What if the biggest growth opportunity in a chiropractic business isn’t more marketing, more hours, or more staff, but simply maximizing what already exists? In this episode, Dr. Josiah Fitzsimmons, joins Dr. Pete to unpack the financial blind spots holding chiropractors back from greater profitability and impact. As the co-founder of Lucro, Dr. Josiah shares insights gathered from years of analyzing financial and operational data across hundreds of chiropractic clinics. Together, they explore the operational patterns, team utilization gaps, and decision-making frameworks that separate stagnant practices from scalable businesses. The conversation reveals how CEOs can use data to increase confidence, unlock untapped revenue potential, and build healthier, more profitable practices without immediately increasing overhead.
In this episode you will:
- Understand why most chiropractic practices are dramatically underutilizing their existing capacity
- Discover the hidden revenue opportunity already sitting inside the average clinic
- Learn how data-driven decision-making creates stronger operational confidence
- Clarify the difference between fixed costs, variable costs, and scalable profitability
- See why growing a business requires different leadership at every stage of scale
Episode Highlights
01:50 – Explore how combining business performance and clinical excellence creates a more complete framework for sustainable growth.
05:24 – Recognize why many practice owners struggle to scale when decisions are driven by opinions rather than operational clarity.
09:44 – Discover why maximizing existing resources often creates greater profitability than immediately expanding capacity.
11:32 – Examine the surprising revenue patterns that separate top-performing practices from the average clinic.
12:53 – Clarify the three-step scaling framework built around capacity awareness, optimization, and strategic expansion.
15:21 – Understand why team performance is often a reflection of systems, training, and operational structure rather than talent alone.
18:12 – Uncover how underutilized teams can quietly limit revenue growth despite significant investment in personnel.
24:15 – Identify how doctors performing non-essential responsibilities can become the primary constraint to business growth.
27:16 – Explore why long waitlists may signal operational bottlenecks rather than evidence of business success.
29:56 – Examine the profitability sweet spot where efficiency, capacity, and overhead reach their strongest alignment.
32:01 – Discover why the strategies that create early growth often become the very obstacles to reaching the next level.
34:55 – Learn how better data creates greater confidence when navigating complex business decisions and growth opportunities.
39:19 – Dr. Chris sits down with Dr. Steve Tullius of Success Partner Waitlist Workshops to explore how practices can attract the right patients through education-first marketing. They discuss how workshops build trust, create demand, and position doctors as the preferred solution. When communication creates certainty, growth becomes more intentional, predictable, and sustainable.
Resources Mentioned
Learn more about Lucro and schedule a strategy call, visit: https://morelucro.com/
Get Your Copy of the 2026 Lucro Industry Report here: https://report.morelucro.com/
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Waitlist Workshops please visit: https://waitlistworkshops.com
Book a Strategy Session with Dr. Pete – https://go.oncehub.com/PodcastPC
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