The Remarkable CEO for Chiropractors

Dr. Peter Camiolo and Dr. Stephen Franson
  • 4.9 (80)
  • CAREERS
  • UPDATED WEEKLY

Join remarkable CEO coaches and transformation experts Dr Stephen and Dr Pete on the audacious journey that is guaranteed to challenge, inspire and empower you to create a remarkable business as part of a remarkable life, not instead of one! Dr. Stephen and Dr. Pete have already trained thousands of chiropractors and leaders on how to create scaleable, durable and transferrable businesses. Each week you'll learn lessons from their growing experience and insights, generating acceleration for your personal and business transformation. The results will elevate you from having a job to owning a business that is remarkable, and help you become the CEO!

  1. 351 - Remarkable CEOs Are Not Afraid to Break Things to Build Their Business

    4D AGO

    351 - Remarkable CEOs Are Not Afraid to Break Things to Build Their Business

    Growth does not stall because the vision is wrong. It stalls because the systems built for one level of business are being forced to carry the weight of the next.   This conversation unpacks the operational breakpoints that every growing practice faces, showing how pressure moves predictably through marketing, sales, delivery, team, and finances as revenue rises. Dr. Pete and Dr. Stephen introduce a practical framework for recognizing where systems are about to fail, why breakdown is a normal feature of growth, and how CEOs can anticipate stress before it turns into chaos. The payoff is a more mature way to lead a scaling practice: with foresight, better decisions, and the confidence to grow through pressure instead of reacting to it. In This Episode You Will: Discover the Operational Breakpoints That Stall Practice Growth and Cost You Money Understand why operational breakdown is a predictable part of business growth   Learn how stress moves through marketing, conversion, delivery, team, and finances   See why every $500,000 revenue jump demands a new level of operationalization   Discover how CEOs can anticipate breakpoints instead of being blindsided by them   Clarify what it means to lead through growth with conviction rather than frustration Episode Highlights 02:07 - Recognize the sobering premise that many practice owners inherited a broken business model, creating the need for a different path to growth. 03:00 - Clarify that business correction happens in layers, and that each new level of growth exposes a deeper operational issue beneath the surface. 06:12 - Understand the reframing that constant frustration is not evidence of failure, but evidence of being in business and actively growing. 07:46 - Discover why the CEO’s responsibility is not just to cast vision for opportunity, but to anticipate the real challenges coming next. 12:00 - Examine the idea that systems tend to break at roughly every half-million dollars in annual revenue, forcing a new iteration of operations. 13:21 - Uncover how improving marketing can quietly expose weakness in the conversion process, revealing that growth often breaks the next link in the chain. 14:10 - Differentiate the moment when stronger conversion no longer feels like progress because delivery and retention start to deteriorate under the load. 15:10 - Explore how pressure moves linearly through the business like a shockwave, eventually reaching team capacity and financial strain. 21:34 - Identify the shift from spinning plates to coordinated gears, where data and preparation replace drama as the business scales. 26:37 - Reveal the deeper CEO mindset that growth is not about avoiding breakpoints, but about expecting them and leading through them on purpose. 27:38 - Dr. Chris Grier sites down with Dr. Ray Foxworth to highlight how Success Partner, ChiroHealthUSA helps practices operate with greater compliance and financial clarity. Built on a proven DMPO model, it enables smarter fee setting, reduces risk, improves profitability, and keeps care accessible, empowering doctors to grow confidently while serving more families. If there’s uncertainty around fees, discounts, or compliance, this conversation brings the clarity needed to move forward with confidence.   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about ChiroHealthUSA please visit: https://www.chirohealthusa.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.

    46 min
  2. 350 - How To Build Recurring Revenue in Your Practice with Better Retention Systems

    MAR 24

    350 - How To Build Recurring Revenue in Your Practice with Better Retention Systems

