Private Practice Owners Club

Nathan Shields

Hosted by Nathan Shields who sold his PT clinics for 3x the national average! Do you own a physical therapy practice? If so, you know that running a successful business is no easy feat. There are so many challenges to overcome, from marketing and billing to recruiting, hiring and managing staff. Sometimes it feels like you're a one-man (or woman) army. That's where the Physical Therapy Owners Club podcast with host, Nathan Shields, comes in. We're here to help you know you're not alone. This podcast is meant to help you navigate the challenges of owning a PT practice and achieve greater profits, freedom, and the goals you set forth when you opened your clinc. In each episode, we'll talk to successful physical therapy owners about their experiences and share their insights on how to best run a PT clinic. Here are some examples of the Physical Therapy Owners Club Podcast's Topics & Highlights: 1. Unveiling the Secrets of Successful Clinic Owners We delve into the minds of highly successful physical therapy clinic owners. Discover the essential traits, habits, and strategies that set them apart from the competition. Get ready to unlock the secrets to building a thriving practice that stands the test of time. 2. Mastering the Art of Marketing for PT Clinics We bring you marketing gurus who have successfully harnessed the power of digital and traditional marketing to grow their physical therapy businesses exponentially. From social media strategies to community outreach, you'll gain valuable insights that will revolutionize your clinic's marketing game. 3. Building a Dream Team: Recruiting, Hiring, and On-Boarding/Training Physical Therapists and Top Talent Your team is the backbone of your practice's success. Learn from HR experts and seasoned clinic owners as they spill the beans on effective recruiting and hiring practices, fostering a positive culture, and retaining top-notch talent for the long haul. 4. Mindset and Leadership for Clinic Owners The journey of a physical therapy practice owner is not without challenges. Explore the power of a growth mindset, leadership development, and overcoming common entrepreneurial obstacles to lead your clinic confidently toward success. 5. Scaling Up: Expanding Your Clinic's Footprint Dreaming of expanding your physical therapy business? We’ll explore growth opportunities, opening multiple locations, and franchising models for ambitious clinic owners aiming to take their practices to new markets. 6. Financial Strategies for Sustainable Growth Financial health is critical for the long-term success of any business. Tune in as financial experts share practical tips to manage your clinic's finances efficiently, navigate insurance complexities, and maximize profitability without compromising patient care. 7. Embracing Technology for Enhanced Patient Care With technology advancing at lightning speed, learn how to harness cutting-edge tools, telehealth solutions, and software to optimize patient outcomes and streamline your clinic's operations. We'll explore the latest tech trends reshaping the physical therapy landscape. 8. Navigating the World of Healthcare Legislation Healthcare legislation can be a maze of complexities that significantly impact your practice's operations and profitability. Join industry experts as they break down the latest regulations, provide compliance tips, and share best practices to stay ahead of the curve and optimize your clinic's performance. 9. Nurturing Patient Relationships and Boosting Customer Loyalty Word-of-mouth marketing remains one of the most potent tools for growing your clinic. Discover the art of patient engagement, improving patient experiences, and cultivating lasting relationships to build a fiercely loyal customer base. 10. Success Stories: Inspiring Case Studies from PT Practice Owners If you're looking for a podcast that can take your physical therapy practice to the next level, the PT Owners Club wil do it! Join us on Facebook Group, too

  1. 1d ago

    The High-Performance Practice, Ep. 6: Optimize Staffing Ratios To Maximize Profit

    Staffing Ratios: How to Build a Leaner, More Profitable Practice   Payroll is one of the biggest expenses in a private practice and when staffing gets out of control, profitability can disappear quickly.   In Episode 6 of the High-Performance Practice Series, Nathan Shields and Adam Robin break down how practice owners can properly calibrate their clinical and administrative teams to maximize performance, efficiency, and profit.   Instead of simply hiring another person whenever the team feels overwhelmed, they discuss how to use financial benchmarks, productivity metrics, technology, AI, and virtual assistants to build a more efficient practice.   In this episode, you'll learn: Why employee compensation can be your practice's biggest expenseHow to keep total employee compensation within a healthy revenue ratioThe 2.5–3.5x compensation-to-revenue productivity benchmarkWhy hiring another person isn't always the solutionHow to create and manage an admin staffing budgetWhy every practice needs to be evaluated based on its own financialsHow technology and virtual assistants can reduce administrative costsHow to simplify and eliminate unnecessary processesWhy constraints can create innovationHow AI can improve patient communication and schedulingHow virtual assistants can support your front deskHow to determine when your front desk needs additional supportWhy keeping operations lean can improve profitabilityHow technology can help practices maintain a cleaner revenue cycleWhy practice owners need to continuously test, measure, and improve their systems  The goal isn't simply to have fewer employees. It's to build a high-performing team with the right people doing the right work at the right cost.   If you want to build a practice that is more efficient, profitable, and scalable, this episode is for you.   Don't just hire more people. Build better systems. 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/

