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 growth
- Learn how practice-side metrics and business-side metrics work together
- See why retention begins at conversion and compounds through compliance
- Discover which numbers reveal truth versus vanity
- Clarify how better measurement leads to better leadership decisions
Episode 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.
