The Dave Kittle Show

Have you ever questioned what the secret sauce is behind skyrocketing a physical therapy practice from one location to two cash-based ones? Are you ready to dissect the pros and cons of multiple expansion strategies – from buying or merging with a local competitor to building a new clinic from scratch? 

Join Dave this week as he engages in an enriching discussion with Jesse Lewis. Dr. Jesse Lewis is the founder of District Performance & Physio. He is a physical therapist and coach, who believes that movement and exercise are life. His passion is keeping active people active and healthy. Dr. Lewis’s treatments include a strategic combination of education, exercise, manual therapy, and dry needling. With advanced certifications in both physical therapy and strength and conditioning, he will develop your plan with both a rehabilitation and performance approach.  

Connect with Jesse Lewis and learn more about District Performance & Physio at https://www.districtperformancephysio.com/ or via email at: [email protected] 

In this episode, they will touch on such topics as:

• Growth Strategies for Physical Therapy Practice: The pros and cons of different options for growing a business, such as buying or merging with a local competitor, or building out a de novo clinic.
• Starting Gym or Clinic Considerations: The benefits of starting a gym from scratch and exploring the differences between a two year and nine year lease. 
• Recruiting, Hiring, and Compensation Strategies: The pros and cons of various payment structures and how to ensure staff feel rewarded and appreciated while still taking into account the financial sustainability of the practice.
• Marketing Strategies and Clinic Acquisition: The time and dollar costs associated with marketing and how to reach out to current clients when opening a new clinic. 
• Merging and Partnering in Physical Therapy: The potential conflicts that can arise when introducing a playbook, tracking data, and managing expectations within a new practice.
• Merging or Acquiring a Practice: The importance of assessing a practice beyond the financials when considering to merge or acquire, looking at the culture, the reviews, and the soft skills. 
• Expansion Strategy for Gym Locations: How to replicate the current process successfully and what his gut tells him about the best growth strategy for the business.

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Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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Do you ever wonder about the behind-the-scenes intricacies and challenges of navigating physical therapy practices, whether in-network or out-of-network? What are the differences between cash-based physical therapy and out-of-network practices, as well as strategies for getting patients reimbursed even if the practice is out-of-network? 

Join Dave this week as he engages in an enriching discussion again with Amit Gaglani, PT, OCS, Amit is a physical therapist and previous practice owner of Arrow Physical Therapy in New Jersey. Amit grew Arrow PT to 4 clinic locations. Then, he partnered with Alliance PT Partners (selling 70% of his equity stake) and approximately 4 years later, Alliance acquired the remaining 30% stake. Amit is currently the Founder and CEO of AG Management Consulting Co and previously founded Alliance Physical Therapy Partners in 2017. Mr. Gaglani negotiates insurance contracts and is instrumental in opening new offices across the country. Now after numerous successful deals, Mr. Gaglani has a group of over 40 accredited investors that partner with him on investments. He is very passionate about investing in the alternative investments space with unique crafted deals. He welcomes other accredited investors to join his group and experience the negotiated high returns that they have been accustomed to attaining. When not connecting with investors, you'll find him investing time with his family on the tennis court, golf course, riding arena or on a plane.

Connect with Amit Gaglani via email: [email protected]

In this episode, they will touch on such topics as:

• In-Network vs. Out-of-Network Physical Therapy: The difference between cash-based physical therapy and out-of-network practices, and how a patient may be able to get reimbursed even though the practice is out-of-network.
• Out-of-Network Benefits and Healthcare Business Models: The benefits of out-of-network coverage and comparison of in-network and out-of-network deductibles. 
• Out-of-Network Billing and Reimbursement: The potential for practices to make more money by billing out-of-network benefits even when their patients are in-network. 
• In-Network Practices and Cash Pay: The potential of adding more cash pay services, such as laser traction, hyperbaric oxygen chamber, and red light therapy, as a way to attract patients and increase the practice's profit.
• Insurance Contracts and Out-of-Network Services: The risks of charging out-of-network fees for services that are covered under contracts.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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

What's the secret to turning your business profits into a wealth-generating machine? Are you ready to revamp your understanding of business profit investment that provides an unconventional yet practical perspective on how to make your profits work for you?