    The High-Performance Practice, Ep. 6: Optimize Staffing Ratios To Maximize Profit
  2. Sep 22

    Maximize Clinic Profit & Drop Low-Paying Insurances

    Dropping Low-Paying Insurance & Maximizing Revenue   Private practice owners are under more pressure than ever to maximize revenue and protect their profit margins. In this episode, we break down the practical steps owners can take to improve profitability before making major decisions about insurance contracts.   From knowing your numbers to improving front-desk collections, managing billing, optimizing provider billing, and evaluating insurance payers, this conversation gives you a framework for making smarter financial decisions in your practice.   In this episode, you'll learn:   Why simply breaking even isn't enough for a healthy private practiceThe key financial numbers every practice owner should knowHow to calculate and understand your average reimbursementWhy cost per visit matters when evaluating payersHow your front desk can become a major revenue driverWhy collecting copays, deductibles, and coinsurance mattersHow to better manage your billing and collections teamWays to optimize provider billing and revenue per visitHow to use data and AI tools to improve financial decision-makingHow to evaluate insurance companies using a scorecardWhen it may make sense to negotiate or drop a low-paying payerWhy practice owners need to stop being afraid of demanding profit  The goal isn't simply to generate more revenue. It's to build a practice that is financially strong enough to support your team, your family, and your long-term goals.   Demand profit from your practice. Know your numbers. Make decisions based on data.   And if you're ready to take your practice to the next level, join us in San Antonio for the upcoming conference. 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/

    Maximize Clinic Profit & Drop Low-Paying Insurances
  3. Sep 15

    What Are You Doing to Market Your Practice?

    The 4 Marketing Buckets Every Private Practice Owner Needs to Know   When private practice owners think about marketing, the first thing that usually comes to mind is getting more new patients.   But what if more patients aren't actually your biggest constraint?   In this episode of the Private Practice Owners Club Podcast, Nathan Shields and Adam Robin take a deeper look at what marketing really means for a physical therapy practice and why thinking beyond physician referrals and paid ads can completely change the way you grow.   They break down the four marketing buckets every private practice owner should understand: current patients, past patients, physicians, and the broader community.   The conversation goes beyond simply “getting more patients.” They explore how marketing can help you fill a new provider's schedule, launch a new specialty, recruit better team members, build referral relationships, and create consistent lead flow.   You'll also hear why simple, consistent action beats complicated marketing strategies and how tracking the right numbers can turn marketing from something you occasionally remember to do into a repeatable system.   In this episode, you'll learn: Why “I need more new patients” isn't always the real problemThe 4 buckets of marketing every private practice owner should considerWhy current and past patients are often your cheapest and most reliable marketing channelsHow to use enrollment conversations to generate new opportunitiesHow role-playing can help your team become more comfortable asking for referralsWhy marketing should become an SOP, not a random activityHow volume and consistency create momentum and lead flowHow to identify the key influencers in your communityWhy your ideal patient avatar should determine your marketing strategyHow physicians, chiropractors, trainers, gyms, pastors, and other community leaders can become influencersHow social media can help you reach your ideal patients directlyWhy knowing who you're trying to help makes marketing dramatically easierHow to use simple messaging that actually resonates with patientsWhy consistency and calendaring are critical to successful marketingHow to use video, AI, CRM systems, and social media tools without overcomplicating your strategyWhat to do when hospital systems control a large portion of physician referralsWhy private practices need to pivot instead of making excusesHow developing marketing skills can help with recruiting, launching programs, and growing new locationsWhy the owner's ability to learn, adapt, and develop new skills is critical for long-term growth  The biggest takeaway?   Marketing doesn't have to be complicated.   Know who you want to help. Know where they are. Start conversations. Create value. Show up consistently. Track what works—and keep doing it.   Because when the market changes, those who know how to pivot will survive.   Learn more about the Private Practice Owners Club Build a practice with more profit, freedom, and purpose without relying on one single source of referrals.   Love the show? Subscribe, rate, review, and share the Private Practice Owners Club Podcast!   #PrivatePractice #PhysicalTherapy #PracticeManagement #HealthcareMarketing #PhysicalTherapist #PrivatePracticeOwner #PTBusiness #MedicalMarketing 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/

