Rehab 2030: The Playbook

Gobill

Rehab 2030: The Playbook This is not intended to be another surface-level podcast. The goal is to create dense, actionable conversations around the future of rehabilitation and healthcare operations: leadership scaling systems AI and automation patient experience payer dynamics culture operational excellence and what organizations will need to thrive over the next decade...

  1. 4d ago

    Rehab 2030: The Playbook, S1, FINAL, Part 1 | Why Growth Just Multiplies Your Expenses.

    Why does a company's operating model fracture every time it triples in size, and how do founders avoid getting trapped in their own operational debt? In Part 1 of the Season One Finale of REHAB 2030: The Playbook, host Dr. Motaz Ebeido sits down with Gad Allon, Operations Professor at Wharton and Co-Founder of AIC, to deconstruct the mathematical and operational mechanics of scale.    About Our Guest: Gad Allon brings a rare blend of elite academic theory and raw, real-world execution. As a top operations professor who has taught at Wharton for over a decade, Gad has spent his career studying how organizations make decisions, scale, and operate. Today, as the Co-Founder of AIC Industries, he applies those principles on the front lines, building at "wartime speed". Moving seamlessly between academia, entrepreneurship, and advising, Gad possesses expert knowledge in queueing theory, supply chain warfare, and identifying why complex systems—from hospital ER queues to growing service businesses—ultimately break down.   In this first segment, Gad pulls back the curtain on what it actually takes to scale a business, explaining the critical difference between the "0 to 1" learning phase and the "1 to N" execution phase. He breaks down why leaders must intentionally lower the slack in their systems to expose hidden waste, how to identify root operational bottlenecks instead of just applying temporary workarounds, and why your business operations will break every time your organization triples in size.  TIMESTAMPS: 00:00 – 02:09: Introduction of host Motaz IU, the podcast Rehab 2030, and guest Gad Allon (Professor of Operations at the Wharton School).02:10 – 05:14: Identifying bottlenecks, constraints, and "pockets of inefficiency" (such as customer waiting, drop-offs, and waste) when evaluating operations.05:15 – 08:54: Gaps between measurement and action as sources of waste, and how systems often create workarounds rather than solving root causes.08:55 – 11:30: Root cause analysis and the lean operation principle that "yesterday's solutions are tomorrow's problems."11:31 – 15:52: Managing operational slack and using the "river analogy" to lower water levels (reducing buffers) to create pressure for process improvement.15:53 – 19:58: Defining a unique value proposition, acknowledging operational trade-offs, and building brand loyalty by knowing what the business intentionally does not do well.19:59 – 22:33: Scaling human-centered service businesses, contrasting the "0 to 1" learning phase with the "1 to N" execution phase, and creating repeatable playbooks.22:34 – 24:03: Identifying organizational inflection points that occur every time a company triples its size in terms of people or locations.24:04 – 27:19: The distinction between scaling (revenue growing faster than costs) and growth in service industries, and making expansion an intentional choice based on quality and capital constraints.Don't forget to like, subscribe, and hit the notification bell to stay updated for Part 2! #PhysicalTherapy #HealthcareLeadership #Rehab2030 #PracticeManagement #BusinessScaling #SportsMedicine #ClinicalExcellence

    Rehab 2030: The Playbook, S1, FINAL, Part 1 | Why Growth Just Multiplies Your Expenses.
  2. Sep 22

    Rehab 2030: The Playbook, S1, E9, Part 2 | Will AI Replace Front Desks in PT Clinics by 2030?

