Private Practice Owners Club

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Navigating The Possibilities Of AI In 2026: Realistic Implementations For Private Practice Owners, With Sharif Zeid Of Empower EMR

2026-02-1743:22

Most practice owners feel the pressure to “keep up with AI” — but few have real clarity on what actually works, what’s hype, and what could quietly overwhelm their team.In this episode of the Private Practice Owners Club Podcast, host Nathan Shields sits down with Sharif Zeid, longtime EMR leader and representative of Empower EMR, for a grounded, practical conversation about where AI is truly delivering value in private practice — and where expectations need a serious reset.Drawing on years of experience working with hundreds of practices, Sharif breaks down how AI adoption is accelerating faster than any technology wave we’ve seen before — and why documentation, scheduling, compliance, and phone systems are at the center of that shift. They also unpack the hidden risks of chasing tools without systems, and why “AI as the solution” fails without strong operational foundations.Together, they explore:Why documentation is still AI’s biggest and safest win for practicesHow generative AI (scribes, summaries, chart review) is actually being used in real clinicsWhy “perfect” AI is the wrong benchmark — and how partial wins still create massive ROIThe growing AI arms race between providers and insurance companiesWhere AI helps with compliance — and why trust-but-verify still mattersWhy billing automation is over-promised and under-delivered (for now)The real cost of stacking tools — and how to evaluate ROI per providerWhy team overwhelm is the biggest risk of fast AI adoptionThe rise of AI in phone systems, scheduling, and patient self-serviceWhy patient portals and foundational systems must come before automationHow AI should support decision-making, not replace leadershipIf you’re a practice owner trying to decide where AI actually belongs in your clinic — and how to adopt it without breaking your team, your culture, or your systems — this episode offers clarity without hype.🎯 Takeaway: AI isn’t the system — it’s a tool. Practices that win will be the ones that build strong foundations, guide the technology intentionally, and keep humans firmly in the driver’s seat.👉 Learn more about Empower EMR: https://www.empoweremr.com👉 Want help evaluating systems, operations, and growth strategy? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall❤️ Love the show? Subscribe, rate, review, and share! https://ptoclub.com 💬 Join the PPOClub community and access resources: https://linktr.ee/ppoclub99.5% of successful owners interviewed on this podcast have at one time or another leveraged a business coach to improve their business. Private Practice Owners Club is coach you need - ppoclub.com

120% Over Medicare: The Work Comp Playbook Every Private Practice Owner Needs With Josh Farley

2026-02-1042:02

Most private practice owners know work comp pays better — but very few know how to actually leverage it without blowing up operations, documentation, or staff confidence.In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Josh Farley, PT, former state association president, and workers’ compensation consultant, to break down what really drives profitable, sustainable work comp programs — and why so many clinics get it wrong.Josh pulls back the curtain on why work comp is one of the most misunderstood (and underutilized) revenue streams in private practice. With average reimbursement hovering around 120% over Medicare — and even higher in some states — work comp can dramatically improve margins. But only if you understand the systems, players, and rules that govern it.This conversation goes far beyond “take more work comp patients.” It’s a practical, operational deep dive into how work comp actually works — from referrals and networks to documentation, communication, and clinical decision-making.In this episode, you’ll learn:Why work comp consistently reimburses higher than traditional payers — and how to protect those marginsThe biggest mistakes private practices make when trying to “add” work compHow referrals really work (patient-driven vs. doctor-driven vs. case-manager-driven)Who actually approves care — and why confusing case managers and adjusters kills revenueWhy being out of network can completely block referrals (even when people say they want to send you patients)How network pricing strategy impacts volume — and when lower rates unlock bigger opportunityDocumentation landmines that trigger denials and delays (wrong body part, scope creep, poor intake)How to think strategically about work conditioning, FCEs, and higher-level services without wrecking capacityWhy communication — not notes — is the real driver of trust and referrals in work compWhat realistic timelines look like for seeing financial impact (and why this isn’t a “flip the switch” play)How a diversified payer mix protects your practice as reimbursements continue to declineIf you’re feeling squeezed by traditional insurance rates, unsure how to grow revenue per visit, or curious whether work comp could be a meaningful lever for your clinic — this episode gives you the clarity, context, and playbook to approach it the right way. 🎙️Learn how to turn work comp from a confusing headache into a strategic growth engine — without compromising care or compliance.👉 Want to learn more or talk directly with Josh? Reach out at Josh.Farley@LighthouseComp.com or call 601-927-3011👉 Want help building a stronger, more diversified practice model? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall💡Love the show? Subscribe, rate, review, and share! https://ptoclub.com/99.5% of successful owners interviewed on this podcast have leveraged a business coach at some point in their journey. Private Practice Owners Club is the coach you need — ppoclub.comExplore upcoming workshops, free resources, and tools to help you scale revenue without burning out your team: https://linktr.ee/ppoclubFree 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Why Buyers Look At Compliance Before They Buy Your Practice With Daniel Hirsch