    In a profession filled with passion for care but confusion around business, the real breakthrough comes from mastering the systems that drive retention and revenue.  Dr. Pete is joined by Dr. Miles Bodzin and Holly Jensen of Cash Practice to confront a hard truth facing many practices: strong clinical skills alone cannot overcome a broken business model. Together, they unpack how flawed financial structures and inconsistent systems quietly erode patient trust, retention, and long-term growth. By reframing care plans, separating financial agreements, and implementing predictable, system-driven payment models, they reveal a clear path to transforming unstable revenue into scalable, recurring income. The result is a practice that delivers better outcomes, creates financial certainty, and gives doctors the freedom to lead with confidence instead of constant pressure. In This Episode You Will: Understand why retention is the primary driver of both clinical outcomes and financial success Learn how recurring revenue models create stability and scalability in your practice Discover the critical difference between care plans and financial plans See how poor money systems silently destroy trust and patient relationships Clarify how systems create predictable growth across every stage of your career Episode Highlights 0:05:11 - Recognize that clinical excellence alone cannot drive outcomes if the business infrastructure fails to support patient follow-through.  00:10:31 - Clarify why systems, not effort or personality, determine whether patients stay, complete care, and transition into long-term wellness.  00:11:33 - Reveal how a recurring revenue model transforms financial stability and creates freedom to lead, grow, and plan the future with certainty.  00:16:14 - Identify how mishandling financial conversations becomes the fastest way to erode trust and destabilize the doctor-patient relationship.  00:18:34 - Explore how payment structure directly influences patient behavior, retention, and long-term engagement in care.  00:20:40 - Examine how prepayment models can unintentionally sabotage retention by disrupting consistent behavioral patterns.  00:29:49 - Uncover how long-term growth and profitability are primarily driven by retained wellness patients, not new patient acquisition.  00:31:18 - Differentiate between education and behavior, revealing that understanding alone does not drive patient adherence or retention.  00:34:07 - Recognize that scalable systems create predictable outcomes, transforming inconsistent effort into sustained business performance. 42:26 - Dr. Eric DiMartino is joined by Mark Murdock of Aspen LiveWell to explore how light therapy expands chiropractic impact and revenue. They discuss class IV laser, full-body photobiomodulation, and scalable business models that generate recurring income without requiring doctor time. Light therapy accelerates healing, attracts new patients, and creates a profitable business within a practice.   Resources Mentioned To learn more about the REM CEO Program, please visit:  http://www.theremarkablepractice.com/rem-ceo For more information about Aspen Live Well please visit: https://aspenlivewell.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.

    59 min
  3. 349 - THIS is the First Step to Creating the Chiropractic Practice That You Have Always Wanted

    MAR 17

    349 - THIS is the First Step to Creating the Chiropractic Practice That You Have Always Wanted

    What if the biggest constraint on growth is not systems, strategy, or marketing, but identity? Dr. Pete and Dr. Stephen unpack the shift required to move from owner operator to true CEO and confront the uncomfortable truth that building a world class business requires building a world class team. Drawing from years of experience leading high-volume practices and coaching hundreds of chiropractors, they explore the ascension from being the machine to building the machine. This conversation challenges outdated mindsets, reframes team building as a core CEO responsibility, and calls leaders to embrace the discipline, clarity, and standards required to create A-Player environments. When identity shifts, teams transform and breakthrough becomes possible. In This Episode You Will: Understand the identity shift required to become a true CEO Learn why team building is not optional but foundational Discover how clarity of vision accelerates team performance Clarify the difference between operating a practice and building a business See why A players are the gateway to sustainable growth Episode Highlights 02:34 - Identity is positioned as the starting point for growth long before strategy or systems are addressed. 03:22 - A familiar metaphor reframes leadership development as transformation rather than improvement. 04:22 - An uncomfortable leadership truth challenges the way hiring and team turnover are viewed. 06:02 - A subtle but profound shift in responsibility separates operators from true CEOs. 09:29 - A baseball analogy reveals why the most important moment in team success happens before the season begins. 10:15 - A clear fork in the road is presented between excellence and long-term frustration. 12:53 - Three distinct professional identities are exposed, each requiring different mastery. 16:29 - Breakthrough is reframed as something that requires internal change before external expansion. 20:58 - Extreme ownership surfaces as the non-negotiable foundation for culture and performance. 24:57 - Dr. Sebastian Bonnin sits down with Success Partner Justin Maxwell of Big Life Financial to explore how chiropractors can turn growing practice income into real wealth. They discuss why many doctors increase revenue yet remain financially stuck as spending rises alongside income. Justin shares how Big Life Financial helps implement financial operating systems that allow doctors to build wealth outside the practice while it grows, along with proactive tax strategies that help them legally keep more of what they earn.   Resources Mentioned Learn more about the TRP Remarkable Business Immersion on 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-ceo For more information about Big Life Financial please visit: https://biglifefinancial.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.

