The Remarkable CEO for Chiropractors

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...

spent $135,000 to spend the day with Alex Hormozi.  Here’s what he taught me about the conversion process and selling chiropractic care.  If patients are not saying yes to care, the problem may not be your passion, your systems, or even your recommendations - it’s your offer.  Dr. Pete and Dr. Stephen break down why so many chiropractors struggle to convert despite deeply believing in what they do...

Your practice is stuck because you don’t have enough Qualified Leads to take you to the next level.  In this episode, Dr. Stephen and Dr. Pete unpack the first and often most common bottleneck in practice growth: the inability to consistently attract the right people with the right message at the right time. Through the lens of the Theory of Constraints, they reveal why marketing struggles are rar...

You don’t have an effort problem - you have a FOCUS problem.  Most practices aren’t stuck because of a lack of effort, they’re stuck because they’re solving the wrong problems in the wrong order. In this episode, Dr. Stephen and Dr. Pete introduce the concept of the primary constraint and challenge the idea of “priorities” by reframing success around singular focus. Through the lens of the account...

From Motivation to Incentivization: How PPFG Changes Everything Most practice owners try to motivate their teams, but motivation is unreliable and short-lived. Incentivization, on the other hand, is structural and drives consistent behavior. When incentives are unclear or misaligned, teams default to average effort instead of tapping into discretionary energy.   Dr. Pete and Dr. Stephen break down...

Dr Peter Kevorkian and Life West: Building the Next Generation of Successful Chiropractors Great chiropractors don’t happen by accident, they are built through philosophy, precision, and intentional leadership.   Dr. Stephen had the pleasure of sitting down with Dr. Peter Kevorkian, President of Life West Chiropractic College, to unpack what it truly takes to develop chiropractors who are confiden...

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 in...

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 market...

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 ou...

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...

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...

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,...

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 financ...

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 philoso...

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 languag...

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,...

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 practic...

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 dr...

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 busine...

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...