    What Are You Doing to Market Your Practice?
  4. Sep 8

    Want to Sell Your Practice Someday? Know These 3 Rules

    How to Prepare Your Physical Therapy Practice for a Successful Exit   What is happening in the physical therapy M&A market right now, and what does it mean for practice owners thinking about selling?   In this episode of the Private Practice Owners Club, Nathan Shields sits down with Paul Martin of Martin Healthcare Advisors, who has spent 27 years helping physical therapy practice owners navigate mergers, acquisitions, valuations, and exit strategies.   Paul breaks down what is happening in the current M&A market, why buyers are becoming more selective, and why practice owners need to start preparing well before they are ready to sell.   They also discuss what actually increases the value of a practice, how EBITDA affects valuation, why clean financials matter, the importance of leadership teams and documented systems, and why owners should think carefully about culture and deal structure before accepting an offer.   In this episode, you'll learn:   What the current physical therapy M&A market looks likeWhy there may be more sellers than buyers over the next few yearsHow EBITDA and valuation multiples affect your potential sale priceWhy owners should know the value of their business todayHow charge capture, schedule management, and provider productivity can increase valueWhy clean and credible financials matter to acquirersHow leadership teams can make a practice more attractive to buyersWhy owner-dependent practices can be harder to sellHow documented systems reduce dependence on individual employeesHow long owners may be expected to stay after a transactionWhy culture fit should come before structure and priceWhy structure can matter more than the headline sale priceHow multiple offers can give sellers more leverageThe two questions every owner should answer before preparing for an exit  The biggest takeaway: you don't want to wait until you're ready to sell before you start building a valuable business.   Know where you are today. Know what you want from a transaction. Then build the roadmap that gets you there.   Connect with Paul Martin   Learn more about Martin Healthcare Advisors and their work with physical therapy practice owners at martinhealthcareadvisors.com.   Paul also hosts The Next Level Owner podcast for physical therapy business owners.   Connect with the Private Practice Owners Club   Learn more about the Private Practice Owners Club and explore additional resources for growing and improving your practice. 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/

    Want to Sell Your Practice Someday? Know These 3 Rules
  5. Sep 1

    Why Soft Leadership Kills Team Production & Profit?

    Building a productive clinic isn't about pushing your providers to work harder, it's about creating the systems, expectations, and culture that allow great teams to thrive.   In this Facebook Live, Nathan Shields and Adam Robin discuss one of the biggest challenges facing private practice owners: improving provider productivity while maintaining healthy team communication. They explain why clear metrics alone aren't enough, and how leadership, accountability, and hiring the right people are what truly drive long-term performance.   Whether you're struggling with team buy-in, accountability conversations, or simply don't know which metrics matter most, this discussion offers practical leadership insights that every clinic owner can apply.   In this session, you'll learn: The essential metrics every practice owner should knowHow to set realistic productivity expectations for providersWhy systems must come before accountabilityThe relationship between culture and clinic performanceHow to identify when you have the wrong people on your teamTips for leading difficult accountability conversationsWhy production is the foundation of team moraleBooks and leadership resources that improved their management skillsWhat aligned teams naturally outperform misaligned organizations  If you're serious about building a high-performing practice with a strong team culture, this conversation is packed with actionable leadership lessons.   Join us at the High-Performance Practice Conference Learn proven systems for improving leadership, profitability, productivity, and practice growth.   Explore more Private Practice Owners Club resources: 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/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ Register for the 2026 Private Practice Owners Club conference here - https://ppoclubevents.com/home-page-2026

    Why Soft Leadership Kills Team Production & Profit?
  6. Aug 25

    High-Performance Practice Series, Ep. 5: Is Your Biller Keeping You Broke?