    34 min
  4. 348 - The Chiropractic Business Model is Broken (Do This Instead)

    MAR 10

    348 - The Chiropractic Business Model is Broken (Do This Instead)

    Designing A Practice That Actually Makes Money:  What if the reason your profit feels tight has nothing to do with your effort and everything to do with your model?  Dr. Stephen and Dr. Pete challenge the inherited chiropractic business structure and expose why it works for the owner operator but collapses under scale. They unpack the critical difference between your practice model and your financial model and explain why adding associates or growing volume without understanding gross profit only magnifies the problem. This conversation walks you through the core financial mechanics that drive sustainable profitability and shows you how to reverse engineer your numbers, so you lead as an intentional CEO. When you understand the math behind your business, you stop reacting to leftovers and start designing predictable profit. In This Episode You Will: Understand why many inherited business structures fail under growth Learn the difference between your practice model and financial model Discover how gross profit and cost structure determine sustainability Clarify what scaling actually requires financially See how to reverse engineer revenue to create intentional profitability Episode Highlights 02:39 - A deeper motivation behind impact and scale is revealed, reframing business growth as a responsibility rather than a personal ambition. 06:25 - A bold claim challenges the inherited chiropractic business model and surfaces the hidden flaw that appears when complexity increases. 07:16 - The owner operator structure is examined, exposing why it feels stable at first but begins to fracture when additional providers are added. 12:46 - The illusion that effort and hustle can compensate for structural financial problems is dismantled with direct clarity. 13:45 - Scaling is redefined as preserving or increasing profitability, separating true growth from simply doing more. 16:23 - The concept of reverse engineering profit introduces a proactive approach to financial leadership instead of reacting to year end leftovers. 22:41 - Breakthrough is framed as impossible inside a broken model, emphasizing the necessity of repair before expansion. 27:50 - Accounting is positioned as the language of business, elevating financial literacy from optional to essential. 30:54 - Clear gross profit margin benchmarks are established, providing a measurable standard for financial health and scalability. 33:30  - Dr. Chris is joined by Success Partner, Dr. David Fletcher of CLA to explore how neurocentric scanning technology transforms chiropractic communication and practice growth. They discuss using objective nervous system data to improve retention, scale with team leverage, increase PVA, and strengthen certainty in care planning. CLA’s technology enhances attraction, conversion, collections, and long-term scalability.   Resources Mentioned Learn more about the TRP Remarkable Business Immersion on 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-ceo For more information about CLA please visit: https://insightcla.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.

    52 min
  5. 347 - Why Your Financial Model Is Killing Your Retention

    MAR 3

    347 - Why Your Financial Model Is Killing Your Retention

    How to Align Your Financial Model with Your Practice Philosophy:  Building Recurring Revenue Through Cultural Alignment  If you want to understand the true culture of a practice, follow the money.  Show me how the money works in a business and I will show you the culture of that business.  Dr. Stephen and Dr. Pete unpack a powerful truth: your financial model is a direct reflection of your philosophy, and any misalignment creates friction that limits growth, retention, and impact. They break down the three primary barriers to long-term patient success—time, convenience, and money—and reveal how mapping, efficiency, and recurring revenue models eliminate friction while reinforcing a wellness-based vision. When your payment structure aligns with your clinical recommendations and your belief about lifetime care, you create a culture where patients stay, teams are energized, and predictable revenue fuels sustainable growth. In This Episode You Will: Rethink how your financial structure quietly shapes the culture and retention inside your practice Break down the three hidden friction points that prevent patients from committing long term Explore how mapping, block scheduling, and operational efficiency protect lifetime care Examine the strategic difference between reoccurring revenue and true recurring revenue Walk away with a clearer blueprint for building a membership model that aligns with your philosophy   Episode Highlights 01:07 – A deeper look at why the way money moves through a practice quietly reveals what the business truly stands for. 03:25 – The moment retention shifts from a metric to a responsibility rooted in long-term patient outcomes. 05:31 – Where patient consistency really begins to break down and the subtle friction most practices overlook. 06:47 – The leadership habit that keeps vision alive inside the team instead of slowly fading into the background. 10:35 – What full congruency actually looks like when philosophy shows up in every corner of the practice. 11:35 – Why pre-mapping patient visits changes the entire retention conversation before problems start. 13:08 – The mindset shift that reframes what patients are truly paying for in modern chiropractic care. 14:17 – The quiet power of separating clinical commitment from financial commitment. 18:51 – What starts to break down operationally when friction builds inside long-term patient experiences. 20:56 – How the membership model begins to relieve pressure while creating more predictable growth. 24:44 - Dr. Rachel Hovey is joined by Dr. Naota Hashimoto to explore how Success Partner, TrackStat helps chiropractic practices operate smarter. From AI-driven workflows and no-show automation to real-time stat tracking and recall prioritization, the platform streamlines operations, strengthens accountability, improves retention, and empowers teams to make confident, data-driven decisions that fuel sustainable growth.   Resources Mentioned 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-ceo For more information about TrackStat please visit: https://www.trackstat.org/ 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.

