Oct. 7, 2025
PT Breakfast Club 10/7

PT Breakfast Club 10/7
WEBVTT
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All right.
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Good Tuesday morning to you.
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Do we have listener questions?
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Is that what we're doing?
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Are we going into the, like,
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as they would say,
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I'm part of the interruption mailbag.
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Are we going into the mailbag today?
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We can.
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Before we hit the mailbag, Dave,
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have you guys started watching blues
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clues?
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Is that still a thing?
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not yet uh we we've done we've done
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sesame street we've done uh monsters inc
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what are some you know obviously sesame
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street if i didn't say that already but
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yeah uh blues clues it's it's on the
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docket somewhere i'm sure it just hasn't
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been initiated well there's a there's a
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mail call segment that you'll appreciate
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when when you get into it okay go
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ahead i missed that one i haven't done
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blues clues yet
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All right, Dave,
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you said you had some listener emails.
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I'm going to guess these aren't anonymous.
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No, no.
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Shout out to our friend,
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friend of the podcast,
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friend of Breakfast Club,
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friend of the Dave Kittle Show,
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PT Pinecast and Learning Medicare Billing,
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Dr. Eric Broadworth,
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physical therapy practice owner out of
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Grand Rapids, Michigan.
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And we spoke recently and he had some
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questions around compensation,
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staffing and expectations for staff
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physical therapists.
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I'll of course,
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I'll give my thoughts and you guys can
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as well.
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So the biggest thing that he was asking
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about or first of all,
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his his statement was he has some physical
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therapists that if he was asking if they
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have downtime between visits because
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they're mostly one on one,
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they do dry needling, they do, you know,
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laser and red light therapy and different
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things like that.
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But they're still predominantly self-pay.
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They're looking to potentially go in
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network with Blue Cross Blue Shield and
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then offer this dry needling and laser and
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red light therapy.
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components as self-pay add-ons.
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His first sticking point or challenge,
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Tony, is he was asking me,
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do I pay my staff physical therapist for
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the downtime between visits?
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Let's say there's a gap of one or
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two or three
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slots on the calendar between patients.
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And I told him, I said,
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for my therapist,
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like regardless of whether they're W-two
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or ten ninety nine independent contractors
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hourly,
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they're my therapist are paid on an on
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a per visit basis.
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So it doesn't matter if it's in the
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brick and mortar office in midtown
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Manhattan or if it's home visits.
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we pay our therapist for completing that
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treatment visit.
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That was one thing.
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Another thing he was asking about was if
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you have, you know, cancel or no-show,
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do you then also still pay the therapist?
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Because again,
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now it's the same slot where there's no
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income or there's no treatment being
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rendered, the patient cancels or no-shows.
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And I said to him, yes,
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like we charge the patient because that's
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what they signed up.
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That's what they signed.
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They signed the late cancellation policy.
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So, yes,
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we still charge the patient in full.
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And yes,
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we still pay the physical therapist in
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full.
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Those are the first two.
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Let me start with that.
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So do you, I forget,
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do you collect ahead of the appointment?
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So if somebody cancels,
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they lose that session or do you,
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if they last minute cancel,
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do you collect after the fact?
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So I know you mentioned this maybe a
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year or so ago.
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We're getting better at it.
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And it's actually a beautiful thing when
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you do charge the card like twenty four
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hours in advance.
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It's a beautiful thing because if
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something comes up, you're like, oh, yeah,
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no problem.
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Like, totally understand.
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Like, all good.
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Something came up,
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but like we already charged the card and.
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also we're doing a little bit more
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packages recently i i we probably need to
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do a catch-up episode on it because now
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we have i don't know a handful of
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patients that are on packages that are at
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different stages of the package so then
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you got to follow all that and make
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sure like when is everyone finished and
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when you know does anyone want to re-up
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or whatever
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Same thing with the package.
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We had someone a week or two ago,
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like they had to be out of town
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and they already had, you know,
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a visit scheduled and they just,
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one of those visits just gets removed off
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the package.
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Like it's, it's,
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it is so beautiful on the business,
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you know, operation side.
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Like there's no resistance because then
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it's not a penalty.
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It's not the retroactive, like, oh,
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you canceled today or yesterday,
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late cancel or whatever.
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Now,
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now we have to charge a card or
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whatever.
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you know,
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when you already have their card charged
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twenty four hours in advance or a package,
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you just
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It's already taken care of.
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It's beautiful.
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It's wonderful for the flow of things.
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And it's almost like there's no bad taste
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in anyone's mouth,
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as opposed to when someone late cancels
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today or yesterday.
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Now we're charging them.
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And like you've said before, Tony,
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like now it does feel like a slap
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on the wrist,
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bad taste in someone's mouth,
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like a little bit of a negative sentiment.
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So we're getting into it.
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We're getting better at it.
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The challenge for us is that some of
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our patients are through the out of
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network
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insurance benefits so like they might have
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already hit their deductible and maybe
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their copay is like thirty dollars so it's
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like how do i charge that person three
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hundred or three fifty or whatever
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yesterday for today's visit and then if
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they do today's visit now it's like a
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credit it's a little bit challenging
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depending on the insurance like the out of
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network insurance and the cost
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And we're probably like, sixty,
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seventy percent self-pay.
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So we're like, we're majority there.
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We're getting there.
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There's just some sticking points in terms
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of the insurance stuff for us.
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But it's better than it was before.
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Yeah,
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so I think it's fundamental to the design
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of the business.
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You know,
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every business has breakage from
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manufacturing to restaurants to therapy
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services.
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You design the business first to deliver
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the experience you want to maintain the
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profitability you want.
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If I'm looking at a therapist and they're
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gonna cost me a hundred and twenty
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thousand a year,
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I have to account for a hundred and
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twenty thousand a year.
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And it's my responsibility as the business
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owner to ensure my systems are in place
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so that if I do have breakage,
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a cancellation, a no-show,
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somebody prematurely discharges,
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whatever the thing is that cost me money,
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I have enough cushion,
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enough profitability to say,
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I'm going to pay this person one hundred
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and twenty thousand.
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I'm going to have my operating expenses
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covered and I'm going to have a profit
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margin in that.
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You know,
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and I think this is where the amateur
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kind of falls behind and the professional
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business owner excels is because they
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understand like it's not an ethical
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decision.
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It's not an emotional decision.
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There's zero like
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thought that even goes into it this is
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what it is it's very black and white
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somebody walks in my door they have a
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thirty dollar copay you pay the thirty
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dollars now if you don't want to pay
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it that's totally fine just leave like
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there's nothing for me to do um yeah
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i would love to give everybody and i
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i
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I'm going to preface this maybe in the
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next segment.
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I asked ChatGPT to give me acronyms and
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words for free, F-R-E-E,
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because so many people are talking about
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health care should be free.
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We know it's not free.
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We know it's paid for by somebody.
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So we got some pretty funny acronyms that
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ChatGPT came up with.
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But bottom line is,
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the business has to be designed with
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enough profit margin in place so that it
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can account for you're going to have a
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seven percent cancellation no-show rate on
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the year.
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You have to account for that.
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That's money loss.
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There's nothing you can do about it.
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Now, if you want to get into, okay,
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so then what does the therapist do during
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that time you're paying them and they're
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not producing revenue?
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That's the next phase of this
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conversation.
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But Jimmy, what are your thoughts on this?
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This is unique to me.
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I mean,
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I've only worked in environments where you
00:08:09.742 --> 00:08:11.122
got paid salary.
00:08:11.182 --> 00:08:12.423
So you got paid to show up at
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a certain time and you got paid to
00:08:14.043 --> 00:08:15.904
this is this is both clinical and non
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clinical before I was a physical
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therapist.
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So to me, it seems
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I guess it would be hard.
00:08:23.615 --> 00:08:24.896
It would be harder,
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but better to align goals.
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I don't, I don't know.
00:08:27.920 --> 00:08:29.783
Like if I only got paid when there
00:08:29.824 --> 00:08:31.565
was a treatment and I'm just sitting,
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so I'm going to show up at nine
00:08:32.607 --> 00:08:33.990
AM and leave at five PM and only
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got paid some of those hours.
00:08:35.831 --> 00:08:37.073
But then I was told like, well,
00:08:37.094 --> 00:08:38.296
the more you work, uh,
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and help us on marketing it'll come down
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and that feels like trickle-down economics
00:08:42.961 --> 00:08:44.501
to me it's like it's not my boat
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so that i'm so glad you mentioned salary
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and that whole situation okay so the one
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thing that eric broadworth about the
00:08:52.104 --> 00:08:54.524
mailbag questions we got another one from
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him is that he asked specifically about
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that he we're talking exactly what you
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just said jimmy so
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He would show, and listen,
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I do this as well.
00:09:02.789 --> 00:09:05.013
My friend, Dr. Christian Marshall,
00:09:05.072 --> 00:09:06.153
Tribeca Physical Therapy,
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he does it as well with a spreadsheet.
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He shows his therapist like, okay,
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so here's a spreadsheet.
00:09:12.743 --> 00:09:13.924
You have options.
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Sometimes it's like two options,
00:09:15.285 --> 00:09:16.128
maybe three options.
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in terms of like,
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do you want a salary like here?
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Or do you want like pay per visit
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where you could actually make more?
00:09:24.639 --> 00:09:26.041
Eric yesterday on the phone said,
00:09:27.162 --> 00:09:29.802
I show my therapist a spreadsheet and
00:09:29.863 --> 00:09:31.344
it's, here's your,
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he didn't say what number, but he said,
00:09:34.205 --> 00:09:35.905
If you if you take the salary,
00:09:35.926 --> 00:09:37.586
the salary is here and that's all you
00:09:37.606 --> 00:09:38.586
can make in the full year.
00:09:38.888 --> 00:09:39.148
Obviously,
00:09:39.168 --> 00:09:40.589
there's no risk like it's guaranteed,
00:09:41.168 --> 00:09:42.068
but then there's no upside.
00:09:42.109 --> 00:09:42.288
Right.
00:09:42.308 --> 00:09:43.269
So he shows them he's like,
00:09:43.629 --> 00:09:44.750
or you could make like I think he
00:09:44.770 --> 00:09:45.030
said, like,
00:09:45.650 --> 00:09:48.413
thirty three percent of revenue that you
00:09:48.472 --> 00:09:48.732
treat.
00:09:48.832 --> 00:09:49.072
Right.
00:09:49.113 --> 00:09:50.433
So he's like,
00:09:50.553 --> 00:09:52.414
if you chose this and based off of
00:09:52.434 --> 00:09:54.535
the other flow of patients from our other
00:09:54.576 --> 00:09:56.157
therapists that have treated patients over
00:09:56.177 --> 00:09:58.038
the past year or two, he's like,
00:09:58.077 --> 00:10:00.298
you can make six figures with the pay
00:10:00.339 --> 00:10:01.120
per visit.
00:10:01.919 --> 00:10:03.784
But they still choose the salary and the
00:10:03.885 --> 00:10:05.370
salary annually, Jimmy,
00:10:05.409 --> 00:10:06.030
is lower
00:10:07.085 --> 00:10:07.585
Now, of course,
00:10:07.664 --> 00:10:09.245
I know this one has like no risk
00:10:09.265 --> 00:10:11.006
is like an NFL guaranteed contract.
00:10:11.067 --> 00:10:14.008
And this is kind of like, you know,
00:10:14.107 --> 00:10:15.749
a little bit of like the bonus play
00:10:15.788 --> 00:10:16.308
a little bit more.
00:10:16.589 --> 00:10:17.450
Maybe there's some risk.
00:10:17.730 --> 00:10:20.451
And so I told Eric, I'm like, Eric,
00:10:20.510 --> 00:10:22.652
this is something that I never understood
00:10:22.692 --> 00:10:22.932
either.
00:10:23.111 --> 00:10:24.533
I needed Sturdy McKee to tell me I
00:10:24.572 --> 00:10:26.734
needed I needed a sage, a guide,
00:10:26.793 --> 00:10:29.235
a mentor to give me some information on
00:10:29.254 --> 00:10:29.475
this.
00:10:29.595 --> 00:10:30.556
And what Sturdy told me,
00:10:30.576 --> 00:10:31.836
and I think we've talked about it before,
00:10:32.336 --> 00:10:32.636
he said.
00:10:33.820 --> 00:10:35.727
physical therapy as a profession and also
00:10:36.029 --> 00:10:37.254
physicians and nurses and all that,
00:10:38.187 --> 00:10:39.467
The people that are attracted to
00:10:39.508 --> 00:10:41.769
healthcare are folks that don't want risk.
00:10:41.808 --> 00:10:43.328
They want this guaranteed salary.
00:10:43.369 --> 00:10:44.929
Sturdy gave me an example of like some
00:10:45.009 --> 00:10:46.929
friend that's a physician in San Francisco
00:10:47.669 --> 00:10:49.211
and they were choosing like a,
00:10:49.230 --> 00:10:50.770
I don't know, like a, like a.
00:10:51.571 --> 00:10:52.831
Two hundred and fifty or a three hundred
00:10:52.850 --> 00:10:53.812
thousand dollars salary.
00:10:54.111 --> 00:10:55.792
But if it was the pay per visit
00:10:55.871 --> 00:10:56.491
or the pay, you know,
00:10:56.532 --> 00:10:58.113
the revenue share or whatever,
00:10:58.732 --> 00:11:00.153
the physician could have made like seven
00:11:00.173 --> 00:11:01.452
hundred and fifty thousand dollars,
00:11:01.673 --> 00:11:03.234
but they still chose
00:11:03.933 --> 00:11:05.674
The fixed salary, even like,
00:11:06.335 --> 00:11:08.014
even though they know based off their
00:11:08.034 --> 00:11:11.015
production and like their normal work
00:11:11.035 --> 00:11:12.436
habits, like they're going to do X, Y,
00:11:12.495 --> 00:11:14.076
Z, like their flow and all that.
00:11:14.576 --> 00:11:15.677
So yes, yes.
00:11:15.736 --> 00:11:18.238
The therapist or the clinician has to know
00:11:18.317 --> 00:11:21.119
or trust what's the inflow of leads and
00:11:21.139 --> 00:11:22.259
marketing and what, like how,
00:11:22.538 --> 00:11:23.759
how busy can you get me and how
00:11:23.798 --> 00:11:25.139
busy can I stay and all that?
00:11:25.559 --> 00:11:26.179
Yes, of course.
00:11:26.200 --> 00:11:27.559
That's, that's part of it.
00:11:27.921 --> 00:11:29.660
I don't think it's PTs or risk averse.
00:11:29.701 --> 00:11:31.120
I think people who are risk averse or
00:11:31.160 --> 00:11:32.802
risk averse and people who aren't, aren't.
00:11:33.322 --> 00:11:35.702
Because I was in communications and
00:11:35.743 --> 00:11:38.163
marketing for close to twenty years.
00:11:38.485 --> 00:11:39.845
And there were people, salespeople,
00:11:39.865 --> 00:11:40.325
who were like,
00:11:40.645 --> 00:11:41.946
all I do is make money on what
00:11:42.005 --> 00:11:42.466
I sell.
00:11:42.586 --> 00:11:44.226
I might go two months without selling.
00:11:44.567 --> 00:11:45.707
But when I hit, I hit big.
00:11:45.947 --> 00:11:47.188
I wouldn't be able to sleep at night.
00:11:47.688 --> 00:11:48.448
Not going to happen.
00:11:48.528 --> 00:11:49.590
I wouldn't be able to do it.
00:11:50.129 --> 00:11:52.131
But knowing the only thing that they were
00:11:52.192 --> 00:11:53.812
able to sell was the thing I created
00:11:53.852 --> 00:11:55.874
every single day was fine with me as
00:11:55.933 --> 00:11:58.696
long as it's hard to be creative when
00:11:58.716 --> 00:12:00.716
you don't know when the bottom of Maslow's
00:12:01.256 --> 00:12:02.477
hierarchy of needs is going to come.
00:12:02.937 --> 00:12:04.219
Some people are okay with that.
00:12:04.298 --> 00:12:04.919
Some people aren't.
00:12:04.980 --> 00:12:07.922
I don't think it's as broad as a
00:12:07.981 --> 00:12:08.461
profession.
00:12:08.481 --> 00:12:09.942
I think some people are okay with that.
00:12:11.364 --> 00:12:13.764
And more often than not, those people say,
00:12:14.044 --> 00:12:15.025
I don't want to just do this.
00:12:15.166 --> 00:12:15.966
I want to open a business.
00:12:16.669 --> 00:12:18.630
So I see what you're saying here, Ben.
00:12:18.650 --> 00:12:20.072
It's like I disagree, but I do.
00:12:20.091 --> 00:12:20.952
I respectfully disagree.
00:12:21.312 --> 00:12:23.274
I don't think PTs are risk-averse as a
00:12:23.333 --> 00:12:23.634
whole.
00:12:23.734 --> 00:12:26.115
I think most people are risk-averse as a
00:12:26.155 --> 00:12:26.395
whole.
00:12:26.556 --> 00:12:29.697
Yeah,
00:12:29.717 --> 00:12:32.539
I could say most people are risk-averse.
00:12:32.679 --> 00:12:34.941
I could say the profession of PT does
00:12:34.981 --> 00:12:35.741
attract risk.
00:12:36.884 --> 00:12:39.408
A larger percentage of those people,
00:12:39.427 --> 00:12:41.049
you know,
00:12:41.490 --> 00:12:44.013
I've said this for twenty five years that
00:12:44.033 --> 00:12:44.793
I've run a business.
00:12:44.974 --> 00:12:47.155
I still to this day don't think that
00:12:47.216 --> 00:12:50.000
I have ever really employed somebody who
00:12:50.080 --> 00:12:51.881
is purely motivated by money.
00:12:52.381 --> 00:12:53.243
And I'm sure, Jimmy,
00:12:53.302 --> 00:12:55.825
like you're probably one of these people
00:12:55.865 --> 00:12:58.966
that whether you got paid twenty thousand
00:12:59.006 --> 00:13:01.448
a year or one hundred and twenty thousand
00:13:01.489 --> 00:13:04.130
a year, once you agree on a salary,
00:13:04.191 --> 00:13:06.513
you're going to put one hundred and twenty
00:13:06.552 --> 00:13:08.615
percent effort into everything you do.
00:13:08.634 --> 00:13:11.216
And the irony in this is.
00:13:12.264 --> 00:13:14.307
like i've never been able to incentivize
00:13:14.326 --> 00:13:17.269
somebody to do more yeah um i would
00:13:17.330 --> 00:13:20.714
even say some a handful of people they
00:13:20.754 --> 00:13:23.216
feel good getting paid less because it
00:13:23.255 --> 00:13:25.619
makes them feel like they're a martyr
00:13:25.658 --> 00:13:27.900
they're suffering they're working so hard
00:13:27.941 --> 00:13:29.283
they're killing themselves they're
00:13:29.302 --> 00:13:31.264
thinking about their patients every minute
00:13:31.304 --> 00:13:33.746
of every day and they're getting paid less
00:13:33.767 --> 00:13:35.288
than they think that they deserve
00:13:35.788 --> 00:13:37.931
So it's like that is the reward in
00:13:37.971 --> 00:13:38.711
and of itself.
00:13:38.772 --> 00:13:40.933
It's like we have patients that come in
00:13:40.974 --> 00:13:43.796
and want to hurt because they feel like
00:13:43.836 --> 00:13:46.837
that pain in the experience is making them
00:13:46.879 --> 00:13:48.100
better, making them stronger.
00:13:48.139 --> 00:13:50.861
It's what they're coming here for.
00:13:50.922 --> 00:13:53.244
So it's completely it goes back to,
00:13:53.323 --> 00:13:53.604
you know,
00:13:54.044 --> 00:13:55.865
we do things where emotional creatures
00:13:55.905 --> 00:13:58.548
were driven by fears and desires and
00:13:59.028 --> 00:14:01.691
anxiety and all that kind of stuff.
00:14:01.711 --> 00:14:02.611
But that being said.
00:14:04.004 --> 00:14:06.144
There's a fundamental question of why are
00:14:06.184 --> 00:14:06.625
you here?
00:14:06.684 --> 00:14:07.884
Why do you want to work with me?
00:14:07.965 --> 00:14:09.205
What are your objectives?
00:14:09.264 --> 00:14:11.326
This business is a platform for your
00:14:11.346 --> 00:14:12.405
growth and success.
00:14:13.105 --> 00:14:14.547
Do you just want to be here for
00:14:14.586 --> 00:14:15.187
twenty years?
00:14:15.586 --> 00:14:16.947
Do you want a stable income,
00:14:17.006 --> 00:14:18.707
not have to worry, not have to think?
00:14:19.327 --> 00:14:20.947
Okay, you're going to pay a premium.
00:14:20.967 --> 00:14:23.109
You're going to get paid less than
00:14:23.168 --> 00:14:24.989
somebody else who wants to come in,
00:14:25.129 --> 00:14:27.690
use this as a training platform.
00:14:28.402 --> 00:14:29.644
because they're going to eventually want
00:14:29.663 --> 00:14:31.986
their own business you're going to earn
00:14:32.006 --> 00:14:33.590
more but you're going to also make me
00:14:33.629 --> 00:14:35.312
a lot more money you know and even
00:14:35.351 --> 00:14:36.975
if i only get that person for two
00:14:37.014 --> 00:14:38.496
years and the other person for twenty
00:14:38.537 --> 00:14:41.461
years i there's different value exchanges
00:14:41.522 --> 00:14:42.283
on both sides
00:14:43.989 --> 00:14:44.089
Good.
00:14:44.168 --> 00:14:46.590
Let me pitch both of you the middle
00:14:46.610 --> 00:14:47.990
ground, potential solutions.
00:14:48.091 --> 00:14:49.850
So potential solution for this
00:14:49.870 --> 00:14:50.451
conversation,
00:14:50.772 --> 00:14:52.432
potential solution for Eric Broadworth,
00:14:52.451 --> 00:14:54.113
since he watches the show,
00:14:54.153 --> 00:14:55.993
he's given us feedback and asked some
00:14:56.013 --> 00:14:57.573
questions and wanted to provide him some
00:14:57.634 --> 00:14:58.594
value here publicly.
00:14:59.335 --> 00:15:00.715
So the one thing that I'm actually working
00:15:00.754 --> 00:15:02.135
on right now, and I've helped,
00:15:02.916 --> 00:15:04.255
I've had help from Sturdy McKee,
00:15:04.275 --> 00:15:06.697
and I've actually helped from ChatGVT as
00:15:06.736 --> 00:15:07.336
well, which is like,
00:15:07.837 --> 00:15:08.398
what would be
00:15:09.357 --> 00:15:10.859
the middle ground so it's kind of like
00:15:10.918 --> 00:15:15.163
a base salary and then additional pay for
00:15:15.222 --> 00:15:16.903
performance based off of what the
00:15:16.943 --> 00:15:20.287
therapist is treating per month and per
00:15:20.307 --> 00:15:23.830
quarter and the the challenge that i'm at
00:15:23.870 --> 00:15:25.951
right now so like hypothetically i kind of
00:15:25.971 --> 00:15:27.272
just threw a dart at the board eric
00:15:27.292 --> 00:15:28.953
this will be different for you but for
00:15:29.014 --> 00:15:31.296
me i started with a ninety thousand dollar
00:15:31.316 --> 00:15:32.336
salary and then
00:15:33.856 --> 00:15:35.417
the performance pay on top of that.
00:15:35.498 --> 00:15:36.418
So right now,
00:15:36.477 --> 00:15:38.357
and this is not live with any therapist,
00:15:38.378 --> 00:15:39.618
but this is what I'm working on behind
00:15:39.638 --> 00:15:40.018
the scenes.
00:15:40.038 --> 00:15:42.019
It's kind of like the eighty seven
00:15:42.058 --> 00:15:44.458
thousand to ninety thousand as the fixed
00:15:44.519 --> 00:15:46.200
rate guaranteed salary,
00:15:46.659 --> 00:15:50.140
which if you and that's like treating for
00:15:50.201 --> 00:15:50.280
us,
00:15:50.321 --> 00:15:51.581
it's like treating like three patients a
00:15:51.620 --> 00:15:53.321
day at three point five.
00:15:53.341 --> 00:15:54.701
Like it's totally doable.
00:15:54.802 --> 00:15:55.822
I could do it in a coma.
00:15:55.902 --> 00:15:58.361
Like it's just totally, totally possible.
00:15:59.121 --> 00:16:00.763
And but of course, the
00:16:02.143 --> 00:16:03.864
There does, at least for my model,
00:16:03.884 --> 00:16:05.985
there does need to be the incentive to
00:16:06.025 --> 00:16:09.248
go above six figures because you as the
00:16:09.268 --> 00:16:10.668
therapist are treating patients,
00:16:10.729 --> 00:16:11.909
you're booking patients,
00:16:11.929 --> 00:16:15.292
you're trying to evaluate and activate the
00:16:15.371 --> 00:16:16.852
spouse or the other people in the
00:16:16.873 --> 00:16:17.133
building,
00:16:17.153 --> 00:16:18.214
you're trying to meet other people,
00:16:18.734 --> 00:16:19.293
all that type of stuff.
00:16:19.315 --> 00:16:20.916
So there is a little bit of extra,
00:16:21.475 --> 00:16:23.017
I don't wanna say work,
00:16:23.256 --> 00:16:24.798
but there is upside.
00:16:24.918 --> 00:16:26.578
And I ran some scenarios and some
00:16:26.839 --> 00:16:27.440
projections.
00:16:27.899 --> 00:16:29.900
And if a therapist with us is treating
00:16:29.981 --> 00:16:30.701
patients
00:16:30.841 --> 00:16:34.905
five patients a day over six months,
00:16:35.366 --> 00:16:37.208
you gotta build in some variability.
00:16:37.909 --> 00:16:40.272
A therapist in my model could make
00:16:41.253 --> 00:16:42.615
somewhere between a hundred and forty four
00:16:42.654 --> 00:16:44.277
thousand to a hundred and seventy seven
00:16:44.317 --> 00:16:44.677
thousand.
00:16:45.357 --> 00:16:45.557
Again,
00:16:45.577 --> 00:16:47.961
depending on the variability of how often
00:16:48.000 --> 00:16:50.903
can they maintain a twenty to twenty five
00:16:50.943 --> 00:16:51.543
visit per week
00:16:52.284 --> 00:16:53.625
schedule so it'd be like five a day
00:16:53.666 --> 00:16:55.927
monday through friday that accounts by the
00:16:55.947 --> 00:16:58.269
way these numbers account for taking you
00:16:58.291 --> 00:17:01.974
know pto ptoa the eight whatever national
00:17:02.014 --> 00:17:03.774
holidays some sick days all that type of
00:17:03.794 --> 00:17:07.459
stuff so it's based off of like workable
00:17:07.479 --> 00:17:11.362
business days per year and that even that
00:17:11.461 --> 00:17:13.044
model that pitch
00:17:14.522 --> 00:17:16.304
only going to attract some gamers it's not
00:17:16.324 --> 00:17:17.704
going to attract someone that just like
00:17:17.765 --> 00:17:20.506
wants whatever salary and like knows that
00:17:20.526 --> 00:17:22.866
they don't have to like work that hard
00:17:22.886 --> 00:17:24.288
they could just go into some office and
00:17:24.307 --> 00:17:26.088
just kind of like punch a ticket you
00:17:26.108 --> 00:17:28.410
know punch a clock so that's kind of
00:17:28.430 --> 00:17:29.391
where i'm at i don't know if that
00:17:29.411 --> 00:17:30.810
gives eric any clarity but do you guys
00:17:30.830 --> 00:17:31.632
have any feedback on that
00:17:32.728 --> 00:17:33.888
I'm going to go the other way,
00:17:34.309 --> 00:17:36.471
because just as we spent time saying,
00:17:36.491 --> 00:17:36.731
you know,
00:17:36.771 --> 00:17:38.673
you have to understand the psychology of
00:17:38.733 --> 00:17:40.556
the individual who's coming on board.
00:17:41.156 --> 00:17:43.159
You also have to understand the psychology
00:17:43.239 --> 00:17:44.079
of the owner.
00:17:44.559 --> 00:17:47.022
If we're talking smaller private practice,
00:17:47.303 --> 00:17:49.625
something like me or Eric or anything like
00:17:49.645 --> 00:17:49.846
that.
00:17:50.931 --> 00:17:53.531
I've done, so I've done it all, right?
00:17:53.852 --> 00:17:55.991
I've had like bonuses.
00:17:56.071 --> 00:17:57.192
I've hit metrics.
00:17:57.271 --> 00:17:58.372
I said, look, you do this,
00:17:58.392 --> 00:17:58.892
you do that.
00:17:58.932 --> 00:17:59.813
You earn this much.
00:18:00.232 --> 00:18:01.792
We've also done just a straight profit
00:18:01.833 --> 00:18:02.053
share.
00:18:02.252 --> 00:18:02.772
We're like, look,
00:18:02.792 --> 00:18:04.093
here's our operating costs.
00:18:04.133 --> 00:18:05.513
We've been in business,
00:18:05.594 --> 00:18:06.953
fifteen years at this point.
00:18:07.433 --> 00:18:08.574
Here's the operating costs.
00:18:08.594 --> 00:18:09.554
This is what we expect.
00:18:09.574 --> 00:18:10.795
This is what we've done over the last
00:18:10.835 --> 00:18:11.335
three years.
00:18:11.375 --> 00:18:12.755
You increase revenue above this,
00:18:12.775 --> 00:18:14.035
we'll give you a percentage of the
00:18:14.095 --> 00:18:15.035
increase in revenue.
00:18:15.776 --> 00:18:17.715
The problem with all of that stuff
00:18:18.233 --> 00:18:21.375
is it also has to match my personality.
00:18:21.996 --> 00:18:23.696
I don't want to track all that crap.
00:18:23.997 --> 00:18:26.558
I don't want to carrot on a stick.
00:18:26.638 --> 00:18:27.598
I don't want to bribe you.
00:18:27.719 --> 00:18:28.940
I don't want to insult you.
00:18:29.480 --> 00:18:30.901
I want to work with a professional.
00:18:31.500 --> 00:18:32.882
If you're going to act like a
00:18:32.942 --> 00:18:34.903
professional, here's the deal.
00:18:35.564 --> 00:18:37.144
Standard salary is this.
00:18:37.744 --> 00:18:39.726
I'm willing to just take the hit.
00:18:39.846 --> 00:18:41.227
I know you're going to overproduce.
00:18:41.326 --> 00:18:43.607
I'll pay you twenty percent above standard
00:18:43.647 --> 00:18:44.147
salary,
00:18:44.749 --> 00:18:45.108
but
00:18:46.275 --> 00:18:48.576
If you don't perform to what you agree
00:18:48.616 --> 00:18:50.618
to, what you say you're going to do,
00:18:51.378 --> 00:18:52.200
we got to let you go.
00:18:52.420 --> 00:18:53.961
Like, again, objective.
00:18:55.142 --> 00:18:56.784
I'm not going to because once you get
00:18:56.824 --> 00:18:58.265
into some of that stuff like profit
00:18:58.285 --> 00:18:59.846
sharing, you're like, OK, well,
00:18:59.986 --> 00:19:02.428
what happens if elections get delayed?
00:19:02.868 --> 00:19:03.068
Like,
00:19:03.288 --> 00:19:06.391
I want the ability sometimes in November
00:19:06.711 --> 00:19:08.873
to hold all of my Medicare claims and
00:19:08.952 --> 00:19:11.655
not submit them until January if I want
00:19:11.675 --> 00:19:13.997
to defer compensation or income to the
00:19:14.038 --> 00:19:15.719
next calendar year for tax reasons.
00:19:16.249 --> 00:19:18.611
There are times in January where I want
00:19:18.631 --> 00:19:21.032
to hold submitting claims to insurance
00:19:21.053 --> 00:19:23.634
companies so that deductibles are met by
00:19:23.775 --> 00:19:24.595
other providers.
00:19:24.615 --> 00:19:26.416
There are very specific things I want to
00:19:26.436 --> 00:19:29.358
do within my business to manage the cash
00:19:29.439 --> 00:19:31.339
flow that would negatively impact an
00:19:31.380 --> 00:19:31.961
employee
00:19:33.030 --> 00:19:34.972
Now you're just getting into all of these
00:19:35.013 --> 00:19:37.195
games that, for my personality,
00:19:37.715 --> 00:19:38.517
I don't want to play.
00:19:39.438 --> 00:19:41.180
So I would just rather say, look,
00:19:41.400 --> 00:19:42.981
I know there's going to be cancellations,
00:19:43.061 --> 00:19:44.242
no-shows, breakage.
00:19:44.304 --> 00:19:45.484
I know I'm going to lose money in
00:19:45.525 --> 00:19:46.266
some cases,
00:19:46.306 --> 00:19:48.508
but I better make my money in other
00:19:48.548 --> 00:19:49.088
cases.
00:19:49.568 --> 00:19:51.151
This is what I'm willing to pay you.
00:19:51.653 --> 00:19:54.115
This is the time I'm willing to commit
00:19:54.154 --> 00:19:55.635
to paying you that money.
00:19:56.215 --> 00:19:58.278
And if you perform, awesome.
00:19:58.438 --> 00:19:59.818
Like it's gonna work out great for both
00:19:59.858 --> 00:20:00.159
of us.
00:20:00.279 --> 00:20:01.240
You're gonna make a profit,
00:20:01.279 --> 00:20:02.141
I'm gonna make a profit.
00:20:02.181 --> 00:20:03.582
But if not, no big deal.
00:20:03.701 --> 00:20:07.964
Let's just go separate ways.
00:20:08.005 --> 00:20:10.067
Jimmy, you've been in these situations
00:20:11.194 --> 00:20:13.940
Yeah, for me, I watched,
00:20:14.039 --> 00:20:15.261
I can only speak from my experience,
00:20:15.281 --> 00:20:15.422
right?
00:20:15.442 --> 00:20:16.944
I want to like reach outside of what
00:20:16.964 --> 00:20:17.405
I've seen.
00:20:18.667 --> 00:20:19.189
Everybody,
00:20:19.429 --> 00:20:21.152
most people that I've worked with were
00:20:21.231 --> 00:20:23.075
aware of like their bonus structure,
00:20:23.415 --> 00:20:24.678
but they weren't driven by it.
00:20:26.268 --> 00:20:27.848
with the exception of salespeople.
00:20:28.650 --> 00:20:30.250
And those people were a different breed.
