The Remarkable CEO for Chiropractors

If you’re done wasting money on low-quality Facebook leads, this conversation is your wake-up call. Dr. Pete sits down with Dr. Nick Silveri of LVRG Media to unpack what it actually takes to attract high-quality new patients who show up ready for care. They break down why content is the real engine of trust, how to build a comprehensive presence across Google, social, and YouTube, and why long-term brand authority beats every short-term offer. You’ll discover how to get your associates creating content, align your online experience with your in-office excellence, and use AI responsibly without hurting your SEO. It’s a clear path to doing marketing the way you coach patients to do health: consistent habits, long-term thinking, and a message that makes you the obvious choice in your town. In this conversation you will:Learn why “quality new patients” start with your own expertise and message. See how content across Google, social, and YouTube works together to build brand and trust. Understand the difference between relevance and value in patient focused content. Discover how to scale content beyond the owner by using associates and team members. Get clear on smart ways to use AI for emails and nurture instead of blog spam. Episode Highlights01:32 – Hear why this conversation centers on quality new patients, content strategy, and AI as key drivers of growth.07:22 – Learn how Dr. Nick shifted from personality-driven marketing to a system-focused approach based on what chiropractors truly want.08:55 – See why most chiropractors bounce between agencies and why content-first marketing outperforms short-term tactics.09:58 – Understand why the only reliable path to quality new patients is leveraging your expertise across the platforms where patients search for answers.11:12 – Learn the difference between relevance and value and how patient priorities move from symptom relief to long-term wellness.14:12 – Hear the health-and-fitness analogy that illustrates why marketing shortcuts fail just like shortcuts in health.18:19 – See how to align your online presence with the in-office experience so patients know who you are before they ever meet you.19:55 – Discover how to remove yourself as the bottleneck and empower associates or team members to create content.23:40 – Learn how Leverage Media simplifies the process so doctors only follow the plan and record the content.27:23 – Explore what a comprehensive marketing plan looks like today across social, Google, YouTube, and emerging AI platforms.29:28 – Understand how long-term brand building makes people choose you even when you aren't the top search result.31:14 – Hear why patients ignore coupons and choose the doctor they already trust from their consistent content.32:24 – Learn why most clinics misuse AI for SEO and how search engines are already penalizing AI-generated blogs.38:20 – Get clear on using AI correctly for emails, nurture, and text instead of search-ranking content.40:29 – Take away a simple strategy: share real expertise consistently so your clinic becomes the obvious choice in your town.41:46 - Dr. Lona sits down with Success Partner Dr. Brian Capra of ClinicMind to talk about how one unified platform can replace the long list of tools most chiropractors’ juggle. Dr. Brian explains how ClinicMind brings EHR, billing, AI-driven patient communication, scheduling, and marketing under one system so teams can stay focused on care instead of tech headaches. It’s a smart look at how streamlined systems create space for clinics to grow, serve more people, and operate with far greater ease. Resources MentionedLearn more about the TRP Remarkable Business Immersion - March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/  To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceoFor more information about ClinicMind please visit: www.clinicmind.comBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.