    37 min
  6. 346 - Do Chiropractors Want to Help More People or Make More Money?

    FEB 24

    346 - Do Chiropractors Want to Help More People or Make More Money?

    For 135 years Chiropractors have been lied to…They’ve been told that you are either in it for the patients - or in it for the money.   Nothing could be further from the truth.  Where you land on this issue can be the #1 determiner of your practice and business success - and the joy that you experience from both. Most chiropractors say they want to grow, but very few are truly fluent in the language of money. In this final installment of the five-part series on the two sides of the chiropractic coin, Dr. Stephen and Dr. Pete unpack the financial side of a Remarkable Business and why understanding revenue, margin, and profit is not optional for sustainable impact. They clarify the distinction between a healthy practice and a healthy business, introduce the five essential financial KPIs every CEO must master, and challenge the belief that working harder solves financial problems. When you understand how money works, you stop guessing, start leading, and build a business that funds your mission rather than drains it.  In This Episode You Will: Understand the difference between collections and revenue in business terms Learn the five essential financial KPIs every chiropractic CEO must track See how gross profit margin determines whether your business is truly scalable Discover why associate doctor models often break financially Clarify how stewardship, pricing, and overhead directly impact your net profit Episode Highlights 01:53 - Discover the critical distinction between the practice side and the business side of the chiropractic coin and why mastering both is essential for long-term success. 02:30 - Understand that greater impact and greater income are naturally connected when your business is structured properly. 04:40 - Recognize that a remarkable practice does not automatically equal a remarkable business and why both must be intentionally built. 11:40 - Reflect on the limiting belief that making money is enough, when true stewardship requires understanding how money actually works. 12:21 - See how avoiding accounting creates blind spots that prevent optimization and leave profit on the table. 16:09 - Learn why tracking collections consistently is foundational to operational and financial control. 16:39 - Clarify how Collection Visit Average reveals whether you are truly profitable per adjustment. 17:53 - Discover why Monthly Recurring Revenue creates stability, predictability, and long-term sustainability. 22:11 - Understand that gross profit margin determines whether scaling your practice is wise or financially dangerous. 26:28 - Recognize that net profit margin and absolute net profit are the ultimate indicators of financial health and CEO-level leadership. 27:34 - Dr. Kevin Day is joined by Success Partner, Dr. Jeff Langmaid of The Smart Chiropractor to discuss using consistent email communication to improve patient retention, reactivations, and overall profitability. They discuss key metrics like net momentum and lifetime value, emphasizing that keeping and reactivating patients is far more cost-effective than constantly acquiring new ones, leading to stronger, more sustainable practice growth.   Resources Mentioned To download your copy of the Practice and Business Metrics, please visit:  https://theremarkablepractice.com/podcast-ep346-metrics 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-ceo For more information about The Smart Chiropractor please visit: https://thesmartchiropractor.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.