    Where do you draw the line between standardizing a medical practice and allowing your individual providers the autonomy to shine? Can technology entirely eliminate administrative burnout, or are we risking the loss of the essential human touch? In Part 2 of this episode of Rehab 2030: The Playbook, host Motaz wraps up his masterclass conversation with Michael Evangelist, the Chief Clinical Officer at JAG Physical Therapy, to confront the biggest systemic issues facing the future of rehabilitation platforms. About Our Guest: Michael Evangelist brings over 20 years of elite experience blending clinical services with corporate strategic management. Joining JAG Physical Therapy as their very first staff physical therapist in 2006 when they operated just one clinic, Mike climbed through clinical director and executive roles to help expand the company. Today, as Chief Clinical Officer, he oversees clinical operations for a massive regional platform encompassing 184 facilities across New York, New Jersey, and Pennsylvania. Additionally, Mike possesses an expert knowledge base in billing, coding, and compliance alongside a robust sports medicine background treating elite professional athletes across the NFL, NHL, MLB, and MLS.1234 In this concluding segment, Mike explores the reality of the therapist supply-and-demand crisis, managing new graduate expectations, advocating for higher insurance reimbursement rates, and why brick-and-mortar clinics must establish boundaries against over-automation to preserve their professional identity. TIMESTAMPS: 00:20 – Balancing standardization and clinical autonomy in physical therapy practices02:24 – Analyzing industry staffing issues: supply and demand vs. clinician retention03:46 – University program adjustments and trends in physical therapy education05:49 – Managing expectations for new graduates entering the workforce07:07 – Helping new clinicians understand healthcare business models and productivity expectations08:34 – Legislative priorities on Capitol Hill: reimbursement rates and direct access care10:54 – Discussion on future payment structures and the potential for value-based care12:03 – Leveraging technology, EMR system interoperability, and reducing Administrative friction14:39 – EMR data collaboration to advocate for policy changes at Capitol Hill16:05 – Practice automation versus maintaining personal, human touch in clinical care17:46 – Growth strategy and regional expansion vision for JAG05:05 – Closing remarks on the future outlook of the physical therapy professionDid you miss the beginning of the playbook? Make sure to check out Part 1 to catch the first half of our interview with Mike Evangelist! #PhysicalTherapy #HealthcareLeadership #Rehab2030 #PracticeManagement

    Rehab 2030: The Playbook, S1, E9, Part 2 | Will AI Replace Front Desks in PT Clinics by 2030?
  3. Sep 15

    Rehab 2030: The Playbook, S1, E9, Part 1 | Why Great Clinicians Fail at Business!

    How do you grow a single local clinic into a massive, 184-location regional powerhouse without losing your gold standard quality of care? In Part 1 of this episode of Rehab 2030: The Playbook, host Motaz sits down with Michael Evangelist, the Chief Clinical Officer at JAG Physical Therapy, to break down the operational blueprint behind scaling a healthcare enterprise. About Our Guest: Michael Evangelist brings over 20 years of elite experience blending clinical services with corporate strategic management. In 2006, he joined JAG Physical Therapy as their very first staff physical therapist when they operated out of just one facility in West Orange, New Jersey. Rising through the ranks as a Clinical Director and Vice President, Mike helped spearhead the company's multi-site scaling and post-acquisition operations. Today, as Chief Clinical Officer, he oversees clinical operations for 184 facilities spanning New York, New Jersey, and Pennsylvania. Beyond executive leadership, Mike possesses expert knowledge in billing, coding, and CMS compliance, alongside a strong clinical background in sports medicine and orthopedic rehab treating professional athletes across the NFL, NHL, MLB, and MLS. In this first segment, Mike pulls back the curtain on what it truly takes to transition from a physical therapist into an executive leader, how to foster deep staff loyalty, and the exact metrics needed to monitor a growing practice. TIMESTAMPS: 00:00 – Intro to Rehab 2030 & Guest Announcement01:04 – Mike's Career Journey: From First Hire to Chief Clinical Officer02:59 – The Power of Vision & Mentorship: Reflections on the Interview that Started it All06:52 – The Mindset Shift: Transitioning from Solo Patient Care to Managing Teams09:17 – Leading by Example & Building Employee Loyalty11:22 – Fostering a Culture of Teamwork and Company-Wide Core Value Alignment13:24 – Scaling Through Middle Management and Standardized Leadership Training17:16 – Overcoming the Hurdles of Scaling Clinical Care Excellence19:45 – The "Main Three Metrics" Every Smaller Practice Owner Needs to TrackDon't forget to like, subscribe, and hit the notification bell to stay updated for Part 2! #PhysicalTherapy #HealthcareLeadership #Rehab2030 #PracticeManagement #BusinessScaling #SportsMedicine #ClinicalExcellence