00:20:30.371 --> 00:20:32.932
I remember being friends with some of the
00:20:32.951 --> 00:20:35.614
salespeople outside of work and looking at
00:20:35.653 --> 00:20:36.694
them and thinking,
00:20:36.835 --> 00:20:38.036
I have no idea how you go to
00:20:38.056 --> 00:20:38.556
bed at night,
00:20:38.976 --> 00:20:40.636
not knowing if you're going to be able
00:20:40.656 --> 00:20:41.458
to pay your bills.
00:20:41.877 --> 00:20:42.898
And they were totally,
00:20:42.979 --> 00:20:44.159
one hundred percent OK with it.
00:20:45.039 --> 00:20:46.361
And then I watched the people that I
00:20:46.401 --> 00:20:46.901
worked with,
00:20:46.941 --> 00:20:48.582
the people who needed to have that sort
00:20:48.602 --> 00:20:49.262
of security.
00:20:50.744 --> 00:20:52.967
go above and beyond and kill themselves.
00:20:53.307 --> 00:20:55.710
I mean, in communications and radio,
00:20:55.750 --> 00:20:57.192
it wasn't obviously for patients because
00:20:57.211 --> 00:20:57.932
we didn't have any.
00:20:58.313 --> 00:20:59.334
For me, it was all like,
00:20:59.614 --> 00:21:01.695
I want to make sure that someone in
00:21:01.756 --> 00:21:03.657
a year looks at the list of people
00:21:03.698 --> 00:21:04.618
on the team and goes, well,
00:21:04.638 --> 00:21:07.781
we can't cut him because he plays five
00:21:07.801 --> 00:21:10.684
positions and he runs out in field ground
00:21:10.704 --> 00:21:10.965
balls.
00:21:11.685 --> 00:21:12.626
For me, it was always about...
00:21:13.407 --> 00:21:15.009
making sure you were on the team and
00:21:15.048 --> 00:21:16.989
you were still, you know, uh, in the,
00:21:17.108 --> 00:21:18.490
in the world of musical chairs,
00:21:18.730 --> 00:21:19.891
when they pulled a chair away,
00:21:20.490 --> 00:21:21.891
you were still having a share when the
00:21:21.951 --> 00:21:22.612
music stopped.
00:21:23.051 --> 00:21:23.632
So I think you,
00:21:23.672 --> 00:21:24.932
you have to find someone's personal
00:21:24.972 --> 00:21:25.333
drivers.
00:21:25.373 --> 00:21:27.292
Like what, what drives you?
00:21:27.532 --> 00:21:30.414
We did an entire two year long campaign
00:21:30.755 --> 00:21:31.894
at Fox rehabilitation.
00:21:31.914 --> 00:21:34.455
When I was there that circled around this
00:21:34.516 --> 00:21:35.276
very theory,
00:21:35.517 --> 00:21:37.497
they were looking at somebody was looking
00:21:37.557 --> 00:21:38.837
at with spreadsheets, uh,
00:21:39.377 --> 00:21:41.141
How do we find people and keep them?
00:21:41.481 --> 00:21:43.464
And they hired these outside consulting
00:21:43.484 --> 00:21:43.825
firms.
00:21:44.205 --> 00:21:47.351
And it came down to three things.
00:21:47.371 --> 00:21:48.212
Do you want to know what those things
00:21:48.292 --> 00:21:48.373
are?
00:21:48.393 --> 00:21:49.515
But it's a little bit of a tangent,
00:21:49.535 --> 00:21:50.355
but it's sort of not.
00:21:51.597 --> 00:21:52.398
Make your own schedule.
00:21:53.059 --> 00:21:53.681
Fix salary.
00:21:54.671 --> 00:21:55.250
No, no, no.
00:21:55.351 --> 00:21:57.291
So these were like a little more like
00:21:57.451 --> 00:22:00.752
feely, like internal drivers, three Cs.
00:22:01.712 --> 00:22:02.813
But the things that you're saying, Dave,
00:22:02.853 --> 00:22:04.834
could go into that.
00:22:05.453 --> 00:22:06.734
So what I'm saying is like these things
00:22:06.755 --> 00:22:07.755
were like broader terms.
00:22:08.454 --> 00:22:10.915
So the three things were craft.
00:22:11.888 --> 00:22:15.291
cause community i was going to say
00:22:15.311 --> 00:22:18.836
community so i'll unpack these so you can
00:22:18.855 --> 00:22:20.416
look at a pt specifically or pretty much
00:22:20.477 --> 00:22:22.578
anybody like this applies to everybody and
00:22:22.598 --> 00:22:23.599
you say like well i'm there for a
00:22:23.640 --> 00:22:24.681
little bit of this and a little bit
00:22:24.701 --> 00:22:26.962
of that yes you have all but there
00:22:27.002 --> 00:22:28.344
needs to be one main driver
00:22:29.045 --> 00:22:30.865
that when you touch on, the person goes,
00:22:31.066 --> 00:22:32.746
yes, yes, I want to work there.
00:22:33.066 --> 00:22:34.507
If I'm in a room of twenty different
00:22:34.527 --> 00:22:36.527
employers at a career fair and you hit
00:22:36.626 --> 00:22:37.827
on this, I'm going to go,
00:22:37.867 --> 00:22:39.248
you get me, you get me.
00:22:39.748 --> 00:22:41.229
But you can't have twenty of those things.
00:22:41.409 --> 00:22:42.749
You have to have like three,
00:22:43.028 --> 00:22:45.150
and then you can have three campaigns that
00:22:45.170 --> 00:22:45.329
go.
00:22:45.589 --> 00:22:46.750
So craft, cause,
00:22:46.770 --> 00:22:47.810
and community were the thing.
00:22:49.258 --> 00:22:50.298
Craft was like,
00:22:50.798 --> 00:22:51.598
I am going to be the best.
00:22:51.739 --> 00:22:54.160
I am here to be the best physical
00:22:54.180 --> 00:22:56.099
therapist, whatever that means to me,
00:22:56.380 --> 00:22:57.721
to me autonomously.
00:22:58.461 --> 00:22:59.840
I am here to be a PT and
00:22:59.861 --> 00:23:01.842
then nothing else matters, right?
00:23:01.882 --> 00:23:03.782
Like, yes, my coworkers are nice.
00:23:03.923 --> 00:23:05.103
I like community, but like,
00:23:05.343 --> 00:23:07.344
I am here to take Con Ed courses.
00:23:07.564 --> 00:23:08.864
I eat, sleep, breathe,
00:23:09.344 --> 00:23:11.664
and everything is about my craft.
00:23:11.825 --> 00:23:13.546
I want to be the best PT on
00:23:13.566 --> 00:23:14.165
my tombstone.
00:23:14.346 --> 00:23:15.086
Greatest PT ever.
00:23:15.306 --> 00:23:15.886
That's craft.
00:23:16.287 --> 00:23:16.846
Cause.
00:23:17.946 --> 00:23:18.748
This is pretty big.
00:23:18.928 --> 00:23:21.250
This is, I want to help people.
00:23:22.290 --> 00:23:23.771
At Fox, it was specifically like,
00:23:24.172 --> 00:23:27.275
what are we on this giant aircraft carrier
00:23:27.555 --> 00:23:28.455
or this big boat?
00:23:28.736 --> 00:23:29.455
What are we,
00:23:29.496 --> 00:23:31.117
what I'm doing my little part to be
00:23:31.137 --> 00:23:31.978
the best craftsman,
00:23:32.159 --> 00:23:32.999
but I want to know I'm on the
00:23:33.019 --> 00:23:35.060
right boat so that every little paddle
00:23:35.080 --> 00:23:36.741
that I do feels like it does.
00:23:37.022 --> 00:23:38.183
At Fox, it really was,
00:23:38.963 --> 00:23:40.285
they were smart enough to give it a
00:23:40.345 --> 00:23:40.705
name.
00:23:40.746 --> 00:23:41.046
Yeah.
00:23:41.286 --> 00:23:42.487
It wasn't just help everybody.
00:23:42.527 --> 00:23:43.028
It's too big.
00:23:43.147 --> 00:23:44.750
That's throwing a single dollar bill in a
00:23:44.829 --> 00:23:45.029
silo.
00:23:45.150 --> 00:23:45.570
It's too big.
00:23:45.871 --> 00:23:48.073
It was to eradicate ageism.
00:23:48.614 --> 00:23:50.195
It was like older adults deserve better.
00:23:50.576 --> 00:23:52.198
I'm giving you better care and I'm always
00:23:52.238 --> 00:23:52.878
talking about it.
00:23:53.179 --> 00:23:54.119
So they had to give they had to
00:23:54.140 --> 00:23:55.582
give the head.
00:23:55.882 --> 00:23:59.025
If you're Stephen Miller story brand,
00:23:59.945 --> 00:24:00.386
Donald Miller,
00:24:00.586 --> 00:24:01.907
you had to give the villain a name.
00:24:02.169 --> 00:24:02.729
It was ageism.
00:24:03.470 --> 00:24:04.911
So that was that was cause.
00:24:05.090 --> 00:24:06.172
And then community is like, dude,
00:24:06.231 --> 00:24:07.532
I want to be around cool people who
00:24:07.573 --> 00:24:10.015
are dope and like you're cool and you're
00:24:10.075 --> 00:24:11.455
good and you're cool.
00:24:12.037 --> 00:24:13.438
You're a little more here for the fun,
00:24:13.478 --> 00:24:14.157
but I like you.
00:24:14.178 --> 00:24:15.439
So who do I do it with?
00:24:15.880 --> 00:24:16.359
And again,
00:24:16.759 --> 00:24:18.040
if you had a Venn diagram with all
00:24:18.080 --> 00:24:19.102
three of those, of course, you're like,
00:24:19.402 --> 00:24:20.403
yeah, I want a little bit of this,
00:24:20.442 --> 00:24:21.104
want a little bit of this.
00:24:21.203 --> 00:24:21.903
I want to solve this.
00:24:22.105 --> 00:24:23.645
You want all three of those things.
00:24:23.965 --> 00:24:25.507
But one was the main driver.
00:24:25.547 --> 00:24:27.067
And they tried to they tried to find
00:24:27.107 --> 00:24:29.170
what that was because they realized and
00:24:29.190 --> 00:24:30.570
this is Fox is in, I don't know,
00:24:30.611 --> 00:24:31.231
a billion states.
00:24:31.932 --> 00:24:32.352
Um,
00:24:32.372 --> 00:24:35.574
they realize bonuses and signing bonuses
00:24:35.594 --> 00:24:36.913
and flexible and autonomy.
00:24:36.973 --> 00:24:38.775
Like those are table stakes.
00:24:38.894 --> 00:24:40.776
I need you to pay me enough.
00:24:40.895 --> 00:24:42.336
Adam Grant talks about this a lot.
00:24:42.676 --> 00:24:43.917
I need you to pay me enough.
00:24:43.978 --> 00:24:44.417
What is that?
00:24:44.438 --> 00:24:44.938
I don't know.
00:24:45.137 --> 00:24:45.637
I don't know.
00:24:45.678 --> 00:24:46.259
Like you need,
00:24:46.638 --> 00:24:47.618
you need to figure out what your numbers
00:24:47.699 --> 00:24:49.480
are and know that there's my basement.
00:24:49.579 --> 00:24:50.259
Can't go below it.
00:24:50.480 --> 00:24:50.661
Right.
00:24:51.000 --> 00:24:51.320
If you want to,
00:24:51.401 --> 00:24:52.622
if you really want this guy,
00:24:52.682 --> 00:24:54.061
cause oh man, he's the glue guy.
00:24:54.102 --> 00:24:54.803
What's the glue guy.
00:24:54.823 --> 00:24:55.462
I don't,
00:24:55.722 --> 00:24:56.962
it's the guy who plays three different
00:24:57.003 --> 00:24:58.423
positions or when he walks in the room,
00:24:58.443 --> 00:24:59.325
everybody gets excited.
00:24:59.365 --> 00:24:59.565
Right.
00:25:00.345 --> 00:25:01.266
There's my basement.
00:25:01.726 --> 00:25:03.008
If I really want this guy,
00:25:03.048 --> 00:25:05.309
cause I understand my team, my small unit,
00:25:05.509 --> 00:25:06.510
I need this guy.
00:25:06.730 --> 00:25:07.771
I'm willing to go a little more.
00:25:08.031 --> 00:25:09.273
Am I going to incentivize them for
00:25:09.314 --> 00:25:09.794
bonuses?
00:25:10.094 --> 00:25:10.414
Sure.
00:25:10.714 --> 00:25:11.736
All those things are table stakes.
00:25:11.955 --> 00:25:13.017
Fox was able to do it.
00:25:13.498 --> 00:25:13.657
I mean,
00:25:13.678 --> 00:25:15.819
there was one girl who lived in New
00:25:15.839 --> 00:25:19.262
York city and she had family overseas.
00:25:19.423 --> 00:25:20.483
So she'd work essentially.
00:25:20.503 --> 00:25:21.444
She'd book her own schedule.
00:25:21.625 --> 00:25:23.346
She'd work nonstop for like three weeks
00:25:23.507 --> 00:25:25.449
and then she'd go to like Greece and
00:25:26.262 --> 00:25:26.844
She'd go to Greece.
00:25:26.864 --> 00:25:28.305
She was like twenty four years old.
00:25:28.345 --> 00:25:28.825
And she's like, yeah,
00:25:28.845 --> 00:25:29.786
I'm going to go to Greece for two
00:25:29.806 --> 00:25:29.986
weeks.
00:25:30.306 --> 00:25:32.147
How are you pulling out bank units for
00:25:32.167 --> 00:25:33.348
like a month and a half?
00:25:33.848 --> 00:25:34.690
Fox doesn't care.
00:25:34.930 --> 00:25:35.570
Yes, they do.
00:25:35.971 --> 00:25:37.092
They care that you did that.
00:25:37.132 --> 00:25:38.472
And then they go, go to Greece.
00:25:38.673 --> 00:25:40.375
We we want you to go to Greece
00:25:40.394 --> 00:25:41.415
because we want you to come back and
00:25:41.435 --> 00:25:42.856
work for four more weeks straight.
00:25:43.277 --> 00:25:46.200
So find what the whole campaign again.
00:25:46.440 --> 00:25:47.201
And I'll wrap it up here.
00:25:47.240 --> 00:25:48.481
I promise I'm just not going to go
00:25:48.501 --> 00:25:49.162
on a tangent forever.
00:25:49.603 --> 00:25:51.585
Was what drives you like Greece?
00:25:52.125 --> 00:25:52.644
what do you want to do?
00:25:52.684 --> 00:25:54.247
Like, what, what's your thing?
00:25:54.426 --> 00:25:54.707
And it was,
00:25:54.826 --> 00:25:56.107
it was nice because it was like,
00:25:56.188 --> 00:25:57.249
I don't care what you do.
00:25:57.509 --> 00:25:58.650
You're going to come through one of these
00:25:58.691 --> 00:25:59.351
three doors.
00:25:59.631 --> 00:26:00.592
And when you get there,
00:26:01.011 --> 00:26:02.493
we understand that that's what drives you.
00:26:02.794 --> 00:26:04.335
Yes, we have that.
00:26:04.414 --> 00:26:05.135
It wasn't a shock.
00:26:06.641 --> 00:26:08.883
love that so the real real quick with
00:26:08.903 --> 00:26:11.306
that so i love all that it's fascinating
00:26:11.346 --> 00:26:13.468
that you're even you because you were at
00:26:13.488 --> 00:26:14.528
fox and now you're not there anymore
00:26:14.548 --> 00:26:16.250
you're able to kind of relay that whole
00:26:16.290 --> 00:26:17.571
thing like even that that's special
00:26:17.592 --> 00:26:19.534
because they kind of plug that into you
00:26:19.594 --> 00:26:21.175
potentially like in a way well and then
00:26:21.215 --> 00:26:23.198
you're able to i helped craft or you
00:26:23.317 --> 00:26:24.999
yeah yeah you know you're creating craft
00:26:25.059 --> 00:26:25.119
it
00:26:25.559 --> 00:26:28.843
So what's interesting is you didn't
00:26:28.863 --> 00:26:32.105
mention anything about dollar amount,
00:26:32.144 --> 00:26:33.626
salary, hourly, whatever.
00:26:33.906 --> 00:26:36.048
The one thing that my observation of Fox
00:26:36.068 --> 00:26:36.229
though,
00:26:36.269 --> 00:26:38.651
so the opposite of that young physical
00:26:38.671 --> 00:26:39.892
therapist that was banking units,
00:26:40.291 --> 00:26:41.553
there is some quota.
00:26:41.633 --> 00:26:43.815
And if a therapist does not get a
00:26:43.835 --> 00:26:44.375
quota,
00:26:45.236 --> 00:26:47.198
and if Fox is not giving them enough
00:26:47.337 --> 00:26:48.798
new patient referrals or whatever in a
00:26:48.858 --> 00:26:50.200
certain zip code that they're working in,
00:26:51.141 --> 00:26:52.803
Don't they get that quota,
00:26:53.182 --> 00:26:54.723
some dollar amount deducted from the next
00:26:54.743 --> 00:26:56.066
paycheck and the next paycheck if they're
00:26:56.086 --> 00:26:58.188
not hitting enough units per pay period or
00:26:58.228 --> 00:26:58.508
whatever?
00:26:58.928 --> 00:26:59.409
I don't know.
00:26:59.528 --> 00:27:00.829
I'm not trying to dodge the question.
00:27:00.990 --> 00:27:01.410
Maybe.
00:27:01.830 --> 00:27:02.951
I will tell you this, though.
00:27:03.011 --> 00:27:04.432
They did a gajillion dollars.
00:27:04.653 --> 00:27:05.314
I'm pretty sure.
00:27:05.614 --> 00:27:06.075
I don't know,
00:27:06.095 --> 00:27:08.036
but I'm almost positive it would be
00:27:08.076 --> 00:27:09.678
deducted from the next pay period.
00:27:09.718 --> 00:27:10.097
Could be.
00:27:11.159 --> 00:27:14.300
um the same would be if you ran
00:27:14.320 --> 00:27:16.962
out of uh yeah so what i would
00:27:17.002 --> 00:27:19.423
say is that that probably is it i
00:27:19.483 --> 00:27:21.566
wasn't on the clinical side there i would
00:27:21.625 --> 00:27:23.886
say this though they did a ton of
00:27:23.946 --> 00:27:25.768
research before they ever opened a team in
00:27:25.807 --> 00:27:28.730
an area they were like do we have
00:27:28.829 --> 00:27:31.271
more than enough ways to get paid i
00:27:31.291 --> 00:27:32.593
mean they're working with older adults
00:27:32.692 --> 00:27:34.054
like it's like you know
00:27:35.278 --> 00:27:35.959
Or everywhere.
00:27:35.999 --> 00:27:36.858
Do we have enough water?
00:27:36.959 --> 00:27:37.880
We're in the Atlantic Ocean.
00:27:38.019 --> 00:27:38.319
Yes.
00:27:38.440 --> 00:27:38.980
Okay, good.
00:27:39.121 --> 00:27:39.441
Got it.
00:27:39.681 --> 00:27:40.320
Now what do we need?
00:27:40.682 --> 00:27:41.021
Boats.
00:27:41.122 --> 00:27:42.262
I don't know.
00:27:42.442 --> 00:27:44.223
So they understood they had more than
00:27:44.263 --> 00:27:44.763
enough of that.
00:27:44.804 --> 00:27:46.325
That's not always the case, though.
00:27:46.384 --> 00:27:47.086
I see what you're saying.
00:27:47.326 --> 00:27:48.866
So you don't always have,
00:27:48.906 --> 00:27:50.508
if you're an orthopedic,
00:27:50.567 --> 00:27:51.528
if you're a sports clinic,
00:27:51.548 --> 00:27:53.509
you don't always have enough athletes in
00:27:53.549 --> 00:27:55.070
an area or maybe you have competition.
00:27:56.271 --> 00:27:56.672
But, I mean,
00:27:56.771 --> 00:27:59.053
Fox is a logistics company that happened
00:27:59.073 --> 00:28:00.854
to put their logistics and their strategy
00:28:00.894 --> 00:28:02.214
towards treating older adults.
00:28:02.375 --> 00:28:02.556
I mean...
00:28:03.435 --> 00:28:06.301
They understood that that's sort of what
00:28:06.321 --> 00:28:06.962
you need to be.
00:28:08.410 --> 00:28:09.851
You need to be a media company that
00:28:10.151 --> 00:28:11.231
knows how to do logistics.
00:28:11.291 --> 00:28:12.353
And what are you putting it towards?
00:28:12.873 --> 00:28:13.713
Treating older adults.
00:28:14.255 --> 00:28:16.695
Instead of I'm a, like Tony said this,
00:28:17.037 --> 00:28:17.997
I'm a PT clinic.
00:28:18.438 --> 00:28:20.019
Athelas, who I work for, everybody's like,
00:28:20.058 --> 00:28:20.098
oh,
00:28:20.118 --> 00:28:21.400
they're a healthcare technology company.
00:28:21.980 --> 00:28:23.501
They're a technology company that saw
00:28:23.602 --> 00:28:25.083
enough big, hairy, scary,
00:28:25.103 --> 00:28:27.104
annoying problems in healthcare that were
00:28:27.144 --> 00:28:28.885
worth enough to put towards the effort.
00:28:29.105 --> 00:28:30.307
But they're gonna work really hard because
00:28:30.326 --> 00:28:30.567
they're like,
00:28:30.626 --> 00:28:31.627
there's enough problems here.
00:28:31.887 --> 00:28:33.169
And we're super good at this.
00:28:33.669 --> 00:28:35.191
Instead of I have a bleeding heart,
00:28:35.911 --> 00:28:37.612
Let me learn how to become a...
00:28:37.732 --> 00:28:39.433
It's the Armageddon question.
00:28:39.933 --> 00:28:42.497
Do you want to treat bleeding heart or
00:28:42.517 --> 00:28:43.837
do you want to teach bleeding hearts how
00:28:43.857 --> 00:28:45.798
to become business owners or teach
00:28:45.838 --> 00:28:47.401
business or let business owners run
00:28:47.441 --> 00:28:49.301
businesses that employ bleeding hearts?
00:28:49.582 --> 00:28:49.923
Do that.
00:28:50.042 --> 00:28:50.883
Do you want to teach...
00:28:51.723 --> 00:28:53.346
astronauts how to oil drill or oil
00:28:53.385 --> 00:28:55.367
drillers how to be astronauts i mean which
00:28:55.468 --> 00:28:57.730
one's easier it's actually i mean it's the
00:28:57.830 --> 00:28:59.551
opposite of the movie armageddon it would
00:28:59.571 --> 00:29:03.997
be how to be oil drillers but of
00:29:04.037 --> 00:29:06.098
course don't ask bruce willis that uh
00:29:06.118 --> 00:29:08.201
because i'm the best because i work with
00:29:08.221 --> 00:29:11.224
the best but that's i mean what what
00:29:11.285 --> 00:29:12.086
job are you in
00:29:13.393 --> 00:29:14.173
Tony said this before,
00:29:14.192 --> 00:29:16.094
and I didn't agree with him at first
00:29:16.693 --> 00:29:18.193
two years ago or three years ago when
00:29:18.213 --> 00:29:18.894
he said it was like,
00:29:19.653 --> 00:29:21.474
you shouldn't be a business owner and
00:29:21.515 --> 00:29:23.654
treating in your clinic.
00:29:23.674 --> 00:29:25.596
You should be painting yourself out of the
00:29:25.635 --> 00:29:27.675
house, right?
00:29:27.695 --> 00:29:29.175
Did I make that analogy or that metaphor
00:29:29.236 --> 00:29:29.336
up?
00:29:29.355 --> 00:29:29.776
Probably.
00:29:29.895 --> 00:29:31.477
But I probably pictured that when Tony was
00:29:31.497 --> 00:29:32.176
saying it.
00:29:32.257 --> 00:29:33.576
That is the best way to go in
00:29:33.616 --> 00:29:35.218
terms of a practice owner.
00:29:35.258 --> 00:29:36.617
Yeah.
00:29:36.637 --> 00:29:37.198
It's too hard.
00:29:39.340 --> 00:29:40.785
All right, so any final recap on,
00:29:40.865 --> 00:29:42.730
I think we hit everything with the
00:29:42.891 --> 00:29:43.573
listener questions.
00:29:44.996 --> 00:29:46.240
Was there another question though?
00:29:47.651 --> 00:29:49.050
I mean, that was the biggest thing of,
00:29:50.211 --> 00:29:51.612
are you paying therapists, you know,
00:29:51.652 --> 00:29:52.432
in the downtime,
00:29:52.472 --> 00:29:53.653
so it kind of ties into like,
00:29:53.712 --> 00:29:55.133
if they're, I mean, if their salary,
00:29:55.313 --> 00:29:57.114
then yes, you're kind of like, you're,
00:29:57.273 --> 00:29:58.733
you're basically paying them whenever
00:29:58.773 --> 00:29:59.474
there's downtime.
00:30:00.035 --> 00:30:01.654
And there should be something maybe
00:30:01.674 --> 00:30:03.796
written into their, you know,
00:30:03.855 --> 00:30:05.016
employment agreement that like,
00:30:05.236 --> 00:30:06.797
if they have no shows and cancels,
00:30:06.856 --> 00:30:07.997
and there's like dead time,
00:30:08.356 --> 00:30:09.557
they need to be, you know,
00:30:10.577 --> 00:30:12.679
posting social media videos or doing
00:30:12.719 --> 00:30:13.259
something else.
00:30:13.499 --> 00:30:15.101
But then the reverse is true, right?
00:30:15.261 --> 00:30:17.203
If you say you have to see six
00:30:17.244 --> 00:30:18.906
patients a day and you're like, hey, man,
00:30:18.967 --> 00:30:19.488
I got eight.
00:30:19.528 --> 00:30:20.710
Can you do it?
00:30:21.269 --> 00:30:22.853
There's a structure in place that says if
00:30:22.873 --> 00:30:24.255
you're doing more than you're being asked,
00:30:24.275 --> 00:30:26.417
I'm going to pay you X percentage of
00:30:26.557 --> 00:30:27.118
over, right?
00:30:27.829 --> 00:30:28.250
Like what you're,
00:30:28.269 --> 00:30:30.673
like what Ben was saying with like- So,
00:30:30.913 --> 00:30:32.153
yeah, could be.
00:30:32.253 --> 00:30:34.635
I mean, my, listen, my first,
00:30:34.756 --> 00:30:36.518
my second job, but first job in Brooklyn,
00:30:36.917 --> 00:30:38.859
I was hired to be a clinic director.
00:30:39.580 --> 00:30:41.942
And there was something around maybe the
00:30:42.083 --> 00:30:43.564
ego of that or whatever.
00:30:43.644 --> 00:30:45.365
Like we looked at every, you know,
00:30:45.385 --> 00:30:47.008
I was there for two years or something
00:30:47.307 --> 00:30:47.968
as a clinic director.
00:30:48.828 --> 00:30:50.510
and i'm the clinic director with these
00:30:50.530 --> 00:30:52.152
other roles and responsibilities yes i was
00:30:52.172 --> 00:30:53.753
probably getting paid more than the other
00:30:53.814 --> 00:30:54.914
step physical therapist because that's
00:30:54.934 --> 00:30:57.317
what i signed up for and i always
00:30:57.356 --> 00:30:59.960
had the most visits completed like every
00:31:00.119 --> 00:31:03.522
month every quarter like i was treating
00:31:03.563 --> 00:31:04.263
more patients
00:31:05.571 --> 00:31:06.452
So, but I didn't,
00:31:06.633 --> 00:31:07.953
I didn't say to my employer,
00:31:07.993 --> 00:31:08.614
I didn't turn to them.
00:31:08.653 --> 00:31:09.755
I didn't say to Ed Mears, like, hey,
00:31:09.775 --> 00:31:11.375
what's the, what's the performance pay?
00:31:11.675 --> 00:31:13.377
Like, you know,
00:31:13.417 --> 00:31:14.438
six patients were on my schedule,
00:31:14.458 --> 00:31:15.398
but now you want me to see eight
00:31:15.439 --> 00:31:15.878
or, you know,
00:31:15.939 --> 00:31:17.259
ten or twelve are on my schedule,
00:31:17.279 --> 00:31:18.740
but I saw fifteen or whatever.
00:31:19.281 --> 00:31:21.182
Like, I didn't ask for that.
00:31:21.442 --> 00:31:23.203
Again, I'm built differently, maybe,
00:31:23.263 --> 00:31:23.785
and I'm, you know,
00:31:23.805 --> 00:31:24.865
I'm different than a lot of the staff
00:31:24.885 --> 00:31:25.665
therapists out there.
00:31:27.086 --> 00:31:28.107
But it depends.
00:31:28.147 --> 00:31:29.288
I don't, you know, I don't know.
00:31:29.888 --> 00:31:30.489
What do you think, Tony?
00:31:30.730 --> 00:31:31.690
Are we at the point where there's a
00:31:31.730 --> 00:31:32.951
lot of Seth physical therapists that are
00:31:32.971 --> 00:31:33.131
like,
00:31:33.490 --> 00:31:34.892
I signed up for six visits a day,
00:31:35.372 --> 00:31:37.012
now you want me to see eight,
00:31:37.032 --> 00:31:38.574
and you gotta pay me extra for that,
00:31:38.594 --> 00:31:39.815
or what, Jimmy?
00:31:39.835 --> 00:31:42.195
There's research around this,
00:31:42.376 --> 00:31:44.337
and I'll find it when Tony starts talking,
00:31:44.357 --> 00:31:45.679
but the research around this is they
00:31:45.759 --> 00:31:47.440
taught monkeys fairness.
00:31:48.305 --> 00:31:50.266
They gave monkeys bananas.
00:31:50.326 --> 00:31:51.846
I'll find the actual study, right?
00:31:52.326 --> 00:31:53.246
And then they all of a sudden,
00:31:53.566 --> 00:31:54.227
one monkey,
00:31:54.527 --> 00:31:56.807
everybody was getting a cut of banana,
00:31:56.826 --> 00:31:57.287
a cut of banana.
00:31:57.307 --> 00:31:58.208
Everybody was like, this is great,
00:31:58.228 --> 00:31:58.667
this is great.
00:31:58.688 --> 00:32:00.448
And then one monkey got a banana plus
00:32:00.488 --> 00:32:00.928
a grape.
00:32:01.327 --> 00:32:02.209
Do you know what happened?
00:32:02.669 --> 00:32:04.949
Like, you didn't get less bananas.
00:32:05.608 --> 00:32:06.650
They went ape.
00:32:06.670 --> 00:32:07.390
They went batshit.
00:32:08.970 --> 00:32:11.010
They lost their monkey minds.
00:32:12.271 --> 00:32:16.755
Like I am, I'm not, I don't know.
00:32:16.815 --> 00:32:19.196
I'll get to study, but fairness,
00:32:20.317 --> 00:32:22.319
you're constantly doing the math and it
00:32:22.359 --> 00:32:23.339
doesn't need there.
00:32:23.601 --> 00:32:25.342
I don't think that there's an exact like
00:32:25.862 --> 00:32:26.702
tipping point,
00:32:26.903 --> 00:32:28.684
but there's a range where you're like,
00:32:28.785 --> 00:32:30.546
dude, there's the,
00:32:30.566 --> 00:32:32.587
there's the dishwashing theory or the dish
00:32:32.627 --> 00:32:33.788
breaking theory, which is like,
00:32:33.808 --> 00:32:35.190
if you don't want to wash dishes and,
00:32:36.413 --> 00:32:36.953
break a bunch.
00:32:37.233 --> 00:32:38.474
And then you don't get, you're like, ah,
00:32:38.494 --> 00:32:39.434
you're costing us more money.
00:32:39.454 --> 00:32:41.615
And then you sweep, sweep the floor.
00:32:42.116 --> 00:32:44.577
And like that rewards the person who's a
00:32:44.657 --> 00:32:45.377
jackass.
00:32:45.758 --> 00:32:47.199
And then people like me are like, oh,
00:32:47.239 --> 00:32:47.558
I'm good.
00:32:47.739 --> 00:32:49.660
I want to, I'll just wash the dishes.
00:32:50.380 --> 00:32:51.240
People who are good.
00:32:51.260 --> 00:32:52.221
And there's research on this.
00:32:52.280 --> 00:32:53.342
I listened to a lot of Adam Grant.
00:32:53.981 --> 00:32:55.903
People who are good at their jobs get
00:32:55.982 --> 00:32:59.763
rewarded with more work at their jobs.
00:33:01.444 --> 00:33:02.984
This is why the interview process on the
00:33:03.065 --> 00:33:05.086
front end is so vitally important to kind
00:33:05.105 --> 00:33:06.365
of screen in and out,
00:33:06.946 --> 00:33:07.886
screen in the right fit,
00:33:07.926 --> 00:33:10.028
screen out the wrong fit based off of-
00:33:11.048 --> 00:33:12.609
Well, and there's a trial period, right?
00:33:12.650 --> 00:33:14.711
So like, you know, the first two,
00:33:14.731 --> 00:33:15.992
three months or whatever should be a trial
00:33:16.034 --> 00:33:18.316
period where it's in writing, like, Hey,
00:33:18.796 --> 00:33:19.057
you know,
00:33:19.116 --> 00:33:20.198
whether it's part-time or full-time,
00:33:20.238 --> 00:33:22.079
like we're literally giving this a go,
00:33:22.140 --> 00:33:23.721
like let's, you know, in whatever,
00:33:26.104 --> 00:33:29.125
this is a trial period this is an
00:33:29.165 --> 00:33:31.988
introductory period and let's see in the
00:33:32.028 --> 00:33:34.469
working world now are you an actual right
00:33:34.509 --> 00:33:36.650
fit do you like our feedback or support
00:33:36.690 --> 00:33:39.192
all that our guidance mentorship on both
00:33:39.251 --> 00:33:41.413
ends you have no idea until you've until
00:33:41.452 --> 00:33:43.654
the sheen is worn off until it's like
00:33:43.694 --> 00:33:45.256
become a job let me ask you this
00:33:45.276 --> 00:33:46.395
i don't want to backtrack but i do
00:33:46.415 --> 00:33:47.057
like backtracking
00:33:47.757 --> 00:33:49.859
If you were to answer each of you,
00:33:50.059 --> 00:33:51.961
you can only pick one of the three.
00:33:52.362 --> 00:33:54.325
Which are your main drivers, craft,
00:33:54.545 --> 00:33:56.767
cause or community for each of you?