    Most private practice owners know they need a good billing department but very few know how to actually manage one.   In this episode of the Private Practice Owners Club, Nathan Shields and Adam Robin break down one of the biggest hidden profit leaks in private practice: poor billing oversight. Whether your billing is handled in-house or outsourced, simply trusting your biller isn't enough. As an owner, you need to understand the numbers, ask better questions, and establish accountability.   Nathan and Adam share hard-earned lessons from years of losing—and eventually recovering—hundreds of thousands of dollars by learning how to manage the revenue cycle more effectively.   In this episode, you'll learn: Why billing is one of the biggest hidden profit leaks in private practiceThe costly mistake of relying solely on your billing companyThe essential reports every owner should review every monthHow to run productive billing accountability meetingsThe KPIs that actually matter collections, denial rates, and AR agingBenchmarks every billing department should be hittingWhy denial rates are the leading indicator of billing performanceHow front desk processes directly impact your revenue cycleWhat separates average billers from truly exceptional onesHow to build stronger communication between your front desk and billing teamThe leadership mindset required to take ownership of your clinic's financial health  If you've ever wondered whether your billing department is leaving money on the table, this episode provides a practical framework to take back control of your revenue cycle and protect your clinic's profitability.   Join us at the High-Performance Practice Conference and learn proven systems to build a more profitable, efficient private practice.   Love the show? Subscribe, leave a review, and share this episode with another private practice owner.   Explore more resources from the Private Practice Owners Club: https://linktr.ee/ppoclub Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ Register for the Private Practice Owners Club conference now at https://ppoclubevents.com/home-page-2026

    High-Performance Practice Series, Ep. 5: Is Your Biller Keeping You Broke?
  7. Aug 18

    $80K Plus Benefits Isn't Cutting It Anymore: Rethinking Bonuses and Compensation

    Do bonus programs actually improve performance, or do they simply reward behaviors your team should already be doing? In this episode of the Private Practice Owners Club, Nathan Shields and Adam Robin explore how private practice owners can design bonus and incentive programs that drive productivity without hurting profitability. They discuss why culture must come before compensation, how to determine the right baseline metrics, and why simple incentive structures often outperform complicated formulas. They also share real-world examples of provider bonuses, front desk incentives, alternative compensation models, and profit-sharing strategies.   In this episode, you'll learn: Why strong culture matters more than bonus programsThe difference between intrinsic and extrinsic motivationThe financial metrics you must know before offering incentivesHow to build simple provider bonus structuresWhy bonuses should reward performance beyond baseline expectationsCreative team-based incentives that don't always involve cashAlternative compensation models that increase earning potentialFront desk bonus ideas that improve productivityCommon mistakes practice owners make with incentive programsHow higher revenue per visit creates better compensation opportunities for your team  Whether you're building your first incentive program or improving an existing compensation model, this episode provides practical ideas to motivate your team while protecting your clinic's profitability. Join us at the High-Performance Practice Conference to learn proven strategies for building a more profitable, high-performing private practice. If you enjoyed this episode, subscribe, leave a review, and share it with another private practice owner. Explore more resources from the Private Practice Owners Club: 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/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ Register for the Private Practice Owners Club conference now at https://ppoclubevents.com/home-page-2026

    $80K Plus Benefits Isn't Cutting It Anymore: Rethinking Bonuses and Compensation
  8. Aug 11

    High-Performance Practice Series, Ep. 4: How to Renegotiate Payer Contracts (and When to Just Drop Them)

