0 - 200+ Visits Per Week In Less Than 12 Months With Zack Randolph Of Breakthrough Physical Therapy

[00:00:00] It's like one of our patient care coordinator. So she used to be a teacher, super organized. I am not super organized and I'm clear enough on what we need to be successful. She's going to get it done. You know what I'm saying? So if you can have a couple of killers like that on your team, it doesn't matter what the obstacle is really. You ask somebody for some help. You get clear on what the problem is. We talk about it and from then on, it's done.

[00:00:25] Welcome. You've entered the Physical Therapy Owners Club podcast where your host, Nathan Shields and other successful PT owners and leaders share their experience and insights on how to build successful PT businesses. They'll share the stories of their paths to success and show you how you can also obtain greater freedom and more profits from your business. That's what the PT Owners Club is all about. Greater freedom and more profits. There's plenty of room for you as well. So come on in and join the club.

[00:00:56] Hello and welcome to the Private Practice Owners Club podcast. I'm your host, Adam Robin. And today we have a rock star client. His name is Zack Randolph. Zack is the owner of Breakthrough Physical Therapy in Amory, Mississippi. Wanted to bring him on today because the dude's been killing it. He's been working with me for about a year now and he's doing something really, really special. Thought it would be cool to bring him on, tell his story. What's up, Zack? How are you? What's up, buddy? How are you doing?

[00:01:22] Zack, man, I am so impressed by what you're doing. I'm actually jealous. You have just been doing so well. We've been knowing each other since before you opened your practice. It's like, right, man, when you opened, you just hit the ground running and your clinic has exploded. So I want you to just introduce yourself, tell people who you are. Maybe we can talk a little bit about you got out of school and what you did and what led you up to opening your practice, and then we can take it from there.

[00:01:49] We started out as an adult outpatient physical therapy clinic in Amory, which is a smaller town in a bigger county, you know, a little bit more rural area. Just like most therapists, I had some injuries, was introduced to physical therapy in high school. And there was a guy in my hometown who was like the guy. And then again, in college, I got hurt again. So it's kind of time to decide what I wanted to do. Talk to him. He kind of pushed me towards physical therapy, which was an awesome choice.

[00:02:16] I was going to go to PT school, come back and work for him. And unfortunately, after my first year of PT school, he passed away. He had cancer. So it was a big motivator for me because he was the guy that you could lean on. You know, like growing up, I didn't know there were other clinics. It was just that guy was who you called if you got hurt. So he encouraged me to go to physical therapy school, got out of physical therapy school. And like most people, you know, did like corporate PT type therapy. And I don't know, just always kind of had that.

[00:02:46] entrepreneurial bug and wanted a little bit more. So that led to similar to you. It led to, you know, I didn't want to just go straight, you know, straight to my own thing. So needed about a year or two. So did some home health in between trying to get some time and money and things like that.

[00:03:00] And opened in October of 2023, just me and an office manager. And then so I guess that's been about 14 months now. And we recently added on and started pediatrics. And then we've got like 15 employees now. So enjoying it. And with Adam kind of reached out because I've listened to every episode of this podcast ever. So like those home health days, I went back and listened to every episode. You know, I'd listen to 10 in one day.

[00:03:29] So because I was doing a lot of driving. So one of the episodes, he was talking about reach out to somebody that's doing what you want to do. So I called you, found you through somebody from PT school. They told me about you in South Mississippi, called you, told you everything I just said, said, man, I've been listening to this podcast. And you said, Oh, what episode you're on? And I told you. And you said, Okay, well, I think mine's coming up in a few weeks. So I just hadn't got there yet. Listen to your podcast. And then I don't know, we just kind of hit it off. We've been talking for several years now.

[00:03:59] Yeah, man. That's awesome, dude. I love how you said 10 episodes in a day. Yeah, it's even though. That's a lot, man. That's a lot. But for those that are listening, it's like, that's the type of intensity that this guy brings to his work. So it's just super awesome to see that because it inspires me, man. Like, you don't play around. Like when you get locked in on something, it's like you, you just you're in there, man.

[00:04:29] So yeah. And I remember because I was doing home health as well. When you called me, I was still doing home. I think I still had the clinic and I was doing home health on the side. And I remember having those phone calls with you just like sitting in patient's driveways talking about business and kind of what you wanted to do. So yeah, it kind of came full circle. You opened your clinic in October last year, correct? And you named it Breakthrough Physical Therapy.