00:33:57.087 --> 00:33:58.429
As I was describing those,
00:33:58.910 --> 00:34:01.092
which ones of those for you
00:34:02.854 --> 00:34:04.335
like popped up so i'll give you a
00:34:04.355 --> 00:34:06.575
review craft again is like if you're a
00:34:06.595 --> 00:34:08.195
clinic director you're like i am a clinic
00:34:08.215 --> 00:34:10.396
director i'm gonna know my kpis i'm gonna
00:34:10.416 --> 00:34:11.956
be able to do like work with people
00:34:12.317 --> 00:34:13.737
i'm gonna like everything a clinic
00:34:13.777 --> 00:34:15.518
director did or a clinician i am a
00:34:15.579 --> 00:34:18.039
clinician i'm a technician i am the person
00:34:18.059 --> 00:34:20.480
who's great this cause the bigot like the
00:34:20.579 --> 00:34:23.081
organization i am i'm here because i want
00:34:23.101 --> 00:34:24.362
to do my part no matter what it
00:34:24.461 --> 00:34:26.581
is like the guy who said uh who
00:34:26.782 --> 00:34:28.362
asked the janitor at nasa what are you
00:34:28.402 --> 00:34:29.804
doing what do you do here i help
00:34:29.824 --> 00:34:30.563
put people on the moon
00:34:31.063 --> 00:34:32.204
That dude was there for cause.
00:34:32.244 --> 00:34:32.465
Right.
00:34:32.724 --> 00:34:33.646
And then community is like,
00:34:33.826 --> 00:34:34.686
do I love these people?
00:34:34.965 --> 00:34:36.146
I don't I don't care what we do.
00:34:36.206 --> 00:34:36.987
We might with widgets.
00:34:37.007 --> 00:34:38.108
We might make nuclear bombs.
00:34:38.327 --> 00:34:39.469
But I love the people that we do
00:34:39.528 --> 00:34:39.889
it with.
00:34:40.068 --> 00:34:41.730
And I wouldn't want to do it anywhere
00:34:41.771 --> 00:34:41.911
else.
00:34:42.030 --> 00:34:43.592
And it was probably secondary and tertiary
00:34:43.612 --> 00:34:44.012
drivers.
00:34:44.391 --> 00:34:45.353
But what's your prime?
00:34:45.413 --> 00:34:46.512
What's your I'm interested.
00:34:46.592 --> 00:34:47.514
What are your primary drivers?
00:34:48.833 --> 00:34:50.313
Oh, this is tough.
00:34:50.393 --> 00:34:51.934
I like having to answer this on the
00:34:51.954 --> 00:34:52.195
fly,
00:34:52.215 --> 00:34:53.655
on the hotspot or on the hot seat.
00:34:55.675 --> 00:34:57.496
My initial response is I have some
00:34:57.536 --> 00:35:00.315
therapists that are on the last,
00:35:01.056 --> 00:35:02.856
the community kind of like,
00:35:03.036 --> 00:35:03.976
I have therapists that are like,
00:35:04.456 --> 00:35:06.438
I love working with Concierge Pain Relief
00:35:06.478 --> 00:35:07.898
because I love your clientele.
00:35:07.958 --> 00:35:09.458
I love the clientele because they're like,
00:35:09.958 --> 00:35:10.898
they're motivated.
00:35:11.177 --> 00:35:12.278
They're like, they're okay.
00:35:12.298 --> 00:35:12.998
Like some visits,
00:35:13.018 --> 00:35:14.958
like they just talk for the whole hour.
00:35:15.099 --> 00:35:16.380
Like they don't even do any movement or
00:35:16.400 --> 00:35:18.000
maybe they just walk and you know,
00:35:18.840 --> 00:35:18.940
Yeah,
00:35:18.980 --> 00:35:19.940
and they still get paid and we get
00:35:19.960 --> 00:35:20.101
paid.
00:35:20.420 --> 00:35:20.860
It's crazy.
00:35:20.900 --> 00:35:21.420
It's bonkers.
00:35:21.762 --> 00:35:23.161
So I have some therapists that are like,
00:35:23.422 --> 00:35:24.342
I love your clientele.
00:35:24.382 --> 00:35:25.143
They're motivated.
00:35:25.182 --> 00:35:27.704
They're better than these other Medicare
00:35:27.784 --> 00:35:29.606
or Medicaid based agencies that I've
00:35:29.626 --> 00:35:31.326
worked for before that are cursing at us
00:35:31.405 --> 00:35:32.126
and saying, get out.
00:35:32.186 --> 00:35:33.407
And I didn't request home physical
00:35:33.427 --> 00:35:33.788
therapy.
00:35:34.487 --> 00:35:35.829
But then I also have other therapists that
00:35:35.869 --> 00:35:37.590
are the craft that are like,
00:35:38.291 --> 00:35:39.831
I want to be like, you know,
00:35:39.871 --> 00:35:42.494
I want to bring like the, you know,
00:35:42.534 --> 00:35:45.936
the Swiss army knife toolbox into the
00:35:46.257 --> 00:35:46.856
someone's home.
00:35:47.317 --> 00:35:48.498
And no matter what they need,
00:35:48.617 --> 00:35:50.380
maybe they need breathing work.
00:35:50.420 --> 00:35:51.320
Maybe they need, you know,
00:35:51.360 --> 00:35:53.802
counseling on rest and hydration and,
00:35:54.141 --> 00:35:54.322
you know,
00:35:54.362 --> 00:35:56.744
recovery and sleep and that type of stuff.
00:35:56.784 --> 00:35:58.565
And then others want, you know,
00:35:58.606 --> 00:36:00.166
certain manual therapy approaches and
00:36:00.266 --> 00:36:00.987
others want,
00:36:01.086 --> 00:36:01.146
you
00:36:02.168 --> 00:36:04.048
empowerment and an exercise program or
00:36:04.068 --> 00:36:06.710
whatever and like my style like our
00:36:06.831 --> 00:36:09.373
offering is like there is a little bit
00:36:09.413 --> 00:36:12.896
of diversity around the motivated person
00:36:12.936 --> 00:36:16.458
that likes our offering and the therapists
00:36:16.478 --> 00:36:17.958
that work with us that stay the longest
00:36:17.978 --> 00:36:20.081
that stay the last couple years they're
00:36:20.101 --> 00:36:21.862
the ones there's many of them that are
00:36:22.061 --> 00:36:24.063
more of like the craft like you you
00:36:24.083 --> 00:36:25.563
don't know like they walk into whatever
00:36:26.405 --> 00:36:26.865
in someone's home,
00:36:26.885 --> 00:36:27.847
like they don't know what they're walking
00:36:27.887 --> 00:36:29.347
into and they can solve it.
00:36:29.367 --> 00:36:29.949
They can figure it out.
00:36:29.969 --> 00:36:32.271
They're going to offer reassurance.
00:36:32.311 --> 00:36:33.753
They're going to offer some type of
00:36:33.833 --> 00:36:34.273
treatment,
00:36:34.454 --> 00:36:37.297
whatever the person is seeking and almost
00:36:37.498 --> 00:36:38.818
starting the visit and starting the
00:36:38.838 --> 00:36:40.161
evaluations of like, hey,
00:36:41.061 --> 00:36:42.744
what are your expectations for today's
00:36:42.784 --> 00:36:43.344
evaluation?
00:36:44.005 --> 00:36:45.646
what are your expectations today for the
00:36:45.826 --> 00:36:47.987
first or second follow-up visit like get
00:36:48.126 --> 00:36:50.068
pulling those things out and whatever the
00:36:50.108 --> 00:36:52.509
person is looking for how can we match
00:36:52.528 --> 00:36:54.530
them we're like meet them where they're at
00:36:55.030 --> 00:36:57.311
so i don't know if that like i
00:36:57.391 --> 00:36:59.072
i'm kind of like stuck in between those
00:36:59.112 --> 00:37:00.753
two and i do have a coaching call
00:37:00.773 --> 00:37:02.775
with sturdy tomorrow so i'm gonna have to
00:37:02.795 --> 00:37:04.195
bring this up to him and ask what
00:37:04.235 --> 00:37:05.516
what do you think of this so i
00:37:05.536 --> 00:37:06.516
don't know what do you think tony what
00:37:06.675 --> 00:37:07.996
what do you have with with you your
00:37:08.137 --> 00:37:09.438
your team with those three
00:37:10.057 --> 00:37:11.480
It definitely changes, right?
00:37:11.619 --> 00:37:12.900
It evolves like all of us.
00:37:12.940 --> 00:37:15.184
Like I can remember when it was for
00:37:15.284 --> 00:37:18.628
me, craft took precedence over everything.
00:37:18.748 --> 00:37:21.269
I was obsessed with reading research,
00:37:21.329 --> 00:37:22.030
studying,
00:37:22.110 --> 00:37:23.793
like looking up different conditions,
00:37:23.853 --> 00:37:25.835
trying to figure out how to solve the
00:37:25.875 --> 00:37:26.416
problems.
00:37:27.257 --> 00:37:29.239
I go to sleep thinking about patient care
00:37:29.259 --> 00:37:30.981
and wake up thinking about patient care.
00:37:32.039 --> 00:37:35.222
Then it kind of shifted to bigger picture
00:37:35.282 --> 00:37:36.925
cause, you know, I was like, hey,
00:37:36.945 --> 00:37:38.106
let's build this business.
00:37:38.146 --> 00:37:39.748
Let's make this business about helping the
00:37:39.768 --> 00:37:42.291
community and keeping geriatrics
00:37:42.331 --> 00:37:44.373
independent and safe and all this stuff.
00:37:45.143 --> 00:37:46.945
No, I'd probably say it's community,
00:37:47.105 --> 00:37:47.864
like really.
00:37:48.244 --> 00:37:49.706
And funny thing is,
00:37:50.067 --> 00:37:51.367
it's a community of three.
00:37:51.728 --> 00:37:52.548
It's my wife,
00:37:52.969 --> 00:37:55.130
my physical therapist assistant, and me.
00:37:55.371 --> 00:37:56.952
I don't want the community to grow.
00:37:57.251 --> 00:37:58.612
I don't want to bring anyone else into
00:37:58.652 --> 00:37:59.273
the community.
00:37:59.853 --> 00:38:01.255
Like it's literally,
00:38:01.315 --> 00:38:02.815
we enjoy each other's time.
00:38:03.076 --> 00:38:04.436
We enjoy what we're doing.
00:38:04.757 --> 00:38:06.458
We're good enough at what we do.
00:38:06.559 --> 00:38:07.960
We're all on the same page.
00:38:09.181 --> 00:38:11.983
So my priority or focus over the last
00:38:12.003 --> 00:38:14.304
couple of years is definitely
00:38:14.826 --> 00:38:16.849
the people that make the community.
00:38:17.030 --> 00:38:18.293
And to a certain degree,
00:38:18.313 --> 00:38:19.956
the patients are part of that community.
00:38:20.317 --> 00:38:22.041
They're coming in, they're socializing,
00:38:22.061 --> 00:38:22.782
they're talking.
00:38:24.679 --> 00:38:25.418
The funny thing is,
00:38:25.460 --> 00:38:26.699
Jeremy Sutton's on here.
00:38:26.719 --> 00:38:28.922
He said, choose the fourth C, cash.
00:38:29.382 --> 00:38:31.003
The last person I would ever think is
00:38:31.023 --> 00:38:32.563
going to say cash version.
00:38:33.244 --> 00:38:35.445
I'm really bringing him along in terms of
00:38:35.644 --> 00:38:37.025
the monetary component of all this.
00:38:37.045 --> 00:38:38.827
That's where I would say, Jeremy,
00:38:38.847 --> 00:38:40.869
if Jeremy were trying to work for me,
00:38:40.889 --> 00:38:41.208
I'd be like,
00:38:41.369 --> 00:38:43.130
I need to pay you enough that money
00:38:43.150 --> 00:38:44.710
is not a barrier.
00:38:45.190 --> 00:38:45.291
Now,
00:38:45.331 --> 00:38:48.112
it doesn't mean like triple the average
00:38:48.172 --> 00:38:49.753
salary for a person to get them on
00:38:49.793 --> 00:38:50.034
board.
00:38:50.074 --> 00:38:50.793
It means like that.
00:38:50.994 --> 00:38:53.195
I want that person thinking about me and
00:38:53.255 --> 00:38:56.777
not having a side hustle or working with
00:38:56.836 --> 00:38:58.458
me will lead to something where you can
00:38:58.498 --> 00:38:59.878
eliminate a side hustle.
00:39:00.498 --> 00:39:01.300
Same for me, Tony.
00:39:01.440 --> 00:39:02.920
It was definitely craft when I first
00:39:02.940 --> 00:39:03.300
started.
00:39:04.360 --> 00:39:04.541
You know,
00:39:04.581 --> 00:39:05.902
my career was definitely like I want to
00:39:05.922 --> 00:39:06.663
be the best at this.
00:39:07.143 --> 00:39:08.123
Then it was in the middle,
00:39:08.163 --> 00:39:09.443
like definitely community where I was
00:39:09.483 --> 00:39:09.704
like,
00:39:10.184 --> 00:39:12.266
I just want to like coming to work.
00:39:12.826 --> 00:39:14.047
I care what I'm doing.
00:39:15.016 --> 00:39:15.978
And I'll get better at it.
00:39:16.018 --> 00:39:17.217
But if I don't have these people around
00:39:17.237 --> 00:39:18.298
me that I like doing it with,
00:39:18.778 --> 00:39:19.719
I'm not going to do anything.
00:39:20.139 --> 00:39:20.559
And for me,
00:39:20.599 --> 00:39:22.440
cause was always an underlying thing.
00:39:23.141 --> 00:39:25.442
I need there to be a cause and
00:39:25.481 --> 00:39:26.143
I need to like it.
00:39:26.782 --> 00:39:27.963
But I didn't walk through a door like
00:39:28.003 --> 00:39:28.603
seeking a cause.
00:39:28.623 --> 00:39:29.204
Like example,
00:39:29.224 --> 00:39:31.905
like I did a bunch of like fundraising
00:39:31.945 --> 00:39:32.646
and charity work.
00:39:33.206 --> 00:39:34.927
the american red cross for the leukemia
00:39:34.947 --> 00:39:37.668
lymphoma society while i was in radio and
00:39:37.748 --> 00:39:39.809
after i didn't really have a connection to
00:39:39.869 --> 00:39:40.909
either of those but i was like i'm
00:39:40.949 --> 00:39:42.130
glad you do good work how do i
00:39:42.170 --> 00:39:43.911
help if i can do my part and
00:39:43.972 --> 00:39:45.672
i can just do funny radio stuff and
00:39:45.692 --> 00:39:47.652
then you make money to help people great
00:39:47.693 --> 00:39:48.793
like that was a good way for me
00:39:48.833 --> 00:39:51.835
to uh interact so that was my craft
00:39:51.876 --> 00:39:53.036
cause community all right we got twenty
00:39:53.056 --> 00:39:53.856
minutes left what are we talking about
00:39:53.876 --> 00:39:57.157
next what's the pivot dave you shared
00:39:57.197 --> 00:39:58.958
something i thought was interesting the
00:39:59.079 --> 00:40:00.460
new york running boom
00:40:01.907 --> 00:40:05.630
uh almost a billion dollar local economy
00:40:05.670 --> 00:40:07.932
yeah i don't understand it i didn't really
00:40:07.952 --> 00:40:10.894
look into it but i guess if you
00:40:11.695 --> 00:40:13.077
i mean if you put together all the
00:40:13.117 --> 00:40:16.440
people that pay for races and what they
00:40:16.460 --> 00:40:19.503
pay for shoes and clothing and all this
00:40:19.543 --> 00:40:21.764
you know expensive like lululemon and aloe
00:40:21.784 --> 00:40:22.105
yeah
00:40:23.385 --> 00:40:23.646
I don't know.
00:40:23.666 --> 00:40:25.327
I don't know what total dollar amount,
00:40:25.407 --> 00:40:27.748
like all the I guess all of like
00:40:27.827 --> 00:40:29.487
the races and the half marathons and the
00:40:29.527 --> 00:40:30.369
full marathon.
00:40:30.909 --> 00:40:32.630
I don't know where they got to a
00:40:32.670 --> 00:40:33.469
billion dollars,
00:40:34.650 --> 00:40:35.871
how they got to that number.
00:40:35.951 --> 00:40:37.972
But yeah, I mean, there's I mean,
00:40:38.052 --> 00:40:38.492
I don't know.
00:40:38.731 --> 00:40:40.192
Running has always been big in most
00:40:40.211 --> 00:40:41.373
cities, especially in New York City.
00:40:42.608 --> 00:40:42.708
Yeah,
00:40:42.728 --> 00:40:44.909
but it wasn't a thing like in the,
00:40:44.969 --> 00:40:45.690
I don't know, six.
00:40:45.710 --> 00:40:46.971
I remember my uncle told me he ran
00:40:47.010 --> 00:40:48.271
like the fourth New York City.
00:40:48.452 --> 00:40:49.052
No, he couldn't.
00:40:49.952 --> 00:40:51.534
He ran one of the first marathons and
00:40:51.554 --> 00:40:53.715
it was like people looked at him like
00:40:53.735 --> 00:40:54.956
he was going to go to the center
00:40:54.976 --> 00:40:55.336
of the earth.
00:40:55.356 --> 00:40:56.378
Like you're going to do a what?
00:40:56.739 --> 00:40:57.659
Now it's like doing a marathon.
00:40:57.679 --> 00:40:58.619
Like, all right, good luck to me.
00:40:58.639 --> 00:40:59.681
Like, it's not even a thing.
00:40:59.860 --> 00:41:00.360
When I did it,
00:41:00.380 --> 00:41:01.802
it was sort of like my first one.
00:41:01.822 --> 00:41:03.503
It was like, that's kind of an endeavor.
00:41:03.784 --> 00:41:04.965
Now it's like people look at each other
00:41:04.985 --> 00:41:06.646
going, hey, have fun this weekend.
00:41:06.706 --> 00:41:07.246
Go knock it out.
00:41:07.967 --> 00:41:09.307
It's become more commonplace.
00:41:11.568 --> 00:41:12.530
which is good buddy.
00:41:12.811 --> 00:41:16.581
He is in charge of bringing big athletic
00:41:16.621 --> 00:41:18.806
events like that to like the Cincinnati
00:41:18.827 --> 00:41:19.949
and surrounding areas.
00:41:21.048 --> 00:41:22.230
I don't remember if he's part of the
00:41:22.269 --> 00:41:23.831
tourism board or whatever.
00:41:24.472 --> 00:41:27.974
But when you look at that, those events,
00:41:28.195 --> 00:41:30.376
I mean, you've got the event itself.
00:41:30.396 --> 00:41:31.657
Then you've got all the buildup.
00:41:31.677 --> 00:41:32.639
You've got the hotels.
00:41:32.659 --> 00:41:33.639
You've got the restaurants.
00:41:33.659 --> 00:41:37.804
You've got the clothes and merch and
00:41:37.884 --> 00:41:39.385
everything that surrounds it.
00:41:39.445 --> 00:41:41.467
I mean, it is amazing.
00:41:42.903 --> 00:41:45.704
uh and and to think about where again
00:41:45.784 --> 00:41:47.925
where physical therapy as a profession or
00:41:47.985 --> 00:41:49.985
individual therapist can kind of step into
00:41:50.005 --> 00:41:52.686
that role i just went up to a
00:41:52.746 --> 00:41:55.108
cross-country meet my seventeen-year-old
00:41:55.367 --> 00:41:57.748
sixteen-year-old he runs cross-country you
00:41:58.528 --> 00:42:01.070
you had to buy the tickets online they
00:42:01.130 --> 00:42:03.610
filled up the entire parking lot and and
00:42:03.809 --> 00:42:06.391
started converting traffic but everywhere
00:42:06.451 --> 00:42:08.871
along the course there were fleet feet
00:42:09.519 --> 00:42:11.565
like flags flying,
00:42:11.605 --> 00:42:14.070
they were a major sponsor of the event.
00:42:15.173 --> 00:42:16.295
They were there on site,
00:42:16.335 --> 00:42:18.059
they were doing their digital scans,
00:42:18.099 --> 00:42:19.262
like they did all of this kind of
00:42:19.302 --> 00:42:19.643
stuff.
00:42:20.958 --> 00:42:23.541
I generally find that most therapists who
00:42:23.581 --> 00:42:25.922
go and set up a booth at those
00:42:25.983 --> 00:42:28.005
events, it doesn't work for us.
00:42:28.065 --> 00:42:29.846
Like we're not going to do anything with
00:42:29.885 --> 00:42:30.106
that.
00:42:30.507 --> 00:42:33.268
But if you're deep in that community and
00:42:33.289 --> 00:42:34.550
you're making connections,
00:42:34.650 --> 00:42:37.431
especially at the level of we're going to
00:42:37.472 --> 00:42:38.353
bring a, you know,
00:42:38.373 --> 00:42:40.894
a three million dollar event to the city.
00:42:41.735 --> 00:42:44.097
Now you want to see referrals start
00:42:44.117 --> 00:42:44.818
pouring in.
00:42:45.217 --> 00:42:46.699
You want to get orthopedics who want to
00:42:46.739 --> 00:42:49.139
specialize in athletic injuries reaching
00:42:49.199 --> 00:42:49.940
out to you.
00:42:50.340 --> 00:42:52.521
Like that's where the real value is in
00:42:52.561 --> 00:42:53.402
something like this.
00:42:53.822 --> 00:42:55.143
You can't think too small.
00:42:55.182 --> 00:42:56.824
You can't set up a massage table to
00:42:57.244 --> 00:42:58.003
rub calves.
00:42:58.384 --> 00:43:01.206
You have to get in at your levels.
00:43:02.260 --> 00:43:04.882
How would you hire someone for that job?
00:43:05.081 --> 00:43:07.802
Would that be more of a salary position
00:43:08.302 --> 00:43:10.003
to create an event like that that might
00:43:10.023 --> 00:43:11.063
be five years away?
00:43:11.463 --> 00:43:13.264
Or would you make that a commission-based?
00:43:14.143 --> 00:43:15.485
Yeah, no, I mean, it's you.
00:43:15.664 --> 00:43:17.565
You're the person you'd hire for that job.
00:43:17.664 --> 00:43:18.786
It would be salary.
00:43:18.945 --> 00:43:21.045
It'd be, what do you need, Jimmy,
00:43:21.106 --> 00:43:22.827
to have peace of mind to know that
00:43:22.867 --> 00:43:24.786
you can focus on this full time?
00:43:25.126 --> 00:43:25.927
For five years.
00:43:26.208 --> 00:43:27.507
You give me the number.
00:43:27.987 --> 00:43:29.548
And then I have to know based on
00:43:29.748 --> 00:43:30.909
other experiences
00:43:31.820 --> 00:43:33.342
If I can turn that number into a
00:43:33.402 --> 00:43:33.802
profit.
00:43:34.061 --> 00:43:34.382
Correct.
00:43:34.443 --> 00:43:34.822
You know,
00:43:34.882 --> 00:43:36.864
and that's the way you do it.
00:43:36.983 --> 00:43:38.264
And you can't think twice about it.
00:43:38.284 --> 00:43:41.967
That's why VC funded ventures are so
00:43:42.226 --> 00:43:42.708
common.
00:43:42.768 --> 00:43:45.009
Like I was just talking to somebody who
00:43:45.028 --> 00:43:46.590
has VC funding behind them.
00:43:46.610 --> 00:43:47.771
And they're like, look,
00:43:47.791 --> 00:43:48.971
we don't care about the money.
00:43:49.331 --> 00:43:51.112
The investors expect to lose all the
00:43:51.152 --> 00:43:51.393
money.
00:43:52.572 --> 00:43:54.173
Half a million dollars doesn't mean
00:43:54.273 --> 00:43:55.094
anything to them.
00:43:55.155 --> 00:43:57.235
They put that out there across hundreds
00:43:57.275 --> 00:43:58.617
and hundreds of businesses and
00:43:59.349 --> 00:44:01.653
We just need growth and we need people
00:44:01.673 --> 00:44:03.257
who are going to bring the growth and
00:44:03.418 --> 00:44:04.981
one in a thousand will succeed.
00:44:05.382 --> 00:44:07.204
And that one in a thousand will blow
00:44:07.244 --> 00:44:09.429
the doors off of everybody else and we'll
00:44:09.469 --> 00:44:10.391
make the profit.
00:44:11.371 --> 00:44:12.833
I'm going to say that's kind of where
00:44:12.873 --> 00:44:14.775
we are in on a smaller scale in
00:44:14.835 --> 00:44:15.335
our business.
00:44:15.375 --> 00:44:16.735
We have to be able to hire five
00:44:16.795 --> 00:44:19.277
therapists knowing who are going to lose
00:44:19.338 --> 00:44:21.539
us money because one is going to make
00:44:21.579 --> 00:44:23.280
twenty times the income.
00:44:23.320 --> 00:44:24.802
But that's but that's not possible.
00:44:24.902 --> 00:44:25.141
Right.
00:44:25.181 --> 00:44:26.503
Because of the current state we're in.
00:44:26.563 --> 00:44:26.802
Right.
00:44:27.003 --> 00:44:29.204
One one is not possible.
00:44:29.405 --> 00:44:31.385
It's not possible the way it's been done.
00:44:31.485 --> 00:44:31.666
Right.
00:44:31.746 --> 00:44:33.628
Bootstrapped and thinking that you have to
00:44:33.668 --> 00:44:36.070
turn every billable minute into a profit.
00:44:36.130 --> 00:44:36.469
Correct.
00:44:36.489 --> 00:44:36.630
Correct.
00:44:36.936 --> 00:44:38.737
But that's why VCs are coming in and
00:44:38.777 --> 00:44:41.097
buying up clinics and private practices
00:44:41.157 --> 00:44:42.998
and consolidating and doing all that,
00:44:43.478 --> 00:44:45.500
because they are taking advantage in a
00:44:45.539 --> 00:44:48.661
good way of the inefficiencies of somebody
00:44:48.701 --> 00:44:49.942
who is like, man,
00:44:50.021 --> 00:44:52.101
I love physical therapy and I love patient
00:44:52.141 --> 00:44:53.822
care and I'm willing to lose three hundred
00:44:53.862 --> 00:44:55.903
dollars building this foundation.
00:44:56.523 --> 00:44:57.844
And then they're going to come in,
00:44:58.344 --> 00:44:59.945
buy it for pennies on the dollar because
00:44:59.965 --> 00:45:01.224
it's not worth anything anyway.
00:45:01.244 --> 00:45:02.726
You're losing money for three years.
00:45:03.346 --> 00:45:05.228
and turn it into something that's actually
00:45:05.289 --> 00:45:05.789
profitable.
00:45:05.829 --> 00:45:07.632
Something patients are willing to pay for,
00:45:08.132 --> 00:45:09.916
something that actually gets positive
00:45:10.016 --> 00:45:12.458
outcomes and is profitable.
00:45:12.719 --> 00:45:14.322
It's also wild when you look at like,
00:45:14.422 --> 00:45:16.764
and I've barely dabbled, I've no...
00:45:18.262 --> 00:45:19.282
I'm trying to make sure people don't think
00:45:19.302 --> 00:45:20.565
I'm trying to talk outside of my boots
00:45:20.605 --> 00:45:20.744
here.
00:45:21.465 --> 00:45:23.246
It's amazing when you look across VC
00:45:23.286 --> 00:45:25.568
portfolios and they're like, I'm buying,
00:45:26.429 --> 00:45:29.172
I'm dabbling in industries that cross
00:45:29.271 --> 00:45:29.572
over.
00:45:30.032 --> 00:45:30.994
It's like, hey, I bought a...
00:45:31.655 --> 00:45:34.217
When you're listening to Shark Tank and
00:45:34.277 --> 00:45:35.838
Cuban's trying to buy this company and
00:45:35.858 --> 00:45:36.119
he's like,
00:45:36.438 --> 00:45:38.541
I own three companies that do the thing
00:45:38.840 --> 00:45:41.563
that you pay two dollars a unit for.
00:45:41.864 --> 00:45:43.405
I'll get the cost down to thirty cents
00:45:43.425 --> 00:45:43.625
a unit.
00:45:43.644 --> 00:45:43.905
It's like,
00:45:44.465 --> 00:45:45.346
Oh, I didn't think about that.
00:45:45.385 --> 00:45:47.007
Like you own companies.
00:45:47.487 --> 00:45:48.947
You're not just a bag of money.
00:45:49.467 --> 00:45:53.748
You get Mark Cuban's Rolodex plus his
00:45:53.929 --> 00:45:55.449
infrastructure plus his supply.
00:45:55.510 --> 00:45:55.869
And you're like,
00:45:56.130 --> 00:45:58.110
that's when you start thinking in three D
00:45:58.170 --> 00:46:01.331
and you're like, oh gosh, I never thought.
00:46:01.472 --> 00:46:03.273
I just thought you buy a company and
00:46:03.313 --> 00:46:05.072
you paint it and you get the logo
00:46:05.092 --> 00:46:06.813
a little better and you get ten percent.
00:46:06.853 --> 00:46:07.273
But no,
00:46:07.313 --> 00:46:09.454
these people who are investors are
00:46:09.494 --> 00:46:09.835
thinking.
00:46:10.775 --> 00:46:12.777
six dimensions deep like oh no I know
00:46:12.896 --> 00:46:13.918
I know the guy that can do I
00:46:13.938 --> 00:46:15.820
know the guy who owns that company who's
00:46:16.221 --> 00:46:17.661
giving you that thing for two dollars a
00:46:17.742 --> 00:46:19.003
unit you're getting screwed I'm gonna get
00:46:19.023 --> 00:46:20.425
that cost down to forty cents a unit
00:46:20.485 --> 00:46:21.586
and then your margins are gonna go like
00:46:21.606 --> 00:46:22.947
this then we're gonna take the money and
00:46:22.967 --> 00:46:24.590
we're gonna roll into this that so it
00:46:24.610 --> 00:46:25.871
would have taken you ten years it's gonna
00:46:25.891 --> 00:46:28.253
take you two and then we're gonna exit
00:46:28.293 --> 00:46:30.556
in five like it's wild this is a
00:46:30.615 --> 00:46:31.998
whole new world for me because I was
00:46:32.018 --> 00:46:33.159
always a guy just rowing a boat
00:46:34.505 --> 00:46:35.425
Well, I mean,
00:46:36.045 --> 00:46:37.387
you see the same thing on the patient
00:46:37.407 --> 00:46:38.007
care side.
00:46:38.027 --> 00:46:39.750
Like you go to Dave.
00:46:40.010 --> 00:46:41.070
I tell Dave, Dave, man,
00:46:41.090 --> 00:46:42.172
my back is killing me.
00:46:42.612 --> 00:46:43.893
He does an evaluation.
00:46:43.934 --> 00:46:46.335
He's going to understand six layers deep.
00:46:46.775 --> 00:46:47.476
It could be this.
00:46:47.496 --> 00:46:48.137
It could be that.
00:46:48.177 --> 00:46:49.097
It could be, you know,
00:46:49.179 --> 00:46:50.280
five different conditions.
00:46:50.300 --> 00:46:51.840
It could even be referred from somewhere
00:46:51.900 --> 00:46:52.782
else, whatever,
00:46:53.583 --> 00:46:55.583
because he's an expert in patient care and
00:46:55.603 --> 00:46:57.146
he understands how to do that.
00:46:57.940 --> 00:47:00.603
But you take that therapist who knows that
00:47:00.643 --> 00:47:01.903
much about patient care,
00:47:01.943 --> 00:47:04.525
they don't know enough about business.
00:47:04.606 --> 00:47:05.947
So they think, like Jimmy,
00:47:06.507 --> 00:47:07.208
it's a business.
00:47:07.288 --> 00:47:08.268
I run it for profit.
00:47:08.289 --> 00:47:09.128
This is what I do.
00:47:09.168 --> 00:47:11.451
Like, it's so much more complex.
00:47:11.610 --> 00:47:13.172
But this is where Tony comes in and
00:47:13.231 --> 00:47:13.652
goes,
00:47:14.733 --> 00:47:16.755
you're that person who's the diehard craft
00:47:16.835 --> 00:47:17.775
person we talked about.
00:47:17.996 --> 00:47:19.456
All you care about is making the patient
00:47:19.476 --> 00:47:19.757
better.
00:47:20.257 --> 00:47:21.557
And you are going to suggest these
00:47:21.597 --> 00:47:23.199
sneakers because they want to run the
00:47:23.239 --> 00:47:25.141
marathon in seven months.
00:47:26.894 --> 00:47:29.597
you don't get anything for that you don't
00:47:29.617 --> 00:47:31.257
get that affiliate like that to me is
00:47:31.297 --> 00:47:33.860
like well it would be disingenuous no you
00:47:33.880 --> 00:47:35.260
were going to suggest that anyway you just
00:47:35.302 --> 00:47:37.463
told me you're the craft person but you
00:47:37.503 --> 00:47:39.844
can't build a business on that i mean
00:47:39.885 --> 00:47:40.766
tony i think you shared a
00:47:42.269 --> 00:47:43.931
a graphic the other day that was like
00:47:43.951 --> 00:47:45.472
an image of somebody doing a workout in
00:47:45.492 --> 00:47:46.773
a gym and you had highlighted,
00:47:46.813 --> 00:47:48.793
you like circled like nine things.
00:47:48.833 --> 00:47:49.675
It was like, uh,
00:47:49.755 --> 00:47:51.155
one of those pictures is like spot the
00:47:51.195 --> 00:47:52.496
differences, like the nine things.
00:47:52.817 --> 00:47:55.157
It was like, why aren't there links, um,
00:47:55.818 --> 00:47:57.300
to all these different things that you're,
00:47:57.800 --> 00:47:58.920
you are promoting.
00:47:58.940 --> 00:48:01.081
You're wearing the Lululemon shirt.
00:48:01.141 --> 00:48:03.903
You're using the biodex thing and you're
00:48:03.943 --> 00:48:05.304
wearing the sneaker.
00:48:06.465 --> 00:48:08.306
I know it feels if you're the craft
00:48:08.347 --> 00:48:11.309
person that that's selling out.
00:48:12.474 --> 00:48:14.996
And I think that maybe people will
00:48:15.117 --> 00:48:17.599
actually think twice about what they share
00:48:17.619 --> 00:48:20.221
in a video in a good way to
00:48:20.300 --> 00:48:22.003
say, oh, everything I'm doing,
00:48:22.083 --> 00:48:23.943
someone is paying really close attention
00:48:23.983 --> 00:48:24.224
to.
00:48:24.945 --> 00:48:26.885
Maybe I should only do the things that
00:48:26.925 --> 00:48:28.027
I one hundred percent believe.
00:48:28.047 --> 00:48:28.286
Good.
00:48:29.346 --> 00:48:29.985
Think that way.
