The Remarkable CEO for Chiropractors

How to Grow Your Chiropractic Business Through Acquisition: TRP Case Study #001 (Part 2)


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You won’t believe what’s happened since we last heard from the Hughes Brothers in their first case study.

In this follow-up episode, Dr. Michael and Dr. David Hughes return to share how they scaled from one clinic to five, doubling and even tripling revenue while building a multi-million dollar chiropractic enterprise. They reveal the systems, mindset shifts, and leadership strategies that fueled their explosive growth, plus the lessons they learned acquiring and integrating new practices. This is a behind-the-scenes look at what it really takes to scale big without sacrificing culture or care.

In this follow-up you will:

  • Learn the systems that help scale a chiropractic business
  • Understand how to evaluate practices before acquisition
  • Hear how leadership roles drive growth and accountability
  • Discover why slowing down can help you speed up expansion
  • Get tips on building a durable, profitable multi-clinic practice

Episode Highlights

01:30 – Their chiropractic origin story and why they chose this path at age 14

05:29 – How overcoming learning disabilities shaped their determination

08:00 – Why they invested in coaching even before acquiring their first practice

10:09 – The turning point: committing fully to a new system and leadership shift

12:29 – How changing their approach to patient conversations transformed conversions

13:49 – Doubling to tripling their first clinic’s revenue and scaling to five clinics

17:00 – How a daughter’s move led to their first out-of-state acquisition

20:29 – Buying practices from retiring chiropractors and lessons learned

21:39 – The critical role of hiring the right associate doctors for expansion

23:19 – How metrics, KPIs, and dashboards keep multi-clinic operations aligned

25:00 – Why slowing down to simplify and automate was key to scaling

26:29 – How they choose which clinics to buy—and when to say no

28:29 – The importance of knowing both the numbers and the patient relationships

30:49 – Turning underperforming clinics into profitable, systemized practices

34:09 – Their big goal: reaching 33 practices in the next five years

35:15 - Success Partner, Vanessa Lewis from Investorus sits down with Dr. Bobby to explain how their one-stop financial strategy firm helps chiropractors build real wealth. With services like money coaching, lending advice, property investment, and financial planning, they simplify the process through one dedicated strategist. Learn how you can save money, eliminate bad debt, and grow high-return portfolios without sacrificing time from your practice.

 

Resources Mentioned

To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo

For more information about Investorus please visit: www.investorus.com.au  

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The Remarkable CEO for ChiropractorsBy Dr. Peter Camiolo and Dr. Stephen Franson

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