The Dave Kittle Show

What common issues make a physical therapy or healthcare practice difficult to sell?

How can practice owners improve the appeal of their business to potential buyers?

In this episode of The Dave Kittle Show, Dave talks with Ruth Mannschreck, a business coach and retired dentist, about why some physical therapy practices may be hard to sell. Ruth explains common issues like relying too much on the owner, a single referral source, or one key employee. They also cover what makes a practice stand out to buyers, the need for solid systems, and how to prepare for growth. Ruth shares advice on adjusting your business to appeal to different types of buyers.

You can connect with Ruth Mannschreck to access her free checklist, “10 Things To Do Before Selling a Business,” at https://shorelinestrategies.lpages.co/2025-mar-prep-to-sell-checklist-optin-podcast-cta/

In this episode, we cover:

[00:53] Guest Introduction: Ruth Mannschreck

[00:58] Why Your Healthcare Business May Be Unsellable

[01:52] Key Factors Making a Practice Unsellable

[04:57] The Importance of Differentiation and Competitive Advantage

[07:30] Challenges and Solutions in Selling a Practice

[11:32] Understanding Different Buyers and Sellers

[15:12] Final Thoughts and Contact Information

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

Why is it risky to wait until after a business is sold to tell your employees?

How can business owners prepare their team for a future sale without creating panic?

In this episode of The Dave Kittle Show, Dave talks with Ruth Mannschreck, a retired dentist turned business strategist. Ruth shares lessons from building and selling her dental practice, including key mistakes she made. She stresses the value of involving employees early in the sale process to keep morale up and make the transition easier. Ruth also highlights the need for clear communication, practice tours with buyers, and building a strong team culture that reflects core values.

You can connect with Ruth Mannschreck to access her free checklist, “10 Things To Do Before Selling a Business,” at https://shorelinestrategies.lpages.co/2025-mar-prep-to-sell-checklist-optin-podcast-cta/

In this episode, we cover:

[01:14] Guest Introduction: Ruth Mannschreck

[01:31] Ruth's Background and Experience

[03:12] The Importance of Preparing to Sell Your Business

[03:35] When to Inform Employees

[04:02] Ruth's Approach to Team Involvement

[05:40] Building a Magnetic Culture

[08:01] Tactical Approaches to Informing Your Team

[10:17] Practical Tips for Business Tours and Employee Involvement

[11:36] Debriefing After Tours

[14:01] Ruth's Personal Experience and Lessons Learned

[17:58] Preparing for a Sale

[22:02] Conclusion and Contact Information

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

How should physical therapists adapt to declining insurance reimbursement and systemic changes in healthcare?

Is telehealth or virtual physical therapy a viable long-term model for care delivery?

Can physical therapists continue to use the “physical therapy” label when providing services beyond traditional rehab care?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Jimmy McKay, Director of Communications at Mount Sinai Hospital and Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

[00:55] LinkedIn Debates and Industry Challenges

[02:36] PT Industry Challenges and Reimbursement Cuts

[03:22] Burnout in the Physical Therapy Profession

[04:11] Payment Models and Therapist Perspectives

[09:08] Patient Expectations and Insurance Challenges

[22:23] Telehealth vs. In-Person Care

[29:24] Discussing Neuro PT and Virtual Therapy

[31:08] Medicare Coverage for Telehealth Services

[32:05] Patient Retention and Therapy Goals

[33:23] Debating Physical Therapy vs. Wellness

[35:31] Handling Online Criticism and Trolls

[53:22] Franchise Models in Physical Therapy

[56:56] Parting Shots

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

What is the controversy surrounding Hinge Health’s approach to digital physical therapy, and how does it reflect broader changes in the industry?

Will traditional in-person physical therapy practices survive as technology and payer models shift toward efficiency and value-based care?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Jimmy McKay, Director of Communications at Mount Sinai Hospital and Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

[01:13] Hinge Health IPO Discussion

[02:18] Digital vs. In-Person Physical Therapy

[04:11] Hinge Health's Business Model

[05:54] Comments and Criticisms from Industry Professionals

[09:04] Future of Physical Therapy

[13:30] Challenges and Opportunities in Healthcare Business

[30:30] The Future of Agile and Lean Companies

[30:57] Understanding Value-Based Care

[31:20] Challenges in the Physical Therapy Profession

[36:06] Direct to Physician Marketing and Relationships

[41:52]  Innovative Approaches and Future Trends

[52:37] Parting Shots

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

What specific marketing strategies are being considered for promoting physical therapy services to golfers, and how should these be targeted to address both pain and performance enhancement?

How can physical therapy practices effectively use direct mail flyers to engage potential clients, and what considerations should be taken into account to maximize the impact of these campaigns?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Jimmy McKay, Director of Communications at Mount Sinai Hospital and Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

[00:53] Dave's Marketing Strategy

[02:26] Golf Pain and Performance Mailers

[05:25] Campaign Duration and ROI

[09:14] Organic Content and QR Codes

[11:20] AI and Automation in Physical Therapy

[12:41] Fall Prevention Ad Example

[13:50] Targeting Adult Children

[14:53] Using AI for Ad Copy

[18:02] Challenges with AI Tools

[20:01] Publishing and Testing Ads

[21:29] Parting Shots

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

What are the main reasons behind implementing the Multiple Procedure Payment Reduction (MPPR) by Medicare, and now by commercial insurers like Blue Cross Blue Shield in Michigan?

