
Hosted by Jimmy McKay, PT, DPT | Physical Therapy Podcast · EN

A real-world clinic-owner problem: a therapist who wants the upside (patients “dropped in their lap”) but won’t do the minimum (timely notes, accountability). Dave and Jimmy walk through the practical HR/documentation approach, how one low-effort teammate drags culture and outcomes, and the retention strategies that keep high-value patients loyal to the practice even when staff changes.What you’ll learnHow to build a paper trail that makes HR decisions clean and defensibleWhy resignation is often simpler than termination (and how to handle it)How “moonlighting” becomes a performance and loyalty issueThe “Eeyore employee” effect: one person can kill momentumBrand-first retention ideas: meaningful check-ins + “surprise & delight” that actually fits careHow RTM/digital support can create loyalty between visits People & brands mentionedDave Kittle, Jimmy McKay, Ben (caller)Tonal, Hyperice, MirrorRTM / digital care touchpoints

Episode theme: If your marketing “isn’t working,” your real bottleneck is usually operations + friction—and tech/ads will only amplify what’s already broken.What we coveredThe blizzard story: how a “post-visit survey” fired after a visit that never happened—and what that signals about your systemsWhy everything is marketing in direct-to-consumer healthcare: phones, response time, scheduling, cancellation flow, vibesThe leadership disconnect: expecting marketing to “perform” while giving unclear goals, unrealistic job scopes, and zero resourcesWhy patients compare your clinic experience to DoorDash/Amazon convenienceA tactical 5-point operations audit you can run this weekKey takeaways for clinic ownersDon’t spend more on ads until your booking + follow-up flow is tightIf a patient has to call to schedule, you’re losing demand you never even seeYour systems should adapt to humans—not force humans to adapt to your systems“Response time in days” is a silent growth killerThe 5-Point Ops Audit (do this this week)Mystery shop your own clinic (website + calls + booking flow)Call after hours and test the “snow day / chaos” playbookCancel an appointment and see what happens (speed, clarity, reschedule path)Measure response time in minutes (not days)Ask your front desk: “Why should someone choose us?” (then listen hard)Best quote to steal“Technology doesn’t fix broken processes. It scales them.”

Physical therapy can’t survive on “me, me, me” messaging. Dr. Lisa VanHoose breaks down why rehabilitation deserts are growing, why gatekeeping admissions is fueling the PT workforce shortage, and what it looks like to rebuild the profession around community, access, and relational capacity—not just credentials and productivity.We talk rural retention, community-based rehab, why “bootstraps” is a myth in healthcare design, and how the Ujima Institute is building real-world mobility support through food access, youth training, health literacy, and neighbor-to-neighbor infrastructure.Chapters00:00 Neighbors Shape Health07:55 Admissions Beyond GPA13:40 Rehab Desert Reality22:35 Systems Over Bootstraps30:20 Keep PTs In Practice43:20 Ujima In ActionGuest + ResourcesDr. Lisa VanHoose (she/her)Ujima Institute (community-rooted health + education)Mentions: Ikigai, Blue Zones research, PCORI (patient-centered research model), community-based rehab, telehealth/remote monitoring, “Nothing About Us Without Us”Ujima Institute: https://www.ujimainstitute.com/

If your clinic feels busy but profit isn’t increasing, this episode will hit home.Doug Adams joins Jimmy to break down one of the most uncomfortable truths in private practice physical therapy: growth does not come from treating more people. It comes from treating the right people.Key Takeaways:• Why every PT clinic needs a defined sales process • The difference between commoditized visits and transformational outcomes • How defining your ideal patient increases revenue per client • Why word-of-mouth only works when the experience is aligned • The danger of the “just get more patients” mindset • How AI and “good enough” rehab advice threaten generic clinics • The uncomfortable decision clinic owners must make to growIf you’re a clinic owner chasing volume, this episode challenges you to rethink your model. Revenue per visit, lifetime value, and brand alignment matter more than raw visit counts.