2026-02-0320:11

Most practice owners think valuation starts with revenue and EBITDA. But when buyers step in, they look somewhere else first — risk. And more often than not, compliance is the silent deal-killer owners never see coming.In this episode of the Private Practice Owners Club, host Adam Robin sits down with Daniel Hirsch, compliance and risk analytics expert, to unpack what buyers actually evaluate before they write a check — and why strong compliance can increase leverage, speed up deals, and protect your exit value.Daniel breaks down why compliance isn’t about being “perfect,” avoiding audits, or living in fear — it’s about control, predictability, and trust. When compliance is weak or unclear, buyers don’t just lower the price — they change the entire deal structure… or walk away altogether.Together, they dig into:Why buyers assess risk before growth — and how compliance sets the baselineHow compliance issues can stop a deal before financials even matterWhy two practices with identical EBITDA can receive very different valuationsHow weak compliance triggers deeper diligence, longer timelines, and higher deal costsThe real impact of compliance on deal terms: cash vs. escrow, earnouts, reps & warrantiesWhat buyers look for beyond policies — and how they test real-world executionCommon red flags: documentation gaps, supervision issues, credentialing, and unlicensed staffWhy “unknown risk” scares buyers more than managed riskWhen to start preparing (hint: don’t wait until you’re ready to sell)How simple, practical compliance systems can be integrated into daily operationsWhy compliance should add value, not just create overheadIf you’re a practice owner thinking about selling in the next five years — or even just building a business that’s truly durable — this conversation will change how you think about compliance, valuation, and leverage.🎯 Takeaway: Compliance doesn’t kill deals — surprises do. Build control, clarity, and predictability now so buyers see your practice as an asset, not a headache. 👉 Want to learn more about Daniel’s compliance frameworks and access free resources?Check the show notes for his lead magnet and tools. 👉 Want to talk about how we can help you strengthen operations, value, and exit readiness? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall ❤️ Love the show? Subscribe, rate, review, and share! https://ptoclub.com 💬 Join the conversation and access resources: https://linktr.ee/ppoclubLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Everything Looked Fine… Until It Didn’t: How One Owner Lost 4 Providers And Rebuilt A Stronger Clinic - A PPOClub Workshop Interview With April Atchison, CCC-SLP

2026-01-2750:52

Most practice owners assume culture problems show up loud — missed numbers, complaints, chaos. But what if the real danger shows up when everything looks successful?In this PPOClub Workshop interview, Adam Robin sits down with April Atchison, CCC-SLP, to unpack a real-life leadership story that every growing practice owner needs to hear. April shares how her multi-location practice appeared stable and thriving — strong revenue, expanding staff, leadership in place, and real work-life balance — right up until subtle cultural cracks began to surface.What followed was one of the most difficult seasons of her career: recognizing leadership misalignment, addressing cultural drift head-on, and ultimately losing four long-term providers — including a clinical director. Instead of avoiding the storm, April chose decisive leadership, values-based clarity, and fast action to protect the future of her organization.This conversation goes far beyond theory. It’s a behind-the-scenes look at what actually happens when an owner chooses culture over comfort — and how doing so can unlock stronger teams, higher ownership, and renewed momentum.In this episode, you’ll learn:The quiet warning signs of culture breakdown most owners overlookWhy high productivity can hide serious leadership misalignmentHow to run clarity and alignment conversations without fearWhen acting fast protects your best team members — not just the businessWhy losing people can sometimes strengthen culture and performanceHow proactive recruiting creates leverage before you need itWhat decisive leadership looks like when the stakes are highHow rebuilding after disruption leads to stronger ownership and accountabilityIf you’ve ever felt uneasy despite “good numbers,” delayed a hard conversation because things looked fine, or wondered whether holding the line on values is worth the risk — this episode will give you clarity, confidence, and a leadership framework you can apply immediately.🎙️ Learn why strong clinics aren’t built by avoiding hard decisions — but by making them early.👉 Want help building an aligned, resilient, high-performing practice? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ 99.5% of successful owners interviewed on this podcast have leveraged a business coach at some point in their journey. Private Practice Owners Club is the coach you need — ppoclub.com.Explore upcoming workshops, free resources, and tools to help you scale without sacrificing culture:https://linktr.ee/ppoclub.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

