What We Wish We Knew - Expanding from 0 to 1, to 2, to 3+ Clinics with Nathan Shields and Adam Robin of PT Owners Club Coaching Program
Feb 27, 2024
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Explore the challenges of opening multiple physical therapy clinics, from partnerships and financial strains to fostering autonomy in team culture. Learn about the importance of strong foundational systems, coaching support, and thoughtful decision-making when expanding from one clinic to multiple locations. Hear insights on managing growth, efficiency, and leadership shifts in a multi-clinic setup, emphasizing delegation, prioritization, and planning for future growth.
Establish clear roles and aligned visions in partnerships for clinic expansions.
Plan and prepare for financial strains, including construction costs and cash flow issues, when expanding clinics.
Deep dives
Lessons Learned from Opening Health Clinics
Opening multiple health clinics involves challenging lessons. The importance of partnerships is emphasized, stressing the need for aligned visions and clear roles. Establishing solid communication about company direction, roles, expectations, and even exit plans is crucial. Setting up formal agreements early on helps prevent future misunderstandings and streamlines decision-making.
Financial Considerations for Expanding Health Clinics
Expanding health clinics requires significant financial investment and preparedness. Understanding the financial strain of negative cash flow in the initial months is vital. Planning for construction costs, operational expenses, and potential cash flow issues, including factors like reimbursement rates and cash pay services, is essential for long-term stability.
Maintaining Culture and Leadership Across Multiple Health Clinics
Maintaining consistent culture and leadership across multiple health clinics poses a challenge. Managing cultural shifts, ensuring value-aligned employee hires, and developing leadership that embodies company values are key to sustaining clinic success. Building a culture-centric environment and preparing for inevitable personnel changes are critical for long-term growth.
Preparing for Future Health Clinic Expansions
As a business expands to additional health clinics, there's a focus on rebuilding systems for efficiency and profitability. Implementing automation, improving documentation processes, and enhancing marketing strategies are vital steps for future growth. Nurturing leadership development and creating recruitment and sales systems become crucial to sustain and scale the business effectively.
The challenges of opening a second or third clinic in your PT practice aren’t the same challenges that you face when opening the first clinic. As you scale, the need for more robust systems and processes increases. In this episode, Nathan Shields and Adam Robin discuss what they wish they had done differently in their ownership journey, especially as it relates to expanding beyond the first clinic. Going into an expansion, a Physical Therapy Clinic owner may have an "I don't know what I don't know" mindset. Let this episode (and a trusted coach) guide into some of the things that you haven't foreseen. The opportunities and the growth are great, and pitfalls should be expected along the way. But there are ways to see around corners – let this podcast be one of those ways.
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