Jeremy VanDevender shares a practical clinic-growth and leadership framework built on a few core ideas: lead with optimism, listen like it’s your job (because it is), and create real pathways for clinicians to grow—clinically or into leadership—without burning out.In this episode, we cover:How Jeremy earned internal buy-in and built “followership” through autonomy + supportWhy negativity gets attention—but positivity builds real teamsWhat hasn’t changed in PT (patients want to feel better) vs. what’s changed a lot (documentation, reimbursement pressure, market expectations)Great Resignation lessons: surveying your team, getting humbled, and responding fastCareer ladders that celebrate clinical excellence (not just management tracks)Burnout prevention: orient careers around passion + allow evolution over time“Aikigai” and how to keep redefining success across seasons of your careerEquus Growth Advisors: revenue-first strategy, M&A support, and growth planning across healthcareParting shot: build your career around what you love—and believe in the future of physical therapyEquus Growth Advisors: https://equusgrowth.com/

In this episode of PT Breakfast Club, the team gets into the weeds of modern clinic operations — from pricing dilemmas and payer limitations to creative ways to scale without hiring. Topics range from Medicare regulations and concierge models to hilarious but real tactics like dry needling for dogs and influencer-style job posts.Topics include:The truth behind “booked but broke” clinicsGrowing revenue with leverage (not headcount)What PTs need to understand about their contract with insuranceHow to ethically add premium services in a Medicare modelMemberships, marketing hacks, and maximizing each patient hourParody, content creation, and why your funniest idea might be your best adFeatured Segments:Mailbag: “Why am I busy but still broke?”“Martha” and Medicare: The ethics of add-on feesMarketing that doesn’t feel like marketingCreative ways PTs are monetizing beyond the clinic Mentioned in this episode:Dry Needling for Dogs™ (it’s fake… or is it?)RTM, telehealth, and weekend visit pricingLinkedIn as a job-market weaponChronic Pain Candles (yes, again)

Pelvic health physical therapist Faith Stokes brings the ???? in this candid conversation on treating the misunderstood — from Hard Flaccid Syndrome to trauma-informed care. She shares her unique journey from reptile medicine to healthcare, her CSM 2025 talk, and how she handles the hard cases with heart and humility.In this episode:Her journey from snake handler to pelvic health PTWhat PTs need to understand about Hard Flaccid SyndromeWhy mentorship isn’t always formalClinical reasoning when you don’t have all the answersUsing compassion when the textbooks failHow to grow as a communicator, even when you miss the markFeatured at CSM 2025: ???? “It’s Not That Hard: Clinical Reasoning in the Management of Hard Flaccid Syndrome”

Guest: Phil McKelvy, DPTTopics: Parkinson’s care without neuro certs, RTM implementation, digital health, and balancing clinical work with creative PT projects.What you’ll learn:Why intensity matters more than certifications in Parkinson’s careFree tools to treat movement disorders without overwhelming your practiceThe truth about RTM: what it is, how to do it, and why it’s here to stayHow to think differently about burnout, energy, and filling your cup in PTWhy APTA isn’t just about CEUs — it’s about connectionResources Mentioned:Rogue Physical Therapy YouTubePower for Parkinson’sMatt Jurek on RTMPrompt EMR, Orva HealthOne More Wave - Adaptive Surf TherapyPhil’s Contact:PhilMcKelvy@gmail.comLinkedIn: Philip McKelveyInstagram: @philmckelvey.dpt

This episode dives into the collision of physical therapy, content strategy, and the booming wellness economy. Jimmy and Dave discuss:Why most PT associations are too slow to actHow red light therapy, cold plunges, and saunas are shifting public perceptionWhat PT clinics can learn from gyms, influencers, and high-ticket brandsThe 3-circle model for non-dues revenue and media expansionWhy cash-based clinics win the speed gameHow Gen Z is shaping the new “maximalist” health economy???? Resources Mentioned:Dave Kittle’s PracticeMcKinsey Future of Wellness ReportPT Pintcast YouTube Channel???? Subscribe, share, and leave a review to support the show.

What if you never had to "recruit" again? In this episode of PT Pintcast, Will Humphreys shares how physical therapy clinic owners can build teams through connection, vision, and emotion — not just job postings. You’ll learn how to write job ads that feel like love letters, how to use intentional friction to filter out bad fits, and why creating safety is your most powerful leadership tool.About the Guest:Will Humphreys is a PT, entrepreneur, author, and founder of Freedom Through Profits, where he helps practice owners grow profitable businesses they love. He previously built and exited a successful clinic group and now teaches others how to scale with systems, purpose, and heart.Will's Ultimate PT OT SLP Summit: https://www.summit.virtualrockstar.com/What You’ll Learn:Why hiring isn’t a numbers game — it’s a connection gameThe neuroscience of storytelling in businessHow to lead with authenticity and build loyaltyTools to create an emotional brand that stands out in PTLinks + Mentions:???? Will Humphreys on YouTube: https://www.youtube.com/@willhumphreys???? Reach out to Will: https://freedomthroughprofits.com???? More from PT Pintcast: https://www.ptpintcast.com???? Get Will’s Free Hiring Email Template: https://freedomthroughprofits.com/hiring-letter???? Book Mention: Start With Why by Simon Sinek