Practice profitability improves when CEOs can clearly see what is driving growth, what is limiting it, and where untapped capacity already exists.
Dr. Stephen and Dr. Pete sit down with Dr. Josiah Fitzsimmons from Lucro to unpack findings from the 2025 Lucro Industry Report, including revenue, profitability, loss rates, and the performance of Remarkable Practice clients compared with other Lucro practices. But the numbers lead to a bigger lesson: financial data should tell a CEO what to do next. From identifying changing bottlenecks to measuring schedule capacity, they reveal how greater visibility creates better decisions and why maximizing what the practice already has may be one of the most powerful paths to sustainable growth.
In this episode you will discover:
- The surprising performance gap revealed when TRP practices are compared with an already high-performing group of practices using Lucro.
- What revenue numbers alone can hide, and the financial metric that gives a much clearer picture of business success.
- A changing loss-rate trend reveals something important about the behaviors producing stronger business outcomes.
- The three sources of data that can help pinpoint the bottleneck deserving the CEO’s attention right now.
- One capacity calculation exposes just how much growth may already be available without adding people, hours, space, or another service.
Episode Highlights
01:26 – The Lucro Industry Report offers a new way to benchmark revenue, marketing, team expenses, and other financial metrics across the profession.
03:35 – Practice data becomes more useful when the numbers stop being a judgment and start showing the CEO where to invest next.
06:26 – A comparison of hundreds of practices begins revealing a significant performance difference among Remarkable Practice clients.
09:00 – The million-dollar benchmark uncovers just how differently TRP practices are performing within an already successful group.
10:38 – Looking beyond top-line revenue reveals what is happening to profitability as these practices grow.
12:38 – The percentage of practices losing money adds another layer to the story and exposes a trend worth paying attention to.
14:46 – Investing in coaching becomes a longer-term growth conversation as the value of transformation compounds over time.
16:21 – Finding the next bottleneck requires three specific sources of business data and the ability to continually reprioritize what comes next.
20:04 – A Special Forces analogy makes the consequences of running a business without clear financial visibility difficult to ignore.
22:14 – The conversation shifts from revenue to expenses and introduces a different way to evaluate the growth potential already inside the practice.
24:00 – Understanding schedule capacity reveals what may be possible before hiring another person, working another hour, or expanding the space.
25:34 – The final growth distinction challenges CEOs to optimize the business they already have before chasing another revenue stream.
27:36 – Financial systems can play a major role in both patient retention and long-term practice growth. Dr. Stephen speaks with Dr. Miles Bosman from Success Partner Cash Practice about creating compliant financial plans, simplifying recurring payments, and building systems that help patients stay committed to care while giving chiropractors greater financial stability and scalability.
Resources Mentioned
Learn more about the TRP Remarkable Practice Immersion Nov 13 – 14, 2026 in Adelaide, AUS – https://theremarkablepractice.com/upcoming-events/
Learn more about Lucro at https://morelucro.com/
Get your copy of the Lucro Report at https://report.morelucro.com/
To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo
For more information about Cash Practice please visit: https://www.cashpractice.com/
Book a Strategy Session with Dr. Pete – https://go.oncehub.com/PodcastPC
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