[00:04:51] And that was another thing. There's so many episodes on that podcast. I listened to a guy talking there and nothing against anybody who names it after themselves. That's probably what I would have done too. But he talked about how he named it Randolph Physical Therapy or whatever his last name was. And he kind of did like a shift towards, man, this isn't about me. This is about having a lot of therapists that can deliver the same thing I can do. More of like a team aspect. So try to proactively not name it out.

[00:05:21] After myself because I had this vision for a ton of therapists, you know, working here and all of us doing the same thing. So just mulled over some ideas. And it was actually like in a Christian song at church one day. It was talking about breakthrough. And I just picture like, whether it be personal therapy, whatever, we're going to go through something. And it's kind of cliche, but it's like a breakthrough in, you know, a mental or physical or whatever. So we're big on relationships. So kind of breaking through anything, you know, any barriers we have is kind of, you know, that's kind of why we named it.

[00:05:51] That's awesome, man. Will Humphries comes to mind. I talk about Will a lot. He's big on naming things. He's very big on like being careful and being intentional about how you name things because they set the tone, right? Like the language you use to describe things like really does play a lot in your culture and whatnot. So I think that's amazing. And so we started working together before you opened your practice, right?

[00:06:19] And so what are some of the things that you've kind of learned through, let's say the first year of your business? What are some of the big lessons that you've learned so far? I think one of the biggest things I learned kind of is because everybody who comes on, that's why I enjoy this so much is let's say somebody that comes on and you just don't really, you know, they're in a different, you know, season of life. They've had a clinic for 20 years or one year or whatever. Each person that comes on, I've been able to just pull this little tidbit of information.

[00:06:49] And then some of them, I've got notes on my phone, you know, everything they say, I'm just eating up. You know what I'm saying? So one thing I noticed, almost all of the people who had been on the podcast said, I went three years, five years, 10 years of kind of this burnout. And then I got coaching or then I got a mentor. Man, I wish I would have done that sooner. So, man, you kind of talked about, you know, trying to be proactive. You know, if you hear 25 owners say, man, I should have done this earlier.

[00:07:19] You know, we kind of talked about it. You know, I was like, I feel like it may be too soon to do some coaching or mentorship. And looking back, I don't think you can do it soon enough. So our goal was to be super proactive in every aspect instead of going back and putting out fires, trying to do it the right way from the start. And even that being our goal, being super proactive, there's still a ton of fires to put out.

[00:07:43] So I can't imagine not having, you know, a good network, people to call from the very beginning. I could see how it gets out of hand very fast. Yeah, but you've been killing it. I mean, you're absolutely killing the game. So we're going to put some numbers together. So you've been open since 2000. I'm sorry, you've been open since October. How many visits a week are you guys doing right now? You know, it goes up and down. I'd say right now, probably between like 200 and 240 visits.

[00:08:13] It's incredible. That's incredible. Absolutely. You know, I got into coaching pretty early. It took me maybe about a year and a half or two years before I got into coaching. And I don't think I was at, I mean, I was probably at 120 visits a week or something. To hear that you're there and like next year you're set up to do so much more. Like it's pretty incredible. The one thing kind of going back to your superpower, which is like the intensity that you bring to work.

[00:08:40] Like you're the kind of guy, you and I are wired in a similar way there where, you know, like when you see something that you want, like you're getting it done, period. Like it doesn't matter how much time it's going to take. Doesn't matter how hard it's going to be. You're like, you're just going to lean in and get it done, which is your superpower. But it also comes with some weaknesses, right? Some like some blind spots. So talk to me about some of the challenges that you've had, even with all the growth. Like what are some of the challenges you've had like personally and as an owner?

[00:09:09] Yeah, I think, you know, initially and talking about like the visit count and all those things, it really is. It's not, it doesn't have anything to do with me. It's like, it was just a part of mentorship and coaching, listening to all these guys talking about who to hire, why to hire, you know, you know, these therapists, like they come. And now people would do a whole plan of care and go to leave and, you know, be like, man, thanks so much, Zach.

[00:09:31] You know, and I haven't treated them one time. And that's like really fun for me is that that side of like, man, now I'm seeing, you know, these other therapists and, you know, I kind of push them to do their own thing and being able to help more people because they're doing so good. You know what I'm saying? So when, yeah, when I see something that I really want, it's really good. And when we hired our pediatric director, told her one day, I was like, you know, I'm kind of obsessed with this. So like, I'll be calling you on the weekend summit first. And she's like, it's okay. And I'm like, no, I'm not kidding.