No One Is Coming To Save You: Leadership, Identity, And Building A Business That Can’t Be Taken Away With Regie Tiu

2026-01-2052:54

Building a successful practice isn’t just about systems, metrics, or clinical skill — it’s about people. And the leaders who get that right don’t just build clinics… they build raving fans. In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Regie Tiu — physical therapist, Queens-based practice owner, keynote speaker, and expert in creating unforgettable client and team experiences. Reggie shares his remarkable journey from growing up in poverty in the Philippines to immigrating to the U.S. with just $50 in his pocket — collecting cans to survive, working multiple jobs, and eventually building a thriving physical therapy clinic in one of the most competitive markets in the country. Along the way, he opens up about being fired after 10 years, losing his identity, rebuilding from rock bottom, and discovering the leadership lessons that changed everything. They dig into:What “raving fans” really means — and why your team comes before your patientsHow personal growth and emotional intelligence directly impact retention, culture, and referralsThe leadership mistakes Reggie made early on — and the mindset shifts that transformed his clinicWhy self-awareness, humility, and consistency matter more than charismaHow creating a great experience allows clinics to grow without relying on proximity or priceThe habits, routines, and books that helped Reggie become a better leader and business owner This is a raw, honest conversation about resilience, leadership, and what it actually takes to build a business people love — from the inside out.If you’re a practice owner, service-based entrepreneur, or leader who wants stronger teams, better culture, and clients who can’t stop talking about you, this episode is a must-listen. 🎙️ Tune in and learn how to build raving fans — starting with yourself.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Build a Movement, Not Just a Clinic: Why Giving Back Pays Off With Will Humphreys

2026-01-1339:31

Most practice owners think charity is something you do after the business is successful — once there’s more time, more margin, or less stress. But what if giving back isn’t the reward for success… what if it’s the catalyst? In this episode of the Private Practice Owners Club Podcast, Nathan Shields sits down with longtime friend and entrepreneur Will Humphreys to unpack one of the most overlooked drivers of sustainable growth, culture, and fulfillment: building meaningful partnerships with charitable organizations. Drawing from deeply personal experiences — from local community initiatives to life-changing work in Africa — Will shares how aligning business purpose with charitable impact transformed not just his companies, but his leadership, his team culture, and his perspective on success itself. Together, they explore how generosity creates momentum inside organizations, why charitable partnerships improve recruiting and retention, and how purpose-driven businesses outperform those built purely around profit. They dive deep into:Why charitable giving isn’t a “nice-to-have,” but a powerful leadership leverHow partnering with charities strengthens culture, retention, and recruitingThe connection between profit, purpose, and long-term sustainabilityHow even small, local initiatives can create outsized impactWhy giving back reshapes mindset, reduces burnout, and restores perspectiveHow involving your team in charitable efforts turns values into lived behaviorWhat practice owners can learn about leadership, resilience, and gratitude from global communities If you’ve ever felt burned out, disconnected, or stuck chasing growth without fulfillment, this conversation will challenge how you think about leadership, success, and the true role your business can play in the world. 🎙️ Learn why the strongest clinics don’t just grow businesses — they build movements.👉 Learn more about supporting Care for Life and global impact initiatives (links in show notes) Want to talk about how we can help you grow a purpose-driven, profitable PT business?Book a call with Nathan — https://calendly.com/ptoclub/discoverycall 💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ 99.5% of successful owners interviewed on this podcast have leveraged a business coach at some point in their journey. Private Practice Owners Club is the coach you need — ppoclub.com Explore upcoming workshops, free resources, and tools to help you build a practice that supports both your life and your mission:https://linktr.ee/ppoclubWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Is Hiring Impossible? Build A Retention Machine Of A-Players, New Grads, And Leadership Development With Adam Robin