Join Dave this week as he welcomes back Ben Bagge with an enriching and engaging discussion. Ben Bagge, PT, DPT, CSCS received his Doctorate in Physical Therapy from Clarke University in Dubuque, Iowa and a Bachelor's Degree in Kinesiology from the University of Northern Iowa.

Ben’s specialty is helping athletes and active individuals find ways to allow them to continue to workout while rehabbing from injury. Ben also enjoys helping his clients bulletproof their body from injury by improving their overall mobility and completing biomechanical assessments of their desired lifts (squats, deadlifts, power cleans, snatches, etc…). Ben has also been an instructor in a variety of different settings, from local consulting with CrossFit gyms/athletes, youth athlete clubs, and professional sport organizations.

Connect with Ben and learn more about Pro+Kinetix Physical Therapy & Performance at https://prokinetixrehab.com/ 

In this episode, they will touch on such topics as:

• Ben Bagge’s Business Journey: He shares his experiences of scaling his practice to 3 locations and $1.5 million per year. 
• Where Should You Invest First?: The importance of investing in oneself, learning new skill sets, and understanding the sales process before looking into other forms of investments.
• Maximizing Profits in Real Estate: How physical therapy practice owners can maximize their profits and invest in their businesses. 
• Leveraging Other People's Money for Investments: The concept of leveraging other people's money to maximize profits and save on taxes. 
• Real Estate and Business Growth: The benefits of partnering with people in the industry to invest in real estate and Airbnb, along with the advantages of leveraging other people's money.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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Ready to unlock the secrets of a profitable exit strategy?  Are you ready to shift your focus to buying and duplicating your business, emphasizing the significance of having a strong team and robust systems in place?

Join Dave this week as he engages in an enriching discussion again with Mike Finger. Mike is an “unapologetically small business”. Over the last 25 years, Mike has bought, built, and sold multiple businesses. Building his first business was a rewarding challenge, but what captivated him was selling his first business.

Connect with Mike and learn more about Exit Oasis: https://exitoasis.com/ 

In this episode, they will touch on such topics as:

• Exit Your Business With 3D Framework: How small business owners create an exit strategy, focusing on Seller's Discretionary Earnings, net earnings, and desirable results.
• Buying and Duplicating in Small Business: How having a team and systems in place is important for physical therapy practice purchases, including employee satisfaction, repeatable results, and seller financing for SBA deals. 
• Preparing Your Business for Sale: Explore and create a sellable business, the 3D framework, team and systems, and the benefits of having experienced help.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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Have you ever found yourself at the crossroads of your healthcare practice, questioning whether to expand, merge, sell, or maintain the status quo?  Are you ready to find the potential benefits and challenges of buying businesses, and how maximizing your purchase price can lead to a generation of substantial wealth? 

In this week's The Dave Kittle Show episode, Dave Kittle goes solo to discuss the possibilities for practice owners looking to sell, grow, merge, or simply maintain the status quo. He’ll be sharing personal anecdotes from his own experiences merging practices, revealing the potential benefits and challenges that come along with buying businesses, and providing actionable advice to help you make well-informed decisions.

In this episode, he will touch on such topics as:

• The potential benefits and challenges that come along with buying businesses.
• The hurdles of recruitment, hiring, and the crucial shift from working in the business 
• The landscape of healthcare business ownership and partnership.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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

Ever wondered about the elusive matrix behind the valuation of a million-dollar practice? What if you could master the art of practice valuations? Are you ready to bridge the gap between the buyer and the seller, striking a balance that ensures everyone leaves the table with a smile? 

