The Remarkable CEO for Chiropractors

The most expensive problems in a growing practice are often the ones nobody notices until it's too late. A missed follow-up becomes a lost patient, inconsistent communication undermines conversion, and financial blind spots leave CEOs working harder without understanding why profitability isn't improving.  Dr. Pete and Dr. Stephen reveal how AI can transform the five growth engines of attraction, conversion, retention, team building, and collections by creating real-time visibility, consistent execution, and proactive accountability. From monitoring patient conversations and identifying early retention risks to coaching / training team members and exposing money leaks, the opportunity goes far beyond producing content faster. It's about replacing guesswork with intelligence and building a high-tech, high-touch business where systems support people,  training becomes specific, decisions become clearer, and growth no longer depends on the CEO personally catching every problem. In This Episode You Will Discover: The hidden cost of problems that go unnoticed until a patient, an opportunity, or a profit margin has already disappeared. Why the inability to let go of control may be connected to something deeper than the team's capabilities. A five-engine view of AI that moves beyond content generation into conversion, retention, team performance, and financial intelligence. What changes when a practice can recognize declining patient engagement before someone stops showing up. The possibility of replacing financial guesswork and constant course correction with a business that tells its CEO what needs attention. Episode Highlights 02:15 - The pace of AI advancement creates a surprising opportunity for practices that feel they have already fallen behind. 04:07 - Faster content creation introduces a new challenge: greater output without sacrificing quality or authenticity. 00:05:14 - One overlooked delay between marketing and conversion can quietly undermine the return on every campaign. 07:26 - Valuable information disappears through everyday patient conversations, leaving a major opportunity for more consistent execution. 08:07 - The struggle to delegate reveals why better monitoring could change the relationship between CEOs and their teams. 10:35 - A single source of operational truth begins replacing subjective impressions with a clearer picture of performance. 12:07 - Patient disengagement often begins before the final missed appointment, creating an opportunity to intervene earlier. 14:58 - The hiring process becomes more strategic when team growth is connected to measurable business needs. 16:03 - Training shifts from periodic correction toward targeted support triggered by what the data reveals. 18:24 - Financial visibility offers an alternative to the exhausting assumption that every problem requires more effort. 22:20 - 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 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. 

More revenue doesn't always mean more profit, and a busier practice doesn't necessarily mean a better life. When labor costs rise, margins tighten, and the team spends more time managing tasks than connecting with patients, growth can start working against the very people it was meant to serve.  Dr. Pete and Dr. Stephen challenge the traditional approach to reducing overhead and reveal how remote employees, AI-powered intelligence, and autonomous AI agents can create an entirely different kind of leverage. By measuring revenue and profit per employee, rethinking how work gets done, and integrating technology into the practice operating system, CEOs can unlock hidden profitability without sacrificing the human experience. The goal isn't simply to do more with less. It's to build a more profitable, efficient, high-tech, high-touch business that creates greater impact and more freedom. In This Episode You Will Discover: Why a practice can keep growing while profitability, personal freedom, and quality of life fall further behind.  The hidden opportunity inside one of the largest expenses on the P&L, without immediately resorting to layoffs or cutting hours.  Two revealing employee metrics that expose the difference between a productive team and a profitable business.  A new division of labor where remote team members and AI handle work that keeps on-site staff from being fully present.  What changes when AI stops simply answering questions and begins taking responsibility for repeatable business functions.  Highlights 03:33 - The challenge of succeeding in business while remaining present for faith and family exposes the deeper reason leverage matters. 06:01 - A broader definition of growth challenges the assumption that more revenue and more volume are the only measures of progress. 08:31 - Three emerging forms of technology begin changing the relationship between productivity, profitability, and personal freedom. 11:05 - The search for hidden profit turns toward an expense that can quietly consume the gains from a growing practice. 13:13 - A counterintuitive approach to managing labor costs challenges the instinct to pull back on growth investments. 15:00 - Reducing overhead takes an unexpected turn as the conversation moves beyond layoffs, reduced hours, and smaller paychecks. 17:14 - Two employee metrics reveal why a productive team and a profitable business are not necessarily the same thing. 19:02 - A different way of structuring the workforce challenges the assumption that every team member needs to be physically present. 22:34 - Removing busywork from the team begins revealing a payoff that extends well beyond the financial statements. 27:55 - The distinction between AI that answers questions and AI that owns responsibilities points toward a fundamentally different operating model. 33:00 - Getting more leads means little if they are not the right people for your practice. Dr. Malcolm speaks with James Chester from Success Partner Blue Rhino AI about a data-driven approach to chiropractic marketing that focuses on qualified prospects, continuously optimized creative, and smarter ad spend to help practices attract patients who are more likely to show up, convert, and stay.  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 Blue RhinoAI please visit: https://www.bluerhinoai.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. 

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.