Private Practice Owners Club

Most private practice owners assume insurance companies won't negotiate. But what if you could increase your reimbursement rates with the right strategy, the right argument, and the right person? In this episode of the Private Practice Owners Club, Nathan Shields sits down with David O'Hara of Brace Health to break down how private practice owners can negotiate better payer rates and stop leaving...

A profitable practice doesn’t automatically become a great place to work; great culture has to be intentionally built, protected, and reinforced by leadership.   In this episode of the Private Practice Owners Club, Adam and Nathan dive into what it really takes to create a practice culture that people actually want to be part of and one that helps attract, develop, and retain great talent. &n...

Variable Compensation Models: A Better Way to Recruit, Retain & Motivate Therapists   How do you compensate therapists in a way that supports productivity, retention, recruitment, autonomy, and practice profitability?   In this episode of the Private Practice Owners Club, Nathan Shields sits down with Jason Wanold, VP of Prompt Compensation and former co-founder of Onus One, to revis...

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 max...

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, managin...

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 ma...

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...

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 cl...

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. A...

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 deter...

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 to...

Private practice owners don't lose profitability overnight they lose it through inefficient systems, weak billing processes, and missed revenue opportunities.   In this episode of the Private Practice Owners Club, Nathan Shields and Adam Robin break down the operational and financial systems every clinic owner should master to maximize revenue without increasing patient volume.   From fr...

Is your private practice making more money, but your household still feels financially stuck?   In this episode of the Private Practice Owners Club, Nathan Shields sits down with financial advisor Eric Miller to discuss one of the biggest mistakes practice owners make: focusing on growing the business without creating a personal financial strategy.   They explain why many owners spend to...

Most private practice owners think improving profitability means seeing more patients. The truth? Many clinics already have enough capacity; they just aren't maximizing it. In Episode 2 of the High-Performance Practice Series, Nathan Shields and Adam Robin break down one of the most overlooked drivers of clinic profitability: schedule efficiency and utilization. They explain why knowing your break...

What does true freedom actually look like for a private practice owner? In this kickoff episode of the High-Performance Practice Series, Nathan Shields and Adam Robin explore one of the biggest challenges facing clinic owners today: feeling trapped by the very business they worked so hard to build. After speaking with hundreds of private practice owners, Adam shares the common patterns he sees, bu...

Many physical therapy clinic owners start with a passion for helping patients but end up trapped under a massive clinical caseload. Host Nathan Shields and guest Adam Robin break down the critical path of Private Practice Growth to help you escape the treating therapist trap. If you're working sixty hours a week and missing family milestones, you're likely stuck in the messy middle of operational...

Most private practice owners think recruiting is about posting a job ad and hoping the right clinician applies. That strategy isn't working anymore. In this live discussion, Adam Robin and Nathan Shields pull back the curtain on what actually drives successful recruiting in today's market—and why the clinics that consistently attract great clinicians are operating from an entirely different playbo...

Most private practice owners know they should track their numbers. The problem is they either don't know which numbers matter, don't know what good performance looks like, or don't know what to do when the numbers are off. In this solo episode, Nathan Shields shares a concern he's seeing across the physical therapy industry: declining reimbursements, rising expenses, shrinking profit margins, and...

If your new patient flow feels inconsistent, unpredictable, or completely random, this episode is going to change the way you think about marketing forever. In Episode 2 of the Private Practice Scorecard series, Adam Robin breaks down the exact lead generation framework private practice owners can use to create more predictable patient growth — without spending thousands on complicated marketing f...

Most private practice owners know they should track their numbers. But very few actually know which metrics matter, how to interpret them, or how to use them to make better business decisions. In this live-streamed conversation, Adam Robin and Nathan Shields break down the real reason clinic owners avoid metrics — and why ignoring your numbers is quietly destroying profitability, freedom, and grow...

Most healthcare business owners are incredible clinicians…   But completely overwhelmed when it comes to actually running a business.   In this episode of the AI Doctor Podcast, Dr. Mark Allen sits down with Nathan Shields, founder of Private Practice Owners Club, to unpack the hard lessons, mindset shifts, and business systems that transformed Nathan from a burned-out clinic owner into...

Most private practice owners think they understand their numbers. But when you actually ask them? They don’t. In this episode of the Private Practice Owners Club podcast, Adam Robin introduces a powerful new series that will completely change how you run your clinic. This is not theory. This is not motivation. This is a step-by-step breakdown of the exact metrics that drive profitability, efficien...

Most physical therapists know something’s broken. Reimbursements are declining. Administrative burden is rising. And despite delivering massive value, the profession is still treated like an afterthought. In this episode of the Private Practice Owners Podcast, Nathan Shields sits down with Scott Gardner —clinic owner and leader of the United Physical Therapy Association —to unpack the real reason...

What if the biggest growth moves in your business… was saying no? In this episode, Nathan Shields sits down with Angie McGelry to unpack how one clinic completely transformed its trajectory—not by doing more, but by getting radically clear on who they serve. After years of grinding in a traditional model, Angie and her team made a bold shift: they stopped trying to serve everyone and built their e...

Most clinics aren’t failing because they lack patients…   They’re failing because they don’t understand their numbers.   In this episode, Nathan Shields breaks down the real reason clinics feel stuck in the “busy but broke” cycle—and what actually needs to change to fix it.   Despite full schedules and strong demand, many practice owners are seeing shrinking margins, rising costs, a...