Join Dave this week as he engages in an enriching discussion with Jason Horowitz. Jason Horowitz spent over 25 years in the healthcare services industry. He has held numerous executive, business development, and advisory roles across various sub-sectors, where Jason has been responsible for creating several billion dollars of value. As a goal-driven professional, Jason empowers clients to excel in fast-paced, highly demanding environments. Through formal training and ongoing coaching, he provides executives, founders, and staff with the resources, tools, and knowledge necessary to produce superior results. Jason is adept at understanding complex business landscapes, analyzing challenges, and developing lasting solutions to reduce risk, drive operational excellence, and positively impact the bottom line.

Connect with Jason and learn more about HDS Advisory at  https://hdsadvisory.com/ or connect with him through his business email [email protected] or via LinkedIn https://www.linkedin.com/in/jason-horowitz-23799213/ 

In this episode, they will touch on such topics as:

• Practice Valuations: Jason Horowitz discusses practice valuations as an art, using sales as the metric and 0.9-1.1x dollars in the door as a rule of thumb.
• Factors to Consider in Practice Valuation: Valuing a million-dollar practice, operating margins, legal and advisor perspectives, bridging the gap between buyer and seller.
• Understanding Seller Motives in Practice Acquisitions: Valuations, revenue streams, real estate benefits, and deal components are discussed to determine an exit strategy or growth potential.
• The four key questions to ask when determining the seller's goals and how to approach practice valuations.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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

Are you feeling alone and isolated in your business challenges? Are you ready to open up about our own business difficulty journey, the hurdles, and figure out how to get through it? Remember, you're not alone in your struggles, and you shouldn't be navigating them alone either.

In this week's The Dave Kittle Show episode, Dave Kittle goes solo to explore the pressing issues business owners face and how crucial it is to reach out for help. In this episode, he reflects on a powerful quote, "I have no one to talk to about these issues", that he came across on LinkedIn from John Barnes, CEO of Pendleton Street Business Advisors and a previous guest on the show. If you're feeling this way, he urges you to take action. Whether it's a financial or health issue in your business, seek advice from professionals like accountants, lawyers, or business coaches. Don't let your problems fester. He discusses the importance of airing out your challenges and conflicts, and how a business coach can provide invaluable guidance.

In this episode, he will touch on such topics as:

• Navigating Challenges as a Business Owner: The importance of reaching out for help to address financial, health, or exit issues; talk to advisors, brokers, and business coaches for guidance. 
• Opportunity for Healthcare Business Owners: The importance of reaching out for help to make informed decisions on succession plans and exit strategies for healthcare business owners.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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

Ever wondered how to reach time and financial freedom by the age of 30 as a physical therapist? Are you ready to build a practice, scale it and aim for a whopping $2 million in revenue this year?

Join Dave this week as he engages in an enriching discussion with Ben Bagge. Ben Bagge, PT, DPT, CSCS received his Doctorate in Physical Therapy from Clarke University in Dubuque, Iowa and a Bachelor's Degree in Kinesiology from the University of Northern Iowa. Ben’s specialty is helping athletes and active individuals find ways to allow them to continue to workout while rehabbing from injury. Ben also enjoys helping his clients bulletproof their body from injury by improving their overall mobility and completing biomechanical assessments of their desired lifts (squats, deadlifts, power cleans, snatches, etc…). Ben has also been an instructor in a variety of different settings, from local consulting with CrossFit gyms/athletes, youth athlete clubs, and professional sport organizations.

Connect with Ben and learn more Pro+Kinetix Physical Therapy & Performance at https://prokinetixrehab.com/ 

In this episode, they will touch on such topics as:

• Cash-Based PT and Real Estate: How physical therapists can leverage cash-based practices and real estate to have both time and financial freedom by the age of 30. 
• Time and Financial Freedom Strategies: How to create the right systems and have the right people in place, and to write down tasks and delegate them to the right people. 
• Overcoming Limiting Beliefs in Business: How to overcome self-limiting beliefs and how physical therapists can overcome them by surrounding themselves with people who are further along in their journey.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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

As a practice-owner, are you ready to discover how remote therapeutic monitoring and its billing process can be a game-changer? How can investing in the right technology, cultivating effective leadership, and creating motivating incentives not only drive your practice success, but also influence patient behavior and outcomes?