[00:10:01] Like I'm at church and we're doing worship songs and halfway through the song, I start thinking about the clinic. I was like, I got to stop doing this. But so that is like, I think that's one reason, you know, why we've been able to help so many people so far. But at the same time, you know, a little bit of it is, is do everything you can today to, you know, all the things I can control, be super intense about it.

[00:10:26] And then trust the process going to come, let's say you have a bad week of referrals or the part of me that's like, oh man, I got to jump in here and fix this. Versus we're doing everything the right way. Like it's going to work itself out. So having to lean into trusting the whole team versus one thing goes wrong, like, oh man, I got to go market. I got to do these things. So it's a good thing, but it's also a curse if you let it be. So usually, you know, we talk about whatever our strengths are usually ends up being the bottleneck on the back end.

[00:10:54] So kind of just being able to recognize what's going to be the bottleneck beforehand, talking to the therapist, talking to you, talking to some mentors and kind of being proactive with it and being clear about how to fix it versus getting stuck in this, you know, three to four months of bottleneck, you know, whether it's getting referrals or hard conversations with employees or anything like that. I think about you and I feel like you've gotten a decade worth of experience in the matter in 12 months, right?

[00:11:21] Like not just open a clinic, but like you've marketed developing policy procedures, got a leadership team, expanded your building, hired people, figuring out billing. Like you've done, it's like every week, it's like another year has gone by. So that's hard. That's stressful, you know, because you're jumping into a, I mean, you've got a great team. You've got, you're in the coaching program, but you're still putting your, you're inserting yourself into unfamiliar territory. So you are having to trust the process a lot. And through that, it's like, you kind of get into that.

[00:11:51] You're moving so quickly and you're getting into that, like problem solution, problem solution, problem solution. Like you're just kind of like solving problems all day. It's as you get bigger, how many employees do you have now? Plus to 15 probably. Yeah. So we're at 15 employees, but with that much intensity, sometimes we forget to pop our head up and be like, oh my God. Okay. Now it's like, what's coming up next month. What's coming up next quarter? Because the vision has to get a little bit further out as you get a little bit bigger. And that's kind of what I'm excited about for you.

[00:12:18] It's like, you've got all of the things in place, all of the basics. There's always going to be things you can improve in your business. And really next year, it's about like, how do we get Zach to be able to see the vision and be able to get super far in front of the team? It's like, I feel like that's going to be the thing that really sets you free next year. Yeah. I think what has helped us the most is we all are on the same page and working together.

[00:12:41] And it's hard for me because I feel like I have to jump in and do some things, but we have such good therapists and like biller and front office staff. And they're so much better than me at certain things. And I think it took a little bit. It took a little bit. This is kind of what I have vision, get them to see the same vision as I do. You know what I'm saying?

[00:13:03] One thing that we did that I think really helped a lot is instead of me doing coaching, me watching YouTube, me doing podcast, whatever, and then trying to go relay the message. And it's coming out from Zach. We kind of just sat around, read a couple of chapters of traction. My patient care coordinator sent her a podcast when y'all did the series about the front desk. And she's like, man, that makes a lot more sense coming from them. And I'm like, well, thanks. But so I'm trying to relay the second message.

[00:13:32] And she listened and she's like, now I understand why collecting over-the-counter payments is so important. You know what I'm saying? So instead of trying to do it all, recruiting people that are way better than me at their job and their man. And we started all doing stuff together, like creating SOPs and the manual and putting it all on a drive together. And then I just search or I tell them, man, you know what I think would be a good idea? Let's make a front office manual. And they're like, yeah, it's already in there. And I'm like, oh, that's awesome. You know what I'm saying?

[00:14:02] So they're brought in. And I think it just comes down to some clear communication of why. Because they want the same thing I do. They want patients to come here. And they want because we feel like we deliver a very consistent plan of care. And we feel like they get better and they like it. And then they leave. And if they ever need us again, they know where to come. So they know that's what's most important is the experience versus, you know, therapy is super important.

[00:14:28] And I'm going to do really good therapy, but it doesn't matter how good of therapy. If my scheduling is all wrong, if I get a surprise bill, if, you know, all those things that end up like me on the back end, it doesn't matter how good of a therapist you are if everybody's not communicating and being clear. Yeah. And it starts with you being clear, right? Yeah. I love there's a few things that you hit on there. Number one, and I'm probably going to forget them all, but you mentioned this idea of reading books together.