00:48:30.246 --> 00:48:31.746
But if you honestly believe that,
00:48:32.086 --> 00:48:34.168
that is a value because people pay for
00:48:34.188 --> 00:48:36.590
that every single day and people would
00:48:36.630 --> 00:48:37.670
follow your insight.
00:48:37.730 --> 00:48:38.690
And if that's what you want to get
00:48:38.731 --> 00:48:39.210
paid for,
00:48:39.451 --> 00:48:40.771
you have to give them a pathway.
00:48:41.231 --> 00:48:43.753
And if you're not, that's on you.
00:48:43.793 --> 00:48:44.793
Dave was on a roll.
00:48:44.853 --> 00:48:46.474
He shared another one and we'll use this
00:48:46.514 --> 00:48:47.635
to close out the show.
00:48:48.594 --> 00:48:50.576
Penn State's charging ten thousand dollars
00:48:50.615 --> 00:48:52.996
for a full season access.
00:48:53.117 --> 00:48:54.717
Unique fan experience.
00:48:55.418 --> 00:48:56.639
Yes.
00:48:56.679 --> 00:48:57.320
Practices.
00:48:57.380 --> 00:48:57.900
Go ahead.
00:48:58.472 --> 00:48:58.632
Yeah,
00:48:58.713 --> 00:49:01.293
so the reason why this is interesting is
00:49:01.333 --> 00:49:02.775
because Penn State and many other
00:49:02.894 --> 00:49:05.235
universities are doing this specifically
00:49:05.536 --> 00:49:06.657
because they believe,
00:49:07.297 --> 00:49:08.378
whether right or wrong,
00:49:08.757 --> 00:49:10.378
they believe that they are losing money
00:49:10.418 --> 00:49:12.320
because of that whole landmark settlement
00:49:12.380 --> 00:49:13.981
around name, image, and likeness,
00:49:14.021 --> 00:49:15.061
the whole NIL thing.
00:49:15.400 --> 00:49:16.961
And now that players are making money and
00:49:17.001 --> 00:49:18.182
able to get sponsorships...
00:49:18.882 --> 00:49:19.422
on the table.
00:49:19.463 --> 00:49:21.385
They used to be cash in a duffel
00:49:21.425 --> 00:49:22.465
bag under the table.
00:49:22.525 --> 00:49:23.425
And all of a sudden,
00:49:23.465 --> 00:49:24.887
the player's mom has a new house or
00:49:24.907 --> 00:49:26.648
whatever or a new car.
00:49:28.048 --> 00:49:30.490
Because of the whole NIL situation,
00:49:31.431 --> 00:49:32.932
these universities, including Penn State,
00:49:33.112 --> 00:49:33.773
they're like, hey,
00:49:34.114 --> 00:49:36.775
we're losing the previous revenue that we
00:49:36.876 --> 00:49:37.456
used to have.
00:49:37.896 --> 00:49:39.217
And where are they going?
00:49:39.737 --> 00:49:40.398
Where are they going?
00:49:40.577 --> 00:49:41.778
They're going to the consumer.
00:49:41.798 --> 00:49:42.820
They're going to the fan,
00:49:43.059 --> 00:49:43.981
the end consumer.
00:49:44.820 --> 00:49:46.302
And they're charging some outrageous,
00:49:46.402 --> 00:49:47.583
you know, ten grand.
00:49:47.603 --> 00:49:48.844
I don't know if that gets us for
00:49:48.885 --> 00:49:49.606
all the home games.
00:49:49.626 --> 00:49:51.146
So what's that like eight or something
00:49:51.206 --> 00:49:52.327
home games or whatever?
00:49:52.829 --> 00:49:53.809
Maybe a playoff game,
00:49:54.150 --> 00:49:56.871
maybe maybe one of the playoff games or
00:49:56.891 --> 00:49:57.313
ball games.
00:49:58.193 --> 00:50:00.074
But they get, you know, unlimited
00:50:01.949 --> 00:50:03.710
team exposure there's like you know
00:50:03.809 --> 00:50:07.672
private they they remove certain um vendor
00:50:07.692 --> 00:50:09.632
stands and they added you know different
00:50:09.733 --> 00:50:13.094
unique uh fan experiences where the fans
00:50:13.114 --> 00:50:15.036
can kind of be behind like a partition
00:50:15.056 --> 00:50:16.735
but they can high-five the players as
00:50:16.777 --> 00:50:18.336
they're like coming you know before they
00:50:18.356 --> 00:50:19.938
get out of the tunnel like in you
00:50:19.958 --> 00:50:21.239
know underneath the bleachers and
00:50:21.559 --> 00:50:23.039
different things like that so the
00:50:23.079 --> 00:50:25.101
universities are like hey how else can we
00:50:25.380 --> 00:50:26.882
make money we've been having this like
00:50:26.942 --> 00:50:30.302
amazing uh funnel of money for years and
00:50:30.342 --> 00:50:31.063
decades and
00:50:32.344 --> 00:50:34.467
Let's offer this new thing at some
00:50:34.547 --> 00:50:35.668
outrageous dollar amount.
00:50:36.248 --> 00:50:38.449
And the parallel is like same thing.
00:50:38.489 --> 00:50:40.731
Like there's patients that are paying out
00:50:40.751 --> 00:50:42.112
of pocket for physical therapy when they
00:50:42.132 --> 00:50:43.934
already have Medicare coverage or they
00:50:43.954 --> 00:50:44.956
have a network insurance.
00:50:45.876 --> 00:50:48.179
And it's going to be a segment or
00:50:48.199 --> 00:50:48.878
a subset of...
00:50:49.500 --> 00:50:50.880
the fans out there that are going to
00:50:50.920 --> 00:50:52.280
pay Penn State,
00:50:52.360 --> 00:50:54.041
the ones that have the money or want
00:50:54.061 --> 00:50:55.061
that are obsessed fans,
00:50:55.342 --> 00:50:56.543
they're going to find the money to do
00:50:56.603 --> 00:50:56.722
it.
00:50:57.103 --> 00:50:58.844
If you're a really big fan,
00:50:59.103 --> 00:51:01.284
just like some of our patients and clients
00:51:01.304 --> 00:51:03.125
that find the money or have the money
00:51:03.485 --> 00:51:04.365
to pay for what we do.
00:51:04.565 --> 00:51:05.746
And we're very, you know,
00:51:05.766 --> 00:51:07.367
it's different than what else is out
00:51:07.387 --> 00:51:09.067
there.
00:51:09.126 --> 00:51:10.507
If you want to figure that out,
00:51:12.418 --> 00:51:14.621
Pay attention to when the interns show up.
00:51:15.181 --> 00:51:16.302
So we did that in radio.
00:51:16.922 --> 00:51:18.605
When we had bands in the studio,
00:51:19.106 --> 00:51:20.367
interns showed up when they weren't
00:51:20.407 --> 00:51:21.248
scheduled because they were like,
00:51:21.748 --> 00:51:22.710
can I just stand here?
00:51:23.411 --> 00:51:24.452
I'm allowed to be in this building.
00:51:24.472 --> 00:51:26.373
Can I just hover in the corner?
00:51:26.875 --> 00:51:29.637
So this was like a big deal.
00:51:29.717 --> 00:51:30.938
Somebody was trying to get elected in the
00:51:30.958 --> 00:51:31.579
state of New York,
00:51:31.639 --> 00:51:33.802
and he put a real â
00:51:33.402 --> 00:51:35.364
case together where it was illegal to do
00:51:35.384 --> 00:51:37.585
what's called pay for play a record
00:51:37.625 --> 00:51:39.487
company couldn't give jimmy a bag of money
00:51:39.766 --> 00:51:40.568
and then all of a sudden i start
00:51:40.608 --> 00:51:42.568
playing the new whatever song that should
00:51:42.588 --> 00:51:44.489
be illegal and the reason was well it's
00:51:44.510 --> 00:51:46.172
a private business who cares i'm using
00:51:46.211 --> 00:51:47.472
public airwaves so that's where the
00:51:47.492 --> 00:51:48.893
government got involved right so you
00:51:48.934 --> 00:51:49.753
couldn't do that
00:51:50.534 --> 00:51:51.976
But I started paying attention to like,
00:51:52.655 --> 00:51:52.876
oh,
00:51:53.115 --> 00:51:54.815
so this is a value because when we
00:51:54.856 --> 00:51:56.637
play it, you make money on it.
00:51:56.657 --> 00:51:57.757
So as long as I'm playing it and
00:51:57.797 --> 00:51:58.818
doing things on the up and up,
00:51:58.858 --> 00:51:59.358
it's fine.
00:51:59.697 --> 00:52:01.177
So I started looking at when the interns
00:52:01.197 --> 00:52:02.998
were showing up and we started figuring
00:52:03.039 --> 00:52:05.159
out different ways to make it cooler.
00:52:05.440 --> 00:52:06.980
We didn't monetize it as much.
00:52:07.119 --> 00:52:08.820
We just made the interactions cooler.
00:52:09.101 --> 00:52:10.641
So instead of just having a band in
00:52:10.661 --> 00:52:11.461
the small studio,
00:52:12.422 --> 00:52:14.523
I took an old old filing cabinet room
00:52:15.603 --> 00:52:16.523
emptied the room out,
00:52:16.724 --> 00:52:17.846
put a small stage in there.
00:52:17.905 --> 00:52:19.887
And now I could have forty people in
00:52:19.927 --> 00:52:21.931
the studio when the band was in and
00:52:21.971 --> 00:52:22.451
not eight.
00:52:23.447 --> 00:52:24.447
And then we were able to do a
00:52:24.527 --> 00:52:27.528
giveaway for a month for tickets to that
00:52:27.568 --> 00:52:27.869
thing.
00:52:28.329 --> 00:52:29.108
And then I took it out of the
00:52:29.148 --> 00:52:30.130
building altogether.
00:52:30.150 --> 00:52:31.530
The band was already going to come play
00:52:31.590 --> 00:52:33.331
six songs acoustic in studio.
00:52:33.351 --> 00:52:33.570
I was like,
00:52:33.891 --> 00:52:34.831
we're going to do it at a band.
00:52:34.911 --> 00:52:35.791
We're going to do it at a bar
00:52:35.811 --> 00:52:37.253
down the street, but we're only,
00:52:37.273 --> 00:52:38.413
we're going to give people less than
00:52:38.452 --> 00:52:39.793
twenty four hours notice to come.
00:52:40.193 --> 00:52:41.293
And we're going to we're going to send
00:52:41.313 --> 00:52:43.175
them a text message twenty four hours
00:52:43.195 --> 00:52:43.875
before the thing.
00:52:43.894 --> 00:52:44.916
You've got to be signed up for our
00:52:44.956 --> 00:52:45.155
text.
00:52:45.175 --> 00:52:47.237
So it was like, find the thing.
00:52:47.617 --> 00:52:47.896
Right.
00:52:48.376 --> 00:52:50.237
Is someone is someone really,
00:52:50.297 --> 00:52:50.978
really important?
00:52:51.438 --> 00:52:52.998
Is there a Penn State fan that really
00:52:53.018 --> 00:52:55.701
wants to â look what they do in
00:52:55.780 --> 00:52:57.342
European football, soccer kids.
00:52:58.402 --> 00:53:00.143
There's always a kid that walks out with
00:53:00.423 --> 00:53:01.625
the professionals and they hold hands.
00:53:01.684 --> 00:53:02.865
I don't really understand it, but, like,
00:53:03.206 --> 00:53:04.646
you don't think that that either was a
00:53:04.706 --> 00:53:06.929
contest or someone paid for it or there's
00:53:06.949 --> 00:53:08.510
a relationship between that club and
00:53:08.530 --> 00:53:10.110
that's â there absolutely is.
00:53:10.271 --> 00:53:10.570
Why?
00:53:10.731 --> 00:53:12.291
Because it costs them freaking zero.
00:53:12.552 --> 00:53:13.313
What's it cost them?
00:53:13.873 --> 00:53:14.873
In Madison Square Garden,
00:53:14.893 --> 00:53:16.175
when the Rangers walk out,
00:53:16.494 --> 00:53:18.215
they walk out in a hallway that, like,
00:53:18.315 --> 00:53:19.577
you can stand in that's, like,
00:53:19.617 --> 00:53:20.597
completely glassed in.
00:53:21.670 --> 00:53:22.449
Cost them zero.
00:53:22.769 --> 00:53:24.590
But if you're the stockbroker whose kids
00:53:24.630 --> 00:53:26.090
are super big Ranger fans,
00:53:26.530 --> 00:53:28.030
and now you can just think,
00:53:28.210 --> 00:53:29.451
can I take a selfie doing it?
00:53:29.710 --> 00:53:30.050
Yes.
00:53:30.552 --> 00:53:32.692
Charge for it.
00:53:32.711 --> 00:53:33.731
Can I take a selfie doing it?
00:53:33.791 --> 00:53:34.092
Yes.
00:53:34.192 --> 00:53:35.032
Cameron payola.
00:53:35.052 --> 00:53:36.052
It was the big payola skate.
00:53:36.092 --> 00:53:37.172
It was the big payola push.
00:53:37.813 --> 00:53:39.052
Somebody was trying to get elected hard.
00:53:39.092 --> 00:53:39.452
I was like,
00:53:39.472 --> 00:53:41.052
you know who the biggest scoundrel,
00:53:41.132 --> 00:53:42.032
I'm not saying it was good.
00:53:42.072 --> 00:53:42.634
It wasn't good.
00:53:42.653 --> 00:53:43.233
You know,
00:53:43.273 --> 00:53:45.634
the biggest people who scourges on society
00:53:45.693 --> 00:53:48.094
are radio station program directors.
00:53:48.375 --> 00:53:49.954
Like think about, all right,
00:53:50.014 --> 00:53:51.034
it was illegal, but,
00:53:51.800 --> 00:53:52.079
I don't know.
00:53:52.099 --> 00:53:52.900
I think there was bigger,
00:53:53.061 --> 00:53:55.001
bigger fish to fry.
00:53:55.121 --> 00:53:55.641
I love it.
00:53:55.681 --> 00:53:56.041
You know,
00:53:56.181 --> 00:53:58.103
we've talked about it a hundred times.
00:53:58.242 --> 00:54:00.423
Here's a hundred and one coming into the
00:54:00.443 --> 00:54:01.545
clinic this morning.
00:54:01.644 --> 00:54:03.385
I'm talking to chat GPT.
00:54:03.465 --> 00:54:03.806
Hey,
00:54:03.846 --> 00:54:06.967
what are some like timely topics for PT
00:54:07.027 --> 00:54:07.807
breakfast club?
00:54:08.807 --> 00:54:12.030
And one of them was letting patients self
00:54:12.090 --> 00:54:14.311
pay as an option.
00:54:14.878 --> 00:54:17.960
to reduce wait times, increase access.
00:54:18.679 --> 00:54:20.021
And I just go back to, I'm like,
00:54:20.400 --> 00:54:21.382
I don't understand.
00:54:21.501 --> 00:54:23.844
Even we on our website,
00:54:23.864 --> 00:54:25.505
and I just checked because I had forgotten
00:54:25.525 --> 00:54:26.025
about this.
00:54:26.545 --> 00:54:28.646
Even we on our website have a two
00:54:28.666 --> 00:54:30.568
hundred and fifty dollar self pay one
00:54:30.588 --> 00:54:31.268
visit option.
00:54:31.809 --> 00:54:32.809
You know, it's like, look,
00:54:32.869 --> 00:54:34.050
if you if you just need a quick
00:54:34.090 --> 00:54:36.190
about pay the two fifty, come on in.
00:54:36.231 --> 00:54:37.751
We don't sell them, but they're there.
00:54:37.771 --> 00:54:38.492
They're marketed.
00:54:38.532 --> 00:54:40.454
We put it out publicly to the world.
00:54:41.318 --> 00:54:44.101
and like we know there's a shortage of
00:54:44.161 --> 00:54:46.242
staff we know there's wait lists we know
00:54:46.262 --> 00:54:48.344
there's all these problems going on and
00:54:48.384 --> 00:54:50.405
therapists aren't generating enough
00:54:50.505 --> 00:54:53.409
profitability to stay in business what is
00:54:53.449 --> 00:54:55.190
the harm in just putting it out there
00:54:55.431 --> 00:54:57.211
penn state's doing a ten thousand dollar
00:54:57.311 --> 00:54:59.434
offer why not just put out on the
00:54:59.494 --> 00:55:00.255
website hey
00:55:00.835 --> 00:55:03.255
exclusive offer, five available,
00:55:03.717 --> 00:55:05.456
five hundred dollar one time session.
00:55:05.878 --> 00:55:07.018
You know, this is what we do.
00:55:07.077 --> 00:55:07.938
Boom, boom, boom, boom, boom.
00:55:08.018 --> 00:55:09.239
These are the benefits to it.
00:55:09.298 --> 00:55:09.900
No way.
00:55:09.940 --> 00:55:11.559
Same day appointments, whatever.
00:55:12.001 --> 00:55:15.661
Like I would literally cancel an
00:55:15.681 --> 00:55:17.782
appointment for somebody else.
00:55:17.922 --> 00:55:18.864
Call me evil.
00:55:19.833 --> 00:55:22.536
to book an appointment for a five hundred
00:55:22.556 --> 00:55:25.217
dollar self-paced session if they called
00:55:25.277 --> 00:55:27.179
and wanted to get in today you know
00:55:27.199 --> 00:55:28.822
and the reality is if i didn't make
00:55:28.862 --> 00:55:31.023
that sacrifice i wouldn't be able to stay
00:55:31.043 --> 00:55:33.525
in business if i'm losing money every year
00:55:34.324 --> 00:55:35.505
I mean, go to Disney.
00:55:35.605 --> 00:55:36.666
You could buy a fast pass.
00:55:36.686 --> 00:55:36.766
Yeah.
00:55:36.786 --> 00:55:37.586
Same thing.
00:55:37.626 --> 00:55:38.668
How screwed up is that?
00:55:38.788 --> 00:55:39.489
You can buy a,
00:55:39.909 --> 00:55:41.411
you can use money to skip a line.
00:55:41.550 --> 00:55:41.731
Yeah.
00:55:42.351 --> 00:55:43.413
Go to a baseball game.
00:55:43.672 --> 00:55:45.815
Football game comes with parking passes.
00:55:46.215 --> 00:55:48.097
You're selling the thing that where would
00:55:48.117 --> 00:55:48.938
the interns show up?
00:55:48.998 --> 00:55:49.699
I can, I can park here.
00:55:49.739 --> 00:55:49.918
Right.
00:55:49.938 --> 00:55:51.219
Cause I'm, this is cool.
00:55:51.561 --> 00:55:51.760
Right.
00:55:51.800 --> 00:55:52.981
Where are they trying to like, sort of,
00:55:53.141 --> 00:55:53.842
I can skip the line.
00:55:53.862 --> 00:55:54.063
Right.
00:55:54.083 --> 00:55:55.423
Like charge for that.
00:55:55.503 --> 00:55:57.465
Cause people are doing the math in their
00:55:57.505 --> 00:55:57.786
head.
00:55:58.489 --> 00:55:59.010
Is this worth it?
00:55:59.110 --> 00:56:00.110
Oh, dude, I've stood in a line.
00:56:00.150 --> 00:56:01.030
Dude, it sucks.
00:56:01.130 --> 00:56:03.010
In Florida, in July, in the humidity,
00:56:03.291 --> 00:56:03.731
I'd pay.
00:56:04.030 --> 00:56:04.452
I'd pay for it.
00:56:04.472 --> 00:56:04.771
Oh, really?
00:56:04.811 --> 00:56:05.411
You'd pay for that?
00:56:06.751 --> 00:56:07.873
They pass the eyebrow test.
00:56:07.893 --> 00:56:08.972
They go, oh, you'd pay for that?
00:56:09.813 --> 00:56:10.373
Charge for that.
00:56:10.492 --> 00:56:11.213
People will pay for it.
00:56:11.813 --> 00:56:13.253
And also at every sporting event,
00:56:13.753 --> 00:56:15.974
the closer you sit to the action,
00:56:16.155 --> 00:56:17.054
the more you pay, right?
00:56:17.074 --> 00:56:18.034
So if you're courtside,
00:56:18.275 --> 00:56:20.036
if you're sitting behind home plate,
00:56:20.936 --> 00:56:22.916
at any game the closer you are to
00:56:22.936 --> 00:56:25.518
the action you typically pay more unless
00:56:25.538 --> 00:56:27.717
you got invited by you know a friend
00:56:27.737 --> 00:56:29.539
or something that had tickets but the
00:56:29.559 --> 00:56:31.358
closer you sit the more you pay the
00:56:31.398 --> 00:56:32.840
further away you are the less you pay
00:56:33.119 --> 00:56:34.820
same type of thing front of the plane
00:56:35.880 --> 00:56:39.822
bigger seats board first baggage fee or
00:56:39.882 --> 00:56:41.463
you know like just think like but what
00:56:41.523 --> 00:56:43.382
tony said there the magic f word that
00:56:43.443 --> 00:56:45.603
tony talked about there or sorry not the
00:56:45.684 --> 00:56:47.344
f word you avoided the f word was
00:56:47.445 --> 00:56:48.625
benefits and not features
00:56:50.351 --> 00:56:51.771
So I'll do my parting shot first.
00:56:52.231 --> 00:56:53.112
Here's my parting shot.
00:56:53.472 --> 00:56:54.853
I've said this a hundred times in front
00:56:54.893 --> 00:56:57.135
of physical therapists, researchers,
00:56:57.155 --> 00:56:57.894
and academics.
00:56:59.335 --> 00:57:00.476
You have to understand the difference
00:57:00.496 --> 00:57:01.536
between features and benefits.
00:57:01.677 --> 00:57:02.896
So if there's going to be one hill
00:57:02.936 --> 00:57:03.478
that I'm going to die on,
00:57:03.498 --> 00:57:04.097
this is one of them.
00:57:04.657 --> 00:57:05.338
I have a Jeep.
00:57:05.579 --> 00:57:06.219
It is red.
00:57:06.559 --> 00:57:07.519
It's four-wheel drive.
00:57:07.900 --> 00:57:09.681
And it's got a top that comes off.
00:57:10.061 --> 00:57:11.782
Those are all features of my Jeep.
00:57:12.121 --> 00:57:13.922
I know that PTs want to,
00:57:14.083 --> 00:57:16.043
we would love to evidence-based.
00:57:17.003 --> 00:57:18.425
And I'm going to talk about features all
00:57:18.465 --> 00:57:18.625
day.
00:57:19.679 --> 00:57:20.179
Nobody cares.
00:57:20.900 --> 00:57:21.739
They think they do.
00:57:22.501 --> 00:57:24.461
They logic their way back into caring,
00:57:24.501 --> 00:57:25.603
but they want the benefits.
00:57:26.003 --> 00:57:26.684
It's red.
00:57:27.043 --> 00:57:28.224
When I pull into a parking lot,
00:57:28.744 --> 00:57:29.806
everybody pays attention.
00:57:30.126 --> 00:57:32.027
That's the benefit of having a red Jeep.
00:57:32.306 --> 00:57:33.208
It's four-wheel drive.
00:57:33.648 --> 00:57:35.128
Do you think an upstate New York snowstorm
00:57:35.228 --> 00:57:36.530
ever keeps me in my house?
00:57:36.869 --> 00:57:37.411
Absolutely not.
00:57:37.530 --> 00:57:39.012
That's the benefit of four-wheel drive.
00:57:39.371 --> 00:57:40.052
Four doors.
00:57:41.233 --> 00:57:42.693
Dude, I never leave a friend behind.
00:57:42.873 --> 00:57:43.914
The party's always in my Jeep.
00:57:45.188 --> 00:57:45.989
The top comes off.
00:57:46.210 --> 00:57:48.351
I can go from covered to wind in
00:57:48.371 --> 00:57:49.952
my hair in ninety seconds or less.
00:57:50.211 --> 00:57:51.052
That's the benefit.
00:57:51.413 --> 00:57:53.373
Talk about benefits and you'll never go
00:57:53.414 --> 00:57:53.634
hungry.
00:57:58.574 --> 00:57:59.394
All right.
00:57:59.414 --> 00:58:00.074
I just had it, but I lost it.
00:58:00.094 --> 00:58:00.896
Dave, what do you got?
00:58:01.056 --> 00:58:01.195
I'll go.
00:58:01.235 --> 00:58:01.376
I'll go.
00:58:01.396 --> 00:58:01.496
Yeah.
00:58:01.815 --> 00:58:04.157
So going back to the whole employer and
00:58:04.217 --> 00:58:05.838
team member employee situation,
00:58:06.438 --> 00:58:07.759
just going back to being on the same
00:58:07.798 --> 00:58:09.280
page, both sides.
00:58:09.340 --> 00:58:11.300
And it's always a challenge, both sides.
00:58:11.360 --> 00:58:12.880
It would be great if we can all
00:58:12.920 --> 00:58:13.862
just say, hey,
00:58:13.882 --> 00:58:15.041
this is what we're looking for.
00:58:15.141 --> 00:58:17.103
This is what we're this is what we're
00:58:17.123 --> 00:58:18.623
seeking is what we want.
00:58:18.943 --> 00:58:19.824
What do you want?
00:58:19.885 --> 00:58:20.945
What do you want out of this?
00:58:21.065 --> 00:58:22.525
What are the things that will
00:58:23.186 --> 00:58:25.786
allow you to do a great job?
00:58:25.827 --> 00:58:26.806
What is the support?
00:58:27.467 --> 00:58:28.547
What is the mentorship?
00:58:28.568 --> 00:58:30.728
What is the compensation?
00:58:30.789 --> 00:58:31.668
Is it annual?
00:58:31.708 --> 00:58:32.469
Is it salary?
00:58:32.509 --> 00:58:34.030
Is it some performance pay?
00:58:34.190 --> 00:58:36.371
What is it that you're searching for?
00:58:36.570 --> 00:58:38.090
Or maybe you already have your hiring
00:58:38.130 --> 00:58:39.711
process dialed in and you're kind of like,
00:58:39.791 --> 00:58:40.572
this is the offer,
00:58:40.851 --> 00:58:42.132
kind of like what's on Sony's website.
00:58:42.152 --> 00:58:42.833
This is the offer.
00:58:43.572 --> 00:58:45.393
take it or leave it either way just
00:58:45.653 --> 00:58:47.695
i think we all not even just physical
00:58:47.715 --> 00:58:50.016
therapy but just in all professions all
00:58:50.096 --> 00:58:52.197
jobs that are being listed out there like
00:58:52.757 --> 00:58:53.677
there just needs to be a little bit
00:58:53.717 --> 00:58:54.858
more transparency a little bit more
00:58:54.938 --> 00:58:57.119
openness like just both sides just put
00:58:57.139 --> 00:58:58.659
your cards on the table like this is
00:58:58.679 --> 00:58:59.780
what i'm willing to pay you this is
00:58:59.800 --> 00:59:01.862
the salary i'm willing to pay this is
00:59:01.882 --> 00:59:03.463
the upside that i'm willing to pay if
00:59:03.503 --> 00:59:05.523
you treat more patients whatever like just
00:59:05.603 --> 00:59:07.684
more candid conversations like let's find
00:59:07.764 --> 00:59:09.605
out what both sides want and then i
00:59:09.625 --> 00:59:11.485
think you'll have better matches and more
00:59:11.505 --> 00:59:12.527
team members that stay longer
00:59:13.802 --> 00:59:14.802
All right, parting shot.
00:59:14.882 --> 00:59:16.503
If you haven't done it already,
00:59:16.563 --> 00:59:17.724
what are you waiting for?
00:59:17.804 --> 00:59:18.623
Go subscribe.
00:59:18.664 --> 00:59:20.943
Go follow PT Breakfast Club,
00:59:20.983 --> 00:59:23.125
Dave Kittle Show, Learn Medicare Billing.
00:59:23.585 --> 00:59:26.425
We've been out here twice a week sharing
00:59:26.505 --> 00:59:27.686
ideas, sharing content.
00:59:27.706 --> 00:59:29.425
The least you could do is support the
00:59:29.485 --> 00:59:30.565
social media channels.
00:59:30.626 --> 00:59:33.166
You guys come back Tuesdays and Thursdays,
00:59:33.266 --> 00:59:34.286
eight thirty a.m.
00:59:34.467 --> 00:59:34.927
Eastern.
00:59:35.286 --> 00:59:36.668
We'll catch you on the next episode.
00:59:36.688 --> 00:59:37.208
Thanks, guys.
00:59:37.228 --> 00:59:37.367
See you.
00:00:08.734 --> 00:00:08.914
All right.
00:00:08.935 --> 00:00:10.076
Good Tuesday morning to you.
00:00:10.115 --> 00:00:11.717
Do we have listener questions?
00:00:11.737 --> 00:00:12.397
Is that what we're doing?
00:00:12.457 --> 00:00:14.217
Are we going into the, like,
00:00:14.278 --> 00:00:14.739
as they would say,
00:00:14.759 --> 00:00:16.920
I'm part of the interruption mailbag.
00:00:16.980 --> 00:00:18.440
Are we going into the mailbag today?
00:00:19.240 --> 00:00:19.702
We can.
00:00:21.143 --> 00:00:23.024
Before we hit the mailbag, Dave,
00:00:23.204 --> 00:00:25.085
have you guys started watching blues
00:00:25.125 --> 00:00:25.565
clues?
00:00:25.644 --> 00:00:26.765
Is that still a thing?
00:00:28.612 --> 00:00:31.734
not yet uh we we've done we've done
00:00:31.815 --> 00:00:34.197
sesame street we've done uh monsters inc
00:00:34.777 --> 00:00:36.459
what are some you know obviously sesame
00:00:36.478 --> 00:00:37.759
street if i didn't say that already but
00:00:37.780 --> 00:00:39.881
yeah uh blues clues it's it's on the
00:00:39.921 --> 00:00:41.662
docket somewhere i'm sure it just hasn't
00:00:41.883 --> 00:00:44.585
been initiated well there's a there's a
00:00:44.765 --> 00:00:48.408
mail call segment that you'll appreciate
00:00:48.487 --> 00:00:50.228
when when you get into it okay go
00:00:50.289 --> 00:00:52.530
ahead i missed that one i haven't done
00:00:52.570 --> 00:00:53.311
blues clues yet
00:00:56.203 --> 00:00:56.804
All right, Dave,
00:00:57.125 --> 00:00:58.932
you said you had some listener emails.
00:00:58.951 --> 00:01:01.299
I'm going to guess these aren't anonymous.
00:01:03.109 --> 00:01:03.909
No, no.
00:01:04.331 --> 00:01:06.432
Shout out to our friend,
00:01:06.572 --> 00:01:07.471
friend of the podcast,
00:01:07.492 --> 00:01:08.412
friend of Breakfast Club,
00:01:09.233 --> 00:01:10.573
friend of the Dave Kittle Show,
00:01:10.614 --> 00:01:12.454
PT Pinecast and Learning Medicare Billing,
00:01:12.915 --> 00:01:13.734
Dr. Eric Broadworth,
00:01:13.754 --> 00:01:15.096
physical therapy practice owner out of
00:01:15.115 --> 00:01:16.135
Grand Rapids, Michigan.
00:01:16.837 --> 00:01:19.218
And we spoke recently and he had some
00:01:19.257 --> 00:01:21.379
questions around compensation,
00:01:21.459 --> 00:01:24.359
staffing and expectations for staff
00:01:24.379 --> 00:01:25.180
physical therapists.
00:01:25.900 --> 00:01:26.521
I'll of course,
00:01:26.540 --> 00:01:28.302
I'll give my thoughts and you guys can
00:01:28.341 --> 00:01:28.581
as well.
00:01:30.162 --> 00:01:31.784
So the biggest thing that he was asking
00:01:31.844 --> 00:01:33.165
about or first of all,
00:01:33.206 --> 00:01:36.287
his his statement was he has some physical
00:01:36.328 --> 00:01:38.310
therapists that if he was asking if they
00:01:38.329 --> 00:01:39.950
have downtime between visits because
00:01:39.971 --> 00:01:40.871
they're mostly one on one,
00:01:40.891 --> 00:01:43.013
they do dry needling, they do, you know,
00:01:43.213 --> 00:01:45.555
laser and red light therapy and different
00:01:45.575 --> 00:01:47.197
things like that.
00:01:47.216 --> 00:01:49.718
But they're still predominantly self-pay.
00:01:49.759 --> 00:01:51.180
They're looking to potentially go in
00:01:51.239 --> 00:01:53.322
network with Blue Cross Blue Shield and
00:01:53.361 --> 00:01:55.644
then offer this dry needling and laser and
00:01:55.683 --> 00:01:56.323
red light therapy.
00:01:57.215 --> 00:01:58.996
components as self-pay add-ons.
00:01:59.638 --> 00:02:01.899
His first sticking point or challenge,
00:02:01.938 --> 00:02:05.061
Tony, is he was asking me,
00:02:05.581 --> 00:02:07.722
do I pay my staff physical therapist for
00:02:07.742 --> 00:02:09.204
the downtime between visits?
00:02:09.223 --> 00:02:10.645
Let's say there's a gap of one or
00:02:10.685 --> 00:02:11.265
two or three
00:02:12.731 --> 00:02:15.435
slots on the calendar between patients.
00:02:15.936 --> 00:02:17.638
And I told him, I said,
00:02:17.657 --> 00:02:18.318
for my therapist,
00:02:18.338 --> 00:02:19.901
like regardless of whether they're W-two
00:02:20.080 --> 00:02:22.443
or ten ninety nine independent contractors
00:02:22.503 --> 00:02:22.924
hourly,
00:02:23.405 --> 00:02:25.526
they're my therapist are paid on an on
00:02:25.546 --> 00:02:26.587
a per visit basis.
00:02:26.608 --> 00:02:27.930
So it doesn't matter if it's in the
00:02:28.370 --> 00:02:29.711
brick and mortar office in midtown
00:02:29.891 --> 00:02:31.913
Manhattan or if it's home visits.
00:02:33.823 --> 00:02:36.006
we pay our therapist for completing that
00:02:36.066 --> 00:02:36.947
treatment visit.
00:02:37.788 --> 00:02:38.448
That was one thing.
00:02:38.487 --> 00:02:40.610
Another thing he was asking about was if
00:02:40.651 --> 00:02:42.133
you have, you know, cancel or no-show,
00:02:42.193 --> 00:02:45.135
do you then also still pay the therapist?
00:02:45.336 --> 00:02:45.817
Because again,
00:02:45.856 --> 00:02:48.620
now it's the same slot where there's no
00:02:48.960 --> 00:02:50.723
income or there's no treatment being
00:02:50.782 --> 00:02:53.064
rendered, the patient cancels or no-shows.