Every successful year begins with a clear vision of where you’re going next.In this Now to Next conversation, Dr. Stephen and Dr. Pete walk chiropractors through the powerful process of turning reflection into vision. They reveal how to move beyond the “Last to Now” assessment and create a three-year roadmap that aligns your team, drives growth, and restores your energy for the mission ahead. From defining what success truly looks like to identifying your top five strategic moves, this episode shows you how to think, plan, and lead like a remarkable CEO. You’ll learn how to cast a vision that inspires your team, bridges today’s reality to tomorrow’s goals, and keeps your practice advancing with purpose.In this episode you will:Learn how to transform your “Last to Now” assessment into a clear Now to Next vision.Discover how to write your own Vision Story and map it across the five domains of your business.See how to identify the Big Five moves that will drive growth over the next year.Understand the A-P-P-E-A-R framework and how to plan, prepare, and execute with your team.Gain tools to turn big ideas into systems, accountability, and long-term success.Episode Highlights01:44 – Learn how this annual ritual sets the stage for moving from Last to Now into Now to Next.03:07 – Learn why reflecting on past constraints sets the stage for breakthrough vision casting.04:24 – Understand how identifying people versus process issues creates clarity for future planning.05:53 – Discover why vision is always the first side of the Rubik’s Cube in every practice.07:09 – Learn how to tell a Vision Story by imagining your practice’s success in 2026.09:19 – Explore how to write your story across attraction, conversion, retention, team, and collections.11:08 – See how vision casting connects the heart of the leader to the heart of the team.12:12 – Find out why the ability to see the future determines income potential.13:40 – Hear how to embrace the unique role of being the visionary in the village.15:16 – Discover how to have a conversation with your future self to define your next level of leadership.16:50 – Visualize the 2028 version of the business and the team needed to build it.19:11 – See how building systems and A-players leads to a self-sustaining, high-profit practice.21:06 – Learn how to bridge the 2025 reality to the 2026 vision with the Big Five Moves.23:58 – Understand how to prioritize quarterly projects using points of constraint and goals.27:55 – See how the A-P-P-E-A-R framework ties vision, planning, and action together for the year ahead.32:26 - Coach Dr. Eric talks with Success Partner Dr. Chad Glines from Genesis Back and Neck about bringing a principled decompression system into a chiropractic practice without adding confusion or extra work. Dr. Chad shares how their proven protocol, targeted marketing, and full training support make disc care consistent, profitable, and easy to integrate. It’s an encouraging look at growing your practice and serving tougher cases with confidence and integrity. Resources MentionedDownload for the Vision Casting Worksheets: https://theremarkablepractice.com/podcast-ep335-visionLearn more about the TRP Remarkable Business Immersion - March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceoFor more information about Genesis Back & Neck visit: https://genesisback.comBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app.

Stop guessing. Start assessing. This conversation gives chiropractors a clear, CEO-level way to review the past year so you can plan 2026 with confidence. Dr. Pete and Dr. Stephen break down the APPEAR process and show how to score your five domains, surface real constraints, and turn them into projects that boost throughput, retention, and profitability. You’ll learn how to use the Accountability Grid, align KPIs to owners, and set a simple rhythm that keeps your team focused and your growth sustainable. In this episode you will:See how the APPEAR framework turns vision into execution. Learn to score attraction, conversion, retention, team, and collections with real data. Identify true constraints and translate them into 2026 projects. Assign clear ownership and KPIs using the Accountability Grid. Build a repeatable end-of-year assess → plan rhythm your team can follow.Episode Highlights01:38 – Learn why Last to Now is the essential starting point for the APPEAR framework.02:17 – See why discipline and restraint make this assessment so valuable for leaders.03:29 – Understand how the APPEAR process works and why the Assess step runs deeper than most expect.04:08 – Hear how belief systems shape behaviors and why outcomes trace back to mindset.05:32 – Learn why successful chiropractors reflect before they plan and how this habit produces better years.06:23 – See why entrepreneurs struggle with slowing down and why looking back is uncomfortable but necessary.07:16 – Understand how last year’s vision and goals become the anchor for your annual review.09:18 – Learn how your vision story and goals turn into a data-driven roadmap for assessment.10:53 – See why outcomes reveal the truth of your inputs and why emotional reactions are part of the process.13:06 – Learn how to create a proper CEO environment for meaningful annual assessment.14:52 – Understand how the APPEAR process ties assessment, planning, and execution into one clear rhythm.17:12 – See how the updated Accountability Grid simplifies scoring and clarifies ownership.21:26 – Learn how to connect beliefs, behaviors, and tools so your assessment becomes actionable.26:02 – Understand how the three tributaries of marketing reveal the health of your attraction strategy.34:09 – Learn how constraints limit throughput and why identifying them drives your 2026 projects.37:58 - Coach Dr. Eric talks with Success Partner Dr. Chad Glines from Genesis Back and Neck about bringing a principled decompression system into a chiropractic practice without adding confusion or extra work. Dr. Chad shares how their proven protocol, targeted marketing, and full training support make disc care consistent, profitable, and easy to integrate. It’s an encouraging look at growing your practice and serving tougher cases with confidence and integrity. Resources MentionedDownload for the Accountability Grid & Walk-Through Video: https://theremarkablepractice.com/podcast-ep334-acctgrid/Learn more about the TRP Remarkable Business Immersion - March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceoFor more information about Genesis Back & Neck visit: https://genesisback.comBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app. 

