The Remarkable CEO for Chiropractors

Your practice and business has an addiction…YOU.    Everything starts with you, depends on you or goes thru you.  You are the bottleneck. The very thing that made the practice successful may now be keeping it stuck. When every important decision, standard, problem, number, and handoff ultimately runs through the owner, adding more patients, people, technology, or effort can create m...

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, durab...

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...

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...

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 busi...

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...

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...

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, co...

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 accounta...

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 m...

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 di...

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 ma...

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 en...

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,...

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...

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 Fra...

The ceiling wasn't clinical ability, passion or effort…It was the business model.  What happens when two busy practice owners realize they've both become the biggest obstacle to their own growth? In this case study, Dr. Aaron Collins and Dr. Nathan Clem share how two thriving but plateaued practices became one scalable business by replacing personality-driven growth with leadership, systems, and s...

What if patients aren't saying no because of the price, but because they haven't experienced the value?  Many doctors struggle with pricing because they're viewing it through the lens of cost rather than impact.  In this episode, Dr. Stephen and Dr. Pete unpack why experience and outcomes are the two forces that drive value, how pricing communicates value before a patient ever starts care, and why...

What if the biggest barrier to patient retention isn't your care, but the time it takes patients to get answers?  Today’s patient wants answers fast.  Today’s Chiropractor wants to increase speed, quality of care - and compensation for all of the above.  Technology is the answer.  As patient expectations continue to accelerate, practices that can provide immediate clarity, faster care pathways, an...

Many owners spend years building a successful practice only to discover they've built a business that still depends entirely on them. The result is a hidden ceiling on growth, freedom, and impact. Dr. Pete and Dr. Stephen challenge the conventional obsession with scalability and introduce a more powerful objective: durability. Through the concept of Week 13, they reveal how scheduled vacations bec...

The biggest choke on your growth probably isn't a lack of New Patients. It's the invisible money constraints hiding inside an otherwise successful practice. Dr. Pete and Dr. Stephen unpack how flawed pricing strategies, broken money beliefs, and ineffective money models quietly choke growth, reduce profitability, and limit impact. Through real-world examples, practical benchmarks, and a powerful r...

What if the future of chiropractic growth has less to do with hiring more people and more to do with freeing the right people to fully serve? Dr. Pete Camiolo and Dr. Eric Kowalke, Founder and CEO of SKED, unpack how AI, automation, and operational systems are reshaping the modern chiropractic office without sacrificing the human connection that makes chiropractic powerful. From front desk overwhe...

Most practice owners think team struggles come from staffing shortages, difficult personalities, or lack of motivation, but Dr. Pete and Dr. Stephen challenge that assumption head-on. Dr. Pete frames the conversation around identifying the primary constraint limiting growth, while Dr. Stephen focuses on accountability as the force that turns busyness into productivity. Together, they unpack the “f...

Why Retention Is The Real Growth Strategy  Most practices assume retention problems start when patients stop showing up, but the real breakdown happens much earlier. Dr. Stephen and Dr. Pete unpack why patient compliance is the hidden constraint limiting growth, referrals, scalability, and long-term impact. Through a practical framework built around strong starts, clear agreements, and patient und...

What if the biggest growth opportunity in a chiropractic business isn’t more marketing, more hours, or more staff, but simply maximizing what already exists? In this episode, Dr. Josiah Fitzsimmons, joins Dr. Pete to unpack the financial blind spots holding chiropractors back from greater profitability and impact. As the co-founder of Lucro, Dr. Josiah shares insights gathered from years of analyz...