In this episode, Doc Danny and Yves Gege break down two critical turning points they see repeatedly in physical therapy careers and business ownership: the three-year clinician dilemma and the five-year business owner burnout. They also dive into systems, leadership, continuity programs, and financial clarity as key tools to break through these walls. If you’ve ever felt stuck or unsure of your next move—this is the episode to hear.

• Why so many PTs hit an identity crisis around 3 years into their career
• How lack of time freedom drives clinicians to explore new options
• The most common cause of burnout 5 years into business ownership
• Why continuity programs are the backbone of profitable, sustainable practices
• The difference between being a good clinician and a great business owner
• Leadership pitfalls: being too abrasive vs. trying to be everyone’s friend
• How poor systems and unclear financials stall growth and create chaos
• Why knowing your profit margin is like taking your business's blood pressure

• Track your finances monthly—know your gross revenue and profit margins
• Train your team on continuity, not just plan of care discharge
• Set clear core values and enforce them with consistency
• Don’t wait until you're burnt out—build systems early
• Balance clinical work and business work by reducing your treatment hours over time

• Visit PT Biz – Learn how we help clinicians build successful practices
• Try Claire AI – Get 10 free AI-scribed notes and stop babysitting documentation
• Book a Free Strategy Call – Talk with a senior advisor about your practice goals
• Join the 5-Day Challenge – Go from part-time to full-time with a clear plan
• Subscribe on YouTube – Watch more deep dives and real-world advice

Whether you’re hitting the three-year “do I want to be a PT?” wall or the five-year “did I build myself a prison?” moment in business, the answer lies in systems, leadership, continuity, and clarity. Don’t wing it. Learn the business side of things. And don’t wait until burnout hits—build proactively. You’ve got options. You’ve got support. Just don’t settle.

In this solo episode, Doc Danny dives into one of the most common pain points for cash-based and hybrid clinics: getting stuck between $20K–$30K/month in revenue. If you’re hitting that ceiling and can’t figure out how to break through, this episode unpacks the real reasons why—and what to do about it. From recurring services to team sales training, this is your roadmap out of the hardest growth phase in business.

• Why $20K–$30K/month is a common plateau for clinic owners
• The hidden costs of growth: overhead, staff, and shrinking margins
• Why hiring a new provider often slows momentum—if done wrong
• The critical role of recurring revenue and retention
• How to teach your team to sell long-term transformation (not just plans of care)
• Why solving the “eval hamster wheel” unlocks true scale
• How to build a business that runs even when you’re not treating

• Track how many new patients each provider truly needs—then cut it in half with better retention
• Train your staff to sell ongoing services: wellness, performance, prevention
• Stop playing the discharge game—play the long game instead
• Expect lower profit margins during growth—and don’t panic
• Build systems that eventually make you non-essential to daily fulfillment

• Visit PT Biz – Learn how we help clinics grow and scale
• Book a Free Strategy Call – Work through this phase with expert guidance
• Subscribe on YouTube – More insights on growing a cash-based business

If you’re stuck in the $25K–$30K/month grind, it’s not because you're not good at what you do. It’s because you're playing the wrong game. Shift to long-term value, train your team to sell transformation, and you’ll scale faster—and with less stress. This phase is hard, but it's also where real businesses are built.

In this episode, Doc Danny and Yves Gege break down how AI is already reshaping healthcare—and how performance-based PTs can stay ahead. From ambient scribe tools to the cultural shift toward longevity, the guys explore why burnout, low compliance, and insurance gridlock are pushing more clinicians to rethink everything. If you're serious about building a future-proof practice, this is essential listening.

• Why AI will disrupt admin-heavy healthcare roles (but not manual therapy)
• How tools like Claire are helping PTs win back time and improve patient care
• The real difference between high-accountability practices and commoditized care
• Why movement-based, lifestyle-focused clinicians are in high demand
• How cultural trends—like wearables, ruck clubs, and no-alcohol meetups—are shaping the next generation of patients
• Challenges and opportunities in practice acts and direct access laws
• The importance of building community and brand identity in your local market

• Start using AI tools for documentation now—before you’re forced to
• Double down on human connection; that’s what AI can’t replace
• Educate your patients—don’t assume they know PT isn’t just hot packs and massages
• Create a community—start a ruck club, host workshops, be part of local health trends
• If you’re burned out, don’t wait—there’s more opportunity than ever to build your own practice

• Visit PT Biz – Learn how we help clinics grow beyond insurance
• Book a Free Strategy Call – Get help building your cash or hybrid model
• Subscribe on YouTube – For more real-talk business advice
• Check Out Claire AI – Save time, reduce burnout, and connect with your patients

AI isn’t coming—it’s here. But for performance-based PTs who prioritiz