The Remarkable CEO for Chiropractors

Dr. Peter Camiolo and Dr. Stephen Franson
  • 4.9 (80)
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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!

  1. 348 - The Chiropractic Business Model is Broken (Do This Instead)

    3D AGO

    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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 343 - How Your Conversion Process Drives Impact and Your Sales Process Drives Profit

    FEB 3

    343 - How Your Conversion Process Drives Impact and Your Sales Process Drives Profit

    Growth does not break down because chiropractors lack passion. It breaks down because conversion systems and metrics are either unclear, slow, or unmanaged. Dr. Pete and Dr. Stephen break down the exact conversion and sales metrics that separate busy offices from scalable, profitable businesses, and why mastering them is no longer optional in 2026. They unpack how speed, clarity, and conviction drive patient commitment, how operational KPIs translate into real revenue, and why recurring metrics reveal the true health of your business. This conversation reframes conversion as belief transformation, sales as service, and growth as a measurable, repeatable outcome. In This Episode You Will: Break down which conversion numbers actually matter and which ones are noiseWalk through the five KPIs that determine whether patients commit or disappearUnderstand why speed, timing, and follow-up now decide conversion outcomesSee how recurring revenue reveals the true health of your businessIdentify the knowledge gaps that quietly cap your growthEpisode Highlights 01:15 – Why this episode marks the shift from marketing conversations into conversion and sales as the next growth constraint 08:09 – How ROI should be evaluated through lifetime value, not short-term expense 09:33 – The financial reality of stagnation and why not growing creates compounding problems 10:26 – Redefining success benchmarks and why three million has become the new one million 14:37 – The core truth that frames the episode: you can only help the people you convert 15:02 – Reframing sales as care, conviction, and responsibility rather than persuasion 18:05 – Breaking down attraction, conversion, and retention as a sequential operational system 25:28 – Introducing the Rule of 72 and how speed now determines conversion outcomes 30:14 – What actually drives Day One to Day Two follow-through and patient commitment 36:15 – Translating conversion into business health through recurring and reactivated revenue   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/ Golden Ticket Giveaway to the Upcoming Immersion - DM the words ‘Podcast Business Immersion’ on The TRP Instagram page - https://www.instagram.com/theremarkablepractice/ 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.

    41 min
  7. 342 - Marketing Your Practice Grows Impact; Running Your Business Grows Revenue

    JAN 27

    342 - Marketing Your Practice Grows Impact; Running Your Business Grows Revenue

    The PRACTICE is the Clinical Entity that exists to deliver better health outcomes for the PATIENT. The BUSINESS is the Economic Engine that exists to drive Profit for the Owners and the Team.   Dr. Stephen and Dr. Pete kick off a powerful five-part series that reframes growth through a clear distinction most owners struggle with: the difference between a remarkable practice and a remarkable business. And this struggle is costing them in terms of impact, income - and sleep! Using MARKETING data, KPIs, and real-world examples, they unpack how your practice ATTRACTION operations drive patient impact while your business’s MARKETING metrics determine sustainability, profitability, and freedom.  This MARKETING conversation sets the foundation for 2026 by showing how aligning teams not just with purpose, but with financial clarity, becomes the true growth accelerator. When the practice and business work together, momentum follows. In This Episode You Will: Understand the difference between a remarkable practice and a remarkable businessLearn why practice success does not automatically create business healthSee how KPIs clarify accountability on both sides of the coinDiscover why teams must understand profit, not just purposeClarify how practice metrics and business metrics drive different outcomesEpisode Highlights 00:57 – Learn why this episode serves as the foundation for a five-part series separating the responsibilities of the practice from the realities of the business. 01:43 – Discover how assigning clear KPIs becomes the fastest path to clarity, accountability, and meaningful traction. 04:32 – Recognize why elevating business understanding across the entire team is essential for the future of chiropractic. 06:37 – Reflect on how leadership is tested when personal loss intersects with professional responsibility and organizational culture. 09:28 – Understand why emotional resilience and relationships are as critical to sustainability as systems and strategy. 14:31 – See the defining distinction between the practice as a clinical entity and the business as an economic engine. 16:44 – Clarify how financial alignment transforms team motivation by connecting effort to shared outcomes. 18:15 – Discover why owning both sides of the practice and the business reshapes leadership and team engagement. 23:57 – Learn how operational systems drive patient outcomes while business systems determine financial performance. 35:20 – Recognize how mastering a small set of business metrics replaces marketing anxiety with confidence and peace of mind.   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/ Golden Ticket Giveaway to the Upcoming Immersion - DM the words ‘Podcast Business Immersion’ on The TRP Instagram page - https://www.instagram.com/theremarkablepractice/ 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.

    42 min
  8. 341 - How Chiropractors Build Businesses That Actually Sell for Real Money with Dr. Stuart Bernsen

    JAN 20

    341 - How Chiropractors Build Businesses That Actually Sell for Real Money with Dr. Stuart Bernsen

    What does the founder of a chiropractic enterprise at the center of a nine-figure exit know about buying and selling practices?  A lot.  The difference between a profitable exit and walking away with nothing is not timing - it’s planning. When you plan your exit early, every decision in your practice starts to work differently.  Building a practice to sell - with “the end in mind” - is a cultural thing that shapes and improves everything.   Production, delivery, systems, team, collections and profit all go up; but so does impact, fulfillment and fun.  Dr. Stephen sits down with Dr. Stuart Bernsen to break down what real exit planning looks like for chiropractic practices today. They unpack the difference between owning a job and building a business, why most practices never sell, and how private equity and rollups are already reshaping chiropractic. You’ll hear how Dr. Stuart scaled Chiro One from a single practice to a multi-state platform, what investors actually look for, and why exit readiness creates freedom long before you ever sell. This conversation reframes exit planning as a growth strategy, not a finish line.  Interested in learning more about corporate roll-ups?  Would you like to make a bigger income today - and a sexier exit tomorrow?  Want to know how to engineer your own Remarkable Exit?  This episode is for you. In this episode you will • Understand why most chiropractic practices never sell and what creates real value • Learn the difference between a Main Street exit and a Wall Street exit • See how exit readiness improves profit, freedom, and options today • Discover what investors look for when buying chiropractic businesses • Learn how to shift from owner-operator to true business owner   Episode Highlights 00:54 – Why exit planning needs to start while you are still actively growing your practice 02:30 – How moving from clinician to CEO is an unavoidable shift as a practice scales 05:12 – Why many chiropractors reach a point where their practice becomes too large to sell 06:36 – How building standardized systems creates leverage beyond the owner 09:17 – Why business breakpoints are a normal part of growth, not a sign of failure 10:55 – How speed of response matters more than avoiding mistakes during breakdowns 12:48 – Why most chiropractors do not realize they already function as shareholders 15:37 – How understanding the three ways owners get paid changes business decisions 19:07 – Why waiting until you feel ready to exit often destroys long-term value 21:21 – How key person risk becomes the biggest concern for buyers 23:59 – Why preparing a practice for sale mirrors preparing a house for market 27:45 – How exit readiness creates flexibility even if you never plan to sell 30:12 – Why optionality becomes the real reward of building a true business 33:39 – What private equity actually looks for in healthcare businesses 37:37 – Why standardization across providers directly increases valuation 40:41 – How consolidation has reshaped other healthcare professions 47:23 – Why chiropractic is still early in the exit and rollup cycle   Resources Mentioned 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.

    52 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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