2026-01-0655:34

If hiring feels impossible and retention feels fragile, you’re not alone — and you’re not crazy. In this episode of the Private Practice Owners Podcast, Nathan Shields and Adam Robin break down why recruiting is harder than ever right now, and why the real solution isn’t “more applicants” — it’s building a retention machine that compounds. Drawing directly from real-world clinic experience, Nathan shares how shifting focus from reactive hiring to intentional retention, leadership development, and new-grad pipelines allowed his organization to stabilize staffing, protect culture, and sleep better at night — even in one of the most competitive labor markets physical therapy has ever seen. Together, they unpack what practice owners must do as we head into 2026 to stop bleeding talent, stop overpaying for lateral hires, and start developing leaders from within. You’ll learn:Why “hiring is impossible” is a signal to fix retention first — not panic recruitHow to identify and lock in your true A-players before competitors doThe exact conversations owners should be having with key team members to secure 12-month commitmentsWhy new grads are the most overlooked (and highest-upside) recruiting strategy right nowHow to turn student placements into long-term leaders inside your organizationWhat a real leadership development pathway looks like — from new grad → leader → clinic directorHow delegation, ownership, and development directly impact retention and recruiting outcomesThe mindset shifts owners must make to stop being the bottleneck and start building a scalable team If you’re a clinic owner, hiring manager, or leader who feels stuck between burnout, turnover, and constant recruiting pressure, this episode will help you rethink how you build teams — and show you how to create a system where great people want to stay, grow, and recruit others for you. 🎯 Takeaway: Hiring isn’t broken — retention, development, and leadership pipelines are. Fix those, and recruiting becomes easier, cheaper, and more predictable. 👉 Want to go deeper with Nathan? Book a call — https://calendly.com/ptoclub/discoverycall ❤️ Love the show? Subscribe, rate, review, and share! https://ptoclub.com 💬 Join the conversation: If you haven’t already, find the Private Practice Owners Club Facebook Group and connect with owners who are building resilient, high-performing teams. Annual Strategic Planning ensures your next year stays focused, aligned, and profitable. Visit ppoclub.com to talk with Adam about building clarity and momentum for 2026. 99.5% of successful owners interviewed on this podcast have leveraged a business coach at some point. Private Practice Owners Club is the coach you need — ppoclub.comBlog Post URL: https://www.ppoclub.com/is-hiring-impossible-build-a-retention-machine-of-a-players-new-grads-and-leadership-developmentWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

End The Year Strong, Start The Year Smarter - Financial Clarity For Private Practice Owners: A PPOClub Expert Webinar Series With Eric Miller And Sean Healy

2025-12-3001:14:46

Most practice owners treat finances like a fire drill: frantic at year-end, reactive at tax time, and surprised when cash flow hiccups wreck payroll. What if money management wasn’t a crisis to survive, but a repeatable system you lead on purpose? In this episode of the Private Practice Owners Club, host Nathan Shields sits down with financial strategist Eric Miller (Econologics) and bookkeeping & vCFO expert Sean Healy (AccountedFor). Together they deliver an operational playbook for wrapping up 2025, protecting cash flow in Q1, and building the disciplined systems that let owners actually plan for retirement — not just keep the lights on. They dig into:Why proactive tax planning beats last-minute spending sprees (and how to actually execute it with your CPA)The three financial skills every owner needs: acquire it, control it, invest it — and how to institutionalize them in your practicePractical year-end moves that protect cash flow (retirement catch-ups, HSA contributions, beneficiary checks, and smarter equipment buys)How to build a financial team that works together — CPA, bookkeeper, and advisor aligned to your goals (and when it’s time to fire an advisor who isn’t)Forecasting and proforma basics: reverse-engineer the profit you need to reach your personal goals, then map the operational steps to get thereCash-first tactics for Q1 (expect a tight January — plan the line of credit, manage payroll cadence, and pre-talk client deductibles)Money discipline that scales: automated savings buckets, routine scorecards, and the operational cadence that produces real wealth If you’ve ever been blindsided by tax bills, drifted through another year without a cash plan, or felt like your practice owns you — this episode gives you the financial clarity and tactical next steps to run your business like an asset, not an anxiety. 🎯 Takeaway: Financial success is intentional. Stop reacting and start engineering predictable profit, cash flow resilience, and long-term wealth by building simple systems and a proactive financial team. 👉 Connect with Eric & learn more: wealthforpts.com👉 Want bookkeeping or vCFO help? Learn about AccountedFor and schedule a complimentary checkup via their site (search AccountedFor Bookkeeping / Virtual CFO).👉 Want to go deeper with Nathan? Book a call — https://calendly.com/ptoclub/discoverycall ❤️ Love the session? Subscribe, rate, review, and share! https://ptoclub.com 💬 Join the conversation and access tools: https://linktr.ee/ppoclubWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Stop The Leaks: How To Increase Cash Flow Without Seeing More Patients