    Rehab 2030: The Playbook, S1, E9, Part 1 | Why Great Clinicians Fail at Business!
  4. Sep 7

    Rehab 2030: The Playbook, S1, E8, Part 2 |A Masterclass in Scaling & Culture from a Top 50 CXO!

    In Part 1 of this episode, we sat down with Gary Occhiogrosso—a true titan of multi-unit economics, Forbes contributor, and NYU professor who has spent the last 35 years building national brands and selling over 1,000 franchise units. Gary shared his journey from running a single Dunkin’ Donuts to acting as the President of TRUFOODS, breaking down the messy reality of rapid growth, massive egos, and the exact systems, you need to automate your business before it kills you. Now, in Part 2, Gary gives a raw reality check on what it takes to truly win and scale intelligently without losing your mind—or your business. As the Founder of Franchise Growth Solutions, an NYU professor, and a Top 25 Fast Casual Exec, he is the go-to mentor helping founders raise serious growth capital and transition from simply working a job to leaving a lasting legacy. In this clip, Gary addresses the modern panic surrounding Artificial Intelligence, comparing it to the 1980s computer scare. His take? AI isn't coming to replace you—unless you refuse to use it. It’s a powerful lever and a force multiplier designed to handle the heavy lifting so you and your team can focus on the work that actually matters: people, culture, and vision. If you aren't fighting for your business like you’re fighting for air underwater, you just aren't going to make it. Tune in to hear how the real pros scale! ════════════════════════════ TIMESTAMP GATHERED FROM THIS CLIP: 00:20 - AI Deployment in the Food & Beverage Industry 01:03 - Consumer-Facing AI: Drive-Thrus, Chatbots, and Online Ordering 02:13 - What's Driving Automation: Entry-Level Wages & Economic Realities 02:49 - Internal Benefits of AI: Inventory Monitoring, Labor Analytics, and Nutritional Guides 05:12 - Solving Workforce Challenges and Accelerating Scale Through AI 06:09 - The 1980s Computer Scare vs. Modern AI Panic: Why AI is a "Force Multiplier" 07:46 - Workforce Retention: Teenage Fast-Food Workers vs. Highly Trained Professionals 11:26 - Selling Culture, Vision, and Career Pathways to Retain Top Talent 12:15 - People-Centric Business: Creating Upward Mobility and Opportunity 13:44 - Systems Run the Business, But People Run the Systems 14:50 - Leaving a Legacy: Why Hands of Hope Rejects Non-Compete Agreements 15:42 - Interview Standards: Spotting Positive Energy vs. The Victim Mentality 17:40 - The Ultimate Reality Check: Fighting for Your Business Like You're Fighting for Air 18:56 - Are You Just Surviving 5 Days a Week to Live For 2? 19:45 - The Common Thread of Thriving Brands: True Leadership and Inspiration 20:53 - The Final Question: Evaluating Your Business Constantly Instead of Every 10 Years 22:36 - Gary’s Contrarian Question for the Next Guest 22:53 - Episode Wrap-Up & Key Takeaways with Host Motaz

    Rehab 2030: The Playbook, S1, E8, Part 2 |A Masterclass in Scaling & Culture from a Top 50 CXO!
  5. Sep 1

    Rehab 2030: The Playbook, S1, E8, Part 1 |The Guy Who Traded NY Radio to Sell 1,000+ Franchises!

