You won’t believe what’s happened since we last heard from the Hughes Brothers in their first case study.

In this follow-up episode, Dr. Michael and Dr. David Hughes return to share how they scaled from one clinic to five, doubling and even tripling revenue while building a multi-million dollar chiropractic enterprise. They reveal the systems, mindset shifts, and leadership strategies that fueled their explosive growth, plus the lessons they learned acquiring and integrating new practices. This is a behind-the-scenes look at what it really takes to scale big without sacrificing culture or care.

In this follow-up you will:

• Learn the systems that help scale a chiropractic business
• Understand how to evaluate practices before acquisition
• Hear how leadership roles drive growth and accountability
• Discover why slowing down can help you speed up expansion
• Get tips on building a durable, profitable multi-clinic practice

Episode Highlights

01:30 – Their chiropractic origin story and why they chose this path at age 14

05:29 – How overcoming learning disabilities shaped their determination

08:00 – Why they invested in coaching even before acquiring their first practice

10:09 – The turning point: committing fully to a new system and leadership shift

12:29 – How changing their approach to patient conversations transformed conversions

13:49 – Doubling to tripling their first clinic’s revenue and scaling to five clinics

17:00 – How a daughter’s move led to their first out-of-state acquisition

20:29 – Buying practices from retiring chiropractors and lessons learned

21:39 – The critical role of hiring the right associate doctors for expansion

23:19 – How metrics, KPIs, and dashboards keep multi-clinic operations aligned

25:00 – Why slowing down to simplify and automate was key to scaling

26:29 – How they choose which clinics to buy—and when to say no

28:29 – The importance of knowing both the numbers and the patient relationships

30:49 – Turning underperforming clinics into profitable, systemized practices

34:09 – Their big goal: reaching 33 practices in the next five years

35:15 - Success Partner, Vanessa Lewis from Investorus sits down with Dr. Bobby to explain how their one-stop financial strategy firm helps chiropractors build real wealth. With services like money coaching, lending advice, property investment, and financial planning, they simplify the process through one dedicated strategist. Learn how you can save money, eliminate bad debt, and grow high-return portfolios without sacrificing time from your practice.

Resources Mentioned

To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo

For more information about Investorus please visit: www.investorus.com.au

Schedule a Brainstorming call with Dr. Pete

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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.

Ready to stop running your practice on autopilot? In this raw, post-board-meeting debrief, Dr. Stephen and Dr. Pete reveal how their leadership team uses the BDA (Before-During-After) framework to drive clarity, boost team focus, and scale impact. You’ll hear why quarterly board meetings are essential for moving from operator to CEO, how to work on, not just in, your business, and the mindset shifts that unlock growth. If you want a more scalable, durable, and transferable practice, this episode will show you what it takes.

In this episode you will:

• Learn how to apply the BDA framework to optimize your practice
• Understand the power of working on vs. in your business
• Discover why quarterly board meetings matter for long-term success
• Hear how to increase team focus and accountability
• Get tips for leading creative, breakthrough conversations with your team

Episode Highlights

2:17 — They come straight from a two-day board meeting, sharing raw insights.

3:01 — Reflecting on the value of recording after the meeting for fresh takeaways.

4:25 — Explaining the BDA framework and how it shapes productive meetings.

6:20 — Applying BDA not just in business but in personal life, like fitness.

8:01 — Why before, during, and after work each holds equal value for outcomes.

12:25 — The shift from working in the business to working on and above it.

13:30 — Why small teams or solo chiropractors should still prioritize board meetings.

14:23 — How to set up a half- or full-day session to plan with your team.

14:49 — Using a facilitator or business coach to get the most out of meetings.

15:32 — Radical thinking exercises that unlocked new energy and ideas.

16:45 — Breaking through limiting beliefs and embracing doing things differently.

18:27 — Stretching team creativity to spark problem-solving and breakthroughs.

20:07 — Moving from being the machine to building and eventually selling it.

21:51 — Using metrics like net momentum to track impact and progress.

23:26 — The CEO’s role in casting vision and connecting growth to purpose.

24:13 - Dr. Pete interviews Glen David of Davlen Design, a Success Partner known for transforming chiropractic clinics through optimized space and workflow. Glen shares how their family-run company has helped over 6,500 practices improve function, efficiency, and revenue. From designing new offices to reworking existing spaces, they help chiropractors reduce waste, boost productivity, and increase capacity—without expanding square footage. With deep experience and chiropractic-specific systems, Davlen Designs makes it easier for teams to serve more patients, save time, and grow sustainably.

Resources Mentioned

To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo

For more information about Davlen Design please visit: https://www.davlendesign.com/

Schedule a Brainstorming call with Dr. Pete

Follow Dr Stephen on Instagram: https://qr.me-qr.com/l/riDHVjqt

Follow Dr Pete on Instagram: https://qr.me-qr.com/I1nC7Hgg

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.

What happens when a thriving practice hits a ceiling? In this case study with Dr. Michael Graybar of Graybar Chiropractic & Rehab reveals how he turned personal burnout and professional stagnation into a launchpad for growth.

You'll hear how Dr. Michael scaled his multi-clinic operation from $1.6M to $3.3M in annual revenue, restructured his leadership team, and created a business that thrives—even when he's not in the building. This transformation wasn’t just operational—it restored his marriage, his energy, and his vision for the future.

In this case study you will:

• See how Graybar Chiropractic & Rehab went from plateaued to thriving
• Learn how systems and roles replaced a personality-driven model
• Hear what changed when Dr. Graybar stepped fully into the CEO role
• Understand how to stabilize staff, reduce turnover, and scale sustainably
• Get clarity on the three hats every practice owner must wear to grow right

Episode Highlights

01:12 — Introduces personal and practice struggles before joining TRP

02:10 — Practice had been stagnant at $1.6M with no clear direction

02:44 — Lack of clarity spilled into home life and affected marriage

03:26 — Practices were "good" on paper, but lacked fulfillment and growth

04:17 — Joined TRP in 2018 and received holistic support, not just business coaching

04:51 — Five years later: practice volume and profitability drastically increased

05:13 — Clinics now exceed 1300 visits/week, smallest clinic matches former largest

07:35 — Revenue climbed to $3.3M–$3.4M across three clinics

08:28 — Letting go of operator role was essential to create durability

09:39 — Replaced personality-based model with system-based structure

11:03 — Introduced new patient advocates and clear staff roles

11:44 — Reorganized leadership with one COO to eliminate internal competition

14:42 — Staff turnover reduced by improving clarity and workplace culture

18:38 — Initial resistance: tried to “sneak” into CEO role without team noticing

20:05 — Weekly CEO time created to plan, lead, and maintain personal balance

22:24 — Balancing three roles: chiropractor, CEO, and business owner

23:43 — Importance of working above the business, not just in or on it

25:54 — Advice to his past self: trust the process and commit fully to TRP

28:01 — Coach Oz chats with Success Partner, Dr. Andrew Powell of Better Balance Orthotics, who shares his journey from struggling with flat feet to pioneering orthotics that truly improve posture, balance, and overall patient outcomes. Discover how these innovative orthotics go beyond traditional solutions—helping not just with foot pain but also with headaches, back issues, and fall prevention.

Resources Mentioned

To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceo

For more information about Better Balance Orthotics please visit: https://betterbalanceorthotics.com/

Schedule a Brainstorming call with Dr. Pete

Follow Dr Stephen on Instagram: https://qr.me-qr.com/l/riDHVjqt

Follow Dr Pete on Instagram: https://qr.me-qr.com/I1nC7Hgg

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.