    40 min
  7. 345 - The Team Metrics That Predict Practice Growth

    FEB 17

    345 - The Team Metrics That Predict Practice Growth

    Most teams are capable of far more than they are currently giving, but the gap is rarely about effort or attitude. Dr. Stephen and Dr. Pete break down why discretionary energy is the true driver of performance and how leaders unintentionally suppress it by failing to connect people to the business model. When team members understand how their daily work influences revenue, profit, and opportunity, alignment replaces compliance and energy rises naturally. By shifting focus from motivation to measurement, leaders gain a clear framework for evaluating managers, strengthening team capacity, and creating sustainable growth without burnout. In This Episode You Will: Identify where discretionary energy is being lost inside the teamRecognize which people metrics reveal leadership effectivenessSee how manager performance shows up through team resultsEvaluate when team capacity is approaching a breaking pointApply clearer financial alignment to increase focus and engagement  Episode Highlights 01:33 - Discretionary energy is introduced as the hidden gear inside every team member that leadership either activates through alignment or suppresses through misalignment. 02:19 - Financial alignment is framed as the missing link between daily responsibilities, revenue, profit, and why team members should care about business performance. 03:17 - The four requirements of a world-class team are clarified as right people, right seats, right work, done the right way. 04:46 - Employee stickmo begins, revealing how long A players actually stay and how turnover often exposes management or cultural breakdowns. 06:38 - Employee net promoter score is introduced as a leadership diagnostic measuring whether team members would enthusiastically refer others to work in the organization. 09:39 - Internal patient referrals from staff are positioned as a real-time indicator of engagement, belief, and cultural buy-in. 12:22 - Direct report goals completed is identified as the most powerful KPI for evaluating manager effectiveness and team performance. 13:26 - The 80 percent goal completion standard is defined as the benchmark for healthy management and accountability. 14:43 - Labor cost begins as a COO-owned metric directly tied to profitability, cost of services delivered, and operational stewardship. 17:03 - Revenue per employee is introduced as the key indicator for identifying $250,000 growth breakpoints before capacity strain causes the business to stall or break.   Resources Mentioned 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-ceo 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.

    23 min
  8. 344 - The 10 Metrics That Actually Drive Retention and Revenue

    FEB 10

    344 - The 10 Metrics That Actually Drive Retention and Revenue

    Most practices track numbers, but very few track the metrics that actually drive growth. Dr. Pete and Dr. Stephen break down the ten measurements that determine whether a practice is building momentum or quietly leaking it. This conversation reframes metrics away from surface-level activity and into leadership tools that reveal retention, stability, and profitability. By clearly separating practice metrics from business metrics, the framework shows how operational performance and financial outcomes are directly connected. The result is clarity and control. When the right metrics are measured consistently, decisions become simpler, leadership becomes stronger, and growth becomes predictable. In This Episode You Will: Understand the10 core metrics that determine retention and long-term growthLearn how practice-side metrics and business-side metrics work togetherSee why retention begins at conversion and compounds through complianceDiscover which numbers reveal truth versus vanityClarify how better measurement leads to better leadership decisionsEpisode Highlights 06:34 - Dr. Pete frames the series around the two sides of the coin and why commitment is the center that makes both work 08:30 - Dr. Stephen clarifies the three identities required to grow: doctor, operator, and business owner 14:26 - The conversation defines KPIs as the measurement system that organizes focus and exposes what to fix Practice Metrics 19:14 - Stick rate defines how long people stay under care and where retention breaks down by visits, months, or milestones 22:32 - Kept visit average (KVA) is introduced as the daily retention signal showing how consistently people show up as scheduled 25:24 - Compliance percentage is established as the core retention driver indicating whether patients follow care recommendations 26:37 - Inactives and churn rate expose how many people are silently leaving and why defining “active” matters 31:30 - Total active patients reframes growth away from visits per week and toward the size of the active care base Business Metrics 33:29 - Collection visit average (CVA) measures what the practice collects per visit and can be segmented by stage of care 35:06 - Lifetime value (LTV) connects retention to economics by combining patient visit average with collection visit average 39:49 - Total revenue is tied back to retention through volume of visits driven by people staying in care 40:29 - Monthly recurring revenue (MRR) and annual recurring revenue (ARR) are positioned as the stability engine of the model 41:51 - Retained revenue measures the durability of the recurring model by showing how much revenue stays after churn   Resources Mentioned 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-ceo 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.

    44 min
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Join remarkable CEO coaches and transformation experts Dr Stephen and Dr Pete on the audacious journey that is guaranteed to challenge, inspire and empower you to create a remarkable business as part of a remarkable life, not instead of one! Dr. Stephen and Dr. Pete have already trained thousands of chiropractors and leaders on how to create scaleable, durable and transferrable businesses. Each week you'll learn lessons from their growing experience and insights, generating acceleration for your personal and business transformation. The results will elevate you from having a job to owning a business that is remarkable, and help you become the CEO!

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