[00:14:54] And I get that because I can remember being in a place where I felt like I had to tell my people what to do. Right. And it became this conflict of like Adam versus this person. Right. It was like Adam versus Zach. And what reading books does or listening to podcasts or leveraging external resources like a coach does is it creates, it's no longer me versus you. It's us looking at the resource. And so we're both looking in the same direction.

[00:15:24] And so that creates just like an area of common ground. And that's one of the principles in that book, Crucial Conversations. And when you can create that area of common ground and let's say, hey, we might think differently, but let's follow the same principles. And you do it your way, I'll do it my way, but we're going to all kind of end up in the same direction. That's just a good fundamental way to lead your team. And I think what was super powerful for us is I really do brag on them as much as possible because it does not hinge on me at all. It's because of how good they do.

[00:15:52] And I think whenever we sit down and look at those things together, like you said, and because like one of our patient care coordinator, so she used to be a teacher, super organized. I am not super organized. And I'm clear enough on what we need to be successful. She's going to get it done. You know what I'm saying? So if you can have a couple of killers like that on your team, it doesn't matter what the obstacle is, really. You ask somebody for some help. You get clear on what the problem is. We talk about it.

[00:16:21] And from then on, it's done. So there are just a couple of people on the team so far that have just like bought in all the way. And that's the only way you can have, in my opinion, this amount of patience in this short amount of time is really relying on others and them stepping up. And we're just blessed so far that everybody is on the same page. And some of us have or all of us, obviously, since last year have worked other places.

[00:16:45] And it's easy to me to pull things that you liked or didn't like from past experiences or past jobs and be like, man, this is what we want to do here. And this is how we're going to do it. And man, they just step up every time. And how much marketing have you guys done? We're pretty active on Facebook. And other than that, we have good relationships with some providers. But we don't... I keep saying, like I said earlier, it's a bad thing.

[00:17:11] Let's say we get low one week, I'm like, oh, my God, we got to go to doctor's offices and take them donuts. And then I'd end up not doing it. And the next week, I only set a record for this week or whatever. So we're really leaning into let's serve these patients right, treat them right. And we're doing it from a place of if I was getting therapy, what would I expect? And they go tell their family members and anybody. You go eat a really good meal. Next day, you're going to tell everybody how good it is.

[00:17:40] So you treat people the right way, they're going to go market for you. So we don't do just a ton of external marketing. That's what I wanted to get to. It's like a powerful thing happens when you get the entire team rowing the boat in the same direction. And it's unexplainable until you experience it. Because we're so used to scrolling TikTok and seeing the like, click now and we'll... And it's like, we think that that is what... We think that that's the easy thing to do to generate patience.

[00:18:10] Everybody wants just to market and get new patience. But the most valuable asset, in my opinion, that opinion is becoming more and more apparent to me as I grow. It's like my leadership and my ability to align my team. And when I say align my team, just create an environment where people can be successful. That's really it, right? That's really the key. The other thing that I think you've been hitting on it, but I want to acknowledge it is your ability to ask for help.

[00:18:37] Your ability to just get to asking people for help quickly. Because people do not build trust when you give them help. They build trust when you ask for help, right? So if I'm running around saying, hey, Zach, you need me? Can I help you? How can I help you? How can I help you? Zach, let me help you. Yeah, let me help you. At some point, you're gonna be like, Adam, can you just back off? Like you're kind of aggravating. Right? But if I come up to you and I'm like, Zach, dude, I'm having a hard time. I could really use your help on this.

[00:19:07] You feel how that's like, you're instantly drawn in because my guard is down, right? And like, you're able to kind of come in and like really connect with me because I'm being vulnerable with you. And not everybody's good at that. And I don't think that I'm as good at that as you are. We have a hard time asking for help as owners because we feel like we have to have all the answers. We feel like, oh, this is our problem to solve. And I get on calls with owners and even clients in our program. And they're like, man, Adam, I'm really struggling.

[00:19:36] And, you know, clinic A is doing good. But clinic B is really, man, we're having a hard time with X, Y, Z. And I'm like, all right, how many people on your team know that? None. Hey, practice owner, no one else can build your dream practice. It's all on you. One of my favorite quotes is you can't outsource being a CEO, but you can create space to get

[00:20:04] clear on your vision and focus on your mindset, your skill set, and your ability to execute. Our coaching programs help you build not just a profitable business, but a life that you love and one that aligns with what matters most. So if your business feels heavy, it's time to shift. Check out the show notes and click the link titled coaching to learn how we help owners just like you. Let's get committed to what you really want.

