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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.

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 scalability Episode 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.

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 dilution   Episode 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/Q03FRwtC0    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.

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 frustration Episode 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.

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 career Episode 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.

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 growth Episode 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.

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 profitability Episode 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.

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 philosophy   Episode 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.

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 profit Episode 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.

Most teams are capable of far more than they are currently giving, but the gap is rarely about effort or attitude. Dr. Stephen and Dr. Pete break down why discretionary energy is the true driver of performance and how leaders unintentionally suppress it by failing to connect people to the business model. When team members understand how their daily work influences revenue, profit, and opportunity, alignment replaces compliance and energy rises naturally. By shifting focus from motivation to measurement, leaders gain a clear framework for evaluating managers, strengthening team capacity, and creating sustainable growth without burnout. In This Episode You Will: Identify where discretionary energy is being lost inside the teamRecognize which people metrics reveal leadership effectivenessSee how manager performance shows up through team resultsEvaluate when team capacity is approaching a breaking pointApply clearer financial alignment to increase focus and engagement  Episode Highlights 01:33 - Discretionary energy is introduced as the hidden gear inside every team member that leadership either activates through alignment or suppresses through misalignment. 02:19 - Financial alignment is framed as the missing link between daily responsibilities, revenue, profit, and why team members should care about business performance. 03:17 - The four requirements of a world-class team are clarified as right people, right seats, right work, done the right way. 04:46 - Employee stickmo begins, revealing how long A players actually stay and how turnover often exposes management or cultural breakdowns. 06:38 - Employee net promoter score is introduced as a leadership diagnostic measuring whether team members would enthusiastically refer others to work in the organization. 09:39 - Internal patient referrals from staff are positioned as a real-time indicator of engagement, belief, and cultural buy-in. 12:22 - Direct report goals completed is identified as the most powerful KPI for evaluating manager effectiveness and team performance. 13:26 - The 80 percent goal completion standard is defined as the benchmark for healthy management and accountability. 14:43 - Labor cost begins as a COO-owned metric directly tied to profitability, cost of services delivered, and operational stewardship. 17:03 - Revenue per employee is introduced as the key indicator for identifying $250,000 growth breakpoints before capacity strain causes the business to stall or break.   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 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.

Most practices track numbers, but very few track the metrics that actually drive growth. Dr. Pete and Dr. Stephen break down the ten measurements that determine whether a practice is building momentum or quietly leaking it. This conversation reframes metrics away from surface-level activity and into leadership tools that reveal retention, stability, and profitability. By clearly separating practice metrics from business metrics, the framework shows how operational performance and financial outcomes are directly connected. The result is clarity and control. When the right metrics are measured consistently, decisions become simpler, leadership becomes stronger, and growth becomes predictable. In This Episode You Will: Understand the10 core metrics that determine retention and long-term growthLearn how practice-side metrics and business-side metrics work togetherSee why retention begins at conversion and compounds through complianceDiscover which numbers reveal truth versus vanityClarify how better measurement leads to better leadership decisionsEpisode Highlights 06:34 - Dr. Pete frames the series around the two sides of the coin and why commitment is the center that makes both work 08:30 - Dr. Stephen clarifies the three identities required to grow: doctor, operator, and business owner 14:26 - The conversation defines KPIs as the measurement system that organizes focus and exposes what to fix Practice Metrics 19:14 - Stick rate defines how long people stay under care and where retention breaks down by visits, months, or milestones 22:32 - Kept visit average (KVA) is introduced as the daily retention signal showing how consistently people show up as scheduled 25:24 - Compliance percentage is established as the core retention driver indicating whether patients follow care recommendations 26:37 - Inactives and churn rate expose how many people are silently leaving and why defining “active” matters 31:30 - Total active patients reframes growth away from visits per week and toward the size of the active care base Business Metrics 33:29 - Collection visit average (CVA) measures what the practice collects per visit and can be segmented by stage of care 35:06 - Lifetime value (LTV) connects retention to economics by combining patient visit average with collection visit average 39:49 - Total revenue is tied back to retention through volume of visits driven by people staying in care 40:29 - Monthly recurring revenue (MRR) and annual recurring revenue (ARR) are positioned as the stability engine of the model 41:51 - Retained revenue measures the durability of the recurring model by showing how much revenue stays after churn   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 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.