00:02:53.906 --> 00:02:54.986
And I said to him, yes,
00:02:55.067 --> 00:02:56.947
like we charge the patient because that's
00:02:56.967 --> 00:02:57.568
what they signed up.
00:02:57.627 --> 00:02:58.228
That's what they signed.
00:02:58.247 --> 00:03:00.308
They signed the late cancellation policy.
00:03:00.649 --> 00:03:01.088
So, yes,
00:03:01.128 --> 00:03:02.629
we still charge the patient in full.
00:03:02.990 --> 00:03:03.449
And yes,
00:03:03.509 --> 00:03:06.950
we still pay the physical therapist in
00:03:07.010 --> 00:03:07.312
full.
00:03:09.352 --> 00:03:09.973
Those are the first two.
00:03:09.992 --> 00:03:10.652
Let me start with that.
00:03:12.116 --> 00:03:13.578
So do you, I forget,
00:03:13.638 --> 00:03:16.423
do you collect ahead of the appointment?
00:03:16.483 --> 00:03:18.245
So if somebody cancels,
00:03:18.284 --> 00:03:21.409
they lose that session or do you,
00:03:21.550 --> 00:03:23.212
if they last minute cancel,
00:03:23.272 --> 00:03:25.075
do you collect after the fact?
00:03:26.550 --> 00:03:28.352
So I know you mentioned this maybe a
00:03:28.391 --> 00:03:29.152
year or so ago.
00:03:29.312 --> 00:03:30.252
We're getting better at it.
00:03:30.473 --> 00:03:32.414
And it's actually a beautiful thing when
00:03:32.435 --> 00:03:35.515
you do charge the card like twenty four
00:03:35.536 --> 00:03:36.257
hours in advance.
00:03:36.336 --> 00:03:38.078
It's a beautiful thing because if
00:03:38.117 --> 00:03:40.038
something comes up, you're like, oh, yeah,
00:03:40.098 --> 00:03:40.538
no problem.
00:03:40.579 --> 00:03:41.479
Like, totally understand.
00:03:41.500 --> 00:03:42.599
Like, all good.
00:03:42.620 --> 00:03:43.260
Something came up,
00:03:43.621 --> 00:03:46.042
but like we already charged the card and.
00:03:47.062 --> 00:03:48.644
also we're doing a little bit more
00:03:48.683 --> 00:03:50.686
packages recently i i we probably need to
00:03:50.705 --> 00:03:52.046
do a catch-up episode on it because now
00:03:52.067 --> 00:03:54.127
we have i don't know a handful of
00:03:54.168 --> 00:03:56.590
patients that are on packages that are at
00:03:56.610 --> 00:03:58.031
different stages of the package so then
00:03:58.050 --> 00:03:59.771
you got to follow all that and make
00:03:59.792 --> 00:04:01.193
sure like when is everyone finished and
00:04:01.233 --> 00:04:02.854
when you know does anyone want to re-up
00:04:02.873 --> 00:04:03.194
or whatever
00:04:04.337 --> 00:04:05.138
Same thing with the package.
00:04:05.177 --> 00:04:06.598
We had someone a week or two ago,
00:04:06.639 --> 00:04:08.780
like they had to be out of town
00:04:09.259 --> 00:04:10.379
and they already had, you know,
00:04:10.479 --> 00:04:12.700
a visit scheduled and they just,
00:04:12.860 --> 00:04:14.361
one of those visits just gets removed off
00:04:14.401 --> 00:04:14.842
the package.
00:04:15.141 --> 00:04:16.081
Like it's, it's,
00:04:16.201 --> 00:04:19.043
it is so beautiful on the business,
00:04:19.122 --> 00:04:20.504
you know, operation side.
00:04:20.543 --> 00:04:23.004
Like there's no resistance because then
00:04:23.024 --> 00:04:23.764
it's not a penalty.
00:04:23.805 --> 00:04:25.706
It's not the retroactive, like, oh,
00:04:25.725 --> 00:04:27.185
you canceled today or yesterday,
00:04:27.266 --> 00:04:28.146
late cancel or whatever.
00:04:28.526 --> 00:04:29.086
Now,
00:04:29.127 --> 00:04:30.067
now we have to charge a card or
00:04:30.327 --> 00:04:30.648
whatever.
00:04:31.548 --> 00:04:31.949
you know,
00:04:31.968 --> 00:04:33.452
when you already have their card charged
00:04:33.473 --> 00:04:35.317
twenty four hours in advance or a package,
00:04:35.738 --> 00:04:36.079
you just
00:04:37.064 --> 00:04:38.024
It's already taken care of.
00:04:38.084 --> 00:04:38.805
It's beautiful.
00:04:39.105 --> 00:04:41.786
It's wonderful for the flow of things.
00:04:41.906 --> 00:04:44.887
And it's almost like there's no bad taste
00:04:44.906 --> 00:04:45.788
in anyone's mouth,
00:04:46.267 --> 00:04:48.267
as opposed to when someone late cancels
00:04:48.327 --> 00:04:49.129
today or yesterday.
00:04:50.069 --> 00:04:50.749
Now we're charging them.
00:04:50.829 --> 00:04:51.949
And like you've said before, Tony,
00:04:52.029 --> 00:04:53.569
like now it does feel like a slap
00:04:53.589 --> 00:04:54.029
on the wrist,
00:04:54.370 --> 00:04:55.951
bad taste in someone's mouth,
00:04:55.990 --> 00:04:57.730
like a little bit of a negative sentiment.
00:04:58.331 --> 00:04:59.632
So we're getting into it.
00:04:59.771 --> 00:05:01.031
We're getting better at it.
00:05:01.052 --> 00:05:04.173
The challenge for us is that some of
00:05:04.213 --> 00:05:05.374
our patients are through the out of
00:05:05.394 --> 00:05:05.673
network
00:05:06.334 --> 00:05:09.177
insurance benefits so like they might have
00:05:09.197 --> 00:05:10.298
already hit their deductible and maybe
00:05:10.317 --> 00:05:13.100
their copay is like thirty dollars so it's
00:05:13.120 --> 00:05:16.244
like how do i charge that person three
00:05:16.264 --> 00:05:18.485
hundred or three fifty or whatever
00:05:19.005 --> 00:05:20.968
yesterday for today's visit and then if
00:05:20.987 --> 00:05:22.910
they do today's visit now it's like a
00:05:22.990 --> 00:05:24.591
credit it's a little bit challenging
00:05:24.632 --> 00:05:26.153
depending on the insurance like the out of
00:05:26.173 --> 00:05:27.375
network insurance and the cost
00:05:28.442 --> 00:05:30.184
And we're probably like, sixty,
00:05:30.543 --> 00:05:31.925
seventy percent self-pay.
00:05:31.985 --> 00:05:34.047
So we're like, we're majority there.
00:05:34.086 --> 00:05:34.788
We're getting there.
00:05:35.528 --> 00:05:37.089
There's just some sticking points in terms
00:05:37.110 --> 00:05:38.411
of the insurance stuff for us.
00:05:39.130 --> 00:05:40.713
But it's better than it was before.
00:05:41.709 --> 00:05:41.930
Yeah,
00:05:41.949 --> 00:05:44.572
so I think it's fundamental to the design
00:05:44.632 --> 00:05:45.432
of the business.
00:05:45.473 --> 00:05:45.713
You know,
00:05:45.773 --> 00:05:47.334
every business has breakage from
00:05:47.413 --> 00:05:50.295
manufacturing to restaurants to therapy
00:05:50.336 --> 00:05:50.956
services.
00:05:51.377 --> 00:05:55.240
You design the business first to deliver
00:05:55.259 --> 00:05:58.101
the experience you want to maintain the
00:05:58.141 --> 00:05:59.182
profitability you want.
00:06:00.055 --> 00:06:03.237
If I'm looking at a therapist and they're
00:06:03.257 --> 00:06:04.637
gonna cost me a hundred and twenty
00:06:04.677 --> 00:06:05.458
thousand a year,
00:06:06.059 --> 00:06:08.480
I have to account for a hundred and
00:06:08.500 --> 00:06:09.420
twenty thousand a year.
00:06:09.920 --> 00:06:11.982
And it's my responsibility as the business
00:06:12.081 --> 00:06:15.444
owner to ensure my systems are in place
00:06:15.483 --> 00:06:17.504
so that if I do have breakage,
00:06:18.065 --> 00:06:19.646
a cancellation, a no-show,
00:06:19.726 --> 00:06:21.887
somebody prematurely discharges,
00:06:22.528 --> 00:06:25.089
whatever the thing is that cost me money,
00:06:26.269 --> 00:06:27.309
I have enough cushion,
00:06:27.528 --> 00:06:29.709
enough profitability to say,
00:06:30.149 --> 00:06:31.949
I'm going to pay this person one hundred
00:06:31.970 --> 00:06:32.769
and twenty thousand.
00:06:33.290 --> 00:06:35.230
I'm going to have my operating expenses
00:06:35.271 --> 00:06:36.930
covered and I'm going to have a profit
00:06:36.971 --> 00:06:37.690
margin in that.
00:06:37.730 --> 00:06:38.492
You know,
00:06:38.512 --> 00:06:40.512
and I think this is where the amateur
00:06:40.951 --> 00:06:44.112
kind of falls behind and the professional
00:06:44.173 --> 00:06:47.413
business owner excels is because they
00:06:47.473 --> 00:06:50.053
understand like it's not an ethical
00:06:50.093 --> 00:06:50.754
decision.
00:06:50.814 --> 00:06:52.595
It's not an emotional decision.
00:06:52.615 --> 00:06:54.595
There's zero like
00:06:55.747 --> 00:06:57.569
thought that even goes into it this is
00:06:57.608 --> 00:06:59.069
what it is it's very black and white
00:06:59.089 --> 00:07:00.951
somebody walks in my door they have a
00:07:00.992 --> 00:07:03.194
thirty dollar copay you pay the thirty
00:07:03.233 --> 00:07:05.096
dollars now if you don't want to pay
00:07:05.136 --> 00:07:07.677
it that's totally fine just leave like
00:07:07.697 --> 00:07:10.699
there's nothing for me to do um yeah
00:07:10.720 --> 00:07:13.142
i would love to give everybody and i
00:07:13.163 --> 00:07:13.182
i
00:07:13.682 --> 00:07:15.324
I'm going to preface this maybe in the
00:07:15.363 --> 00:07:16.043
next segment.
00:07:17.223 --> 00:07:21.665
I asked ChatGPT to give me acronyms and
00:07:21.706 --> 00:07:24.307
words for free, F-R-E-E,
00:07:24.807 --> 00:07:26.487
because so many people are talking about
00:07:26.588 --> 00:07:28.369
health care should be free.
00:07:28.488 --> 00:07:29.468
We know it's not free.
00:07:29.528 --> 00:07:31.129
We know it's paid for by somebody.
00:07:31.709 --> 00:07:33.810
So we got some pretty funny acronyms that
00:07:33.870 --> 00:07:35.190
ChatGPT came up with.
00:07:35.271 --> 00:07:37.091
But bottom line is,
00:07:37.997 --> 00:07:40.319
the business has to be designed with
00:07:40.358 --> 00:07:43.459
enough profit margin in place so that it
00:07:43.480 --> 00:07:46.021
can account for you're going to have a
00:07:46.300 --> 00:07:49.161
seven percent cancellation no-show rate on
00:07:49.201 --> 00:07:49.742
the year.
00:07:50.581 --> 00:07:51.923
You have to account for that.
00:07:51.963 --> 00:07:52.882
That's money loss.
00:07:52.903 --> 00:07:54.483
There's nothing you can do about it.
00:07:55.084 --> 00:07:56.723
Now, if you want to get into, okay,
00:07:56.744 --> 00:07:58.584
so then what does the therapist do during
00:07:58.605 --> 00:08:00.165
that time you're paying them and they're
00:08:00.204 --> 00:08:01.466
not producing revenue?
00:08:02.398 --> 00:08:03.939
That's the next phase of this
00:08:03.999 --> 00:08:04.738
conversation.
00:08:04.759 --> 00:08:07.180
But Jimmy, what are your thoughts on this?
00:08:07.201 --> 00:08:08.100
This is unique to me.
00:08:08.161 --> 00:08:08.341
I mean,
00:08:08.360 --> 00:08:09.701
I've only worked in environments where you
00:08:09.742 --> 00:08:11.122
got paid salary.
00:08:11.182 --> 00:08:12.423
So you got paid to show up at
00:08:12.442 --> 00:08:14.024
a certain time and you got paid to
00:08:14.043 --> 00:08:15.904
this is this is both clinical and non
00:08:15.944 --> 00:08:17.125
clinical before I was a physical
00:08:17.165 --> 00:08:17.565
therapist.
00:08:17.745 --> 00:08:20.427
So to me, it seems
00:08:22.613 --> 00:08:23.514
I guess it would be hard.
00:08:23.615 --> 00:08:24.896
It would be harder,
00:08:24.916 --> 00:08:26.619
but better to align goals.
00:08:26.718 --> 00:08:27.880
I don't, I don't know.
00:08:27.920 --> 00:08:29.783
Like if I only got paid when there
00:08:29.824 --> 00:08:31.565
was a treatment and I'm just sitting,
00:08:31.605 --> 00:08:32.528
so I'm going to show up at nine
00:08:32.607 --> 00:08:33.990
AM and leave at five PM and only
00:08:34.009 --> 00:08:35.412
got paid some of those hours.
00:08:35.831 --> 00:08:37.073
But then I was told like, well,
00:08:37.094 --> 00:08:38.296
the more you work, uh,
00:08:39.321 --> 00:08:41.442
and help us on marketing it'll come down
00:08:41.481 --> 00:08:42.922
and that feels like trickle-down economics
00:08:42.961 --> 00:08:44.501
to me it's like it's not my boat
00:08:45.302 --> 00:08:48.342
so that i'm so glad you mentioned salary
00:08:48.383 --> 00:08:50.063
and that whole situation okay so the one
00:08:50.104 --> 00:08:52.024
thing that eric broadworth about the
00:08:52.104 --> 00:08:54.524
mailbag questions we got another one from
00:08:54.565 --> 00:08:57.105
him is that he asked specifically about
00:08:57.144 --> 00:08:58.725
that he we're talking exactly what you
00:08:58.745 --> 00:08:59.466
just said jimmy so
00:09:00.125 --> 00:09:01.347
He would show, and listen,
00:09:01.427 --> 00:09:02.109
I do this as well.
00:09:02.789 --> 00:09:05.013
My friend, Dr. Christian Marshall,
00:09:05.072 --> 00:09:06.153
Tribeca Physical Therapy,
00:09:06.715 --> 00:09:08.236
he does it as well with a spreadsheet.
00:09:08.898 --> 00:09:10.100
He shows his therapist like, okay,
00:09:10.259 --> 00:09:12.623
so here's a spreadsheet.
00:09:12.743 --> 00:09:13.924
You have options.
00:09:13.965 --> 00:09:15.265
Sometimes it's like two options,
00:09:15.285 --> 00:09:16.128
maybe three options.
00:09:17.576 --> 00:09:18.177
in terms of like,
00:09:18.197 --> 00:09:20.719
do you want a salary like here?
00:09:21.499 --> 00:09:23.360
Or do you want like pay per visit
00:09:23.379 --> 00:09:24.440
where you could actually make more?
00:09:24.639 --> 00:09:26.041
Eric yesterday on the phone said,
00:09:27.162 --> 00:09:29.802
I show my therapist a spreadsheet and
00:09:29.863 --> 00:09:31.344
it's, here's your,
00:09:31.624 --> 00:09:33.225
he didn't say what number, but he said,
00:09:34.205 --> 00:09:35.905
If you if you take the salary,
00:09:35.926 --> 00:09:37.586
the salary is here and that's all you
00:09:37.606 --> 00:09:38.586
can make in the full year.
00:09:38.888 --> 00:09:39.148
Obviously,
00:09:39.168 --> 00:09:40.589
there's no risk like it's guaranteed,
00:09:41.168 --> 00:09:42.068
but then there's no upside.
00:09:42.109 --> 00:09:42.288
Right.
00:09:42.308 --> 00:09:43.269
So he shows them he's like,
00:09:43.629 --> 00:09:44.750
or you could make like I think he
00:09:44.770 --> 00:09:45.030
said, like,
00:09:45.650 --> 00:09:48.413
thirty three percent of revenue that you
00:09:48.472 --> 00:09:48.732
treat.
00:09:48.832 --> 00:09:49.072
Right.
00:09:49.113 --> 00:09:50.433
So he's like,
00:09:50.553 --> 00:09:52.414
if you chose this and based off of
00:09:52.434 --> 00:09:54.535
the other flow of patients from our other
00:09:54.576 --> 00:09:56.157
therapists that have treated patients over
00:09:56.177 --> 00:09:58.038
the past year or two, he's like,
00:09:58.077 --> 00:10:00.298
you can make six figures with the pay
00:10:00.339 --> 00:10:01.120
per visit.
00:10:01.919 --> 00:10:03.784
But they still choose the salary and the
00:10:03.885 --> 00:10:05.370
salary annually, Jimmy,
00:10:05.409 --> 00:10:06.030
is lower
00:10:07.085 --> 00:10:07.585
Now, of course,
00:10:07.664 --> 00:10:09.245
I know this one has like no risk
00:10:09.265 --> 00:10:11.006
is like an NFL guaranteed contract.
00:10:11.067 --> 00:10:14.008
And this is kind of like, you know,
00:10:14.107 --> 00:10:15.749
a little bit of like the bonus play
00:10:15.788 --> 00:10:16.308
a little bit more.
00:10:16.589 --> 00:10:17.450
Maybe there's some risk.
00:10:17.730 --> 00:10:20.451
And so I told Eric, I'm like, Eric,
00:10:20.510 --> 00:10:22.652
this is something that I never understood
00:10:22.692 --> 00:10:22.932
either.
00:10:23.111 --> 00:10:24.533
I needed Sturdy McKee to tell me I
00:10:24.572 --> 00:10:26.734
needed I needed a sage, a guide,
00:10:26.793 --> 00:10:29.235
a mentor to give me some information on
00:10:29.254 --> 00:10:29.475
this.
00:10:29.595 --> 00:10:30.556
And what Sturdy told me,
00:10:30.576 --> 00:10:31.836
and I think we've talked about it before,
00:10:32.336 --> 00:10:32.636
he said.
00:10:33.820 --> 00:10:35.727
physical therapy as a profession and also
00:10:36.029 --> 00:10:37.254
physicians and nurses and all that,
00:10:38.187 --> 00:10:39.467
The people that are attracted to
00:10:39.508 --> 00:10:41.769
healthcare are folks that don't want risk.
00:10:41.808 --> 00:10:43.328
They want this guaranteed salary.
00:10:43.369 --> 00:10:44.929
Sturdy gave me an example of like some
00:10:45.009 --> 00:10:46.929
friend that's a physician in San Francisco
00:10:47.669 --> 00:10:49.211
and they were choosing like a,
00:10:49.230 --> 00:10:50.770
I don't know, like a, like a.
00:10:51.571 --> 00:10:52.831
Two hundred and fifty or a three hundred
00:10:52.850 --> 00:10:53.812
thousand dollars salary.
00:10:54.111 --> 00:10:55.792
But if it was the pay per visit
00:10:55.871 --> 00:10:56.491
or the pay, you know,
00:10:56.532 --> 00:10:58.113
the revenue share or whatever,
00:10:58.732 --> 00:11:00.153
the physician could have made like seven
00:11:00.173 --> 00:11:01.452
hundred and fifty thousand dollars,
00:11:01.673 --> 00:11:03.234
but they still chose
00:11:03.933 --> 00:11:05.674
The fixed salary, even like,
00:11:06.335 --> 00:11:08.014
even though they know based off their
00:11:08.034 --> 00:11:11.015
production and like their normal work
00:11:11.035 --> 00:11:12.436
habits, like they're going to do X, Y,
00:11:12.495 --> 00:11:14.076
Z, like their flow and all that.
00:11:14.576 --> 00:11:15.677
So yes, yes.
00:11:15.736 --> 00:11:18.238
The therapist or the clinician has to know
00:11:18.317 --> 00:11:21.119
or trust what's the inflow of leads and
00:11:21.139 --> 00:11:22.259
marketing and what, like how,
00:11:22.538 --> 00:11:23.759
how busy can you get me and how
00:11:23.798 --> 00:11:25.139
busy can I stay and all that?
00:11:25.559 --> 00:11:26.179
Yes, of course.
00:11:26.200 --> 00:11:27.559
That's, that's part of it.
00:11:27.921 --> 00:11:29.660
I don't think it's PTs or risk averse.
00:11:29.701 --> 00:11:31.120
I think people who are risk averse or
00:11:31.160 --> 00:11:32.802
risk averse and people who aren't, aren't.
00:11:33.322 --> 00:11:35.702
Because I was in communications and
00:11:35.743 --> 00:11:38.163
marketing for close to twenty years.
00:11:38.485 --> 00:11:39.845
And there were people, salespeople,
00:11:39.865 --> 00:11:40.325
who were like,
00:11:40.645 --> 00:11:41.946
all I do is make money on what
00:11:42.005 --> 00:11:42.466
I sell.
00:11:42.586 --> 00:11:44.226
I might go two months without selling.
00:11:44.567 --> 00:11:45.707
But when I hit, I hit big.
00:11:45.947 --> 00:11:47.188
I wouldn't be able to sleep at night.
00:11:47.688 --> 00:11:48.448
Not going to happen.
00:11:48.528 --> 00:11:49.590
I wouldn't be able to do it.
00:11:50.129 --> 00:11:52.131
But knowing the only thing that they were
00:11:52.192 --> 00:11:53.812
able to sell was the thing I created
00:11:53.852 --> 00:11:55.874
every single day was fine with me as
00:11:55.933 --> 00:11:58.696
long as it's hard to be creative when
00:11:58.716 --> 00:12:00.716
you don't know when the bottom of Maslow's
00:12:01.256 --> 00:12:02.477
hierarchy of needs is going to come.
00:12:02.937 --> 00:12:04.219
Some people are okay with that.
00:12:04.298 --> 00:12:04.919
Some people aren't.
00:12:04.980 --> 00:12:07.922
I don't think it's as broad as a
00:12:07.981 --> 00:12:08.461
profession.
00:12:08.481 --> 00:12:09.942
I think some people are okay with that.
00:12:11.364 --> 00:12:13.764
And more often than not, those people say,
00:12:14.044 --> 00:12:15.025
I don't want to just do this.
00:12:15.166 --> 00:12:15.966
I want to open a business.
00:12:16.669 --> 00:12:18.630
So I see what you're saying here, Ben.
00:12:18.650 --> 00:12:20.072
It's like I disagree, but I do.
00:12:20.091 --> 00:12:20.952
I respectfully disagree.
00:12:21.312 --> 00:12:23.274
I don't think PTs are risk-averse as a
00:12:23.333 --> 00:12:23.634
whole.
00:12:23.734 --> 00:12:26.115
I think most people are risk-averse as a
00:12:26.155 --> 00:12:26.395
whole.
00:12:26.556 --> 00:12:29.697
Yeah,
00:12:29.717 --> 00:12:32.539
I could say most people are risk-averse.
00:12:32.679 --> 00:12:34.941
I could say the profession of PT does
00:12:34.981 --> 00:12:35.741
attract risk.
00:12:36.884 --> 00:12:39.408
A larger percentage of those people,
00:12:39.427 --> 00:12:41.049
you know,
00:12:41.490 --> 00:12:44.013
I've said this for twenty five years that
00:12:44.033 --> 00:12:44.793
I've run a business.
00:12:44.974 --> 00:12:47.155
I still to this day don't think that
00:12:47.216 --> 00:12:50.000
I have ever really employed somebody who
00:12:50.080 --> 00:12:51.881
is purely motivated by money.
00:12:52.381 --> 00:12:53.243
And I'm sure, Jimmy,
00:12:53.302 --> 00:12:55.825
like you're probably one of these people
00:12:55.865 --> 00:12:58.966
that whether you got paid twenty thousand
00:12:59.006 --> 00:13:01.448
a year or one hundred and twenty thousand
00:13:01.489 --> 00:13:04.130
a year, once you agree on a salary,
00:13:04.191 --> 00:13:06.513
you're going to put one hundred and twenty
00:13:06.552 --> 00:13:08.615
percent effort into everything you do.
00:13:08.634 --> 00:13:11.216
And the irony in this is.
00:13:12.264 --> 00:13:14.307
like i've never been able to incentivize
00:13:14.326 --> 00:13:17.269
somebody to do more yeah um i would
00:13:17.330 --> 00:13:20.714
even say some a handful of people they
00:13:20.754 --> 00:13:23.216
feel good getting paid less because it
00:13:23.255 --> 00:13:25.619
makes them feel like they're a martyr
00:13:25.658 --> 00:13:27.900
they're suffering they're working so hard
00:13:27.941 --> 00:13:29.283
they're killing themselves they're
00:13:29.302 --> 00:13:31.264
thinking about their patients every minute
00:13:31.304 --> 00:13:33.746
of every day and they're getting paid less
00:13:33.767 --> 00:13:35.288
than they think that they deserve
00:13:35.788 --> 00:13:37.931
So it's like that is the reward in
00:13:37.971 --> 00:13:38.711
and of itself.
00:13:38.772 --> 00:13:40.933
It's like we have patients that come in
00:13:40.974 --> 00:13:43.796
and want to hurt because they feel like
00:13:43.836 --> 00:13:46.837
that pain in the experience is making them
00:13:46.879 --> 00:13:48.100
better, making them stronger.
00:13:48.139 --> 00:13:50.861
It's what they're coming here for.
00:13:50.922 --> 00:13:53.244
So it's completely it goes back to,
00:13:53.323 --> 00:13:53.604
you know,
00:13:54.044 --> 00:13:55.865
we do things where emotional creatures
00:13:55.905 --> 00:13:58.548
were driven by fears and desires and
00:13:59.028 --> 00:14:01.691
anxiety and all that kind of stuff.
00:14:01.711 --> 00:14:02.611
But that being said.
00:14:04.004 --> 00:14:06.144
There's a fundamental question of why are
00:14:06.184 --> 00:14:06.625
you here?
00:14:06.684 --> 00:14:07.884
Why do you want to work with me?
00:14:07.965 --> 00:14:09.205
What are your objectives?
00:14:09.264 --> 00:14:11.326
This business is a platform for your
00:14:11.346 --> 00:14:12.405
growth and success.
00:14:13.105 --> 00:14:14.547
Do you just want to be here for
00:14:14.586 --> 00:14:15.187
twenty years?
00:14:15.586 --> 00:14:16.947
Do you want a stable income,
00:14:17.006 --> 00:14:18.707
not have to worry, not have to think?
00:14:19.327 --> 00:14:20.947
Okay, you're going to pay a premium.
00:14:20.967 --> 00:14:23.109
You're going to get paid less than
00:14:23.168 --> 00:14:24.989
somebody else who wants to come in,
00:14:25.129 --> 00:14:27.690
use this as a training platform.
00:14:28.402 --> 00:14:29.644
because they're going to eventually want
00:14:29.663 --> 00:14:31.986
their own business you're going to earn
00:14:32.006 --> 00:14:33.590
more but you're going to also make me
00:14:33.629 --> 00:14:35.312
a lot more money you know and even
00:14:35.351 --> 00:14:36.975
if i only get that person for two
00:14:37.014 --> 00:14:38.496
years and the other person for twenty
00:14:38.537 --> 00:14:41.461
years i there's different value exchanges
00:14:41.522 --> 00:14:42.283
on both sides
00:14:43.989 --> 00:14:44.089
Good.
00:14:44.168 --> 00:14:46.590
Let me pitch both of you the middle
00:14:46.610 --> 00:14:47.990
ground, potential solutions.
00:14:48.091 --> 00:14:49.850
So potential solution for this
00:14:49.870 --> 00:14:50.451
conversation,
00:14:50.772 --> 00:14:52.432
potential solution for Eric Broadworth,
00:14:52.451 --> 00:14:54.113
since he watches the show,
00:14:54.153 --> 00:14:55.993
he's given us feedback and asked some
00:14:56.013 --> 00:14:57.573
questions and wanted to provide him some
00:14:57.634 --> 00:14:58.594
value here publicly.
00:14:59.335 --> 00:15:00.715
So the one thing that I'm actually working
00:15:00.754 --> 00:15:02.135
on right now, and I've helped,
00:15:02.916 --> 00:15:04.255
I've had help from Sturdy McKee,
00:15:04.275 --> 00:15:06.697
and I've actually helped from ChatGVT as
00:15:06.736 --> 00:15:07.336
well, which is like,
00:15:07.837 --> 00:15:08.398
what would be
00:15:09.357 --> 00:15:10.859
the middle ground so it's kind of like
00:15:10.918 --> 00:15:15.163
a base salary and then additional pay for
00:15:15.222 --> 00:15:16.903
performance based off of what the
00:15:16.943 --> 00:15:20.287
therapist is treating per month and per
00:15:20.307 --> 00:15:23.830
quarter and the the challenge that i'm at
00:15:23.870 --> 00:15:25.951
right now so like hypothetically i kind of
00:15:25.971 --> 00:15:27.272
just threw a dart at the board eric
00:15:27.292 --> 00:15:28.953
this will be different for you but for
00:15:29.014 --> 00:15:31.296
me i started with a ninety thousand dollar
00:15:31.316 --> 00:15:32.336
salary and then
00:15:33.856 --> 00:15:35.417
the performance pay on top of that.
00:15:35.498 --> 00:15:36.418
So right now,
00:15:36.477 --> 00:15:38.357
and this is not live with any therapist,
00:15:38.378 --> 00:15:39.618
but this is what I'm working on behind
00:15:39.638 --> 00:15:40.018
the scenes.
00:15:40.038 --> 00:15:42.019
It's kind of like the eighty seven
00:15:42.058 --> 00:15:44.458
thousand to ninety thousand as the fixed
00:15:44.519 --> 00:15:46.200
rate guaranteed salary,
00:15:46.659 --> 00:15:50.140
which if you and that's like treating for
00:15:50.201 --> 00:15:50.280
us,
00:15:50.321 --> 00:15:51.581
it's like treating like three patients a
00:15:51.620 --> 00:15:53.321
day at three point five.
00:15:53.341 --> 00:15:54.701
Like it's totally doable.
00:15:54.802 --> 00:15:55.822
I could do it in a coma.
00:15:55.902 --> 00:15:58.361
Like it's just totally, totally possible.
00:15:59.121 --> 00:16:00.763
And but of course, the
00:16:02.143 --> 00:16:03.864
There does, at least for my model,
00:16:03.884 --> 00:16:05.985
there does need to be the incentive to
00:16:06.025 --> 00:16:09.248
go above six figures because you as the
00:16:09.268 --> 00:16:10.668
therapist are treating patients,
00:16:10.729 --> 00:16:11.909
you're booking patients,
00:16:11.929 --> 00:16:15.292
you're trying to evaluate and activate the
00:16:15.371 --> 00:16:16.852
spouse or the other people in the
00:16:16.873 --> 00:16:17.133
building,
00:16:17.153 --> 00:16:18.214
you're trying to meet other people,
00:16:18.734 --> 00:16:19.293
all that type of stuff.
00:16:19.315 --> 00:16:20.916
So there is a little bit of extra,
00:16:21.475 --> 00:16:23.017
I don't wanna say work,
00:16:23.256 --> 00:16:24.798
but there is upside.
00:16:24.918 --> 00:16:26.578
And I ran some scenarios and some
00:16:26.839 --> 00:16:27.440
projections.
00:16:27.899 --> 00:16:29.900
And if a therapist with us is treating
00:16:29.981 --> 00:16:30.701
patients
00:16:30.841 --> 00:16:34.905
five patients a day over six months,
00:16:35.366 --> 00:16:37.208
you gotta build in some variability.
00:16:37.909 --> 00:16:40.272
A therapist in my model could make
00:16:41.253 --> 00:16:42.615
somewhere between a hundred and forty four
00:16:42.654 --> 00:16:44.277
thousand to a hundred and seventy seven
00:16:44.317 --> 00:16:44.677
thousand.
00:16:45.357 --> 00:16:45.557
Again,
00:16:45.577 --> 00:16:47.961
depending on the variability of how often
00:16:48.000 --> 00:16:50.903
can they maintain a twenty to twenty five
00:16:50.943 --> 00:16:51.543
visit per week
00:16:52.284 --> 00:16:53.625
schedule so it'd be like five a day
00:16:53.666 --> 00:16:55.927
monday through friday that accounts by the
00:16:55.947 --> 00:16:58.269
way these numbers account for taking you
00:16:58.291 --> 00:17:01.974
know pto ptoa the eight whatever national
00:17:02.014 --> 00:17:03.774
holidays some sick days all that type of
00:17:03.794 --> 00:17:07.459
stuff so it's based off of like workable
00:17:07.479 --> 00:17:11.362
business days per year and that even that
00:17:11.461 --> 00:17:13.044
model that pitch
00:17:14.522 --> 00:17:16.304
only going to attract some gamers it's not
00:17:16.324 --> 00:17:17.704
going to attract someone that just like
00:17:17.765 --> 00:17:20.506
wants whatever salary and like knows that
00:17:20.526 --> 00:17:22.866
they don't have to like work that hard
00:17:22.886 --> 00:17:24.288
they could just go into some office and
00:17:24.307 --> 00:17:26.088
just kind of like punch a ticket you
00:17:26.108 --> 00:17:28.410
know punch a clock so that's kind of
00:17:28.430 --> 00:17:29.391
where i'm at i don't know if that
00:17:29.411 --> 00:17:30.810
gives eric any clarity but do you guys
00:17:30.830 --> 00:17:31.632
have any feedback on that
00:17:32.728 --> 00:17:33.888
I'm going to go the other way,
00:17:34.309 --> 00:17:36.471
because just as we spent time saying,
00:17:36.491 --> 00:17:36.731
you know,
00:17:36.771 --> 00:17:38.673
you have to understand the psychology of
00:17:38.733 --> 00:17:40.556
the individual who's coming on board.
00:17:41.156 --> 00:17:43.159
You also have to understand the psychology
00:17:43.239 --> 00:17:44.079
of the owner.
00:17:44.559 --> 00:17:47.022
If we're talking smaller private practice,
00:17:47.303 --> 00:17:49.625
something like me or Eric or anything like
00:17:49.645 --> 00:17:49.846
that.
00:17:50.931 --> 00:17:53.531
I've done, so I've done it all, right?
00:17:53.852 --> 00:17:55.991
I've had like bonuses.