Every great chiropractic movement starts with a clear mission and Genesis is proving what happens when vision meets culture. Dr. Pete sits down with Dr. Caleb Braddock and Dr. Chad Glines, the co-founders of Genesis Back & Neck, to unpack how they built one of chiropractic’s fastest-growing organizations through purpose, trust, and humility. They reveal how their team culture, rooted in authenticity and service, fuels expansion while keeping their mission simple: save a million people from spine surgery.Their conversation dives into the systems that make growth sustainable with clear core values, open communication, and A-player alignment. This episode is a masterclass in leadership for chiropractors who want to grow without losing heart. In this episode you will:Learn how Genesis built a thriving team culture around a single mission.Discover how to hire and grow A-players who lead with purpose.See how to turn humility and trust into your greatest business advantage.Understand the power of clear communication rhythms for scaling your practice.Hear how authentic leadership transforms patient care and team alignment.Episode Highlights01:40 – Dr. Pete opens with the focus on culture, leadership, and team growth inside Genesis.04:01 – Hear how learning the hard way shaped Genesis’ approach to hiring and building loyalty.05:39 – Discover why hiring from within created a team aligned through trust and shared history.08:21 – Learn how humility and growth mindset became the foundation of their leadership style.09:59 – Understand how a mission to save a million people from spine surgery unites their team.13:15 – See how open communication and autonomy help every team member thrive.15:24 – Explore how Genesis blends in-person collaboration with remote productivity.17:08 – Learn how KPIs and meeting rhythms keep accountability and visibility strong.20:17 – Discover the “Core Four” metrics driving consistency and results across 80 offices.27:23 – Hear how Genesis’ culture extends beyond headquarters into every partner clinic.29:03 – Find out how live training and Genesis University spread culture across locations.31:25 – Learn how instant communication helps partners deliver world-class patient experiences.36:00 – See how the “GSDF” mindset—Get Stuff Done Fast—keeps responsiveness their superpower.38:55 – Understand how they balance flexibility, accountability, and high standards in leadership.41:22 – Hear how authenticity and consistency earn respect and keep culture strong.43:52 – Discover why being your authentic self creates trust with patients, partners, and teams.46:08 – Leave with the final takeaway: steward your mission well and stay humble as you grow.48:49 - Dr. Kale talks with Success Partners Dr. Andrew Wells and Dr. Chad Woolner from Simplified Functional Medicine about how chiropractors can add functional medicine without adding more work or complexity. They share the personal health challenges that led them into the field and why so many chiropractors struggle to deliver it on their own. They outline how their team-driven system keeps chiropractic central, protects a CEO’s time, and creates strong clinical and financial results. It’s a powerful look at what’s possible when you simplify and step into your next level of impact. Resources MentionedLearn more about the TRP Remarkable Business Immersion - March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/To learn more about the REM CEO Program, please visit:http://www.theremarkablepractice.com/rem-ceoFor more information about Simplified Functional Medicine please visit:  https://simplifiedfunctionalmedicine.com/Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app.