[00:20:34] How many people know about that problem? It's like none. It's like, well, that's what a great opportunity for you to be open and vulnerable with your team. You know, and it's like you can build so much trust there. If you just get help, like ask for help, you know, and they'll help you. Something happened this morning and I was just like smiling so big. I'm like, oh my God, this is great. So I don't even remember. Oh yeah. Something about discharge notes or something.

[00:21:02] And it was me and one of our therapists and our front, our billing manager. And we were trying to get some DCs done and it happened. And she kind of deleted some visits for going forward. And we were doing it wrong. So we didn't know how to do it. So we figured out how to do it. And my first thought is like, man, we need to create a system for that. We didn't know what we were doing. I said, you know what we need to do?

[00:21:30] And as I was saying it, she had drawn a star on the sheet of paper at the bottom and she was writing out, create. She was writing out around. She's like, I know, I know. So with that, I think the reason they're so good at it now is like you said, you know, we haven't really talked about it yet. But during those one to two years of home health, I had to change a lot. My personality, just the way I try to serve people versus looking for, you know, kind of like what you can do for me.

[00:21:58] So and the two that I've known the longest, they told me recently, they said, you know, you're not the same person you were a couple of years ago when we worked together in the past. And I was like, what do you mean? They're like, no, we mean in a good way. We've just talked about this before. And it was like a very good compliment to me. And they were like, you weren't a bad person. You're just different now. And I really did need those couple of years of home health, got closer to the Lord, read books, listen, talk to people.

[00:22:26] And it really did create this big mind shift for me that was like, you don't have to have it all figured out. You're going to have to rely on people. And that's how we've went about all of the systems, all of the processes, creating manuals, doing all these things is you're really good at organizing and you're better at this than I am. I'm not 100% sure how to do this. We're creating all this from scratch. When we run into an issue, let's capture it. Let's not sit in this room, this dark room and create all these systems.

[00:22:56] When we run into a problem, let's create a system for it. Going forward will be so clear that we'll, you know, so each time we hire somebody on board, it gets better. At first it was terrible. It was just, thank God you're here. We've got too many patients. So being able to say, I'm not 100% sure how this is going to look, but I need you to help me with it. I'm not 100% sure what your job description is going to be like, but you're going to help me do it because you're better at these skills than I am has been huge because then it's

[00:23:24] not, you know, I know everything. This is how you're going to do it. It's, I need your skills and we're going to create it together. It has really been more beneficial like that than me sitting in a room, creating all these systems and trying to spit them out at everybody. There's a book called Ready, Fire, Aim. And it's similar to that principle. I think it's a book around sales, but it's that whole principle. It's like, people think it's ready, aim, fire, but it's like, no, no, no, ready, fire. And then if you miss, then you pivot, then you aim. You know what I mean?

[00:23:49] So it's like, get into action way quicker because by the time you've written out your policy and procedure manual, Zach has already gotten 150 reps in and edited his policy four times and got it super dialed in and he's on to the next thing. You know what I mean? You're just getting more reps in. It's all dynamic. Yeah. Yeah. That's awesome, dude. Two nuggets that I took away from that. Number one, super cool to hear that your team is starting to recognize the power of capturing processes.

[00:24:17] So stage one is leading yourself. And it sounds like you learned how to do that through the personal growth and development that you did in that car riding around in home health. I just want to acknowledge you, man. Like that is super awesome. Like that self-discovery experience is one that I think is vital and unique to every owner. I've got a very similar experience. Number two is leading others, right? So step two is leading others and like helping that people on your team, empowering them to help

[00:24:47] you and helping them turn into superstars, right? I already got it written down, right? So you check. And now step three is how do I get them to build other leaders, right? So a great thing for you to start looking at in 2025 is when you start recognizing those types of behaviors in others. It's like, yep, I already got written down. It's like, hey, how'd you do that? Help her capture that. And then it's like, hey, do you think you could teach other people to do it? Can you run that by the whole front office and like teach them that?

[00:25:17] And so now you're helping her spread her genius into the organization. Just that extra little layer, which is really, really powerful. Man, and the other thing I was going to tell you about the personal growth piece, it's in the beginning, we build the business. And I know you're a Dan Martell fan, but at the beginning, you build the business and then eventually you build the people and they build the business, right? Right. So I have had the same people tell me that too.