2025-12-2301:20:50

If you’ve ever looked at your schedule and thought, “We’re slammed…so why is my bank account not moving?” — this episode is going to feel like oxygen. In this PPS 2025 recap conversation, Jerry Durham sits down with Nathan Shields, founder of the Private Practice Owners Club, to break down the real reasons clinics bleed profit — and why the solution isn’t more new patients. Across this episode, Nathan pulls back the curtain on the cash-flow killers hiding inside most clinics: weak collections, underperforming billing systems, inconsistent documentation, and a front desk that’s unsupported (not unskilled). He also explains why AI won’t fix broken processes — and why owners who skip the fundamentals end up scaling their problems, not their profit. In this episode you’ll learn:The four internal “leaks” that cost clinics $100K–$300K per year — and how to close them fast.Why chasing more new patients is the wrong move when your systems are broken.The exact numbers every owner must know (and what they actually mean).How to tighten front-desk operations so patients arrive, pay, and stay.Why underbilling — not overbilling — is silently draining your margins.How AI can support your systems… but can’t save you from bad processes.What PPS 2025 revealed about the future of private practice — and what owners need to fix BEFORE adding tech, growth, or new services. What you’ll walk away with:A Cash-Flow Leak Audit you can run in 30 minutes.A simple 4-phase roadmap to increase revenue without increasing visits.Clarity on the 3–5 KPIs that actually drive your business (and which ones don’t matter).Scripts for improving front-desk collections and reducing cancellations.A new lens for evaluating tech, platforms, and AI — so you stop wasting money and start moving the needle. 💡 Quick takeaway: Revenue grows when systems grow — not when schedules get fuller. Patch the leaks first. Then scale with confidence. 🎯 Want to learn the systems Nathan teaches owners one-on-one? Join the Strategic Planning Workshop on January 9–10, 2026 in New Orleans — or book a private planning session here: https://calendly.com/ptoclub/discoverycall 💬 Explore upcoming events and resources: https://ptoclub.com ❤️ Love the conversation? Subscribe, rate, review, and share!Blog Post URL: https://www.ppoclub.com/stop-the-leaks-increase-cash-flow-without-more-patientsLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Why Is My Business Growing But My Bank Account Isn't? What Adam Learned In 2025

2025-12-0937:57

If your clinic looks busy but the bank balance says otherwise, this episode is for you. Nathan Shields and Adam Robin get raw about the slow bleed that almost sunk a practice — and the exact moves they used to stop the leak and re-build profitability. They cover the blind spots owners accept (too much compassion, not enough accountability), the culture cracks that ripple into revenue, and the concrete fixes that actually move margins back into healthy territory. In this episode you’ll hear:How a six-month, slow-burn decline (tiny losses here, a few underperformers there) turned into a culture issue — and the moment Adam realized things had to change.The playbook they used: hit the numbers first, reset breakeven & productivity expectations, co-design the rollout with leadership, and run a company-wide reset.Why “production is the basis of morale” isn’t just a slogan — it’s how high-performing clinics protect culture and profit.Real, tactical targets: how to calculate required visits per provider from revenue-per-visit and salary, reasonable ramp plans (4–6 week steps), and what to do if training doesn’t move the needle.The hard truth: you can be compassionate and still demand profitability — but the owner must lead with clarity and conviction. What you’ll walk away with:A checklist to spot the slow bleed (what to watch monthly so the problem never becomes a crisis).A step-by-step reset playbook you can run with your leadership team (numbers → expectations → rollout → accountability).Language and scripts for the tough conversations (owner to team, peer-to-peer leadership, and ramp plans).How to turn underperformers into contributors — or transition them out without wrecking morale. Quick production note: If margins are slipping, don’t wait 6 months. Start with revenue-per-visit × target visits = required productivity. If numbers don’t line up, recruit and retrain now — don’t romanticize comfort over solvency. 🎯 Want help running your own strategic planning session? Join Nathan & the team Jan 9–10, 2026 in New Orleans — or book a one-on-one with Nathan: https://calendly.com/ptoclub/discoverycall 💬 Learn more & find event details at: https://ptoclub.comWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Creating A Game-Winning Culture That Attracts And Retains The People You Want With Brian Weidner

