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 more complexity instead of more growth.  YOU are the Operating System…and THAT is the problem.  

Dr. Pete and Dr. Stephen expose the hidden cost of becoming the practice’s operating system and challenge CEOs to replace owner dependency with systems that create accountability, visibility, and leverage. Through the Chiropractic Operating System, the five engines of the practice, and the Audit → Optimize → Automate framework, they show why the next level is not about making the CEO less important. It is about making the CEO relevant at a higher level while building a business that can scale, perform, and create freedom without depending on constant owner intervention.   

One key change: More growth.  More freedom.  More optionality.  More enterprise value.   

In This Episode You Will Discover: 

• A simple two-week test that exposes just how dependent the practice may still be on its owner. 
• Why the behaviors that created early success can quietly become the ceiling on the next stage of growth. 
• The “tyranny of more” and what happens when more patients, people, effort, or information are added to the wrong operating system. 
• A different definition of business success built around scalability, durability, and transferability. 
• The shift from solving every problem personally to leading through systems, scoreboards, accountability, technology, and AI. 

Highlights 
01:22 - A different diagnosis challenges the assumption that another tactic is what a stuck practice actually needs. 

03:58 - A simple vacation test reveals what the business may still be unable to do without the owner. 

07:11 - The behavior that created early success begins to reveal how it can eventually become the ceiling on future growth. 

09:59 - The instinct to add more gets challenged by what happens when greater volume meets the operating system already in place. 

14:16 - A hidden pattern emerges when the owner repeatedly becomes the workaround for every weakness in the business. 

17:48 - One uncomfortable question tests whether the CEO truly owns the business or the business still owns the CEO. 

20:43 - The question a CEO asks when growth stalls is fundamentally different from the question an owner/operator asks. 

21:14 - A three-stage framework establishes the order that has to come before AI and automation can create meaningful leverage. 

22:58 - The real transformation becomes clear when the owner stops trying to become indispensable and starts becoming relevant at a higher level. 

28:03 - Returning to the two-week test paints a very different picture of what freedom looks like once the business can perform without constant owner intervention. 

33:55 - Dan Anticich from Success Partner Twoconnect, joins Dr. Andrew to discuss how chiropractic practices can improve lead conversion, patient reactivation, and operational efficiency through dedicated offshore support. They explore how virtual team members help practices protect marketing investments, strengthen patient communication, reduce administrative workload, and create scalable systems that support sustainable growth. 

Resources Mentioned 

Watch the webinar "Build A Practice That Pays You More, Needs You Less, and Grows While You're On Vacation" here:  https://webinar.theremarkablepractice.com/replay 

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

For more information about Two Connect please visit: https://twoconnect.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. 

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:

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:

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.