Every chiropractor wants patients who stay committed, not just until the pain fades, but for life. Dr. Tabor Smith reveals how a clear spinal-hygiene system turns that vision into reality. He shares the habits, structure, and mindset that help teams lead with certainty and patients take ownership of their care. This conversation dives into how simple daily systems can improve outcomes, prevent degeneration, and build real retention without adding complexity. You’ll also learn how to empower your team with training that drives compliance, consistency, and conviction so your entire practice grows from purpose, not pressure.In this episode you will:Learn how to install a spinal-hygiene system that improves compliance and outcomes.Discover the four daily movements that protect the spine and increase patient buy-in.See how to connect hygiene education with patient retention and reactivation.Understand how to train your team to speak with certainty and consistency.Explore how a “dental model” for spinal care scales practice growth sustainably. Episode Highlights02:25 – Learn how a “tip-of-the-spear” mindset keeps chiropractors leading with conviction and purpose.03:45 – See why uniting passion with structure helps practices grow without chaos.05:42 – Understand why spinal hygiene fits every chiropractic technique and drives long-term retention.07:49 – Hear how the vision for spinal hygiene parallels dentistry’s success in creating daily habits.08:36 – Discover how modern posture and technology accelerate spinal degeneration—even in teens.10:45 – Clarify the patient’s role in lifelong spinal care versus the chiropractor’s responsibility for checkups.15:13 – Learn what research reveals about how degeneration starts and how to reverse engineer prevention.19:37 – Explore how lifestyle habits influence 40 percent of spinal health outcomes.20:14 – Understand the “two-week rule” showing when immobilized joints begin arthritic change.24:31 – Introduce four core spinal-hygiene exercises every patient can safely perform at home.26:36 – Target C5 and L4-L5—the two areas most prone to degeneration—and how to protect them daily.27:50 – Use the “why” behind spinal hygiene to dramatically increase patient compliance.31:06 – Train tone, empathy, and certainty so your team converts through genuine care, not scripts.33:25 – Model home-care consistency across your team to raise accountability and results.36:36 – Simplify rollout with ready-made hygiene kits and see how the system runs itself.40:05 – Hear about the Certified Spinal Hygienist giveaway and how to enter for your full team.46:48 – Catch the closing reminder on how to email Dr. Tabor to join the draw before it closes.47:12 - Dr. Kale talks with Success Partners Dr. Andrew Wells and Dr. Chad Woolner from Simplified Functional Medicine about how chiropractors can add functional medicine without adding more work or complexity. They share the personal health challenges that led them into the field and why so many chiropractors struggle to deliver it on their own. They outline how their team-driven system keeps chiropractic central, protects a CEO’s time, and creates strong clinical and financial results. It’s a powerful look at what’s possible when you simplify and step into your next level of impact. Resources MentionedLearn more about the TRP Remarkable Business Immersion - March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/To learn more about the REM CEO Program, please visit:http://www.theremarkablepractice.com/rem-ceoFor more information about Simplified Functional Medicine please visit:  https://simplifiedfunctionalmedicine.com/Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app.

Great leaders don’t rise to the level of their goals. They rise to the level of their training. In this episode, Dr. Stephen and Dr. Pete explore why remarkable CEOs build a culture of training that fuels performance, passion, and purpose throughout their business. They show how consistent training shapes leadership, strengthens team unity, and creates an environment where growth becomes the standard. When a leader commits to training, the entire team follows. Every session becomes a chance to sharpen skills, build confidence, and prepare for greater impact in the year ahead.In this episode you will:Learn why consistent training is the most powerful form of leadership.Discover how a culture of practice builds confidence and team unity.Understand why training time must be sacred, not squeezed.See how CEOs multiply results through training and accountability.Get inspired to lead from the front and make 2026 your most equipped year yet. Episode Highlights01:45 – Why remarkable CEOs see training as the highest point of leverage in their business.03:08 – The importance of being “out in the wild” and how live events reignite purpose and passion.04:33 – Why