2025-12-0243:01

If you’ve ever felt like hiring is a shotgun approach and retention is just luck, this session will change how you build teams. In this Total Talent Masterclass, Brian Weidner (Career Tree Network) sits down with Nathan Shields to unpack a strategic, repeatable approach to building a game-winning culture of recognition and retention that actually moves the needle. Nathan walks through how intentional values, recognition systems, and leadership by metrics turned his clinics into high-performing, sticky organizations — the same factors that helped him build and sell a business at a valuation well above industry averages. Together, they cover how to stop reacting to churn and start engineering a workplace people want to join and never want to leave. You’ll learn:How to hire and fire by values so culture becomes a competitive advantage (and not just a buzzword)Practical recognition systems that scale: from peer-to-peer shoutouts to quarterly town halls and value awardsWhy embedding values into every stage of the employee lifecycle (ads → interview → onboarding → reviews → offboarding) prevents culture driftWays to measure recognition success (NPS for employees, retention & productivity KPIs, and qualitative pulse checks)How to balance production AND values — and why sacrificing one for the other destroys morale fastLeadership playbook: lead like an owner, coach by metrics, and create career conversations that reduce surprise exitsIf you’re a hiring manager, clinic owner, or HR lead who wants predictable staffing, lower turnover, and a culture that amplifies productivity, this masterclass gives you the framework and tactical next steps.🎯 Takeaway: Culture isn’t fluff — it’s a scalable business lever. Do the value work, measure it, reward it, and watch retention become a strength instead of a headache.👉 Want to go deeper with Nathan? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall❤️ Love the session? Subscribe, rate, review, and share! https://ptoclub.com💬 Join the conversation: If you haven’t already, find the Private Practice Owners Club Facebook Group to connect with therapy owners and leaders who are building great teams.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

From Rock Bottom To Full Clinic: The Patient-Flow Playbook With Kay Sanders

2025-11-2543:43

If you’ve ever felt like your marketing efforts aren’t moving the needle — or worse, that your business might stall before it scales — this episode is a must-listen.In this episode of the Private Practice Owners Podcast, Adam Robin sits down with Kay Sanders, Strategic Growth Partner for Private Practice Owners and Founder of Elevated Edge Consulting. Kay shares her remarkable journey from hitting rock bottom in 2019 to helping a local PT clinic grow from zero online revenue to half a million dollars — and how that experience shaped her signature Patient Flow Blueprint.Together, they dive deep into the hidden bottlenecks that keep private practices stuck, and how small shifts in marketing, messaging, and mindset can create massive momentum.You’ll learn:The most common “invisible bottlenecks” that stall private practice growthWhy tweaking one thing (not changing everything) can reignite resultsHow to know when it’s time to invest in paid ads — and when it’s notThe difference between sales and marketing (and why both matters equally)Why belief in your service is the ultimate growth multiplier If you’ve ever wondered why your marketing “isn’t working,” this conversation will help you identify the real issue — and fix it for good.🎯 Learn how to create a steady flow of patients and sustainable success — without the overwhelm.👉 Connect with Kay Sanders and get The Patient Flow Blueprint at ElevatedEdgeConsulting.com💬 Want to talk about how we can help you grow your PT business?Book a call with Nathan — https://calendly.com/ptoclub/discoverycall❤️ Love the show? Subscribe, rate, review, and share! https://ptoclub.com📘 Blog Post URL: https://www.ppoclub.com/from-rock-bottom-to-full-clinic-the-patient-flow-playbook-with-kay-sandersWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Life After The Sale: Investing Wisely And Living Well - Nathan Shields’ Appearance On The Financial Beast Podcast

2025-11-1844:54

Selling your practice is probably the biggest financial decision you’ll ever make — and once the ink is dry, the hard part begins: where do you invest the proceeds so your future actually works for you? In this episode of The Financial Beast Podcast, host Eric Miller talks with Nathan Shields — ex-practice owner, real-estate investor, and co-founder of the Private Practice Owners Club — about life after a liquidity event. Nathan breaks down what he did well, the mistakes that cost him, and the operational and tax moves every seller should plan before they list. They dig into: Why owning your clinic real estate can change the entire outcome of a saleTax strategies and why you need your CPA and financial advisor in the room earlyDeal terms to avoid (earn-outs, misaligned post-sale roles) and how to sell from a position of powerCashflow vs. appreciation — how Nathan structured investments to replace incomeLessons from private equity, hard-money lending, and 1031 exchangesThe psychological side: how to plan for purpose and productivity after the sale If you’re thinking about selling your practice (or want to plan ahead so you don’t get blindsided), this episode is essential listening. 🎙️ Learn how to convert a one-time payout into lifelong financial freedom. 👉 Connect with Nathan: nathan@ppoclub.com 👉 Want help planning an exit strategy? Book a call with Nathan — https://calendly.com/ptoclub/discoverycall 💡 Like the show? Subscribe, rate, review, and share — https://ptoclub.com/ Private Practice Owners Club helps owners sell from strength (not desperation). If you’re ready to maximize value and protect the life you want after exit, they’re the team to talk to.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Is Your EMR Holding You Back? The Truth About The Next Wave Of Healthcare Tech With Craig Brasington