What are the practical impacts of MPPR on physical therapy practices, and how can practices adapt to these payment reductions to maintain profitability and patient care quality?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Jimmy McKay, Director of Communications at Mount Sinai Hospital and Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

[01:54] Medicare's MPPR ( multiple payment procedure reduction) Explained

[03:03] Impact of MPPR on Revenue and Solutions

[03:39] Strategies to Combat MPPR Reductions

[06:36] Optimizing Patient Visits for Better Outcomes

[07:50] Medicare Compliance and Profitability

[09:44] Adapting to Insurance Changes

[11:23] Challenges with Medicare Beneficiaries

[11:58] Operational Excellence in Scheduling

[13:20] Increasing Clinic Profitability

[17:13] The Role of Health Insurance in Healthcare

[22:52] Unionizing and Negotiating Rates

[24:06] Physical Therapy's Role in Healthcare

[27:37] Holistic and Direct-to-Consumer Approaches

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

What strategies are used for managing revenue cycle management (RCM) in an out-of-network billing scenario?

How does one transition a physical therapy practice from an insurance-based model to a self-pay and out-of-network model effectively?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Jimmy McKay, Director of Communications at Mount Sinai Hospital and Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

[00:54] Introduction to RCM and Business Practices

[02:26] Manual vs. Automated Billing Systems

[05:03] Challenges in Healthcare Billing

[11:59] The Future of Physical Therapy

[22:16] Innovative Therapy Programs and Client Engagement

[27:44] Home Exercise Equipment and Affiliate Marketing

[28:29] Blaze Pod Program Overview

[33:05] Marketing Strategies and Physician Referrals

[38:20] Thank You Cards and Patient Follow-Up

[44:44] Challenges in Hiring and Scaling

[49:38] Parting Shots

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

What are the benefits and challenges of transitioning from a traditional insurance-based model to a self-pay or out-of-network model in physical therapy?

How do concierge physicians handle referrals and what practices are used to maintain and nurture these relationships?

In this episode of The Dave Kittle Show, Dave Kittle talks with Dr. Michael Gorman about shifting physical therapy practices from insurance-based to self-pay and out-of-network models. They discuss the importance of identifying a practice's niche, building connections with concierge physicians, and using social media platforms like Instagram and TikTok to inform potential patients. They explore the advantages of the self-pay model, including better cash flow, patient commitment, and the ability to better compensate and keep top talent. They also discuss the need for more business education in physical therapy programs and the changing dynamics of healthcare reimbursements.

You can connect with Michael Gorman at iMove PT to learn more about franchise opportunities at https://imovephysicaltherapy.com

In this episode, we cover:

[00:44] Referral Pads: To Use or Not to Use?

[01:09] Building Relationships with Concierge Physicians

[02:15] Monthly Referral Review Process

[03:03] Effective Communication and Drop-off Tips

[06:24] The Power of Social Media Videos

[13:22] The Future of Physical Therapy: Self-Pay Models

[19:51] Medicare Audits and Compliance

[25:04] The Benefits of Self-Pay from the Start

[28:38] Business Training for Physical Therapists

[32:44] Conclusion and Final Thoughts

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

How do private practices adapt to out-of-network and self-pay models?

What strategies can be employed to attract and retain patients in a self-pay physical therapy model?

This week's The Dave Kittle Show episode, Dave Kittle welcomes back Dr. Michael Gorman on another podcast episode. He is the Founder of iMove PT, a physical therapist, private practice owner, and entrepreneur. He started St Louis Physical Therapy in 2002 and grew it to 7 locations. After 15 years, Michael sold his 7 clinics to a national healthcare company. He continued treating patients in the practice for another 2 and a half years before leaving completely. Michael attempted to acquire Dean Volk’s 2 clinic location practice (Volk PT), however, the Covid pandemic destroyed that potential deal. So, instead he started the iMovePT franchise to provide patients with a one on one treatment experience.

You can connect with Michael Gorman at iMove PT to learn more about franchise opportunities at https://imovephysicaltherapy.com

In this episode, we cover:

[01:05] Guest Introduction: Michael Gorman

[01:45] Discussion on Physical Therapys Future

[03:01] Evolution of Private Practice

[04:03] Challenges with Insurances and Reimbursement

[05:37] Transition to Self-Pay Model

[09:22] Innovative Techniques and Technology

[15:36] Pricing Strategies and Tiered Pricing

[27:04] Marketing and Patient Acquisition

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.

What are the challenges of adopting a cash-based or out-of-network model in physical therapy practices?

How does specialized equipment like the Neufit device enhance the treatment offerings at a physical therapy clinic?

Join us for a special crossover session, "The Breakfast Club," originally recorded on PT Pintcast. I'm your host, Dave Kittle, alongside Anthony (Tony Maritato) Maritato, a seasoned physical therapist, private practice owner, and online business entrepreneur.

Tune in to PT Pintcast on YouTube for Physical Therapy Conversations connecting busy PTs to their profession here.

In this episode, we cover:

[01:10] Disappointment in the Profession

[02:36] Innovative Techniques and Devices

[05:47] Master Reset and HRV Testing

[10:05] Challenges with Insurance and Payment

[12:26] Patient Willingness to Pay Out of Pocket

[20:00] Value of Modalities and Business Insights

[29:19] Parting Shots

Connect with Dave on:

Email: [email protected] 

Instagram: @davekittle

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

LinkedIn: https://www.linkedin.com/in/davekittle/ 

or

Call (646)-781-8884

Hosted on Acast. See acast.com/privacy for more information.