Join Dave this week as he engages in an enriching discussion with Steven Coen, the innovative co-founder of Sarah Health. He shares his journey from a frustrated patient to a tech entrepreneur, discussing the significant role text messaging plays in healthcare communication. Get insight on how Sarah Health enables Medicare to provide reimbursement for remote therapeutic monitoring through text messages. This innovative approach is set to bolster practices' top line numbers and net income significantly.

Connect with Steven Coen and learn more Sarah Health at www.SARAhealth.io or you can connect with him through his professional email [email protected] and LinkedIn account https://www.linkedin.com/in/stevenmcoen/ 

In this episode, they will touch on such topics as:

• Steven Coen’s Journey: How Steven went from a frustrated patient to a tech entrepreneur and how text messaging can play a significant role in healthcare communication. 
• Text Message System in Physical Therapy: The transformative potential of technology in bridging the gap between physical therapy visits and enhancing patient engagement.  
• Text Message Medicare Reimbursement for Remote Monitoring: How Sarah Health makes it possible for Medicare to offer reimbursement for remote therapeutic monitoring via text messages, an innovative approach that could significantly improve the top line numbers and net income of practices. 
• The challenges faced by physical therapy practice owners when navigating the Medicare system.  
• The importance of investing in the right technology, fostering leadership and creating incentives to drive success. 
• Telehealth Implementation and Staff Resistance: Sarah Health helps therapists save time, increase bottom line, classify messages, and use timed codes to maximize top and bottom line.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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

Are you struggling to find the right PTs and OTs for your private practice? How do you evaluate the practical skills in an effective approach that can help you identify the top talent and build a strong team and ensure long-lasting relationships with your team members and avoid hiring mishaps that could harm your practice?

In this week's The Dave Kittle Show episode, Dave Kittle goes solo to share his wealth of experience in the private practice world on how to interview and hire Physical Therapists (PTs) and Occupational Therapists (OTs) for your private practice in 2023 and the key steps in building a team that supports your vision and contributes to your practice's success. He will discuss the interviewing process of potential candidates for your team:  what works, what doesn't, and how making the process detailed and thorough can set you up for long-term success with your private practice. 

In this episode, he will touch on such topics as:

• The Initial Touch Point: The significance of an initial touch point with potential candidates, whether it be through a personal encounter, website querying, or LinkedIn message.
• The 15 Minute Phone Screen: The importance of an initial brief phone call to ensure you and the candidate are on the same page.
• The 60 Minute Zoom Interview: A more in-depth interview over Zoom to evaluate the candidate's core values and experiences.
• The In-Person Evaluation: The second interview, an in-person evaluation where the candidate diagnoses and treats a common condition seen in your clinic. This provides vital insights into the candidate’s practical skills.
• The Evaluation: The need for potential candidates to evaluate you or a member of your team during their interview. This process is an echo of the models we followed during school when we had to evaluate our professors.
• Role-Play: Using role-plays such as letting the candidate evaluate you for possible conditions to see their methods in practice.
• The Feedback: The importance of giving and receiving feedback on the candidate's evaluation process. When and how to provide feedback, whether on the spot, via call or via email, depending on the circumstances.
• Checking the Credibility: Stressing the vital need for checking references and speaking with three references before moving forward with any candidate. The value in taking the time for this step in the interview process to weed out people who may not take the work seriously.
• Long-Term Process: Prolonged and thorough hiring process results in the potential for stronger and longer-lasting relationships with future team members, leading to a stronger team.

P.S. Subscribe, rate, and review Here

Connect with him on:

Email: [email protected]

Instagram: @davekittle

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

or

Call (646)-781-8884

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