00:17:56.071 --> 00:17:57.192
I've hit metrics.
00:17:57.271 --> 00:17:58.372
I said, look, you do this,
00:17:58.392 --> 00:17:58.892
you do that.
00:17:58.932 --> 00:17:59.813
You earn this much.
00:18:00.232 --> 00:18:01.792
We've also done just a straight profit
00:18:01.833 --> 00:18:02.053
share.
00:18:02.252 --> 00:18:02.772
We're like, look,
00:18:02.792 --> 00:18:04.093
here's our operating costs.
00:18:04.133 --> 00:18:05.513
We've been in business,
00:18:05.594 --> 00:18:06.953
fifteen years at this point.
00:18:07.433 --> 00:18:08.574
Here's the operating costs.
00:18:08.594 --> 00:18:09.554
This is what we expect.
00:18:09.574 --> 00:18:10.795
This is what we've done over the last
00:18:10.835 --> 00:18:11.335
three years.
00:18:11.375 --> 00:18:12.755
You increase revenue above this,
00:18:12.775 --> 00:18:14.035
we'll give you a percentage of the
00:18:14.095 --> 00:18:15.035
increase in revenue.
00:18:15.776 --> 00:18:17.715
The problem with all of that stuff
00:18:18.233 --> 00:18:21.375
is it also has to match my personality.
00:18:21.996 --> 00:18:23.696
I don't want to track all that crap.
00:18:23.997 --> 00:18:26.558
I don't want to carrot on a stick.
00:18:26.638 --> 00:18:27.598
I don't want to bribe you.
00:18:27.719 --> 00:18:28.940
I don't want to insult you.
00:18:29.480 --> 00:18:30.901
I want to work with a professional.
00:18:31.500 --> 00:18:32.882
If you're going to act like a
00:18:32.942 --> 00:18:34.903
professional, here's the deal.
00:18:35.564 --> 00:18:37.144
Standard salary is this.
00:18:37.744 --> 00:18:39.726
I'm willing to just take the hit.
00:18:39.846 --> 00:18:41.227
I know you're going to overproduce.
00:18:41.326 --> 00:18:43.607
I'll pay you twenty percent above standard
00:18:43.647 --> 00:18:44.147
salary,
00:18:44.749 --> 00:18:45.108
but
00:18:46.275 --> 00:18:48.576
If you don't perform to what you agree
00:18:48.616 --> 00:18:50.618
to, what you say you're going to do,
00:18:51.378 --> 00:18:52.200
we got to let you go.
00:18:52.420 --> 00:18:53.961
Like, again, objective.
00:18:55.142 --> 00:18:56.784
I'm not going to because once you get
00:18:56.824 --> 00:18:58.265
into some of that stuff like profit
00:18:58.285 --> 00:18:59.846
sharing, you're like, OK, well,
00:18:59.986 --> 00:19:02.428
what happens if elections get delayed?
00:19:02.868 --> 00:19:03.068
Like,
00:19:03.288 --> 00:19:06.391
I want the ability sometimes in November
00:19:06.711 --> 00:19:08.873
to hold all of my Medicare claims and
00:19:08.952 --> 00:19:11.655
not submit them until January if I want
00:19:11.675 --> 00:19:13.997
to defer compensation or income to the
00:19:14.038 --> 00:19:15.719
next calendar year for tax reasons.
00:19:16.249 --> 00:19:18.611
There are times in January where I want
00:19:18.631 --> 00:19:21.032
to hold submitting claims to insurance
00:19:21.053 --> 00:19:23.634
companies so that deductibles are met by
00:19:23.775 --> 00:19:24.595
other providers.
00:19:24.615 --> 00:19:26.416
There are very specific things I want to
00:19:26.436 --> 00:19:29.358
do within my business to manage the cash
00:19:29.439 --> 00:19:31.339
flow that would negatively impact an
00:19:31.380 --> 00:19:31.961
employee
00:19:33.030 --> 00:19:34.972
Now you're just getting into all of these
00:19:35.013 --> 00:19:37.195
games that, for my personality,
00:19:37.715 --> 00:19:38.517
I don't want to play.
00:19:39.438 --> 00:19:41.180
So I would just rather say, look,
00:19:41.400 --> 00:19:42.981
I know there's going to be cancellations,
00:19:43.061 --> 00:19:44.242
no-shows, breakage.
00:19:44.304 --> 00:19:45.484
I know I'm going to lose money in
00:19:45.525 --> 00:19:46.266
some cases,
00:19:46.306 --> 00:19:48.508
but I better make my money in other
00:19:48.548 --> 00:19:49.088
cases.
00:19:49.568 --> 00:19:51.151
This is what I'm willing to pay you.
00:19:51.653 --> 00:19:54.115
This is the time I'm willing to commit
00:19:54.154 --> 00:19:55.635
to paying you that money.
00:19:56.215 --> 00:19:58.278
And if you perform, awesome.
00:19:58.438 --> 00:19:59.818
Like it's gonna work out great for both
00:19:59.858 --> 00:20:00.159
of us.
00:20:00.279 --> 00:20:01.240
You're gonna make a profit,
00:20:01.279 --> 00:20:02.141
I'm gonna make a profit.
00:20:02.181 --> 00:20:03.582
But if not, no big deal.
00:20:03.701 --> 00:20:07.964
Let's just go separate ways.
00:20:08.005 --> 00:20:10.067
Jimmy, you've been in these situations
00:20:11.194 --> 00:20:13.940
Yeah, for me, I watched,
00:20:14.039 --> 00:20:15.261
I can only speak from my experience,
00:20:15.281 --> 00:20:15.422
right?
00:20:15.442 --> 00:20:16.944
I want to like reach outside of what
00:20:16.964 --> 00:20:17.405
I've seen.
00:20:18.667 --> 00:20:19.189
Everybody,
00:20:19.429 --> 00:20:21.152
most people that I've worked with were
00:20:21.231 --> 00:20:23.075
aware of like their bonus structure,
00:20:23.415 --> 00:20:24.678
but they weren't driven by it.
00:20:26.268 --> 00:20:27.848
with the exception of salespeople.
00:20:28.650 --> 00:20:30.250
And those people were a different breed.
00:20:30.371 --> 00:20:32.932
I remember being friends with some of the
00:20:32.951 --> 00:20:35.614
salespeople outside of work and looking at
00:20:35.653 --> 00:20:36.694
them and thinking,
00:20:36.835 --> 00:20:38.036
I have no idea how you go to
00:20:38.056 --> 00:20:38.556
bed at night,
00:20:38.976 --> 00:20:40.636
not knowing if you're going to be able
00:20:40.656 --> 00:20:41.458
to pay your bills.
00:20:41.877 --> 00:20:42.898
And they were totally,
00:20:42.979 --> 00:20:44.159
one hundred percent OK with it.
00:20:45.039 --> 00:20:46.361
And then I watched the people that I
00:20:46.401 --> 00:20:46.901
worked with,
00:20:46.941 --> 00:20:48.582
the people who needed to have that sort
00:20:48.602 --> 00:20:49.262
of security.
00:20:50.744 --> 00:20:52.967
go above and beyond and kill themselves.
00:20:53.307 --> 00:20:55.710
I mean, in communications and radio,
00:20:55.750 --> 00:20:57.192
it wasn't obviously for patients because
00:20:57.211 --> 00:20:57.932
we didn't have any.
00:20:58.313 --> 00:20:59.334
For me, it was all like,
00:20:59.614 --> 00:21:01.695
I want to make sure that someone in
00:21:01.756 --> 00:21:03.657
a year looks at the list of people
00:21:03.698 --> 00:21:04.618
on the team and goes, well,
00:21:04.638 --> 00:21:07.781
we can't cut him because he plays five
00:21:07.801 --> 00:21:10.684
positions and he runs out in field ground
00:21:10.704 --> 00:21:10.965
balls.
00:21:11.685 --> 00:21:12.626
For me, it was always about...
00:21:13.407 --> 00:21:15.009
making sure you were on the team and
00:21:15.048 --> 00:21:16.989
you were still, you know, uh, in the,
00:21:17.108 --> 00:21:18.490
in the world of musical chairs,
00:21:18.730 --> 00:21:19.891
when they pulled a chair away,
00:21:20.490 --> 00:21:21.891
you were still having a share when the
00:21:21.951 --> 00:21:22.612
music stopped.
00:21:23.051 --> 00:21:23.632
So I think you,
00:21:23.672 --> 00:21:24.932
you have to find someone's personal
00:21:24.972 --> 00:21:25.333
drivers.
00:21:25.373 --> 00:21:27.292
Like what, what drives you?
00:21:27.532 --> 00:21:30.414
We did an entire two year long campaign
00:21:30.755 --> 00:21:31.894
at Fox rehabilitation.
00:21:31.914 --> 00:21:34.455
When I was there that circled around this
00:21:34.516 --> 00:21:35.276
very theory,
00:21:35.517 --> 00:21:37.497
they were looking at somebody was looking
00:21:37.557 --> 00:21:38.837
at with spreadsheets, uh,
00:21:39.377 --> 00:21:41.141
How do we find people and keep them?
00:21:41.481 --> 00:21:43.464
And they hired these outside consulting
00:21:43.484 --> 00:21:43.825
firms.
00:21:44.205 --> 00:21:47.351
And it came down to three things.
00:21:47.371 --> 00:21:48.212
Do you want to know what those things
00:21:48.292 --> 00:21:48.373
are?
00:21:48.393 --> 00:21:49.515
But it's a little bit of a tangent,
00:21:49.535 --> 00:21:50.355
but it's sort of not.
00:21:51.597 --> 00:21:52.398
Make your own schedule.
00:21:53.059 --> 00:21:53.681
Fix salary.
00:21:54.671 --> 00:21:55.250
No, no, no.
00:21:55.351 --> 00:21:57.291
So these were like a little more like
00:21:57.451 --> 00:22:00.752
feely, like internal drivers, three Cs.
00:22:01.712 --> 00:22:02.813
But the things that you're saying, Dave,
00:22:02.853 --> 00:22:04.834
could go into that.
00:22:05.453 --> 00:22:06.734
So what I'm saying is like these things
00:22:06.755 --> 00:22:07.755
were like broader terms.
00:22:08.454 --> 00:22:10.915
So the three things were craft.
00:22:11.888 --> 00:22:15.291
cause community i was going to say
00:22:15.311 --> 00:22:18.836
community so i'll unpack these so you can
00:22:18.855 --> 00:22:20.416
look at a pt specifically or pretty much
00:22:20.477 --> 00:22:22.578
anybody like this applies to everybody and
00:22:22.598 --> 00:22:23.599
you say like well i'm there for a
00:22:23.640 --> 00:22:24.681
little bit of this and a little bit
00:22:24.701 --> 00:22:26.962
of that yes you have all but there
00:22:27.002 --> 00:22:28.344
needs to be one main driver
00:22:29.045 --> 00:22:30.865
that when you touch on, the person goes,
00:22:31.066 --> 00:22:32.746
yes, yes, I want to work there.
00:22:33.066 --> 00:22:34.507
If I'm in a room of twenty different
00:22:34.527 --> 00:22:36.527
employers at a career fair and you hit
00:22:36.626 --> 00:22:37.827
on this, I'm going to go,
00:22:37.867 --> 00:22:39.248
you get me, you get me.
00:22:39.748 --> 00:22:41.229
But you can't have twenty of those things.
00:22:41.409 --> 00:22:42.749
You have to have like three,
00:22:43.028 --> 00:22:45.150
and then you can have three campaigns that
00:22:45.170 --> 00:22:45.329
go.
00:22:45.589 --> 00:22:46.750
So craft, cause,
00:22:46.770 --> 00:22:47.810
and community were the thing.
00:22:49.258 --> 00:22:50.298
Craft was like,
00:22:50.798 --> 00:22:51.598
I am going to be the best.
00:22:51.739 --> 00:22:54.160
I am here to be the best physical
00:22:54.180 --> 00:22:56.099
therapist, whatever that means to me,
00:22:56.380 --> 00:22:57.721
to me autonomously.
00:22:58.461 --> 00:22:59.840
I am here to be a PT and
00:22:59.861 --> 00:23:01.842
then nothing else matters, right?
00:23:01.882 --> 00:23:03.782
Like, yes, my coworkers are nice.
00:23:03.923 --> 00:23:05.103
I like community, but like,
00:23:05.343 --> 00:23:07.344
I am here to take Con Ed courses.
00:23:07.564 --> 00:23:08.864
I eat, sleep, breathe,
00:23:09.344 --> 00:23:11.664
and everything is about my craft.
00:23:11.825 --> 00:23:13.546
I want to be the best PT on
00:23:13.566 --> 00:23:14.165
my tombstone.
00:23:14.346 --> 00:23:15.086
Greatest PT ever.
00:23:15.306 --> 00:23:15.886
That's craft.
00:23:16.287 --> 00:23:16.846
Cause.
00:23:17.946 --> 00:23:18.748
This is pretty big.
00:23:18.928 --> 00:23:21.250
This is, I want to help people.
00:23:22.290 --> 00:23:23.771
At Fox, it was specifically like,
00:23:24.172 --> 00:23:27.275
what are we on this giant aircraft carrier
00:23:27.555 --> 00:23:28.455
or this big boat?
00:23:28.736 --> 00:23:29.455
What are we,
00:23:29.496 --> 00:23:31.117
what I'm doing my little part to be
00:23:31.137 --> 00:23:31.978
the best craftsman,
00:23:32.159 --> 00:23:32.999
but I want to know I'm on the
00:23:33.019 --> 00:23:35.060
right boat so that every little paddle
00:23:35.080 --> 00:23:36.741
that I do feels like it does.
00:23:37.022 --> 00:23:38.183
At Fox, it really was,
00:23:38.963 --> 00:23:40.285
they were smart enough to give it a
00:23:40.345 --> 00:23:40.705
name.
00:23:40.746 --> 00:23:41.046
Yeah.
00:23:41.286 --> 00:23:42.487
It wasn't just help everybody.
00:23:42.527 --> 00:23:43.028
It's too big.
00:23:43.147 --> 00:23:44.750
That's throwing a single dollar bill in a
00:23:44.829 --> 00:23:45.029
silo.
00:23:45.150 --> 00:23:45.570
It's too big.
00:23:45.871 --> 00:23:48.073
It was to eradicate ageism.
00:23:48.614 --> 00:23:50.195
It was like older adults deserve better.
00:23:50.576 --> 00:23:52.198
I'm giving you better care and I'm always
00:23:52.238 --> 00:23:52.878
talking about it.
00:23:53.179 --> 00:23:54.119
So they had to give they had to
00:23:54.140 --> 00:23:55.582
give the head.
00:23:55.882 --> 00:23:59.025
If you're Stephen Miller story brand,
00:23:59.945 --> 00:24:00.386
Donald Miller,
00:24:00.586 --> 00:24:01.907
you had to give the villain a name.
00:24:02.169 --> 00:24:02.729
It was ageism.
00:24:03.470 --> 00:24:04.911
So that was that was cause.
00:24:05.090 --> 00:24:06.172
And then community is like, dude,
00:24:06.231 --> 00:24:07.532
I want to be around cool people who
00:24:07.573 --> 00:24:10.015
are dope and like you're cool and you're
00:24:10.075 --> 00:24:11.455
good and you're cool.
00:24:12.037 --> 00:24:13.438
You're a little more here for the fun,
00:24:13.478 --> 00:24:14.157
but I like you.
00:24:14.178 --> 00:24:15.439
So who do I do it with?
00:24:15.880 --> 00:24:16.359
And again,
00:24:16.759 --> 00:24:18.040
if you had a Venn diagram with all
00:24:18.080 --> 00:24:19.102
three of those, of course, you're like,
00:24:19.402 --> 00:24:20.403
yeah, I want a little bit of this,
00:24:20.442 --> 00:24:21.104
want a little bit of this.
00:24:21.203 --> 00:24:21.903
I want to solve this.
00:24:22.105 --> 00:24:23.645
You want all three of those things.
00:24:23.965 --> 00:24:25.507
But one was the main driver.
00:24:25.547 --> 00:24:27.067
And they tried to they tried to find
00:24:27.107 --> 00:24:29.170
what that was because they realized and
00:24:29.190 --> 00:24:30.570
this is Fox is in, I don't know,
00:24:30.611 --> 00:24:31.231
a billion states.
00:24:31.932 --> 00:24:32.352
Um,
00:24:32.372 --> 00:24:35.574
they realize bonuses and signing bonuses
00:24:35.594 --> 00:24:36.913
and flexible and autonomy.
00:24:36.973 --> 00:24:38.775
Like those are table stakes.
00:24:38.894 --> 00:24:40.776
I need you to pay me enough.
00:24:40.895 --> 00:24:42.336
Adam Grant talks about this a lot.
00:24:42.676 --> 00:24:43.917
I need you to pay me enough.
00:24:43.978 --> 00:24:44.417
What is that?
00:24:44.438 --> 00:24:44.938
I don't know.
00:24:45.137 --> 00:24:45.637
I don't know.
00:24:45.678 --> 00:24:46.259
Like you need,
00:24:46.638 --> 00:24:47.618
you need to figure out what your numbers
00:24:47.699 --> 00:24:49.480
are and know that there's my basement.
00:24:49.579 --> 00:24:50.259
Can't go below it.
00:24:50.480 --> 00:24:50.661
Right.
00:24:51.000 --> 00:24:51.320
If you want to,
00:24:51.401 --> 00:24:52.622
if you really want this guy,
00:24:52.682 --> 00:24:54.061
cause oh man, he's the glue guy.
00:24:54.102 --> 00:24:54.803
What's the glue guy.
00:24:54.823 --> 00:24:55.462
I don't,
00:24:55.722 --> 00:24:56.962
it's the guy who plays three different
00:24:57.003 --> 00:24:58.423
positions or when he walks in the room,
00:24:58.443 --> 00:24:59.325
everybody gets excited.
00:24:59.365 --> 00:24:59.565
Right.
00:25:00.345 --> 00:25:01.266
There's my basement.
00:25:01.726 --> 00:25:03.008
If I really want this guy,
00:25:03.048 --> 00:25:05.309
cause I understand my team, my small unit,
00:25:05.509 --> 00:25:06.510
I need this guy.
00:25:06.730 --> 00:25:07.771
I'm willing to go a little more.
00:25:08.031 --> 00:25:09.273
Am I going to incentivize them for
00:25:09.314 --> 00:25:09.794
bonuses?
00:25:10.094 --> 00:25:10.414
Sure.
00:25:10.714 --> 00:25:11.736
All those things are table stakes.
00:25:11.955 --> 00:25:13.017
Fox was able to do it.
00:25:13.498 --> 00:25:13.657
I mean,
00:25:13.678 --> 00:25:15.819
there was one girl who lived in New
00:25:15.839 --> 00:25:19.262
York city and she had family overseas.
00:25:19.423 --> 00:25:20.483
So she'd work essentially.
00:25:20.503 --> 00:25:21.444
She'd book her own schedule.
00:25:21.625 --> 00:25:23.346
She'd work nonstop for like three weeks
00:25:23.507 --> 00:25:25.449
and then she'd go to like Greece and
00:25:26.262 --> 00:25:26.844
She'd go to Greece.
00:25:26.864 --> 00:25:28.305
She was like twenty four years old.
00:25:28.345 --> 00:25:28.825
And she's like, yeah,
00:25:28.845 --> 00:25:29.786
I'm going to go to Greece for two
00:25:29.806 --> 00:25:29.986
weeks.
00:25:30.306 --> 00:25:32.147
How are you pulling out bank units for
00:25:32.167 --> 00:25:33.348
like a month and a half?
00:25:33.848 --> 00:25:34.690
Fox doesn't care.
00:25:34.930 --> 00:25:35.570
Yes, they do.
00:25:35.971 --> 00:25:37.092
They care that you did that.
00:25:37.132 --> 00:25:38.472
And then they go, go to Greece.
00:25:38.673 --> 00:25:40.375
We we want you to go to Greece
00:25:40.394 --> 00:25:41.415
because we want you to come back and
00:25:41.435 --> 00:25:42.856
work for four more weeks straight.
00:25:43.277 --> 00:25:46.200
So find what the whole campaign again.
00:25:46.440 --> 00:25:47.201
And I'll wrap it up here.
00:25:47.240 --> 00:25:48.481
I promise I'm just not going to go
00:25:48.501 --> 00:25:49.162
on a tangent forever.
00:25:49.603 --> 00:25:51.585
Was what drives you like Greece?
00:25:52.125 --> 00:25:52.644
what do you want to do?
00:25:52.684 --> 00:25:54.247
Like, what, what's your thing?
00:25:54.426 --> 00:25:54.707
And it was,
00:25:54.826 --> 00:25:56.107
it was nice because it was like,
00:25:56.188 --> 00:25:57.249
I don't care what you do.
00:25:57.509 --> 00:25:58.650
You're going to come through one of these
00:25:58.691 --> 00:25:59.351
three doors.
00:25:59.631 --> 00:26:00.592
And when you get there,
00:26:01.011 --> 00:26:02.493
we understand that that's what drives you.
00:26:02.794 --> 00:26:04.335
Yes, we have that.
00:26:04.414 --> 00:26:05.135
It wasn't a shock.
00:26:06.641 --> 00:26:08.883
love that so the real real quick with
00:26:08.903 --> 00:26:11.306
that so i love all that it's fascinating
00:26:11.346 --> 00:26:13.468
that you're even you because you were at
00:26:13.488 --> 00:26:14.528
fox and now you're not there anymore
00:26:14.548 --> 00:26:16.250
you're able to kind of relay that whole
00:26:16.290 --> 00:26:17.571
thing like even that that's special
00:26:17.592 --> 00:26:19.534
because they kind of plug that into you
00:26:19.594 --> 00:26:21.175
potentially like in a way well and then
00:26:21.215 --> 00:26:23.198
you're able to i helped craft or you
00:26:23.317 --> 00:26:24.999
yeah yeah you know you're creating craft
00:26:25.059 --> 00:26:25.119
it
00:26:25.559 --> 00:26:28.843
So what's interesting is you didn't
00:26:28.863 --> 00:26:32.105
mention anything about dollar amount,
00:26:32.144 --> 00:26:33.626
salary, hourly, whatever.
00:26:33.906 --> 00:26:36.048
The one thing that my observation of Fox
00:26:36.068 --> 00:26:36.229
though,
00:26:36.269 --> 00:26:38.651
so the opposite of that young physical
00:26:38.671 --> 00:26:39.892
therapist that was banking units,
00:26:40.291 --> 00:26:41.553
there is some quota.
00:26:41.633 --> 00:26:43.815
And if a therapist does not get a
00:26:43.835 --> 00:26:44.375
quota,
00:26:45.236 --> 00:26:47.198
and if Fox is not giving them enough
00:26:47.337 --> 00:26:48.798
new patient referrals or whatever in a
00:26:48.858 --> 00:26:50.200
certain zip code that they're working in,
00:26:51.141 --> 00:26:52.803
Don't they get that quota,
00:26:53.182 --> 00:26:54.723
some dollar amount deducted from the next
00:26:54.743 --> 00:26:56.066
paycheck and the next paycheck if they're
00:26:56.086 --> 00:26:58.188
not hitting enough units per pay period or
00:26:58.228 --> 00:26:58.508
whatever?
00:26:58.928 --> 00:26:59.409
I don't know.
00:26:59.528 --> 00:27:00.829
I'm not trying to dodge the question.
00:27:00.990 --> 00:27:01.410
Maybe.
00:27:01.830 --> 00:27:02.951
I will tell you this, though.
00:27:03.011 --> 00:27:04.432
They did a gajillion dollars.
00:27:04.653 --> 00:27:05.314
I'm pretty sure.
00:27:05.614 --> 00:27:06.075
I don't know,
00:27:06.095 --> 00:27:08.036
but I'm almost positive it would be
00:27:08.076 --> 00:27:09.678
deducted from the next pay period.
00:27:09.718 --> 00:27:10.097
Could be.
00:27:11.159 --> 00:27:14.300
um the same would be if you ran
00:27:14.320 --> 00:27:16.962
out of uh yeah so what i would
00:27:17.002 --> 00:27:19.423
say is that that probably is it i
00:27:19.483 --> 00:27:21.566
wasn't on the clinical side there i would
00:27:21.625 --> 00:27:23.886
say this though they did a ton of
00:27:23.946 --> 00:27:25.768
research before they ever opened a team in
00:27:25.807 --> 00:27:28.730
an area they were like do we have
00:27:28.829 --> 00:27:31.271
more than enough ways to get paid i
00:27:31.291 --> 00:27:32.593
mean they're working with older adults
00:27:32.692 --> 00:27:34.054
like it's like you know
00:27:35.278 --> 00:27:35.959
Or everywhere.
00:27:35.999 --> 00:27:36.858
Do we have enough water?
00:27:36.959 --> 00:27:37.880
We're in the Atlantic Ocean.
00:27:38.019 --> 00:27:38.319
Yes.
00:27:38.440 --> 00:27:38.980
Okay, good.
00:27:39.121 --> 00:27:39.441
Got it.
00:27:39.681 --> 00:27:40.320
Now what do we need?
00:27:40.682 --> 00:27:41.021
Boats.
00:27:41.122 --> 00:27:42.262
I don't know.
00:27:42.442 --> 00:27:44.223
So they understood they had more than
00:27:44.263 --> 00:27:44.763
enough of that.
00:27:44.804 --> 00:27:46.325
That's not always the case, though.
00:27:46.384 --> 00:27:47.086
I see what you're saying.
00:27:47.326 --> 00:27:48.866
So you don't always have,
00:27:48.906 --> 00:27:50.508
if you're an orthopedic,
00:27:50.567 --> 00:27:51.528
if you're a sports clinic,
00:27:51.548 --> 00:27:53.509
you don't always have enough athletes in
00:27:53.549 --> 00:27:55.070
an area or maybe you have competition.
00:27:56.271 --> 00:27:56.672
But, I mean,
00:27:56.771 --> 00:27:59.053
Fox is a logistics company that happened
00:27:59.073 --> 00:28:00.854
to put their logistics and their strategy
00:28:00.894 --> 00:28:02.214
towards treating older adults.
00:28:02.375 --> 00:28:02.556
I mean...
00:28:03.435 --> 00:28:06.301
They understood that that's sort of what
00:28:06.321 --> 00:28:06.962
you need to be.
00:28:08.410 --> 00:28:09.851
You need to be a media company that
00:28:10.151 --> 00:28:11.231
knows how to do logistics.
00:28:11.291 --> 00:28:12.353
And what are you putting it towards?
00:28:12.873 --> 00:28:13.713
Treating older adults.
00:28:14.255 --> 00:28:16.695
Instead of I'm a, like Tony said this,
00:28:17.037 --> 00:28:17.997
I'm a PT clinic.
00:28:18.438 --> 00:28:20.019
Athelas, who I work for, everybody's like,
00:28:20.058 --> 00:28:20.098
oh,
00:28:20.118 --> 00:28:21.400
they're a healthcare technology company.
00:28:21.980 --> 00:28:23.501
They're a technology company that saw
00:28:23.602 --> 00:28:25.083
enough big, hairy, scary,
00:28:25.103 --> 00:28:27.104
annoying problems in healthcare that were
00:28:27.144 --> 00:28:28.885
worth enough to put towards the effort.
00:28:29.105 --> 00:28:30.307
But they're gonna work really hard because
00:28:30.326 --> 00:28:30.567
they're like,
00:28:30.626 --> 00:28:31.627
there's enough problems here.
00:28:31.887 --> 00:28:33.169
And we're super good at this.
00:28:33.669 --> 00:28:35.191
Instead of I have a bleeding heart,
00:28:35.911 --> 00:28:37.612
Let me learn how to become a...
00:28:37.732 --> 00:28:39.433
It's the Armageddon question.
00:28:39.933 --> 00:28:42.497
Do you want to treat bleeding heart or
00:28:42.517 --> 00:28:43.837
do you want to teach bleeding hearts how
00:28:43.857 --> 00:28:45.798
to become business owners or teach
00:28:45.838 --> 00:28:47.401
business or let business owners run
00:28:47.441 --> 00:28:49.301
businesses that employ bleeding hearts?
00:28:49.582 --> 00:28:49.923
Do that.
00:28:50.042 --> 00:28:50.883
Do you want to teach...
00:28:51.723 --> 00:28:53.346
astronauts how to oil drill or oil
00:28:53.385 --> 00:28:55.367
drillers how to be astronauts i mean which
00:28:55.468 --> 00:28:57.730
one's easier it's actually i mean it's the
00:28:57.830 --> 00:28:59.551
opposite of the movie armageddon it would
00:28:59.571 --> 00:29:03.997
be how to be oil drillers but of
00:29:04.037 --> 00:29:06.098
course don't ask bruce willis that uh
00:29:06.118 --> 00:29:08.201
because i'm the best because i work with
00:29:08.221 --> 00:29:11.224
the best but that's i mean what what
00:29:11.285 --> 00:29:12.086
job are you in
00:29:13.393 --> 00:29:14.173
Tony said this before,
00:29:14.192 --> 00:29:16.094
and I didn't agree with him at first
00:29:16.693 --> 00:29:18.193
two years ago or three years ago when
00:29:18.213 --> 00:29:18.894
he said it was like,
00:29:19.653 --> 00:29:21.474
you shouldn't be a business owner and
00:29:21.515 --> 00:29:23.654
treating in your clinic.
00:29:23.674 --> 00:29:25.596
You should be painting yourself out of the
00:29:25.635 --> 00:29:27.675
house, right?
00:29:27.695 --> 00:29:29.175
Did I make that analogy or that metaphor
00:29:29.236 --> 00:29:29.336
up?
00:29:29.355 --> 00:29:29.776
Probably.
00:29:29.895 --> 00:29:31.477
But I probably pictured that when Tony was
00:29:31.497 --> 00:29:32.176
saying it.
00:29:32.257 --> 00:29:33.576
That is the best way to go in
00:29:33.616 --> 00:29:35.218
terms of a practice owner.
00:29:35.258 --> 00:29:36.617
Yeah.
00:29:36.637 --> 00:29:37.198
It's too hard.
00:29:39.340 --> 00:29:40.785
All right, so any final recap on,
00:29:40.865 --> 00:29:42.730
I think we hit everything with the
00:29:42.891 --> 00:29:43.573
listener questions.
00:29:44.996 --> 00:29:46.240
Was there another question though?
00:29:47.651 --> 00:29:49.050
I mean, that was the biggest thing of,
00:29:50.211 --> 00:29:51.612
are you paying therapists, you know,
00:29:51.652 --> 00:29:52.432
in the downtime,
00:29:52.472 --> 00:29:53.653
so it kind of ties into like,
00:29:53.712 --> 00:29:55.133
if they're, I mean, if their salary,
00:29:55.313 --> 00:29:57.114
then yes, you're kind of like, you're,
00:29:57.273 --> 00:29:58.733
you're basically paying them whenever
00:29:58.773 --> 00:29:59.474
there's downtime.
00:30:00.035 --> 00:30:01.654
And there should be something maybe
00:30:01.674 --> 00:30:03.796
written into their, you know,
00:30:03.855 --> 00:30:05.016
employment agreement that like,
00:30:05.236 --> 00:30:06.797
if they have no shows and cancels,
00:30:06.856 --> 00:30:07.997
and there's like dead time,
00:30:08.356 --> 00:30:09.557
they need to be, you know,
00:30:10.577 --> 00:30:12.679
posting social media videos or doing
00:30:12.719 --> 00:30:13.259
something else.
00:30:13.499 --> 00:30:15.101
But then the reverse is true, right?
00:30:15.261 --> 00:30:17.203
If you say you have to see six
00:30:17.244 --> 00:30:18.906
patients a day and you're like, hey, man,
00:30:18.967 --> 00:30:19.488
I got eight.
00:30:19.528 --> 00:30:20.710
Can you do it?
00:30:21.269 --> 00:30:22.853
There's a structure in place that says if
00:30:22.873 --> 00:30:24.255
you're doing more than you're being asked,
00:30:24.275 --> 00:30:26.417
I'm going to pay you X percentage of
00:30:26.557 --> 00:30:27.118
over, right?
00:30:27.829 --> 00:30:28.250
Like what you're,
00:30:28.269 --> 00:30:30.673
like what Ben was saying with like- So,
00:30:30.913 --> 00:30:32.153
yeah, could be.
00:30:32.253 --> 00:30:34.635
I mean, my, listen, my first,
00:30:34.756 --> 00:30:36.518
my second job, but first job in Brooklyn,
00:30:36.917 --> 00:30:38.859
I was hired to be a clinic director.
00:30:39.580 --> 00:30:41.942
And there was something around maybe the
00:30:42.083 --> 00:30:43.564
ego of that or whatever.
00:30:43.644 --> 00:30:45.365
Like we looked at every, you know,
00:30:45.385 --> 00:30:47.008
I was there for two years or something
00:30:47.307 --> 00:30:47.968
as a clinic director.
00:30:48.828 --> 00:30:50.510
and i'm the clinic director with these
00:30:50.530 --> 00:30:52.152
other roles and responsibilities yes i was
00:30:52.172 --> 00:30:53.753
probably getting paid more than the other
00:30:53.814 --> 00:30:54.914
step physical therapist because that's
00:30:54.934 --> 00:30:57.317
what i signed up for and i always
00:30:57.356 --> 00:30:59.960
had the most visits completed like every
00:31:00.119 --> 00:31:03.522
month every quarter like i was treating
00:31:03.563 --> 00:31:04.263
more patients
00:31:05.571 --> 00:31:06.452
So, but I didn't,
00:31:06.633 --> 00:31:07.953
I didn't say to my employer,
00:31:07.993 --> 00:31:08.614
I didn't turn to them.
00:31:08.653 --> 00:31:09.755
I didn't say to Ed Mears, like, hey,
00:31:09.775 --> 00:31:11.375
what's the, what's the performance pay?
00:31:11.675 --> 00:31:13.377
Like, you know,
00:31:13.417 --> 00:31:14.438
six patients were on my schedule,
00:31:14.458 --> 00:31:15.398
but now you want me to see eight
00:31:15.439 --> 00:31:15.878
or, you know,
00:31:15.939 --> 00:31:17.259
ten or twelve are on my schedule,
00:31:17.279 --> 00:31:18.740
but I saw fifteen or whatever.
00:31:19.281 --> 00:31:21.182
Like, I didn't ask for that.
00:31:21.442 --> 00:31:23.203
Again, I'm built differently, maybe,
00:31:23.263 --> 00:31:23.785
and I'm, you know,
00:31:23.805 --> 00:31:24.865
I'm different than a lot of the staff
00:31:24.885 --> 00:31:25.665
therapists out there.
