The Remarkable CEO for Chiropractors

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: Follow how Free Form Chiropractic evolved from founder-driven growth to a business built for long-term scale.  Discover why accountability and organizational clarity became the missing pieces behind rapid expansion.  Hear what changed when Jesse stopped white-knighting every challenge and stepped fully into the CEO role.  Explore how leadership systems created greater freedom both inside the business and at home.  Take away the framework that helped transform growth into durability and optionality.   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: Why natural talent can become the hidden limitation inside a growing practice. The distinction between the clinical practice and the economic engine supporting it. Five operational systems that determine whether growth remains predictable. What stale, ignored, or poorly trained systems reveal about organizational health. The moment scripting stops feeling restrictive and becomes a source of freedom. 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.