2025-11-0443:05

If you’ve ever felt like your EMR slows you down instead of scaling you up, this episode is for you. In this episode of the Private Practice Owners Podcast, Adam Robin sits down with Craig Brasington, Director of Revenue Operations at Stride EMR, to unpack the evolution of healthcare tech — and what the next generation of EMRs really means for practice owners. Craig shares his 20+ years of experience in outpatient therapy tech, from his early days as a founding member of Clinicient to his current work with Stride. Together, he and Adam explore how EMR systems have evolved from basic record-keeping tools to intelligent, AI-powered platforms built to streamline every part of your clinic — from scheduling to billing to patient engagement. They dive into:The three generations of EMR technology (and why most practices are stuck in Gen 1 or Gen 2)How AI is transforming not just clinical documentation, but business efficiencyWhat to consider before switching EMRs — and how to make the transition as seamless as possibleWhy “thinking small to grow big” is the mantra behind Stride’s success If you’ve ever wondered whether your EMR is holding your practice back, this episode breaks down what the next wave of healthcare tech really looks like — and how to make sure your systems are built for the future, not the past. 🎙️ Learn why the right technology isn’t just about software — it’s about strategy, scalability, and sustainability.👉 Learn more about Stride EMR at www.strideemr.ai Want to talk about how we can help you with your PT business, or have a question you want to ask?Book a call with Nathan — https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/99.5% of successful owners interviewed on this podcast have leveraged a business coach to grow their business.Private Practice Owners Club is the coach you need — ppoclub.comBlog Post URL:https://www.ppoclub.com/the-tough-conversations-that-make-or-break-your-private-practice-with-dan-neissanyWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

Why Your Business Won’t Love You Until You Learn To Love Yourself With Kelly Higdon

2025-10-2933:07

Most practice owners believe burnout is just part of the job — long hours, heavy workloads, and endless demands. But what if burnout isn’t a personal flaw… what if it’s a system problem? In this episode of the Private Practice Owners Podcast, host Adam Robin sits down with Kelly Higdon, co-founder of zynnyme, therapist, business coach, and author of Therapist Burnout. Kelly has spent the last 15 years helping practice owners rebuild their businesses (and their lives) from the ground up — without losing themselves in the process. They dive deep into:Why burnout isn’t about self-care — it’s about broken systemsHow personal growth and leadership maturity shape business successThe hidden mental and emotional patterns that block executionWhy alignment, not hustle, creates sustainable progressThe surprising connection between self-compassion and team performanceHow to build a practice that serves both your clients and your life If you’ve ever felt stuck in survival mode — doing “all the things” but never feeling at peace — this episode will help you rethink how you lead, grow, and take care of yourself while running a thriving business. 🎙️ Learn how to lead from alignment, not exhaustion.👉 Connect with kelly@zynnyme.com Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan – https://calendly.com/ptoclub/discoverycall 💡 Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ 99.5% of successful owners interviewed on this podcast have at one time or another leveraged a business coach to improve their business. Private Practice Owners Club is the coach you need – ppoclub.comWant to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

The Tough Conversations That Make Or Break Your Private Practice With Dan Neissany

2025-10-1334:46

Most practice owners think profitability and patient care are at odds—you either make money or you do right by your patients. The truth? You can (and must) do both. In this episode of the Private Practice Owners Podcast, Adam Robin sits down with Dan Neissany—physical therapist turned entrepreneur, healthcare consultant, podcast host, and co-founder of Best Practice Strategies. Dan’s mission is simple: help practices grow without burning out. They dig into:Why money isn’t evil—and how profitability actually fuels better patient careThe tough conversations practice owners avoid (and why avoidance kills progress)How data-driven decisions reveal hidden profit leaks and growth opportunitiesThe mindset difference between thriving owners and struggling onesWhy systems, accountability, and leadership—not just hard work—are the real drivers of success If you’ve ever felt torn between helping patients and making a profit, this episode will reframe what it means to run a business that serves everyone—patients, employees, and you. 🎙️ Learn how to balance care and cash flow without compromise. 👉 Connect with Dan at tbpstrategies.com or find him on social media @DanNeissany. Links in the show notes. Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

The Unfair Advantage: How VAs And AI Give You A Competitive Edge With Adam Robin

2025-10-0737:58

Are you still doing it all in your private practice? The administrative tasks, the scheduling, the follow-ups – it's a one-way ticket to burnout. In this episode, Adam Robin of Inbox Zero, a company that specializes in connecting healthcare practices with top-tier VAs, talks with Nathan Shields about these two modern yet under-utilized resources. We dive into how leveraging virtual assistants and cutting-edge AI isn't just a luxury but an essential strategy for modern practice owners.Adam and I reveal the two-pronged approach that can completely transform your workflow: delegating routine tasks to a VA and using AI to automate the rest. We break down exactly how this powerful combination frees up your time, slashes overhead, and allows you to focus on what matters most: your patients and the growth of your business. If you're ready to move from working in your practice to working on it, this episode is your roadmap.For more info on how Nathan and Adam can transform your business, go to www.ppoclub.com and book a call with us.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