getting out from behind your four walls is essential for personal and professional development.05:47 – How in-person learning and training fuel connection, energy, and excellence.06:36 – The mindset shift: we see patients between trainings, not the other way around.07:27 – How to onboard new hires by setting the expectation that training time is sacred.09:14 – Why CEOs must treat training as sacred territory on their calendar.10:24 – The value of blocking team meetings and training before clinic hours — not after.11:50 – Why protecting training time demonstrates leadership and respect for growth.15:46 – The two levels of training: onboarding and ongoing development.17:30 – How competency and accountability grow together in a training culture.18:43 – Why A-players demand both training and accountability — and how leaders deliver it.21:19 – The real math of leverage: one hour of training can create 120 hours of results.23:10 – How training multiplies time, energy, focus, and profitability.25:07 – Why CEOs lose momentum when they take their eyes off training — and how to reengage.26:38 – How structured curriculum keeps the training fire alive and team development consistent.29:50 – The challenge for the new year: commit to training as your highest and best use of time.30:06 – Dr. Kale is joined by Success Partner, Dr. Kendall Price, founder of Elevate Marketing and a practicing chiropractor who built his own million-dollar practice before helping others achieve similar success. With real-world experience and a focus on high-ROI, locally tailored marketing strategies, Dr. Price’s team goes beyond generating leads to build trust, increase show rates, and deliver measurable results. Recognized on the Inc. 5000 list, Elevate is a true partner in helping practices grow, thrive, and serve their communities. Resources MentionedTo download your copy of the 90 Day Competency Checklist for an Associate Doctor, please visit: https://theremarkablepractice.com/podcast-ep331-assocdcchecklistLearn more about the TRP Remarkable Business Immersion March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, Aus - https://theremarkablepractice.com/upcoming-events/To learn more about the REM CEO Program, please visit:http://www.theremarkablepractice.com/rem-ceoFor more information about Elevate Marketing please visit: https://www.goelevatemarketing.comBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app.

Big growth in 2026 starts with clarity and in knowing where your clinic ends and your business begins. Dr. Pete and Dr. Stephen unpack why separating the “remarkable practice” from the “remarkable business” is the key to building capacity, increasing profitability, and leading your team with purpose. They explain how focusing on throughput and output helps you see what’s really driving results, and why understanding your key numbers (like CPL, CAC, and LTV) gives you confidence and control as you scale. It’s a powerful conversation about thinking bigger, leading better, and planning smarter for the year ahead.In this episode you will:Learn why clarity between practice and business accelerates growth.Understand the difference between throughput and output.Discover why knowing your key numbers gives you control and confidence.See how strong leadership and alignment drive team performance.Get inspired to plan your 2026 with purpose and clarity.Episode Highlights01:42 – Learn why clarity is the greatest accelerator heading into 2026.03:38 – Discover why promoting chiropractic is about mission, not marketing.05:38 – Hear how leadership starts with every person on the team.07:36 – Understand why TRP split immersions into practice and business focus.09:19 – Learn the difference between the clinical practice and the business engine.11:00 – Explore the operational domains that drive growth and capacity.11:28 – See how business domains connect to leadership, money, and impact.11:48 – Learn why throughput and output represent two sides of your success.12:53 – Understand how stepping into the CEO role transforms your team and culture.17:55 – Identify the three identities—clinician, operator, and business builder.19:12 – Discover how everyone on your team contributes to saving lives.20:08 – Learn how marketing, sales, and delivery align under one clear purpose.21:15 – Hear why knowing your key metrics creates focus and control.22:07 – Learn how optimizing Day 1–4 increases trust and conversions.24:34 – Get inspired to lead your team into 2026 with clarity and confidence. Resources MentionedLearn more about the TRP Remarkable Business Immersion March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, Aus - https://theremarkablepractice.com/upcoming-events/To learn more about the REM CEO Program, please visit:http://www.theremarkablepractice.com/rem-ceoBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app.