00:31:27.086 --> 00:31:28.107
But it depends.
00:31:28.147 --> 00:31:29.288
I don't, you know, I don't know.
00:31:29.888 --> 00:31:30.489
What do you think, Tony?
00:31:30.730 --> 00:31:31.690
Are we at the point where there's a
00:31:31.730 --> 00:31:32.951
lot of Seth physical therapists that are
00:31:32.971 --> 00:31:33.131
like,
00:31:33.490 --> 00:31:34.892
I signed up for six visits a day,
00:31:35.372 --> 00:31:37.012
now you want me to see eight,
00:31:37.032 --> 00:31:38.574
and you gotta pay me extra for that,
00:31:38.594 --> 00:31:39.815
or what, Jimmy?
00:31:39.835 --> 00:31:42.195
There's research around this,
00:31:42.376 --> 00:31:44.337
and I'll find it when Tony starts talking,
00:31:44.357 --> 00:31:45.679
but the research around this is they
00:31:45.759 --> 00:31:47.440
taught monkeys fairness.
00:31:48.305 --> 00:31:50.266
They gave monkeys bananas.
00:31:50.326 --> 00:31:51.846
I'll find the actual study, right?
00:31:52.326 --> 00:31:53.246
And then they all of a sudden,
00:31:53.566 --> 00:31:54.227
one monkey,
00:31:54.527 --> 00:31:56.807
everybody was getting a cut of banana,
00:31:56.826 --> 00:31:57.287
a cut of banana.
00:31:57.307 --> 00:31:58.208
Everybody was like, this is great,
00:31:58.228 --> 00:31:58.667
this is great.
00:31:58.688 --> 00:32:00.448
And then one monkey got a banana plus
00:32:00.488 --> 00:32:00.928
a grape.
00:32:01.327 --> 00:32:02.209
Do you know what happened?
00:32:02.669 --> 00:32:04.949
Like, you didn't get less bananas.
00:32:05.608 --> 00:32:06.650
They went ape.
00:32:06.670 --> 00:32:07.390
They went batshit.
00:32:08.970 --> 00:32:11.010
They lost their monkey minds.
00:32:12.271 --> 00:32:16.755
Like I am, I'm not, I don't know.
00:32:16.815 --> 00:32:19.196
I'll get to study, but fairness,
00:32:20.317 --> 00:32:22.319
you're constantly doing the math and it
00:32:22.359 --> 00:32:23.339
doesn't need there.
00:32:23.601 --> 00:32:25.342
I don't think that there's an exact like
00:32:25.862 --> 00:32:26.702
tipping point,
00:32:26.903 --> 00:32:28.684
but there's a range where you're like,
00:32:28.785 --> 00:32:30.546
dude, there's the,
00:32:30.566 --> 00:32:32.587
there's the dishwashing theory or the dish
00:32:32.627 --> 00:32:33.788
breaking theory, which is like,
00:32:33.808 --> 00:32:35.190
if you don't want to wash dishes and,
00:32:36.413 --> 00:32:36.953
break a bunch.
00:32:37.233 --> 00:32:38.474
And then you don't get, you're like, ah,
00:32:38.494 --> 00:32:39.434
you're costing us more money.
00:32:39.454 --> 00:32:41.615
And then you sweep, sweep the floor.
00:32:42.116 --> 00:32:44.577
And like that rewards the person who's a
00:32:44.657 --> 00:32:45.377
jackass.
00:32:45.758 --> 00:32:47.199
And then people like me are like, oh,
00:32:47.239 --> 00:32:47.558
I'm good.
00:32:47.739 --> 00:32:49.660
I want to, I'll just wash the dishes.
00:32:50.380 --> 00:32:51.240
People who are good.
00:32:51.260 --> 00:32:52.221
And there's research on this.
00:32:52.280 --> 00:32:53.342
I listened to a lot of Adam Grant.
00:32:53.981 --> 00:32:55.903
People who are good at their jobs get
00:32:55.982 --> 00:32:59.763
rewarded with more work at their jobs.
00:33:01.444 --> 00:33:02.984
This is why the interview process on the
00:33:03.065 --> 00:33:05.086
front end is so vitally important to kind
00:33:05.105 --> 00:33:06.365
of screen in and out,
00:33:06.946 --> 00:33:07.886
screen in the right fit,
00:33:07.926 --> 00:33:10.028
screen out the wrong fit based off of-
00:33:11.048 --> 00:33:12.609
Well, and there's a trial period, right?
00:33:12.650 --> 00:33:14.711
So like, you know, the first two,
00:33:14.731 --> 00:33:15.992
three months or whatever should be a trial
00:33:16.034 --> 00:33:18.316
period where it's in writing, like, Hey,
00:33:18.796 --> 00:33:19.057
you know,
00:33:19.116 --> 00:33:20.198
whether it's part-time or full-time,
00:33:20.238 --> 00:33:22.079
like we're literally giving this a go,
00:33:22.140 --> 00:33:23.721
like let's, you know, in whatever,
00:33:26.104 --> 00:33:29.125
this is a trial period this is an
00:33:29.165 --> 00:33:31.988
introductory period and let's see in the
00:33:32.028 --> 00:33:34.469
working world now are you an actual right
00:33:34.509 --> 00:33:36.650
fit do you like our feedback or support
00:33:36.690 --> 00:33:39.192
all that our guidance mentorship on both
00:33:39.251 --> 00:33:41.413
ends you have no idea until you've until
00:33:41.452 --> 00:33:43.654
the sheen is worn off until it's like
00:33:43.694 --> 00:33:45.256
become a job let me ask you this
00:33:45.276 --> 00:33:46.395
i don't want to backtrack but i do
00:33:46.415 --> 00:33:47.057
like backtracking
00:33:47.757 --> 00:33:49.859
If you were to answer each of you,
00:33:50.059 --> 00:33:51.961
you can only pick one of the three.
00:33:52.362 --> 00:33:54.325
Which are your main drivers, craft,
00:33:54.545 --> 00:33:56.767
cause or community for each of you?
00:33:57.087 --> 00:33:58.429
As I was describing those,
00:33:58.910 --> 00:34:01.092
which ones of those for you
00:34:02.854 --> 00:34:04.335
like popped up so i'll give you a
00:34:04.355 --> 00:34:06.575
review craft again is like if you're a
00:34:06.595 --> 00:34:08.195
clinic director you're like i am a clinic
00:34:08.215 --> 00:34:10.396
director i'm gonna know my kpis i'm gonna
00:34:10.416 --> 00:34:11.956
be able to do like work with people
00:34:12.317 --> 00:34:13.737
i'm gonna like everything a clinic
00:34:13.777 --> 00:34:15.518
director did or a clinician i am a
00:34:15.579 --> 00:34:18.039
clinician i'm a technician i am the person
00:34:18.059 --> 00:34:20.480
who's great this cause the bigot like the
00:34:20.579 --> 00:34:23.081
organization i am i'm here because i want
00:34:23.101 --> 00:34:24.362
to do my part no matter what it
00:34:24.461 --> 00:34:26.581
is like the guy who said uh who
00:34:26.782 --> 00:34:28.362
asked the janitor at nasa what are you
00:34:28.402 --> 00:34:29.804
doing what do you do here i help
00:34:29.824 --> 00:34:30.563
put people on the moon
00:34:31.063 --> 00:34:32.204
That dude was there for cause.
00:34:32.244 --> 00:34:32.465
Right.
00:34:32.724 --> 00:34:33.646
And then community is like,
00:34:33.826 --> 00:34:34.686
do I love these people?
00:34:34.965 --> 00:34:36.146
I don't I don't care what we do.
00:34:36.206 --> 00:34:36.987
We might with widgets.
00:34:37.007 --> 00:34:38.108
We might make nuclear bombs.
00:34:38.327 --> 00:34:39.469
But I love the people that we do
00:34:39.528 --> 00:34:39.889
it with.
00:34:40.068 --> 00:34:41.730
And I wouldn't want to do it anywhere
00:34:41.771 --> 00:34:41.911
else.
00:34:42.030 --> 00:34:43.592
And it was probably secondary and tertiary
00:34:43.612 --> 00:34:44.012
drivers.
00:34:44.391 --> 00:34:45.353
But what's your prime?
00:34:45.413 --> 00:34:46.512
What's your I'm interested.
00:34:46.592 --> 00:34:47.514
What are your primary drivers?
00:34:48.833 --> 00:34:50.313
Oh, this is tough.
00:34:50.393 --> 00:34:51.934
I like having to answer this on the
00:34:51.954 --> 00:34:52.195
fly,
00:34:52.215 --> 00:34:53.655
on the hotspot or on the hot seat.
00:34:55.675 --> 00:34:57.496
My initial response is I have some
00:34:57.536 --> 00:35:00.315
therapists that are on the last,
00:35:01.056 --> 00:35:02.856
the community kind of like,
00:35:03.036 --> 00:35:03.976
I have therapists that are like,
00:35:04.456 --> 00:35:06.438
I love working with Concierge Pain Relief
00:35:06.478 --> 00:35:07.898
because I love your clientele.
00:35:07.958 --> 00:35:09.458
I love the clientele because they're like,
00:35:09.958 --> 00:35:10.898
they're motivated.
00:35:11.177 --> 00:35:12.278
They're like, they're okay.
00:35:12.298 --> 00:35:12.998
Like some visits,
00:35:13.018 --> 00:35:14.958
like they just talk for the whole hour.
00:35:15.099 --> 00:35:16.380
Like they don't even do any movement or
00:35:16.400 --> 00:35:18.000
maybe they just walk and you know,
00:35:18.840 --> 00:35:18.940
Yeah,
00:35:18.980 --> 00:35:19.940
and they still get paid and we get
00:35:19.960 --> 00:35:20.101
paid.
00:35:20.420 --> 00:35:20.860
It's crazy.
00:35:20.900 --> 00:35:21.420
It's bonkers.
00:35:21.762 --> 00:35:23.161
So I have some therapists that are like,
00:35:23.422 --> 00:35:24.342
I love your clientele.
00:35:24.382 --> 00:35:25.143
They're motivated.
00:35:25.182 --> 00:35:27.704
They're better than these other Medicare
00:35:27.784 --> 00:35:29.606
or Medicaid based agencies that I've
00:35:29.626 --> 00:35:31.326
worked for before that are cursing at us
00:35:31.405 --> 00:35:32.126
and saying, get out.
00:35:32.186 --> 00:35:33.407
And I didn't request home physical
00:35:33.427 --> 00:35:33.788
therapy.
00:35:34.487 --> 00:35:35.829
But then I also have other therapists that
00:35:35.869 --> 00:35:37.590
are the craft that are like,
00:35:38.291 --> 00:35:39.831
I want to be like, you know,
00:35:39.871 --> 00:35:42.494
I want to bring like the, you know,
00:35:42.534 --> 00:35:45.936
the Swiss army knife toolbox into the
00:35:46.257 --> 00:35:46.856
someone's home.
00:35:47.317 --> 00:35:48.498
And no matter what they need,
00:35:48.617 --> 00:35:50.380
maybe they need breathing work.
00:35:50.420 --> 00:35:51.320
Maybe they need, you know,
00:35:51.360 --> 00:35:53.802
counseling on rest and hydration and,
00:35:54.141 --> 00:35:54.322
you know,
00:35:54.362 --> 00:35:56.744
recovery and sleep and that type of stuff.
00:35:56.784 --> 00:35:58.565
And then others want, you know,
00:35:58.606 --> 00:36:00.166
certain manual therapy approaches and
00:36:00.266 --> 00:36:00.987
others want,
00:36:01.086 --> 00:36:01.146
you
00:36:02.168 --> 00:36:04.048
empowerment and an exercise program or
00:36:04.068 --> 00:36:06.710
whatever and like my style like our
00:36:06.831 --> 00:36:09.373
offering is like there is a little bit
00:36:09.413 --> 00:36:12.896
of diversity around the motivated person
00:36:12.936 --> 00:36:16.458
that likes our offering and the therapists
00:36:16.478 --> 00:36:17.958
that work with us that stay the longest
00:36:17.978 --> 00:36:20.081
that stay the last couple years they're
00:36:20.101 --> 00:36:21.862
the ones there's many of them that are
00:36:22.061 --> 00:36:24.063
more of like the craft like you you
00:36:24.083 --> 00:36:25.563
don't know like they walk into whatever
00:36:26.405 --> 00:36:26.865
in someone's home,
00:36:26.885 --> 00:36:27.847
like they don't know what they're walking
00:36:27.887 --> 00:36:29.347
into and they can solve it.
00:36:29.367 --> 00:36:29.949
They can figure it out.
00:36:29.969 --> 00:36:32.271
They're going to offer reassurance.
00:36:32.311 --> 00:36:33.753
They're going to offer some type of
00:36:33.833 --> 00:36:34.273
treatment,
00:36:34.454 --> 00:36:37.297
whatever the person is seeking and almost
00:36:37.498 --> 00:36:38.818
starting the visit and starting the
00:36:38.838 --> 00:36:40.161
evaluations of like, hey,
00:36:41.061 --> 00:36:42.744
what are your expectations for today's
00:36:42.784 --> 00:36:43.344
evaluation?
00:36:44.005 --> 00:36:45.646
what are your expectations today for the
00:36:45.826 --> 00:36:47.987
first or second follow-up visit like get
00:36:48.126 --> 00:36:50.068
pulling those things out and whatever the
00:36:50.108 --> 00:36:52.509
person is looking for how can we match
00:36:52.528 --> 00:36:54.530
them we're like meet them where they're at
00:36:55.030 --> 00:36:57.311
so i don't know if that like i
00:36:57.391 --> 00:36:59.072
i'm kind of like stuck in between those
00:36:59.112 --> 00:37:00.753
two and i do have a coaching call
00:37:00.773 --> 00:37:02.775
with sturdy tomorrow so i'm gonna have to
00:37:02.795 --> 00:37:04.195
bring this up to him and ask what
00:37:04.235 --> 00:37:05.516
what do you think of this so i
00:37:05.536 --> 00:37:06.516
don't know what do you think tony what
00:37:06.675 --> 00:37:07.996
what do you have with with you your
00:37:08.137 --> 00:37:09.438
your team with those three
00:37:10.057 --> 00:37:11.480
It definitely changes, right?
00:37:11.619 --> 00:37:12.900
It evolves like all of us.
00:37:12.940 --> 00:37:15.184
Like I can remember when it was for
00:37:15.284 --> 00:37:18.628
me, craft took precedence over everything.
00:37:18.748 --> 00:37:21.269
I was obsessed with reading research,
00:37:21.329 --> 00:37:22.030
studying,
00:37:22.110 --> 00:37:23.793
like looking up different conditions,
00:37:23.853 --> 00:37:25.835
trying to figure out how to solve the
00:37:25.875 --> 00:37:26.416
problems.
00:37:27.257 --> 00:37:29.239
I go to sleep thinking about patient care
00:37:29.259 --> 00:37:30.981
and wake up thinking about patient care.
00:37:32.039 --> 00:37:35.222
Then it kind of shifted to bigger picture
00:37:35.282 --> 00:37:36.925
cause, you know, I was like, hey,
00:37:36.945 --> 00:37:38.106
let's build this business.
00:37:38.146 --> 00:37:39.748
Let's make this business about helping the
00:37:39.768 --> 00:37:42.291
community and keeping geriatrics
00:37:42.331 --> 00:37:44.373
independent and safe and all this stuff.
00:37:45.143 --> 00:37:46.945
No, I'd probably say it's community,
00:37:47.105 --> 00:37:47.864
like really.
00:37:48.244 --> 00:37:49.706
And funny thing is,
00:37:50.067 --> 00:37:51.367
it's a community of three.
00:37:51.728 --> 00:37:52.548
It's my wife,
00:37:52.969 --> 00:37:55.130
my physical therapist assistant, and me.
00:37:55.371 --> 00:37:56.952
I don't want the community to grow.
00:37:57.251 --> 00:37:58.612
I don't want to bring anyone else into
00:37:58.652 --> 00:37:59.273
the community.
00:37:59.853 --> 00:38:01.255
Like it's literally,
00:38:01.315 --> 00:38:02.815
we enjoy each other's time.
00:38:03.076 --> 00:38:04.436
We enjoy what we're doing.
00:38:04.757 --> 00:38:06.458
We're good enough at what we do.
00:38:06.559 --> 00:38:07.960
We're all on the same page.
00:38:09.181 --> 00:38:11.983
So my priority or focus over the last
00:38:12.003 --> 00:38:14.304
couple of years is definitely
00:38:14.826 --> 00:38:16.849
the people that make the community.
00:38:17.030 --> 00:38:18.293
And to a certain degree,
00:38:18.313 --> 00:38:19.956
the patients are part of that community.
00:38:20.317 --> 00:38:22.041
They're coming in, they're socializing,
00:38:22.061 --> 00:38:22.782
they're talking.
00:38:24.679 --> 00:38:25.418
The funny thing is,
00:38:25.460 --> 00:38:26.699
Jeremy Sutton's on here.
00:38:26.719 --> 00:38:28.922
He said, choose the fourth C, cash.
00:38:29.382 --> 00:38:31.003
The last person I would ever think is
00:38:31.023 --> 00:38:32.563
going to say cash version.
00:38:33.244 --> 00:38:35.445
I'm really bringing him along in terms of
00:38:35.644 --> 00:38:37.025
the monetary component of all this.
00:38:37.045 --> 00:38:38.827
That's where I would say, Jeremy,
00:38:38.847 --> 00:38:40.869
if Jeremy were trying to work for me,
00:38:40.889 --> 00:38:41.208
I'd be like,
00:38:41.369 --> 00:38:43.130
I need to pay you enough that money
00:38:43.150 --> 00:38:44.710
is not a barrier.
00:38:45.190 --> 00:38:45.291
Now,
00:38:45.331 --> 00:38:48.112
it doesn't mean like triple the average
00:38:48.172 --> 00:38:49.753
salary for a person to get them on
00:38:49.793 --> 00:38:50.034
board.
00:38:50.074 --> 00:38:50.793
It means like that.
00:38:50.994 --> 00:38:53.195
I want that person thinking about me and
00:38:53.255 --> 00:38:56.777
not having a side hustle or working with
00:38:56.836 --> 00:38:58.458
me will lead to something where you can
00:38:58.498 --> 00:38:59.878
eliminate a side hustle.
00:39:00.498 --> 00:39:01.300
Same for me, Tony.
00:39:01.440 --> 00:39:02.920
It was definitely craft when I first
00:39:02.940 --> 00:39:03.300
started.
00:39:04.360 --> 00:39:04.541
You know,
00:39:04.581 --> 00:39:05.902
my career was definitely like I want to
00:39:05.922 --> 00:39:06.663
be the best at this.
00:39:07.143 --> 00:39:08.123
Then it was in the middle,
00:39:08.163 --> 00:39:09.443
like definitely community where I was
00:39:09.483 --> 00:39:09.704
like,
00:39:10.184 --> 00:39:12.266
I just want to like coming to work.
00:39:12.826 --> 00:39:14.047
I care what I'm doing.
00:39:15.016 --> 00:39:15.978
And I'll get better at it.
00:39:16.018 --> 00:39:17.217
But if I don't have these people around
00:39:17.237 --> 00:39:18.298
me that I like doing it with,
00:39:18.778 --> 00:39:19.719
I'm not going to do anything.
00:39:20.139 --> 00:39:20.559
And for me,
00:39:20.599 --> 00:39:22.440
cause was always an underlying thing.
00:39:23.141 --> 00:39:25.442
I need there to be a cause and
00:39:25.481 --> 00:39:26.143
I need to like it.
00:39:26.782 --> 00:39:27.963
But I didn't walk through a door like
00:39:28.003 --> 00:39:28.603
seeking a cause.
00:39:28.623 --> 00:39:29.204
Like example,
00:39:29.224 --> 00:39:31.905
like I did a bunch of like fundraising
00:39:31.945 --> 00:39:32.646
and charity work.
00:39:33.206 --> 00:39:34.927
the american red cross for the leukemia
00:39:34.947 --> 00:39:37.668
lymphoma society while i was in radio and
00:39:37.748 --> 00:39:39.809
after i didn't really have a connection to
00:39:39.869 --> 00:39:40.909
either of those but i was like i'm
00:39:40.949 --> 00:39:42.130
glad you do good work how do i
00:39:42.170 --> 00:39:43.911
help if i can do my part and
00:39:43.972 --> 00:39:45.672
i can just do funny radio stuff and
00:39:45.692 --> 00:39:47.652
then you make money to help people great
00:39:47.693 --> 00:39:48.793
like that was a good way for me
00:39:48.833 --> 00:39:51.835
to uh interact so that was my craft
00:39:51.876 --> 00:39:53.036
cause community all right we got twenty
00:39:53.056 --> 00:39:53.856
minutes left what are we talking about
00:39:53.876 --> 00:39:57.157
next what's the pivot dave you shared
00:39:57.197 --> 00:39:58.958
something i thought was interesting the
00:39:59.079 --> 00:40:00.460
new york running boom
00:40:01.907 --> 00:40:05.630
uh almost a billion dollar local economy
00:40:05.670 --> 00:40:07.932
yeah i don't understand it i didn't really
00:40:07.952 --> 00:40:10.894
look into it but i guess if you
00:40:11.695 --> 00:40:13.077
i mean if you put together all the
00:40:13.117 --> 00:40:16.440
people that pay for races and what they
00:40:16.460 --> 00:40:19.503
pay for shoes and clothing and all this
00:40:19.543 --> 00:40:21.764
you know expensive like lululemon and aloe
00:40:21.784 --> 00:40:22.105
yeah
00:40:23.385 --> 00:40:23.646
I don't know.
00:40:23.666 --> 00:40:25.327
I don't know what total dollar amount,
00:40:25.407 --> 00:40:27.748
like all the I guess all of like
00:40:27.827 --> 00:40:29.487
the races and the half marathons and the
00:40:29.527 --> 00:40:30.369
full marathon.
00:40:30.909 --> 00:40:32.630
I don't know where they got to a
00:40:32.670 --> 00:40:33.469
billion dollars,
00:40:34.650 --> 00:40:35.871
how they got to that number.
00:40:35.951 --> 00:40:37.972
But yeah, I mean, there's I mean,
00:40:38.052 --> 00:40:38.492
I don't know.
00:40:38.731 --> 00:40:40.192
Running has always been big in most
00:40:40.211 --> 00:40:41.373
cities, especially in New York City.
00:40:42.608 --> 00:40:42.708
Yeah,
00:40:42.728 --> 00:40:44.909
but it wasn't a thing like in the,
00:40:44.969 --> 00:40:45.690
I don't know, six.
00:40:45.710 --> 00:40:46.971
I remember my uncle told me he ran
00:40:47.010 --> 00:40:48.271
like the fourth New York City.
00:40:48.452 --> 00:40:49.052
No, he couldn't.
00:40:49.952 --> 00:40:51.534
He ran one of the first marathons and
00:40:51.554 --> 00:40:53.715
it was like people looked at him like
00:40:53.735 --> 00:40:54.956
he was going to go to the center
00:40:54.976 --> 00:40:55.336
of the earth.
00:40:55.356 --> 00:40:56.378
Like you're going to do a what?
00:40:56.739 --> 00:40:57.659
Now it's like doing a marathon.
00:40:57.679 --> 00:40:58.619
Like, all right, good luck to me.
00:40:58.639 --> 00:40:59.681
Like, it's not even a thing.
00:40:59.860 --> 00:41:00.360
When I did it,
00:41:00.380 --> 00:41:01.802
it was sort of like my first one.
00:41:01.822 --> 00:41:03.503
It was like, that's kind of an endeavor.
00:41:03.784 --> 00:41:04.965
Now it's like people look at each other
00:41:04.985 --> 00:41:06.646
going, hey, have fun this weekend.
00:41:06.706 --> 00:41:07.246
Go knock it out.
00:41:07.967 --> 00:41:09.307
It's become more commonplace.
00:41:11.568 --> 00:41:12.530
which is good buddy.
00:41:12.811 --> 00:41:16.581
He is in charge of bringing big athletic
00:41:16.621 --> 00:41:18.806
events like that to like the Cincinnati
00:41:18.827 --> 00:41:19.949
and surrounding areas.
00:41:21.048 --> 00:41:22.230
I don't remember if he's part of the
00:41:22.269 --> 00:41:23.831
tourism board or whatever.
00:41:24.472 --> 00:41:27.974
But when you look at that, those events,
00:41:28.195 --> 00:41:30.376
I mean, you've got the event itself.
00:41:30.396 --> 00:41:31.657
Then you've got all the buildup.
00:41:31.677 --> 00:41:32.639
You've got the hotels.
00:41:32.659 --> 00:41:33.639
You've got the restaurants.
00:41:33.659 --> 00:41:37.804
You've got the clothes and merch and
00:41:37.884 --> 00:41:39.385
everything that surrounds it.
00:41:39.445 --> 00:41:41.467
I mean, it is amazing.
00:41:42.903 --> 00:41:45.704
uh and and to think about where again
00:41:45.784 --> 00:41:47.925
where physical therapy as a profession or
00:41:47.985 --> 00:41:49.985
individual therapist can kind of step into
00:41:50.005 --> 00:41:52.686
that role i just went up to a
00:41:52.746 --> 00:41:55.108
cross-country meet my seventeen-year-old
00:41:55.367 --> 00:41:57.748
sixteen-year-old he runs cross-country you
00:41:58.528 --> 00:42:01.070
you had to buy the tickets online they
00:42:01.130 --> 00:42:03.610
filled up the entire parking lot and and
00:42:03.809 --> 00:42:06.391
started converting traffic but everywhere
00:42:06.451 --> 00:42:08.871
along the course there were fleet feet
00:42:09.519 --> 00:42:11.565
like flags flying,
00:42:11.605 --> 00:42:14.070
they were a major sponsor of the event.
00:42:15.173 --> 00:42:16.295
They were there on site,
00:42:16.335 --> 00:42:18.059
they were doing their digital scans,
00:42:18.099 --> 00:42:19.262
like they did all of this kind of
00:42:19.302 --> 00:42:19.643
stuff.
00:42:20.958 --> 00:42:23.541
I generally find that most therapists who
00:42:23.581 --> 00:42:25.922
go and set up a booth at those
00:42:25.983 --> 00:42:28.005
events, it doesn't work for us.
00:42:28.065 --> 00:42:29.846
Like we're not going to do anything with
00:42:29.885 --> 00:42:30.106
that.
00:42:30.507 --> 00:42:33.268
But if you're deep in that community and
00:42:33.289 --> 00:42:34.550
you're making connections,
00:42:34.650 --> 00:42:37.431
especially at the level of we're going to
00:42:37.472 --> 00:42:38.353
bring a, you know,
00:42:38.373 --> 00:42:40.894
a three million dollar event to the city.
00:42:41.735 --> 00:42:44.097
Now you want to see referrals start
00:42:44.117 --> 00:42:44.818
pouring in.
00:42:45.217 --> 00:42:46.699
You want to get orthopedics who want to
00:42:46.739 --> 00:42:49.139
specialize in athletic injuries reaching
00:42:49.199 --> 00:42:49.940
out to you.
00:42:50.340 --> 00:42:52.521
Like that's where the real value is in
00:42:52.561 --> 00:42:53.402
something like this.
00:42:53.822 --> 00:42:55.143
You can't think too small.
00:42:55.182 --> 00:42:56.824
You can't set up a massage table to
00:42:57.244 --> 00:42:58.003
rub calves.
00:42:58.384 --> 00:43:01.206
You have to get in at your levels.
00:43:02.260 --> 00:43:04.882
How would you hire someone for that job?
00:43:05.081 --> 00:43:07.802
Would that be more of a salary position
00:43:08.302 --> 00:43:10.003
to create an event like that that might
00:43:10.023 --> 00:43:11.063
be five years away?
00:43:11.463 --> 00:43:13.264
Or would you make that a commission-based?
00:43:14.143 --> 00:43:15.485
Yeah, no, I mean, it's you.
00:43:15.664 --> 00:43:17.565
You're the person you'd hire for that job.
00:43:17.664 --> 00:43:18.786
It would be salary.
00:43:18.945 --> 00:43:21.045
It'd be, what do you need, Jimmy,
00:43:21.106 --> 00:43:22.827
to have peace of mind to know that
00:43:22.867 --> 00:43:24.786
you can focus on this full time?
00:43:25.126 --> 00:43:25.927
For five years.
00:43:26.208 --> 00:43:27.507
You give me the number.
00:43:27.987 --> 00:43:29.548
And then I have to know based on
00:43:29.748 --> 00:43:30.909
other experiences
00:43:31.820 --> 00:43:33.342
If I can turn that number into a
00:43:33.402 --> 00:43:33.802
profit.
00:43:34.061 --> 00:43:34.382
Correct.
00:43:34.443 --> 00:43:34.822
You know,
00:43:34.882 --> 00:43:36.864
and that's the way you do it.
00:43:36.983 --> 00:43:38.264
And you can't think twice about it.
00:43:38.284 --> 00:43:41.967
That's why VC funded ventures are so
00:43:42.226 --> 00:43:42.708
common.
00:43:42.768 --> 00:43:45.009
Like I was just talking to somebody who
00:43:45.028 --> 00:43:46.590
has VC funding behind them.
00:43:46.610 --> 00:43:47.771
And they're like, look,
00:43:47.791 --> 00:43:48.971
we don't care about the money.
00:43:49.331 --> 00:43:51.112
The investors expect to lose all the
00:43:51.152 --> 00:43:51.393
money.
00:43:52.572 --> 00:43:54.173
Half a million dollars doesn't mean
00:43:54.273 --> 00:43:55.094
anything to them.
00:43:55.155 --> 00:43:57.235
They put that out there across hundreds
00:43:57.275 --> 00:43:58.617
and hundreds of businesses and
00:43:59.349 --> 00:44:01.653
We just need growth and we need people
00:44:01.673 --> 00:44:03.257
who are going to bring the growth and
00:44:03.418 --> 00:44:04.981
one in a thousand will succeed.
00:44:05.382 --> 00:44:07.204
And that one in a thousand will blow
00:44:07.244 --> 00:44:09.429
the doors off of everybody else and we'll
00:44:09.469 --> 00:44:10.391
make the profit.
00:44:11.371 --> 00:44:12.833
I'm going to say that's kind of where
00:44:12.873 --> 00:44:14.775
we are in on a smaller scale in
00:44:14.835 --> 00:44:15.335
our business.
00:44:15.375 --> 00:44:16.735
We have to be able to hire five
00:44:16.795 --> 00:44:19.277
therapists knowing who are going to lose
00:44:19.338 --> 00:44:21.539
us money because one is going to make
00:44:21.579 --> 00:44:23.280
twenty times the income.
00:44:23.320 --> 00:44:24.802
But that's but that's not possible.
00:44:24.902 --> 00:44:25.141
Right.
00:44:25.181 --> 00:44:26.503
Because of the current state we're in.
00:44:26.563 --> 00:44:26.802
Right.
00:44:27.003 --> 00:44:29.204
One one is not possible.
00:44:29.405 --> 00:44:31.385
It's not possible the way it's been done.
00:44:31.485 --> 00:44:31.666
Right.
00:44:31.746 --> 00:44:33.628
Bootstrapped and thinking that you have to
00:44:33.668 --> 00:44:36.070
turn every billable minute into a profit.
00:44:36.130 --> 00:44:36.469
Correct.
00:44:36.489 --> 00:44:36.630
Correct.
00:44:36.936 --> 00:44:38.737
But that's why VCs are coming in and
00:44:38.777 --> 00:44:41.097
buying up clinics and private practices
00:44:41.157 --> 00:44:42.998
and consolidating and doing all that,
00:44:43.478 --> 00:44:45.500
because they are taking advantage in a
00:44:45.539 --> 00:44:48.661
good way of the inefficiencies of somebody
00:44:48.701 --> 00:44:49.942
who is like, man,
00:44:50.021 --> 00:44:52.101
I love physical therapy and I love patient
00:44:52.141 --> 00:44:53.822
care and I'm willing to lose three hundred
00:44:53.862 --> 00:44:55.903
dollars building this foundation.
00:44:56.523 --> 00:44:57.844
And then they're going to come in,
00:44:58.344 --> 00:44:59.945
buy it for pennies on the dollar because
00:44:59.965 --> 00:45:01.224
it's not worth anything anyway.
00:45:01.244 --> 00:45:02.726
You're losing money for three years.
00:45:03.346 --> 00:45:05.228
and turn it into something that's actually
00:45:05.289 --> 00:45:05.789
profitable.
00:45:05.829 --> 00:45:07.632
Something patients are willing to pay for,
00:45:08.132 --> 00:45:09.916
something that actually gets positive
00:45:10.016 --> 00:45:12.458
outcomes and is profitable.
00:45:12.719 --> 00:45:14.322
It's also wild when you look at like,
00:45:14.422 --> 00:45:16.764
and I've barely dabbled, I've no...
00:45:18.262 --> 00:45:19.282
I'm trying to make sure people don't think
00:45:19.302 --> 00:45:20.565
I'm trying to talk outside of my boots
00:45:20.605 --> 00:45:20.744
here.
00:45:21.465 --> 00:45:23.246
It's amazing when you look across VC
00:45:23.286 --> 00:45:25.568
portfolios and they're like, I'm buying,
00:45:26.429 --> 00:45:29.172
I'm dabbling in industries that cross
00:45:29.271 --> 00:45:29.572
over.
00:45:30.032 --> 00:45:30.994
It's like, hey, I bought a...
00:45:31.655 --> 00:45:34.217
When you're listening to Shark Tank and
00:45:34.277 --> 00:45:35.838
Cuban's trying to buy this company and
00:45:35.858 --> 00:45:36.119
he's like,
00:45:36.438 --> 00:45:38.541
I own three companies that do the thing
00:45:38.840 --> 00:45:41.563
that you pay two dollars a unit for.
00:45:41.864 --> 00:45:43.405
I'll get the cost down to thirty cents
00:45:43.425 --> 00:45:43.625
a unit.
00:45:43.644 --> 00:45:43.905
It's like,
00:45:44.465 --> 00:45:45.346
Oh, I didn't think about that.
00:45:45.385 --> 00:45:47.007
Like you own companies.
00:45:47.487 --> 00:45:48.947
You're not just a bag of money.
00:45:49.467 --> 00:45:53.748
You get Mark Cuban's Rolodex plus his
00:45:53.929 --> 00:45:55.449
infrastructure plus his supply.
00:45:55.510 --> 00:45:55.869
And you're like,
00:45:56.130 --> 00:45:58.110
that's when you start thinking in three D
00:45:58.170 --> 00:46:01.331
and you're like, oh gosh, I never thought.