Growth does not break down because chiropractors lack passion. It breaks down because conversion systems and metrics are either unclear, slow, or unmanaged. Dr. Pete and Dr. Stephen break down the exact conversion and sales metrics that separate busy offices from scalable, profitable businesses, and why mastering them is no longer optional in 2026. They unpack how speed, clarity, and conviction drive patient commitment, how operational KPIs translate into real revenue, and why recurring metrics reveal the true health of your business. This conversation reframes conversion as belief transformation, sales as service, and growth as a measurable, repeatable outcome. In This Episode You Will: Break down which conversion numbers actually matter and which ones are noiseWalk through the five KPIs that determine whether patients commit or disappearUnderstand why speed, timing, and follow-up now decide conversion outcomesSee how recurring revenue reveals the true health of your businessIdentify the knowledge gaps that quietly cap your growthEpisode Highlights 01:15 – Why this episode marks the shift from marketing conversations into conversion and sales as the next growth constraint 08:09 – How ROI should be evaluated through lifetime value, not short-term expense 09:33 – The financial reality of stagnation and why not growing creates compounding problems 10:26 – Redefining success benchmarks and why three million has become the new one million 14:37 – The core truth that frames the episode: you can only help the people you convert 15:02 – Reframing sales as care, conviction, and responsibility rather than persuasion 18:05 – Breaking down attraction, conversion, and retention as a sequential operational system 25:28 – Introducing the Rule of 72 and how speed now determines conversion outcomes 30:14 – What actually drives Day One to Day Two follow-through and patient commitment 36:15 – Translating conversion into business health through recurring and reactivated revenue   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/ Golden Ticket Giveaway to the Upcoming Immersion - DM the words ‘Podcast Business Immersion’ on The TRP Instagram page - https://www.instagram.com/theremarkablepractice/ To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo 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 PRACTICE is the Clinical Entity that exists to deliver better health outcomes for the PATIENT. The BUSINESS is the Economic Engine that exists to drive Profit for the Owners and the Team.   Dr. Stephen and Dr. Pete kick off a powerful five-part series that reframes growth through a clear distinction most owners struggle with: the difference between a remarkable practice and a remarkable business. And this struggle is costing them in terms of impact, income - and sleep! Using MARKETING data, KPIs, and real-world examples, they unpack how your practice ATTRACTION operations drive patient impact while your business’s MARKETING metrics determine sustainability, profitability, and freedom.  This MARKETING conversation sets the foundation for 2026 by showing how aligning teams not just with purpose, but with financial clarity, becomes the true growth accelerator. When the practice and business work together, momentum follows. In This Episode You Will: Understand the difference between a remarkable practice and a remarkable businessLearn why practice success does not automatically create business healthSee how KPIs clarify accountability on both sides of the coinDiscover why teams must understand profit, not just purposeClarify how practice metrics and business metrics drive different outcomesEpisode Highlights 00:57 – Learn why this episode serves as the foundation for a five-part series separating the responsibilities of the practice from the realities of the business. 01:43 – Discover how assigning clear KPIs becomes the fastest path to clarity, accountability, and meaningful traction. 04:32 – Recognize why elevating business understanding across the entire team is essential for the future of chiropractic. 06:37 – Reflect on how leadership is tested when personal loss intersects with professional responsibility and organizational culture. 09:28 – Understand why emotional resilience and relationships are as critical to sustainability as systems and strategy. 14:31 – See the defining distinction between the practice as a clinical entity and the business as an economic engine. 16:44 – Clarify how financial alignment transforms team motivation by connecting effort to shared outcomes. 18:15 – Discover why owning both sides of the practice and the business reshapes leadership and team engagement. 23:57 – Learn how operational systems drive patient outcomes while business systems determine financial performance. 35:20 – Recognize how mastering a small set of business metrics replaces marketing anxiety with confidence and peace of mind.   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/ Golden Ticket Giveaway to the Upcoming Immersion - DM the words ‘Podcast Business Immersion’ on The TRP Instagram page - https://www.instagram.com/theremarkablepractice/ To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo 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 does the founder of a chiropractic enterprise at the center of a nine-figure exit know about buying and selling practices?  A lot.  The difference between a profitable exit and walking away with nothing is not timing - it’s planning. When you plan your exit early, every decision in your practice starts to work differently.  Building a practice to sell - with “the end in mind” - is a cultural thing that shapes and improves everything.   Production, delivery, systems, team, collections and profit all go up; but so does impact, fulfillment and fun.  Dr. Stephen sits down with Dr. Stuart Bernsen to break down what real exit planning looks like for chiropractic practices today. They unpack the difference between owning a job and building a business, why most practices never sell, and how private equity and rollups are already reshaping chiropractic. You’ll hear how Dr. Stuart scaled Chiro One from a single practice to a multi-state platform, what investors actually look for, and why exit readiness creates freedom long before you ever sell. This conversation reframes exit planning as a growth strategy, not a finish line.  