    Welcome back to Rehab 2030: The Playbook, the ultimate guide on how to help your business thrive and scale over the next decade. In this episode, our host Dr. Motaz steps outside of the typical medical ecosystem to cross-reference business challenges with an industry expert from the franchising and hospitality world. Our guest, GARY OCCHIOGROSSO, is a true titan of multi-unit economics, a powerhouse C-level executive, Forbes contributor, and NYU professor who has spent the last 35 to 40 years building national brands and selling over 1,000 franchise units. Drawing from his extensive experience—which started in the trenches as a single Dunkin’ Donuts franchisee in Queens, New York, during the 1980s—Gary has successfully launched and managed multi-brand giants like Ranch 1, Desert Moon, and TRUFOODS. Today, as the founder of Franchise Growth Solutions, he is the go-to mentor helping founders automate their concepts, scale intelligently, and raise serious growth capital. Timestamps & Part Breakdown 00:20 - 01:41 | Introduction: Moutaz introduces Gary Occhiogrosso and discusses the importance of learning scaling principles from outside industries. 01:42 - 04:32 | Gary’s 40-Year Journey: Gary shares his background, from New York radio to Dunkin' Donuts, leading franchise brands, writing for Forbes, and launching Franchise Growth Solutions.3 04:33 - 07:49 | What Makes a Concept Franchiseable?: Shifting focus away from the core product or service to find points of differentiation in the brand identity. 07:50 - 10:11 | The Power of Guest Experience: A personal story illustrating how friction points and poor customer service can quickly compromise a brand. 10:12 - 13:17 | Managing Consumer Expectations: How brand messaging sets a specific bar for customer expectation, using examples from fast food, high-end spas, and fine dining. 13:18 - 15:33 | Brand Consistency & Repeatability: Why large chains like Starbucks and Chipotle succeed by operating like franchises through repeatable standards. 15:34 - 16:43 | Systems Run the Business, People Run the System: Looking at the McDonald's assembly-line model to understand specialized systems over individual reliance. 16:44 - 19:33 | Simplicity of Operation: The necessity of keeping operational knowledge straightforward so that it can be flawlessly executed and trained. 19:34 - 21:26 | Low Cost of Entry for Scaling: Using the Subway sandwich model to show why keeping setup costs low is essential for building an empire. 21:27 - 23:49 | Optimizing Skilled Labor: Moving administrative tasks and paperwork off high-value employees (like physical therapists) to maximize front-facing efficiency. 23:50 - 26:43 | Therapist Decision-Making as the Asset: Applying the "Right People in the Right Seats" concept to the clinical landscape. 26:44 - 29:26 | Delegation vs. Abdication: Lessons from Michael Gerber's book The E-Myth Revisited on why owners must work on the business, not in it. 29:27 - 31:34 | Defeating the "Founder Ego": Why the belief that "no one can do it as well as me" limits a company's enterprise value and sets it up for failure. 31:35 - 33:09 | Building a Legacy System & AI: Final thoughts on shifting a brand's lynchpin to an enduring system, and leveraging AI as a force multiplier tool.

    Rehab 2030: The Playbook, S1, E8, Part 1 |The Guy Who Traded NY Radio to Sell 1,000+ Franchises!
  6. Aug 24

    Rehab 2030: The Playbook, S1, E7, Part 2 |Why 90% of PT Clinics Will Fail by 2030 | With Randy Hite.