00:46:01.472 --> 00:46:03.273
I just thought you buy a company and
00:46:03.313 --> 00:46:05.072
you paint it and you get the logo
00:46:05.092 --> 00:46:06.813
a little better and you get ten percent.
00:46:06.853 --> 00:46:07.273
But no,
00:46:07.313 --> 00:46:09.454
these people who are investors are
00:46:09.494 --> 00:46:09.835
thinking.
00:46:10.775 --> 00:46:12.777
six dimensions deep like oh no I know
00:46:12.896 --> 00:46:13.918
I know the guy that can do I
00:46:13.938 --> 00:46:15.820
know the guy who owns that company who's
00:46:16.221 --> 00:46:17.661
giving you that thing for two dollars a
00:46:17.742 --> 00:46:19.003
unit you're getting screwed I'm gonna get
00:46:19.023 --> 00:46:20.425
that cost down to forty cents a unit
00:46:20.485 --> 00:46:21.586
and then your margins are gonna go like
00:46:21.606 --> 00:46:22.947
this then we're gonna take the money and
00:46:22.967 --> 00:46:24.590
we're gonna roll into this that so it
00:46:24.610 --> 00:46:25.871
would have taken you ten years it's gonna
00:46:25.891 --> 00:46:28.253
take you two and then we're gonna exit
00:46:28.293 --> 00:46:30.556
in five like it's wild this is a
00:46:30.615 --> 00:46:31.998
whole new world for me because I was
00:46:32.018 --> 00:46:33.159
always a guy just rowing a boat
00:46:34.505 --> 00:46:35.425
Well, I mean,
00:46:36.045 --> 00:46:37.387
you see the same thing on the patient
00:46:37.407 --> 00:46:38.007
care side.
00:46:38.027 --> 00:46:39.750
Like you go to Dave.
00:46:40.010 --> 00:46:41.070
I tell Dave, Dave, man,
00:46:41.090 --> 00:46:42.172
my back is killing me.
00:46:42.612 --> 00:46:43.893
He does an evaluation.
00:46:43.934 --> 00:46:46.335
He's going to understand six layers deep.
00:46:46.775 --> 00:46:47.476
It could be this.
00:46:47.496 --> 00:46:48.137
It could be that.
00:46:48.177 --> 00:46:49.097
It could be, you know,
00:46:49.179 --> 00:46:50.280
five different conditions.
00:46:50.300 --> 00:46:51.840
It could even be referred from somewhere
00:46:51.900 --> 00:46:52.782
else, whatever,
00:46:53.583 --> 00:46:55.583
because he's an expert in patient care and
00:46:55.603 --> 00:46:57.146
he understands how to do that.
00:46:57.940 --> 00:47:00.603
But you take that therapist who knows that
00:47:00.643 --> 00:47:01.903
much about patient care,
00:47:01.943 --> 00:47:04.525
they don't know enough about business.
00:47:04.606 --> 00:47:05.947
So they think, like Jimmy,
00:47:06.507 --> 00:47:07.208
it's a business.
00:47:07.288 --> 00:47:08.268
I run it for profit.
00:47:08.289 --> 00:47:09.128
This is what I do.
00:47:09.168 --> 00:47:11.451
Like, it's so much more complex.
00:47:11.610 --> 00:47:13.172
But this is where Tony comes in and
00:47:13.231 --> 00:47:13.652
goes,
00:47:14.733 --> 00:47:16.755
you're that person who's the diehard craft
00:47:16.835 --> 00:47:17.775
person we talked about.
00:47:17.996 --> 00:47:19.456
All you care about is making the patient
00:47:19.476 --> 00:47:19.757
better.
00:47:20.257 --> 00:47:21.557
And you are going to suggest these
00:47:21.597 --> 00:47:23.199
sneakers because they want to run the
00:47:23.239 --> 00:47:25.141
marathon in seven months.
00:47:26.894 --> 00:47:29.597
you don't get anything for that you don't
00:47:29.617 --> 00:47:31.257
get that affiliate like that to me is
00:47:31.297 --> 00:47:33.860
like well it would be disingenuous no you
00:47:33.880 --> 00:47:35.260
were going to suggest that anyway you just
00:47:35.302 --> 00:47:37.463
told me you're the craft person but you
00:47:37.503 --> 00:47:39.844
can't build a business on that i mean
00:47:39.885 --> 00:47:40.766
tony i think you shared a
00:47:42.269 --> 00:47:43.931
a graphic the other day that was like
00:47:43.951 --> 00:47:45.472
an image of somebody doing a workout in
00:47:45.492 --> 00:47:46.773
a gym and you had highlighted,
00:47:46.813 --> 00:47:48.793
you like circled like nine things.
00:47:48.833 --> 00:47:49.675
It was like, uh,
00:47:49.755 --> 00:47:51.155
one of those pictures is like spot the
00:47:51.195 --> 00:47:52.496
differences, like the nine things.
00:47:52.817 --> 00:47:55.157
It was like, why aren't there links, um,
00:47:55.818 --> 00:47:57.300
to all these different things that you're,
00:47:57.800 --> 00:47:58.920
you are promoting.
00:47:58.940 --> 00:48:01.081
You're wearing the Lululemon shirt.
00:48:01.141 --> 00:48:03.903
You're using the biodex thing and you're
00:48:03.943 --> 00:48:05.304
wearing the sneaker.
00:48:06.465 --> 00:48:08.306
I know it feels if you're the craft
00:48:08.347 --> 00:48:11.309
person that that's selling out.
00:48:12.474 --> 00:48:14.996
And I think that maybe people will
00:48:15.117 --> 00:48:17.599
actually think twice about what they share
00:48:17.619 --> 00:48:20.221
in a video in a good way to
00:48:20.300 --> 00:48:22.003
say, oh, everything I'm doing,
00:48:22.083 --> 00:48:23.943
someone is paying really close attention
00:48:23.983 --> 00:48:24.224
to.
00:48:24.945 --> 00:48:26.885
Maybe I should only do the things that
00:48:26.925 --> 00:48:28.027
I one hundred percent believe.
00:48:28.047 --> 00:48:28.286
Good.
00:48:29.346 --> 00:48:29.985
Think that way.
00:48:30.246 --> 00:48:31.746
But if you honestly believe that,
00:48:32.086 --> 00:48:34.168
that is a value because people pay for
00:48:34.188 --> 00:48:36.590
that every single day and people would
00:48:36.630 --> 00:48:37.670
follow your insight.
00:48:37.730 --> 00:48:38.690
And if that's what you want to get
00:48:38.731 --> 00:48:39.210
paid for,
00:48:39.451 --> 00:48:40.771
you have to give them a pathway.
00:48:41.231 --> 00:48:43.753
And if you're not, that's on you.
00:48:43.793 --> 00:48:44.793
Dave was on a roll.
00:48:44.853 --> 00:48:46.474
He shared another one and we'll use this
00:48:46.514 --> 00:48:47.635
to close out the show.
00:48:48.594 --> 00:48:50.576
Penn State's charging ten thousand dollars
00:48:50.615 --> 00:48:52.996
for a full season access.
00:48:53.117 --> 00:48:54.717
Unique fan experience.
00:48:55.418 --> 00:48:56.639
Yes.
00:48:56.679 --> 00:48:57.320
Practices.
00:48:57.380 --> 00:48:57.900
Go ahead.
00:48:58.472 --> 00:48:58.632
Yeah,
00:48:58.713 --> 00:49:01.293
so the reason why this is interesting is
00:49:01.333 --> 00:49:02.775
because Penn State and many other
00:49:02.894 --> 00:49:05.235
universities are doing this specifically
00:49:05.536 --> 00:49:06.657
because they believe,
00:49:07.297 --> 00:49:08.378
whether right or wrong,
00:49:08.757 --> 00:49:10.378
they believe that they are losing money
00:49:10.418 --> 00:49:12.320
because of that whole landmark settlement
00:49:12.380 --> 00:49:13.981
around name, image, and likeness,
00:49:14.021 --> 00:49:15.061
the whole NIL thing.
00:49:15.400 --> 00:49:16.961
And now that players are making money and
00:49:17.001 --> 00:49:18.182
able to get sponsorships...
00:49:18.882 --> 00:49:19.422
on the table.
00:49:19.463 --> 00:49:21.385
They used to be cash in a duffel
00:49:21.425 --> 00:49:22.465
bag under the table.
00:49:22.525 --> 00:49:23.425
And all of a sudden,
00:49:23.465 --> 00:49:24.887
the player's mom has a new house or
00:49:24.907 --> 00:49:26.648
whatever or a new car.
00:49:28.048 --> 00:49:30.490
Because of the whole NIL situation,
00:49:31.431 --> 00:49:32.932
these universities, including Penn State,
00:49:33.112 --> 00:49:33.773
they're like, hey,
00:49:34.114 --> 00:49:36.775
we're losing the previous revenue that we
00:49:36.876 --> 00:49:37.456
used to have.
00:49:37.896 --> 00:49:39.217
And where are they going?
00:49:39.737 --> 00:49:40.398
Where are they going?
00:49:40.577 --> 00:49:41.778
They're going to the consumer.
00:49:41.798 --> 00:49:42.820
They're going to the fan,
00:49:43.059 --> 00:49:43.981
the end consumer.
00:49:44.820 --> 00:49:46.302
And they're charging some outrageous,
00:49:46.402 --> 00:49:47.583
you know, ten grand.
00:49:47.603 --> 00:49:48.844
I don't know if that gets us for
00:49:48.885 --> 00:49:49.606
all the home games.
00:49:49.626 --> 00:49:51.146
So what's that like eight or something
00:49:51.206 --> 00:49:52.327
home games or whatever?
00:49:52.829 --> 00:49:53.809
Maybe a playoff game,
00:49:54.150 --> 00:49:56.871
maybe maybe one of the playoff games or
00:49:56.891 --> 00:49:57.313
ball games.
00:49:58.193 --> 00:50:00.074
But they get, you know, unlimited
00:50:01.949 --> 00:50:03.710
team exposure there's like you know
00:50:03.809 --> 00:50:07.672
private they they remove certain um vendor
00:50:07.692 --> 00:50:09.632
stands and they added you know different
00:50:09.733 --> 00:50:13.094
unique uh fan experiences where the fans
00:50:13.114 --> 00:50:15.036
can kind of be behind like a partition
00:50:15.056 --> 00:50:16.735
but they can high-five the players as
00:50:16.777 --> 00:50:18.336
they're like coming you know before they
00:50:18.356 --> 00:50:19.938
get out of the tunnel like in you
00:50:19.958 --> 00:50:21.239
know underneath the bleachers and
00:50:21.559 --> 00:50:23.039
different things like that so the
00:50:23.079 --> 00:50:25.101
universities are like hey how else can we
00:50:25.380 --> 00:50:26.882
make money we've been having this like
00:50:26.942 --> 00:50:30.302
amazing uh funnel of money for years and
00:50:30.342 --> 00:50:31.063
decades and
00:50:32.344 --> 00:50:34.467
Let's offer this new thing at some
00:50:34.547 --> 00:50:35.668
outrageous dollar amount.
00:50:36.248 --> 00:50:38.449
And the parallel is like same thing.
00:50:38.489 --> 00:50:40.731
Like there's patients that are paying out
00:50:40.751 --> 00:50:42.112
of pocket for physical therapy when they
00:50:42.132 --> 00:50:43.934
already have Medicare coverage or they
00:50:43.954 --> 00:50:44.956
have a network insurance.
00:50:45.876 --> 00:50:48.179
And it's going to be a segment or
00:50:48.199 --> 00:50:48.878
a subset of...
00:50:49.500 --> 00:50:50.880
the fans out there that are going to
00:50:50.920 --> 00:50:52.280
pay Penn State,
00:50:52.360 --> 00:50:54.041
the ones that have the money or want
00:50:54.061 --> 00:50:55.061
that are obsessed fans,
00:50:55.342 --> 00:50:56.543
they're going to find the money to do
00:50:56.603 --> 00:50:56.722
it.
00:50:57.103 --> 00:50:58.844
If you're a really big fan,
00:50:59.103 --> 00:51:01.284
just like some of our patients and clients
00:51:01.304 --> 00:51:03.125
that find the money or have the money
00:51:03.485 --> 00:51:04.365
to pay for what we do.
00:51:04.565 --> 00:51:05.746
And we're very, you know,
00:51:05.766 --> 00:51:07.367
it's different than what else is out
00:51:07.387 --> 00:51:09.067
there.
00:51:09.126 --> 00:51:10.507
If you want to figure that out,
00:51:12.418 --> 00:51:14.621
Pay attention to when the interns show up.
00:51:15.181 --> 00:51:16.302
So we did that in radio.
00:51:16.922 --> 00:51:18.605
When we had bands in the studio,
00:51:19.106 --> 00:51:20.367
interns showed up when they weren't
00:51:20.407 --> 00:51:21.248
scheduled because they were like,
00:51:21.748 --> 00:51:22.710
can I just stand here?
00:51:23.411 --> 00:51:24.452
I'm allowed to be in this building.
00:51:24.472 --> 00:51:26.373
Can I just hover in the corner?
00:51:26.875 --> 00:51:29.637
So this was like a big deal.
00:51:29.717 --> 00:51:30.938
Somebody was trying to get elected in the
00:51:30.958 --> 00:51:31.579
state of New York,
00:51:31.639 --> 00:51:33.802
and he put a real â
00:51:33.402 --> 00:51:35.364
case together where it was illegal to do
00:51:35.384 --> 00:51:37.585
what's called pay for play a record
00:51:37.625 --> 00:51:39.487
company couldn't give jimmy a bag of money
00:51:39.766 --> 00:51:40.568
and then all of a sudden i start
00:51:40.608 --> 00:51:42.568
playing the new whatever song that should
00:51:42.588 --> 00:51:44.489
be illegal and the reason was well it's
00:51:44.510 --> 00:51:46.172
a private business who cares i'm using
00:51:46.211 --> 00:51:47.472
public airwaves so that's where the
00:51:47.492 --> 00:51:48.893
government got involved right so you
00:51:48.934 --> 00:51:49.753
couldn't do that
00:51:50.534 --> 00:51:51.976
But I started paying attention to like,
00:51:52.655 --> 00:51:52.876
oh,
00:51:53.115 --> 00:51:54.815
so this is a value because when we
00:51:54.856 --> 00:51:56.637
play it, you make money on it.
00:51:56.657 --> 00:51:57.757
So as long as I'm playing it and
00:51:57.797 --> 00:51:58.818
doing things on the up and up,
00:51:58.858 --> 00:51:59.358
it's fine.
00:51:59.697 --> 00:52:01.177
So I started looking at when the interns
00:52:01.197 --> 00:52:02.998
were showing up and we started figuring
00:52:03.039 --> 00:52:05.159
out different ways to make it cooler.
00:52:05.440 --> 00:52:06.980
We didn't monetize it as much.
00:52:07.119 --> 00:52:08.820
We just made the interactions cooler.
00:52:09.101 --> 00:52:10.641
So instead of just having a band in
00:52:10.661 --> 00:52:11.461
the small studio,
00:52:12.422 --> 00:52:14.523
I took an old old filing cabinet room
00:52:15.603 --> 00:52:16.523
emptied the room out,
00:52:16.724 --> 00:52:17.846
put a small stage in there.
00:52:17.905 --> 00:52:19.887
And now I could have forty people in
00:52:19.927 --> 00:52:21.931
the studio when the band was in and
00:52:21.971 --> 00:52:22.451
not eight.
00:52:23.447 --> 00:52:24.447
And then we were able to do a
00:52:24.527 --> 00:52:27.528
giveaway for a month for tickets to that
00:52:27.568 --> 00:52:27.869
thing.
00:52:28.329 --> 00:52:29.108
And then I took it out of the
00:52:29.148 --> 00:52:30.130
building altogether.
00:52:30.150 --> 00:52:31.530
The band was already going to come play
00:52:31.590 --> 00:52:33.331
six songs acoustic in studio.
00:52:33.351 --> 00:52:33.570
I was like,
00:52:33.891 --> 00:52:34.831
we're going to do it at a band.
00:52:34.911 --> 00:52:35.791
We're going to do it at a bar
00:52:35.811 --> 00:52:37.253
down the street, but we're only,
00:52:37.273 --> 00:52:38.413
we're going to give people less than
00:52:38.452 --> 00:52:39.793
twenty four hours notice to come.
00:52:40.193 --> 00:52:41.293
And we're going to we're going to send
00:52:41.313 --> 00:52:43.175
them a text message twenty four hours
00:52:43.195 --> 00:52:43.875
before the thing.
00:52:43.894 --> 00:52:44.916
You've got to be signed up for our
00:52:44.956 --> 00:52:45.155
text.
00:52:45.175 --> 00:52:47.237
So it was like, find the thing.
00:52:47.617 --> 00:52:47.896
Right.
00:52:48.376 --> 00:52:50.237
Is someone is someone really,
00:52:50.297 --> 00:52:50.978
really important?
00:52:51.438 --> 00:52:52.998
Is there a Penn State fan that really
00:52:53.018 --> 00:52:55.701
wants to â look what they do in
00:52:55.780 --> 00:52:57.342
European football, soccer kids.
00:52:58.402 --> 00:53:00.143
There's always a kid that walks out with
00:53:00.423 --> 00:53:01.625
the professionals and they hold hands.
00:53:01.684 --> 00:53:02.865
I don't really understand it, but, like,
00:53:03.206 --> 00:53:04.646
you don't think that that either was a
00:53:04.706 --> 00:53:06.929
contest or someone paid for it or there's
00:53:06.949 --> 00:53:08.510
a relationship between that club and
00:53:08.530 --> 00:53:10.110
that's â there absolutely is.
00:53:10.271 --> 00:53:10.570
Why?
00:53:10.731 --> 00:53:12.291
Because it costs them freaking zero.
00:53:12.552 --> 00:53:13.313
What's it cost them?
00:53:13.873 --> 00:53:14.873
In Madison Square Garden,
00:53:14.893 --> 00:53:16.175
when the Rangers walk out,
00:53:16.494 --> 00:53:18.215
they walk out in a hallway that, like,
00:53:18.315 --> 00:53:19.577
you can stand in that's, like,
00:53:19.617 --> 00:53:20.597
completely glassed in.
00:53:21.670 --> 00:53:22.449
Cost them zero.
00:53:22.769 --> 00:53:24.590
But if you're the stockbroker whose kids
00:53:24.630 --> 00:53:26.090
are super big Ranger fans,
00:53:26.530 --> 00:53:28.030
and now you can just think,
00:53:28.210 --> 00:53:29.451
can I take a selfie doing it?
00:53:29.710 --> 00:53:30.050
Yes.
00:53:30.552 --> 00:53:32.692
Charge for it.
00:53:32.711 --> 00:53:33.731
Can I take a selfie doing it?
00:53:33.791 --> 00:53:34.092
Yes.
00:53:34.192 --> 00:53:35.032
Cameron payola.
00:53:35.052 --> 00:53:36.052
It was the big payola skate.
00:53:36.092 --> 00:53:37.172
It was the big payola push.
00:53:37.813 --> 00:53:39.052
Somebody was trying to get elected hard.
00:53:39.092 --> 00:53:39.452
I was like,
00:53:39.472 --> 00:53:41.052
you know who the biggest scoundrel,
00:53:41.132 --> 00:53:42.032
I'm not saying it was good.
00:53:42.072 --> 00:53:42.634
It wasn't good.
00:53:42.653 --> 00:53:43.233
You know,
00:53:43.273 --> 00:53:45.634
the biggest people who scourges on society
00:53:45.693 --> 00:53:48.094
are radio station program directors.
00:53:48.375 --> 00:53:49.954
Like think about, all right,
00:53:50.014 --> 00:53:51.034
it was illegal, but,
00:53:51.800 --> 00:53:52.079
I don't know.
00:53:52.099 --> 00:53:52.900
I think there was bigger,
00:53:53.061 --> 00:53:55.001
bigger fish to fry.
00:53:55.121 --> 00:53:55.641
I love it.
00:53:55.681 --> 00:53:56.041
You know,
00:53:56.181 --> 00:53:58.103
we've talked about it a hundred times.
00:53:58.242 --> 00:54:00.423
Here's a hundred and one coming into the
00:54:00.443 --> 00:54:01.545
clinic this morning.
00:54:01.644 --> 00:54:03.385
I'm talking to chat GPT.
00:54:03.465 --> 00:54:03.806
Hey,
00:54:03.846 --> 00:54:06.967
what are some like timely topics for PT
00:54:07.027 --> 00:54:07.807
breakfast club?
00:54:08.807 --> 00:54:12.030
And one of them was letting patients self
00:54:12.090 --> 00:54:14.311
pay as an option.
00:54:14.878 --> 00:54:17.960
to reduce wait times, increase access.
00:54:18.679 --> 00:54:20.021
And I just go back to, I'm like,
00:54:20.400 --> 00:54:21.382
I don't understand.
00:54:21.501 --> 00:54:23.844
Even we on our website,
00:54:23.864 --> 00:54:25.505
and I just checked because I had forgotten
00:54:25.525 --> 00:54:26.025
about this.
00:54:26.545 --> 00:54:28.646
Even we on our website have a two
00:54:28.666 --> 00:54:30.568
hundred and fifty dollar self pay one
00:54:30.588 --> 00:54:31.268
visit option.
00:54:31.809 --> 00:54:32.809
You know, it's like, look,
00:54:32.869 --> 00:54:34.050
if you if you just need a quick
00:54:34.090 --> 00:54:36.190
about pay the two fifty, come on in.
00:54:36.231 --> 00:54:37.751
We don't sell them, but they're there.
00:54:37.771 --> 00:54:38.492
They're marketed.
00:54:38.532 --> 00:54:40.454
We put it out publicly to the world.
00:54:41.318 --> 00:54:44.101
and like we know there's a shortage of
00:54:44.161 --> 00:54:46.242
staff we know there's wait lists we know
00:54:46.262 --> 00:54:48.344
there's all these problems going on and
00:54:48.384 --> 00:54:50.405
therapists aren't generating enough
00:54:50.505 --> 00:54:53.409
profitability to stay in business what is
00:54:53.449 --> 00:54:55.190
the harm in just putting it out there
00:54:55.431 --> 00:54:57.211
penn state's doing a ten thousand dollar
00:54:57.311 --> 00:54:59.434
offer why not just put out on the
00:54:59.494 --> 00:55:00.255
website hey
00:55:00.835 --> 00:55:03.255
exclusive offer, five available,
00:55:03.717 --> 00:55:05.456
five hundred dollar one time session.
00:55:05.878 --> 00:55:07.018
You know, this is what we do.
00:55:07.077 --> 00:55:07.938
Boom, boom, boom, boom, boom.
00:55:08.018 --> 00:55:09.239
These are the benefits to it.
00:55:09.298 --> 00:55:09.900
No way.
00:55:09.940 --> 00:55:11.559
Same day appointments, whatever.
00:55:12.001 --> 00:55:15.661
Like I would literally cancel an
00:55:15.681 --> 00:55:17.782
appointment for somebody else.
00:55:17.922 --> 00:55:18.864
Call me evil.
00:55:19.833 --> 00:55:22.536
to book an appointment for a five hundred
00:55:22.556 --> 00:55:25.217
dollar self-paced session if they called
00:55:25.277 --> 00:55:27.179
and wanted to get in today you know
00:55:27.199 --> 00:55:28.822
and the reality is if i didn't make
00:55:28.862 --> 00:55:31.023
that sacrifice i wouldn't be able to stay
00:55:31.043 --> 00:55:33.525
in business if i'm losing money every year
00:55:34.324 --> 00:55:35.505
I mean, go to Disney.
00:55:35.605 --> 00:55:36.666
You could buy a fast pass.
00:55:36.686 --> 00:55:36.766
Yeah.
00:55:36.786 --> 00:55:37.586
Same thing.
00:55:37.626 --> 00:55:38.668
How screwed up is that?
00:55:38.788 --> 00:55:39.489
You can buy a,
00:55:39.909 --> 00:55:41.411
you can use money to skip a line.
00:55:41.550 --> 00:55:41.731
Yeah.
00:55:42.351 --> 00:55:43.413
Go to a baseball game.
00:55:43.672 --> 00:55:45.815
Football game comes with parking passes.
00:55:46.215 --> 00:55:48.097
You're selling the thing that where would
00:55:48.117 --> 00:55:48.938
the interns show up?
00:55:48.998 --> 00:55:49.699
I can, I can park here.
00:55:49.739 --> 00:55:49.918
Right.
00:55:49.938 --> 00:55:51.219
Cause I'm, this is cool.
00:55:51.561 --> 00:55:51.760
Right.
00:55:51.800 --> 00:55:52.981
Where are they trying to like, sort of,
00:55:53.141 --> 00:55:53.842
I can skip the line.
00:55:53.862 --> 00:55:54.063
Right.
00:55:54.083 --> 00:55:55.423
Like charge for that.
00:55:55.503 --> 00:55:57.465
Cause people are doing the math in their
00:55:57.505 --> 00:55:57.786
head.
00:55:58.489 --> 00:55:59.010
Is this worth it?
00:55:59.110 --> 00:56:00.110
Oh, dude, I've stood in a line.
00:56:00.150 --> 00:56:01.030
Dude, it sucks.
00:56:01.130 --> 00:56:03.010
In Florida, in July, in the humidity,
00:56:03.291 --> 00:56:03.731
I'd pay.
00:56:04.030 --> 00:56:04.452
I'd pay for it.
00:56:04.472 --> 00:56:04.771
Oh, really?
00:56:04.811 --> 00:56:05.411
You'd pay for that?
00:56:06.751 --> 00:56:07.873
They pass the eyebrow test.
00:56:07.893 --> 00:56:08.972
They go, oh, you'd pay for that?
00:56:09.813 --> 00:56:10.373
Charge for that.
00:56:10.492 --> 00:56:11.213
People will pay for it.
00:56:11.813 --> 00:56:13.253
And also at every sporting event,
00:56:13.753 --> 00:56:15.974
the closer you sit to the action,
00:56:16.155 --> 00:56:17.054
the more you pay, right?
00:56:17.074 --> 00:56:18.034
So if you're courtside,
00:56:18.275 --> 00:56:20.036
if you're sitting behind home plate,
00:56:20.936 --> 00:56:22.916
at any game the closer you are to
00:56:22.936 --> 00:56:25.518
the action you typically pay more unless
00:56:25.538 --> 00:56:27.717
you got invited by you know a friend
00:56:27.737 --> 00:56:29.539
or something that had tickets but the
00:56:29.559 --> 00:56:31.358
closer you sit the more you pay the
00:56:31.398 --> 00:56:32.840
further away you are the less you pay
00:56:33.119 --> 00:56:34.820
same type of thing front of the plane
00:56:35.880 --> 00:56:39.822
bigger seats board first baggage fee or
00:56:39.882 --> 00:56:41.463
you know like just think like but what
00:56:41.523 --> 00:56:43.382
tony said there the magic f word that
00:56:43.443 --> 00:56:45.603
tony talked about there or sorry not the
00:56:45.684 --> 00:56:47.344
f word you avoided the f word was
00:56:47.445 --> 00:56:48.625
benefits and not features
00:56:50.351 --> 00:56:51.771
So I'll do my parting shot first.
00:56:52.231 --> 00:56:53.112
Here's my parting shot.
00:56:53.472 --> 00:56:54.853
I've said this a hundred times in front
00:56:54.893 --> 00:56:57.135
of physical therapists, researchers,
00:56:57.155 --> 00:56:57.894
and academics.
00:56:59.335 --> 00:57:00.476
You have to understand the difference
00:57:00.496 --> 00:57:01.536
between features and benefits.
00:57:01.677 --> 00:57:02.896
So if there's going to be one hill
00:57:02.936 --> 00:57:03.478
that I'm going to die on,
00:57:03.498 --> 00:57:04.097
this is one of them.
00:57:04.657 --> 00:57:05.338
I have a Jeep.
00:57:05.579 --> 00:57:06.219
It is red.
00:57:06.559 --> 00:57:07.519
It's four-wheel drive.
00:57:07.900 --> 00:57:09.681
And it's got a top that comes off.
00:57:10.061 --> 00:57:11.782
Those are all features of my Jeep.
00:57:12.121 --> 00:57:13.922
I know that PTs want to,
00:57:14.083 --> 00:57:16.043
we would love to evidence-based.
00:57:17.003 --> 00:57:18.425
And I'm going to talk about features all
00:57:18.465 --> 00:57:18.625
day.
00:57:19.679 --> 00:57:20.179
Nobody cares.
00:57:20.900 --> 00:57:21.739
They think they do.
00:57:22.501 --> 00:57:24.461
They logic their way back into caring,
00:57:24.501 --> 00:57:25.603
but they want the benefits.
00:57:26.003 --> 00:57:26.684
It's red.
00:57:27.043 --> 00:57:28.224
When I pull into a parking lot,
00:57:28.744 --> 00:57:29.806
everybody pays attention.
00:57:30.126 --> 00:57:32.027
That's the benefit of having a red Jeep.
00:57:32.306 --> 00:57:33.208
It's four-wheel drive.
00:57:33.648 --> 00:57:35.128
Do you think an upstate New York snowstorm
00:57:35.228 --> 00:57:36.530
ever keeps me in my house?
00:57:36.869 --> 00:57:37.411
Absolutely not.
00:57:37.530 --> 00:57:39.012
That's the benefit of four-wheel drive.
00:57:39.371 --> 00:57:40.052
Four doors.
00:57:41.233 --> 00:57:42.693
Dude, I never leave a friend behind.
00:57:42.873 --> 00:57:43.914
The party's always in my Jeep.
00:57:45.188 --> 00:57:45.989
The top comes off.
00:57:46.210 --> 00:57:48.351
I can go from covered to wind in
00:57:48.371 --> 00:57:49.952
my hair in ninety seconds or less.
00:57:50.211 --> 00:57:51.052
That's the benefit.
00:57:51.413 --> 00:57:53.373
Talk about benefits and you'll never go
00:57:53.414 --> 00:57:53.634
hungry.
00:57:58.574 --> 00:57:59.394
All right.
00:57:59.414 --> 00:58:00.074
I just had it, but I lost it.
00:58:00.094 --> 00:58:00.896
Dave, what do you got?
00:58:01.056 --> 00:58:01.195
I'll go.
00:58:01.235 --> 00:58:01.376
I'll go.
00:58:01.396 --> 00:58:01.496
Yeah.
00:58:01.815 --> 00:58:04.157
So going back to the whole employer and
00:58:04.217 --> 00:58:05.838
team member employee situation,
00:58:06.438 --> 00:58:07.759
just going back to being on the same
00:58:07.798 --> 00:58:09.280
page, both sides.
00:58:09.340 --> 00:58:11.300
And it's always a challenge, both sides.
00:58:11.360 --> 00:58:12.880
It would be great if we can all
00:58:12.920 --> 00:58:13.862
just say, hey,
00:58:13.882 --> 00:58:15.041
this is what we're looking for.
00:58:15.141 --> 00:58:17.103
This is what we're this is what we're
00:58:17.123 --> 00:58:18.623
seeking is what we want.
00:58:18.943 --> 00:58:19.824
What do you want?
00:58:19.885 --> 00:58:20.945
What do you want out of this?
00:58:21.065 --> 00:58:22.525
What are the things that will
00:58:23.186 --> 00:58:25.786
allow you to do a great job?
00:58:25.827 --> 00:58:26.806
What is the support?
00:58:27.467 --> 00:58:28.547
What is the mentorship?
00:58:28.568 --> 00:58:30.728
What is the compensation?
00:58:30.789 --> 00:58:31.668
Is it annual?
00:58:31.708 --> 00:58:32.469
Is it salary?
00:58:32.509 --> 00:58:34.030
Is it some performance pay?
00:58:34.190 --> 00:58:36.371
What is it that you're searching for?
00:58:36.570 --> 00:58:38.090
Or maybe you already have your hiring
00:58:38.130 --> 00:58:39.711
process dialed in and you're kind of like,
00:58:39.791 --> 00:58:40.572
this is the offer,
00:58:40.851 --> 00:58:42.132
kind of like what's on Sony's website.
00:58:42.152 --> 00:58:42.833
This is the offer.
00:58:43.572 --> 00:58:45.393
take it or leave it either way just
00:58:45.653 --> 00:58:47.695
i think we all not even just physical
00:58:47.715 --> 00:58:50.016
therapy but just in all professions all
00:58:50.096 --> 00:58:52.197
jobs that are being listed out there like
00:58:52.757 --> 00:58:53.677
there just needs to be a little bit
00:58:53.717 --> 00:58:54.858
more transparency a little bit more
00:58:54.938 --> 00:58:57.119
openness like just both sides just put
00:58:57.139 --> 00:58:58.659
your cards on the table like this is
00:58:58.679 --> 00:58:59.780
what i'm willing to pay you this is
00:58:59.800 --> 00:59:01.862
the salary i'm willing to pay this is
00:59:01.882 --> 00:59:03.463
the upside that i'm willing to pay if
00:59:03.503 --> 00:59:05.523
you treat more patients whatever like just
00:59:05.603 --> 00:59:07.684
more candid conversations like let's find
00:59:07.764 --> 00:59:09.605
out what both sides want and then i
00:59:09.625 --> 00:59:11.485
think you'll have better matches and more
00:59:11.505 --> 00:59:12.527
team members that stay longer
00:59:13.802 --> 00:59:14.802
All right, parting shot.
00:59:14.882 --> 00:59:16.503
If you haven't done it already,
00:59:16.563 --> 00:59:17.724
what are you waiting for?
00:59:17.804 --> 00:59:18.623
Go subscribe.
00:59:18.664 --> 00:59:20.943
Go follow PT Breakfast Club,
00:59:20.983 --> 00:59:23.125
Dave Kittle Show, Learn Medicare Billing.
00:59:23.585 --> 00:59:26.425
We've been out here twice a week sharing
00:59:26.505 --> 00:59:27.686
ideas, sharing content.
00:59:27.706 --> 00:59:29.425
The least you could do is support the
00:59:29.485 --> 00:59:30.565
social media channels.
00:59:30.626 --> 00:59:33.166
You guys come back Tuesdays and Thursdays,
00:59:33.266 --> 00:59:34.286
eight thirty a.m.
00:59:34.467 --> 00:59:34.927
Eastern.
00:59:35.286 --> 00:59:36.668
We'll catch you on the next episode.
00:59:36.688 --> 00:59:37.208
Thanks, guys.
00:59:37.228 --> 00:59:37.367
See you.