Interested in learning more about corporate roll-ups?  Would you like to make a bigger income today - and a sexier exit tomorrow?  Want to know how to engineer your own Remarkable Exit?  This episode is for you. In this episode you will • Understand why most chiropractic practices never sell and what creates real value • Learn the difference between a Main Street exit and a Wall Street exit • See how exit readiness improves profit, freedom, and options today • Discover what investors look for when buying chiropractic businesses • Learn how to shift from owner-operator to true business owner   Episode Highlights 00:54 – Why exit planning needs to start while you are still actively growing your practice 02:30 – How moving from clinician to CEO is an unavoidable shift as a practice scales 05:12 – Why many chiropractors reach a point where their practice becomes too large to sell 06:36 – How building standardized systems creates leverage beyond the owner 09:17 – Why business breakpoints are a normal part of growth, not a sign of failure 10:55 – How speed of response matters more than avoiding mistakes during breakdowns 12:48 – Why most chiropractors do not realize they already function as shareholders 15:37 – How understanding the three ways owners get paid changes business decisions 19:07 – Why waiting until you feel ready to exit often destroys long-term value 21:21 – How key person risk becomes the biggest concern for buyers 23:59 – Why preparing a practice for sale mirrors preparing a house for market 27:45 – How exit readiness creates flexibility even if you never plan to sell 30:12 – Why optionality becomes the real reward of building a true business 33:39 – What private equity actually looks for in healthcare businesses 37:37 – Why standardization across providers directly increases valuation 40:41 – How consolidation has reshaped other healthcare professions 47:23 – Why chiropractic is still early in the exit and rollup cycle   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo 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 chaos rear its ugly head in your practice? Your practice is a set of systems - and systems move from a state of ‘Order to Disorder’ unless energy is introduced to reorganize the system.  This is the Law of Entropy in action.  Your practice systems - and your people - will naturally “drift” off track if you let them.  This episode gives you a clear roadmap to stop ‘practice drift’, protect your core values, and run your chiropractic business at speed without losing control. Dr. Stephen and Dr. Pete unpack the Porsche drifting metaphor, the law of entropy, and a simple three-step framework to operationalize, professionalize, and optimize your practice. You will see how to use delegation, identity, and a stronger training culture to keep your team aligned with your vision story so you grow volume, profit, and impact without burning out. In this episode you will: Understand how practice drift shows up across adjusting, education, front desk, and reports. Learn the three-step framework of operationalize, professionalize, and optimize for sustainable growth.See why entropy is always pulling your systems off course and what to do about it.Discover the delegation method of identify, train, trust, and verify so the right people own the right roles. Get practical ideas to build a training culture that protects alignment, profit, and purpose in 2026 and beyond.Episode Highlights 03:55 – Learn how Dr. Stephen and Dr. Pete take complex business problems and simplify them so you can make a bigger impact. 04:23 – See how the Porsche drifting experience became a picture of what happens when your practice drifts off mission. 05:39 – Understand success as alignment between core values, vision story, and daily behaviors in your chiropractic business. 06:10 – Learn the three-step process of operationalize, professionalize, and optimize and why the order matters for growth. 07:09 – Discover how operationalizing systems across attraction, conversion, retention, team, and collections creates scalability. 08:47 – Understand why professionalizing your business means hiring people who are better than you at their role. 09:47 – Discover how the law of entropy explains practice drift and why every system moves from order to disorder without energy. 11:03 – Explore the delegation methodology starting with identity and why the wrong avatar in a role leads to churn and lost referrals. 12:13 – Learn why a great adjuster who does not educate quietly erodes stick rates, reconversion, and internal referrals. 15:49 – See how misalignment between core values, vision story, and behaviors shows up in adjusting, education, and patient experience. 17:09 – Hear a vivid picture of clinical drift as doctors abandon agreed systems, scripting, and patient flow. 18:18 – Understand why most practices suffer death by a thousand cuts and how regular audits and training plug those leaks. 19:10 – Learn why training is the antidote to drift and how cycling training across all functions keeps teams aligned. 23:22 – See the math behind training ROI and how one hour of CEO time can influence more than a hundred hours of team performance. 28:06 – Set training, systems, scripting, and SOPs as a core theme so your practice runs at speed without drifting off mission. 29:58 - Dr. Pete is joined by Success Partner, Dr. Roger Sahoury from SprintSet, to show how practice owners can add a proven lifestyle system that drives retention, referrals, and new revenue. You’ll learn how SprintSet fills the lifestyle gap, supports patients with real coaching and technology, and helps practices stay in the conversation beyond pain care. The discussion breaks down impact, scalability, and what it takes to implement without overloading your team.   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 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/podcastor follow on your favorite podcast app.