How do you turn local attention into steady new patients without gambling on the latest ad hack? Dr. Pete sits down with Dr. Nick Silveri, founder of LVRG Media, to break down a comprehensive growth system built on StoryBrand websites, consistent content, advanced SEO, Google Business Profile wins, and paid traffic that targets intent. You’ll hear how a practicing DC scaled his own clinic past seven figures, why brand authority now matters for AI and search, and the simple “hit record, type the words” workflow that keeps your message showing up where people look for care.In this episode you will:Learn the five-pillar marketing system plus website that drives qualified patient acquisition.See why consistent content outperforms one-trick campaigns for local growth.Understand how StoryBrand clarifies your message for pediatrics, sports, or any niche.Discover how Google Business Profile and reviews fuel Map Pack visibility and calls.Get a simple plan to capture demand with SEO, Google Ads, and Meta retargeting. Episode Highlights01:31 – Learn how Dr. Nick Silveri turned his own clinic experience into a marketing system built for chiropractors.02:40 – Discover why most doctors struggle with content consistency—and how strategy fixes it.03:46 – Hear the story behind LVRG Media and the gap it fills for “done-with-you” content marketing.04:38 – Find out what makes a true marketing system: a StoryBrand website plus five powerful pillars.05:13 – Learn how to attract qualified new patients with Google Ads, Meta Ads, SEO, and content that converts.06:15 – See why StoryBrand messaging works across niches—from pediatrics to sports—and how to tailor your story.07:01 – Explore how content, SEO, and Google Business Profile optimization build a trusted local brand.07:36 – Discover the key to dominating local search by showing up paid, organic, and in the Map Pack.09:00 – Understand how a boutique agency approach builds long-term marketing momentum for clinics.10:43 – Learn why sustainable growth comes from consistency, not quick marketing hacks.11:23 – Discover why fresh, ongoing content keeps your website relevant and ranking with Google.12:23 – Hear how to think like your own media channel and keep patients tuned in to your message.15:12 – Learn how AI and search are shifting toward authority, brand visibility, and real expertise.17:40 – See why sharing valuable local content builds trust and drives patient flow year after year.20:19 – Get insight into the 50-minute strategy call: what’s included, how it helps, and how to book it.23:19 - Dr. Kevin sits down with Success Partner Dr. Josiah Fitzsimmons of Lucro to talk about how chiropractors can scale their practices with better financial insights. learn how weekly bookkeeping, clear monthly reports, and expert coaching reveal where to invest and how to spot growth opportunities. Discover the strategies that maximize profitability while creating long-term sustainability in your practice. Resources MentionedTo learn more about the REM CEO Program, please visit:http://www.theremarkablepractice.com/rem-ceoReady to fill your schedule with qualified new patients? Book your free strategy session with Dr. Nick and receive Alex Hormozi’s $100M Money Models as a gift to help you level up your clinic marketing. Fill out the form at https://contentintopatients.com/ and mention you heard this on the TRP Podcast. Book a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app.

How do you know if you’re charging the right fees, tracking the right numbers, or investing enough in marketing to grow your clinic? Join Dr. Stephen and Dr. Josiah Fitzsimmons of Lucro to answer those exact questions and share a clear path to building a profitable, purpose-driven practice. Together they walk through the numbers that matter most—lifetime value, customer acquisition cost, conversion rates, and schedule capacity—and show how to use them as tools for confident decision-making. Dr. Josiah’s journey went from scaling to $15M, weathering a steep drop to $5M, and rebuilding stronger than ever with a $7M practice and a mission-driven model. Taking this experience and new found appreciation of REALLY knowing your numbers: his new book-keeping business, Lucro, is helping other chiropractors simplify their data and find profit margins they can reinvest into people, technology, and marketing. By combining structure with purpose, you’ll discover how to grow without guesswork and create a patient experience that drives both retention and impact.In this episode you will:Learn a quick break-even ROAS rule using your true profit margin. See why most clinics underspend on marketing and how to set CAC targets with confidence. Find the conversion-rate “sweet spot” that signals it’s time to raise prices. Calculate real schedule capacity and close the gap between potential and actual volume. Upgrade the care experience to increase PVA and lifetime value. Episode Highlights02:35 See how structure, KPIs, and accountability create the foundation for a scalable clinic.03:30 Understand the five business domains and how removing one constraint unlocks expansion.04:33 Hear how early discipline and work ethic shaped Josiah’s leadership journey.05:28 Discover how visiting more than 50 clinics before opening led to a seven-figure first year.06:42 Find out what other industries taught Josiah about structure, metrics, and scalability.07:34 Learn how applying the TRP operating system turned frustration into growth and momentum.08:58 Understand why knowing your numbers matters less than knowing what to do with them.09:51 See the difference between operational metrics and financial metrics and why both are essential.12:12 Explore the four Ps of a successful clinic—purpose, product, people, and profit.14:27 Learn how profit creates freedom to invest in marketing, people, and technology.16:38 Understand why undercharging limits impact and weakens your ability to serve.19:17 Discover how to calculate and use the LTV-to-CAC ratio for smarter marketing decisions.22:50 Learn a simple formula that shows your break-even return on ad spend.25:21 See how using data instead of emotion builds clarity and calm in decision-making.27:16 Understand how your conversion rate reveals when it’s time to raise prices.30:04 Learn how to measure schedule utilization and close the gap between potential and reality.32:45 See why most clinics run at only a fraction of capacity and how to change that.34:18 Discover how retention, education, and value delivery increase lifetime patient relationships.35:33 Learn how to design a “Disney Experience” that makes care memorable and personal. Resources MentionedTo learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceoBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.

