Oct. 7, 2025

PT Breakfast Club 10/7

PT Breakfast Club 10/7
Apple Podcasts podcast player iconSpotify podcast player iconCastro podcast player iconRSS Feed podcast player iconAmazon Music podcast player iconAudible podcast player iconCastbox podcast player iconGaana podcast player iconiHeartRadio podcast player iconYouTube podcast player iconYoutube Music podcast player icon
Apple Podcasts podcast player iconSpotify podcast player iconCastro podcast player iconRSS Feed podcast player iconAmazon Music podcast player iconAudible podcast player iconCastbox podcast player iconGaana podcast player iconiHeartRadio podcast player iconYouTube podcast player iconYoutube Music podcast player icon

PT Breakfast Club 10/7

Transcript
WEBVTT

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 –

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 – 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 – 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.