    In the 2nd part, we sit down with Randy Hite, MPT, SCS, CSCS, a master clinician, healthcare innovator, and industry pioneer. As a Board-Certified Sports Specialist and the visionary "Solution Seeker" behind New Hites LLC and New Hites PT & Performance Lab in Gillette, Wyoming, Randy brings a wealth of elite clinical expertise and transformative business leadership. Drawing from his expansive executive background, including his role as a Partner at FUEL and his successful tenure as Chief Clinical Officer at 180 MSK Systems, Randy seamlessly bridges the gap between elite athlete rehabilitation and private practice growth strategy. In this discussion, Randy pulls back the curtain on how to navigate the massive shifts happening in the business of rehab, explaining why the future of a thriving practice relies on deep community relationships and genuine human connection over fancy tools. We dive deep into how AI is changing the battlefield by automating administrative and billing burdens to give clinicians their time back, why practices need to break out of traditional injury silos to embrace proactive primary care, and the undeniable scaling power of a cash-based business model. If you’re a private practice owner, clinician, or healthcare founder looking to build a sustainable clinic for 2030, you do not want to miss these high-level insights on how to tune out the noise and bet on yourself.1234 Key Topics & Timestamps: 00:22 - Technology vs. Human Connection: Randy breaks down what processes should be optimized by AI and what must remain strictly human. 01:20 - Offloading Admin and Billing: How leveraging automation can reduce documentation burdens and return the "lost art of listening" to patient care. 04:16 - The Ultimate Money Maker: Why solidifying community relationships beats out any dashboard metric or expensive clinic equipment. 06:35 - Breaking the Injury Silo: Transitioning physical therapy into a primary care model, from direct access to emergency room settings. 09:31 - The Power of Cash-Based Models: How eliminating insurance constraints allows clinicians to treat patients based on actual need. 11:11 - Proactive and Preventative Care: Utilizing technology like force plates and motion capture to catch risks before patients experience pain. 12:35 - Sustainable Practices for 2030: Essential advice for investing in patient care, program development, and building a fun workplace culture. 15:55 - Final Words of Wisdom: An encouragement to clinicians to block out the noise, lean into data-driven choices, and always bet on yourself.

    Rehab 2030: The Playbook, S1, E7, Part 2 |Why 90% of PT Clinics Will Fail by 2030 | With Randy Hite.
  7. Aug 18

    Rehab 2030: The Playbook, S1, E7, Part 1 |Will AI Replace Physical Therapists by 2030?

    In this episode of Rehab 2030 | The Playbook, we sit down with physical therapy industry pioneer, master clinician, and healthcare innovator Randy Hite, MPT, SCS, CSCS. As a Board-Certified Sports Specialist, Certified Strength and Conditioning Specialist, and the visionary "Solution Seeker" behind New Hites LLC and New Hites PT & Performance Lab, Randy brings over 20 years of elite clinical and corporate leadership experience to the table. Drawing from his extensive background, including his impactful tenure as Chief Clinical Officer at 180 MSK Systems and his current role scaling private practices with FUEL, Randy seamlessly bridges the gap between high-level athlete rehabilitation and transformative business strategy. Randy pulls back the curtain on how physical therapy has evolved from simple yellow legal pads to complex, technology-driven operations. He breaks down why clinic leaders must embrace Artificial Intelligence (AI) to eliminate administrative noise and how the "old guard" can better mentor the tech-savvy Gen Z generation of therapists. We also tackle the nationwide therapist recruitment crisis, the reality behind early-career burnout, and why keeping private practices independent from corporate takeovers is essential to protecting the quality of patient care. Key Topics & Timestamps: 00:20 - Introduction and Guest Overview: The host introduces the show Rehab 2030 and welcomes 20-year industry pioneer Randy Hite. 01:04 - Career Journey & The Bernard King Inspiration: Randy shares his personal background, an inspiring NBA comeback story, and how a college injury led him into PT. 03:24 - 20 Years of Industry Evolution: A look at how physical therapy shifted from simple, paper-based operations to a highly complex, tech-heavy administrative environment. 05:28 - Embracing AI in the Clinic: Why operators must adopt AI to efficiently analyze data and drastically reduce administrative burdens. 07:30 - Mentorship and the Generation Gap: Discussing how the "old guard" needs to adapt, mentor incoming therapists, and blend traditional relationship skills with new technology. 09:32 - The Reality of Therapist Burnout: Breaking down why young physical therapists are leaving the profession early, focusing on high debt, low pay, and external administrative noise. 10:29 - The Danger of "Butts in Seats" Hiring: The consequences of compromising hiring standards just to fill a clinical vacancy. 13:51 - Private Practice vs. Corporate Takeover: Randy voices his advocacy for independent practices, warning against metrics-driven corporate environments that prioritize quantity over quality.

