17 - The fastest leaders aren't the ones who rush meetings. They're the ones who bring a framework.  07:14 - Question 1: How are you doing? A one-minute check-in sets the tone before the business begins.  08:20 - Question 2: What is our priority? Every great meeting starts by identifying the one constraint that matters most.  11:28 - Question 3: What is the objective of this meeting? Clarify the problem before trying to solve it.  15:08 - Question 4: What is your 1-3-1? Great leaders don't collect problems. They develop critical thinkers.  18:41 - Question 5: How can I help you? Support replaces rescue when a leader chooses coaching over taking ownership of every task.  20:47 - Question 6: Do we have a solution? Alignment happens when expectations become clear agreements.  21:02 - Question 7: What is your takeaway? Every meeting ends with do what, by whom, and by when. 21:45 - Imaging technology is evolving rapidly, and chiropractors have more opportunities than ever to improve efficiency and patient care. Dr. Pete sits down with J.R. Marsee from Success Partner Blue Ridge Imaging to explore turnkey imaging solutions, ongoing support, and the growing role of AI in modern chiropractic practices. Together, they discuss how the right technology partner can help practices operate with greater confidence today while preparing for the future.   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about Blue Ridge Imaging please visit: https://blueridgeimagingtechnologies.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.