From An 8x8 Room To A Thriving Clinic: How Jeffrey Smith Built A Multi-PT Practice In Under 2 Years

2025-10-0627:54

Most practice owners dream about freedom, growth, and leading a thriving team—but few are willing to suffer through the grind it takes to get there. Jeffrey Smith is one of those rare owners who bet big on himself… and won. In this episode of the Private Practice Owners Podcast, Adam Robin sits down with Jeff Smith, owner and CEO of Alpenglow Physical Therapy in Billings, Montana. Jeff launched his practice in June 2023, joined PPO Club Coaching just a few months later, and in less than two years has scaled from an 8x8 room in the back of a gym to a 3,200 sq. ft. clinic with five PTs. They dig into:Why Jeff knew—even in PT school—that he was destined to be a practice ownerThe sacrifices and sleepless nights it took to go from solo hustler to CEOThe hard decisions (and risks) that became breakthroughsHow to lead employees without micromanaging or being “the answer guy”Why betting on yourself is always the safest bet If you’ve ever wondered whether you have what it takes to step out, take the leap, and build something bigger than yourself—Jeff’s story is proof that you can. 🎙️ Learn how one owner turned vision into reality, and why the best investment you’ll ever make is in yourself. 👉 Connect with Jeff at jeffrey@alpenglowpt.com and check the show notes for links and resources.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

The Financial Plan Of Care With John Askin

2025-09-3043:04

Most practice owners work 60+ hours a week trying to grow their business – yet when it comes to their personal and business finances, most are flying blind. What if you had a simple “financial plan of care” that gave you clarity, confidence, and a roadmap for building real wealth? In this episode of the Private Practice Owners Podcast, Adam Robin sits down with John Askin, a financial planner who specializes in helping clinicians and practice owners take control of their money. John shares his journey from Division I soccer player to financial coach for practice owners, and explains why most clinicians never learned how to extract wealth from their business. They dig into:Why cash flow is the number one metric owners must know coldHow to separate business and personal finances so both thriveWhy your business is not your retirement plan and how to fix thatThe “financial plan of care” framework that mirrors how PTs guide patients through rehabWhy paying yourself first isn’t selfish – it’s essential If you’ve ever felt like your practice is growing but your personal wealth isn’t keeping up, this episode will challenge your perspective and give you a path forward. 🎙️ Learn how to build financial health in your business and at home without the overwhelm.👉 Connect with John on LinkedIn, check out his YouTube channel, and find resources linked in the show notes.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/

Injury to Income: How PTs Can Help Clients and Fuel Growth - With Ron Cappello, Tanny Crawford, MPT, and Greg Perry, MPT

2025-09-2340:24

Most private practice owners want to diversify revenue—but the thought of managing inventory, upfront costs, and admin headaches kills the idea before it starts. What if there was a way to add meaningful value for your patients and create a new stream of income, without adding work to your plate? In this episode of the Private Practice Owners Podcast, Adam Robin sits down with the founders of LASO Wellness—Ron Cappello (CEO), Tanny Crawford (Senior Advisor), and Greg Perry (Strategy)—to unpack a new model for bringing supplements and wellness products into private practices the right way. They dive into:The “three no’s” that make this model a no-brainer: no capital, no admin burden, no inventoryWhy supplements are more about solving, not selling How recovery, sleep, gut health, and joint health products can accelerate patient outcomesWhy nutritional guidance builds trust, compliance, and profitabilityHow LASO’s done-for-you systems and field support make integration seamless If you’ve ever wanted to boost revenue and patient results without piling more on your plate, this conversation will open your eyes to what’s possible. 🎙️ Learn how to add value, elevate patient care, and unlock new profits with zero risk. 👉 Explore more at lasowellness.com and check the show notes for resources and links.Want to talk about how we can help you with your PT business, or have a question you want to ask? Book a call with Nathan - https://calendly.com/ptoclub/discoverycallLove the show? Subscribe, rate, review, and share! https://ptoclub.com/Free 6P Practice Capacity & Profit AuditSee where your practice is leaking time, money, and owner capacity, and what to fix first. 👉 Click AUDIT to book your free call.

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