Feeling stuck at “good” when you’re called to build “remarkable”? This candid conversation with Dr. Stephen  and Dr. Brian Capra shows what it really takes to break a working business and rebuild for scale, profit, and impact. At the heart of the story is a major turning point: the evolution of Genesis into ClinicMind, a change driven by the need for greater growth, adaptability, and leadership. You’ll hear why efficiency, pricing, patient retention, and the associate model matter more than ever, how to use AI as a force-multiplier, and why leaders must cut until things break, then rebuild stronger. The goal is simple: run a clinic that grows, pays you well, and serves far more people on purpose.In this episode you will:Learn how to spot complacency and reset your growth plan.See why right-sizing prices beats “charging less to be nice.”Understand re-exams as the engine of retention and referrals.Discover a simple path to scale using an associate doctor program.Get a practical frame for cutting complexity and rebuilding for speed. Episode Highlights01:34 – Discover how Dr. Brian Capra turned a thriving business into a new mission for growth and impact. 02:55 – Learn how a chiropractor’s billing service became Genesis, and why it was never just about software. 03:53 – Understand the global gap in chiropractic access and why it drives everything Brian builds. 05:10 – Hear the turning point that transformed Genesis into ClinicMind and why that change mattered. 05:42 – Find out how complacency shows up even in successful businesses—and what to do when it does. 07:28 – Explore how AI and new tech create capacity, efficiency, and new levels of scalability. 08:27 – See why chiropractors need to stop apologizing for profit and embrace value-based pricing. 09:19 – Learn how right-sizing pricing creates sustainable growth without losing your mission. 10:21 – Discover why breaking what’s working is often the only way to rebuild something remarkable. 11:13 – Learn the critical role of re-exams in patient retention, referrals, and long-term relationships. 12:30 – Hear how reminding patients of their wins deepens trust and drives lasting impact. 13:52 – Understand how every patient interaction creates a ripple effect far beyond the practice walls. 14:15 – Learn why measuring progress and facing the numbers builds better leadership and results. 18:29 – Explore what it feels like to rebuild a business while it’s still flying—and why that’s necessary for real growth. 21:17 – See why letting go of people, systems, and comfort zones is part of evolution, not failure.22:56 – Learn how to build a culture where change, innovation, and growth are celebrated. 24:02 – Discover why every new iteration of your business should look and feel different from the last. 24:32 – Hear how discomfort signals you’re on the right track toward transformation. 25:14 – Take away the ultimate lesson: the bigger the change, the more wisdom and faith you gain for the next one.27:04 - Dr. Kevin Day sits down with Success Partner Margaret Rosloniec of Fortis to share how simplified payment systems let chiropractic teams focus on care instead of collections. Discover how automating revenue and storing cards on file can ease front desk stress, boost retention, and free up staff time. Margaret also reveals how clinics grew patient visits after removing payment bottlenecks and previews new tools like web payment links and mobile tap-to-pay to future-proof your practice. Resources MentionedJoin the TRP Remarkable Attraction Immersion - Oct 24 & 25 in Adelaide, AUS - https://theremarkablepractice.com/upcoming-events/For more information about Fortis please visit: https://go.fortispay.com/trpsuccesspartnerBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcastor follow on your favorite podcast app.