    Rehab 2030: The Playbook, S1, E7, Part 1 |Will AI Replace Physical Therapists by 2030?
  8. Aug 10

    Rehab 2030: The Playbook, S1, E6, Part 2 |Is Your Practice Ready to Sell?

    Rehab 2030 | THE PLAYBOOK S1 EP6 part 2 In this episode of Rehab 2030 | THE PLAYBOOK, host Dr. Motaz Al-Bieda continues his deep dive into healthcare business strategy with financial expert Farooq Tirmizi. Moving from foundational balance sheets to enterprise-level growth, this episode uncovers the exact operational levers required to maximize clinic profits and position a rehab practice for a premium market valuation. Designed as an actionable blueprint for physical therapy and rehab practice owners, this conversation breaks down how to strategically pull P&L levers, optimize staffing without overhiring, and navigate the psychological shift from owning a job to building a 15-location enterprise. Whether you want to optimize your current cash flow or prepare your business for a multi-million dollar exit, Farooq shares the valuation secrets and industry metrics that separate average clinics from elite, high-growth healthcare brands. 💡 Key Topics & Timestamps 00:20 - Levers of the P&L: Maximizing Profitability Dr. Motaz Al-Bieda shifts the conversation back to the P&L statement to explore how practice owners can actively decrease costs and increase revenue.01:32 - Optimizing Staffing & Slashed Admin Overhead Farooq explains why maximizing the number of revenue-generating providers per location while leveraging software to automate reminder calls, texts, and front-desk tasks dramatically improves operating leverage.03:47 - Performance Bonuses & Clinic Culture Why practice owners should never give per-visit bonuses from baseline levels, and how setting a high performance bar weed out low-performers while boosting overall profit margins.05:48 - The Math Behind Hiring: Staffing for Cancellations Farooq shares a definitive mathematical baseline for when to hire a new therapist by calculating your practice's lost visits from cancellations and no-shows.11:36 - The Weekend Cash-Pay Strategy How to tap into a high-value, cash-based demographic—like seniors exceeding Medicare limits or urban athletes—by utilizing your empty clinic space exclusively on weekends.14:40 - How Therapy Practices are Valued A look at the primary drivers of practice valuations, explaining why absolute annual profit levels (reaching the $1M+ threshold) command significantly higher sales multiples than sub-$250k businesses.17:30 - Red States vs. Blue States: Legal & Corporate Obstacles How geographical regulations, corporate practice of medicine laws, and stricter compliance landscapes in states like California, Washington, and Oregon impact your ability to sell.18:45 - Preparing Your Exit & Hitting the "Zero Patient" Target The ultimate rule for leaving money on the table: why a practice owner must transition completely out of patient care to zero regular sessions before going to market.20:22 - The 15-Clinic Leap: Psychological Blocks vs. Lifestyle Choices Dr. Motaz and Farooq debate the personal trade-offs, exhaustion, and lifestyle decisions involved in choosing between a comfortable 2-to-3 location practice and a scaled 10+ clinic enterprise.25:22 - Quick-Fire Round: Metrics, Buzzwords, and Founder Traits Farooq reveals his most trusted financial metric (gross margin), the most overrated M&A buzzword (adjusted EBITDA), and the single trait he values most when meeting with business founders.Don't forget to like, comment, and subscribe for more playbooks on building a successful rehab practice for the future!

    Rehab 2030: The Playbook, S1, E6, Part 2 |Is Your Practice Ready to Sell?

About

Rehab 2030: The Playbook This is not intended to be another surface-level podcast. The goal is to create dense, actionable conversations around the future of rehabilitation and healthcare operations: leadership scaling systems AI and automation patient experience payer dynamics culture operational excellence and what organizations will need to thrive over the next decade...