    Hiring isn't the real problem, cash flow is. In this episode of the Private Practice Owners Club, Nathan Shields and Adam Robin explain why many practice owners chase the wrong solution when facing recruiting challenges. Instead of focusing on benefits packages or hiring tactics, they reveal how stronger financial systems and smarter payer strategies create the flexibility to attract and retain top talent. They also walk through when to renegotiate insurance contracts, when it's time to drop low-paying payers, and the metrics every clinic owner should understand before making those decisions. In this episode, you'll learn: Why recruiting problems often start with cash flowThe financial systems you should fix before renegotiating contractsThe key metrics every practice owner should monitorHow to evaluate payer profitabilityWhen it makes sense to renegotiate or drop an insurance contractHow to prepare for contract negotiations with confidenceWhy administrative burden matters just as much as reimbursement ratesHow to communicate payer changes with your team and patientsStrategies to increase profitability without adding more patient visitsHow stronger financial decisions create long-term practice growth If you're looking to build a more profitable and resilient private practice, this episode offers practical strategies you can start applying today.   Join us at the High-Performance Practice Conference to learn proven systems for growing a stronger private practice. If you enjoyed this episode, subscribe, leave a review, and share it with another private practice owner. Explore more resources from the Private Practice Owners Club: 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/discoverycall Love the show? Subscribe, rate, review, and share! https://ptoclub.com/ Register for the Private Practice Owners Club conference now at https://ppoclubevents.com/home-page-2026

    High-Performance Practice Series, Ep. 4: How to Renegotiate Payer Contracts (and When to Just Drop Them)
4.8
out of 5
60 Ratings

About

Hosted by Nathan Shields who sold his PT clinics for 3x the national average! Do you own a physical therapy practice? If so, you know that running a successful business is no easy feat. There are so many challenges to overcome, from marketing and billing to recruiting, hiring and managing staff. Sometimes it feels like you're a one-man (or woman) army. That's where the Physical Therapy Owners Club podcast with host, Nathan Shields, comes in. We're here to help you know you're not alone. This podcast is meant to help you navigate the challenges of owning a PT practice and achieve greater profits, freedom, and the goals you set forth when you opened your clinc. In each episode, we'll talk to successful physical therapy owners about their experiences and share their insights on how to best run a PT clinic. Here are some examples of the Physical Therapy Owners Club Podcast's Topics & Highlights: 1. Unveiling the Secrets of Successful Clinic Owners We delve into the minds of highly successful physical therapy clinic owners. Discover the essential traits, habits, and strategies that set them apart from the competition. Get ready to unlock the secrets to building a thriving practice that stands the test of time. 2. Mastering the Art of Marketing for PT Clinics We bring you marketing gurus who have successfully harnessed the power of digital and traditional marketing to grow their physical therapy businesses exponentially. From social media strategies to community outreach, you'll gain valuable insights that will revolutionize your clinic's marketing game. 3. Building a Dream Team: Recruiting, Hiring, and On-Boarding/Training Physical Therapists and Top Talent Your team is the backbone of your practice's success. Learn from HR experts and seasoned clinic owners as they spill the beans on effective recruiting and hiring practices, fostering a positive culture, and retaining top-notch talent for the long haul. 4. Mindset and Leadership for Clinic Owners The journey of a physical therapy practice owner is not without challenges. Explore the power of a growth mindset, leadership development, and overcoming common entrepreneurial obstacles to lead your clinic confidently toward success. 5. Scaling Up: Expanding Your Clinic's Footprint Dreaming of expanding your physical therapy business? We’ll explore growth opportunities, opening multiple locations, and franchising models for ambitious clinic owners aiming to take their practices to new markets. 6. Financial Strategies for Sustainable Growth Financial health is critical for the long-term success of any business. Tune in as financial experts share practical tips to manage your clinic's finances efficiently, navigate insurance complexities, and maximize profitability without compromising patient care. 7. Embracing Technology for Enhanced Patient Care With technology advancing at lightning speed, learn how to harness cutting-edge tools, telehealth solutions, and software to optimize patient outcomes and streamline your clinic's operations. We'll explore the latest tech trends reshaping the physical therapy landscape. 8. Navigating the World of Healthcare Legislation Healthcare legislation can be a maze of complexities that significantly impact your practice's operations and profitability. Join industry experts as they break down the latest regulations, provide compliance tips, and share best practices to stay ahead of the curve and optimize your clinic's performance. 9. Nurturing Patient Relationships and Boosting Customer Loyalty Word-of-mouth marketing remains one of the most potent tools for growing your clinic. Discover the art of patient engagement, improving patient experiences, and cultivating lasting relationships to build a fiercely loyal customer base. 10. Success Stories: Inspiring Case Studies from PT Practice Owners If you're looking for a podcast that can take your physical therapy practice to the next level, the PT Owners Club wil do it! Join us on Facebook Group, too

You Might Also Like