[00:25:45] Like, man, you are not the same person that I started working for back in 2019. You are a completely different human being. That is exactly what you want to hear from people because that means you're getting better. And that's exactly what I want to see in my team. Like if I have people on my team, people that are in my leadership team, it's like, I don't want to be having the same conversation with you in six months. Like I need you to look different. I need you to dress different. I need you to present different. I need you to be more bold. I need you to be more confident.

[00:26:13] Like I want to feel like I'm talking to a different person. And if I, if I start seeing stagnation amongst my team, that's a good indication that you need to lean in and be like, Hey, what are you guys working on? You know what I mean? Like, what books are you reading? What guy, what are you guys working on? Because everybody around us is growing. And if you don't grow, you might get left behind. You know what I mean? It's just another thing to keep an eye on going into the year as you start building leaders on your team. That's exciting, man. It's exciting. Cool, man. Tell me about your vision for next year.

[00:26:42] What's 2025 going to look like? I know you might not be crystal clear on it yet, but like, what are some of the things that you really want to, what would some of the things that would excite you going into next year? We have our, had a ribbon cutting for the pediatrics today. So it was, you know, exciting families, local government all come, you know, and that's what the mayor talked for a second. He was like, Zach, tell me, tell me a little bit about what's going on here. And I told him, our goal is to have the best adult physical therapy clinic and the best

[00:27:11] pediatric clinic. And if you are in this area and the word therapy comes up, you know, I have to go there. Like there is no reason I wouldn't go there. I know who's there. I know that they care. I know they treat us. So this first year has been really like kind of just holding on, kind of going. So now I think getting super clear going forward on being proactive with onboarding.

[00:27:38] I think right now we're doing like some annual reviews and we're retroactively getting clear on some stuff. You know what I'm saying? Because we weren't, we didn't know what was going on at the beginning. So you hire somebody two months in, you hire somebody five months in, you know, you're kind of just making it up as you go 12 to 15 times later, you're super clear. So I think this entire year is getting so clear on everybody's purpose, everybody's job description,

[00:28:02] who does what, how do we do it to where by the end of 2025, there's not one question mark. So I think we're going to grow this year. And for me, it would be, man, we are so much more clear December 2025 than 2024. Like there is not one, you know, there's not one leaf unturned. We know what's going on. Everybody's still rowing in the right direction. Obviously hire some more PTs and pediatric staff and things like that. That's my vision for this next year.

[00:28:30] There's one book that really comes to mind. It's probably one that you've read, but it may be worth rereading sometime over the Christmas break. Good to great, right? Just recognizing like, okay, you're good, but like, how can we be great? You know what I mean? Like, and that could be a great book for you and your team to read together. In that book, I think he differentiates like level three, level four, level five. So it's like these new levels and level four is great. You know, if I remember correctly, and then level five is just like, you know, next level,

[00:28:59] you're out there doing, you know. So that was one I read during that two years of self-discovery and I really enjoyed it. But it was kind of like Dan Martell talks about, he's like, quit reading books if it's not what you got going on right now. So it's a good little primer, but now you're in the thick of it. It's like, let's go back and reread it. And I bet you highlight a few more things that you're going through currently. So yeah. Cause you got the basics down and you got some, you got a lot of awesome things in place. And now it's like, all right, how do we get really great at these things?

[00:29:28] You know, how do we like, okay, we're answering the phone, but like, how do we really want to answer the phone? You know what I mean? Like, you know, we're scheduling out plans of care. How do we really want to schedule that plan of care? Yeah. I think that's amazing. The other thing that comes to mind is some type of lead. Cause I know you're building leadership in your team. So like, I don't know if it's five dysfunctions of a team or something from Patrick Linceone. He's always got some great books, but leadership and self-deception or seven habits.

[00:29:55] There's some leadership principles that, you know, Nathan is the person that kind of put me on this as things get busier. You're at 15 employees, maybe at the end of the year, you're at 20, 25, who knows how many you're going to be at. But eventually it becomes impossible for you to give one-on-one attention to every single person on your team. How do I create something where everybody gets a little piece of Zach? And what I mean by that is like, you're serving them, right? You're serving them in whatever capacity that means for you. And Nathan's like, man, you focus on your leadership team.

[00:30:25] You focus on your leadership team. And it's like getting all, it's being out here with my hands everywhere, just kind of really going into that inner circle and being like, this is who we are. They're the leader extensions that get into the organization. And that's the thing that allows you to have the PT that you hire at the end of next year that you didn't even really meet yet. You know, but that's on the team. And then eventually, like after two or three weeks, they're sending you messages like, man, I just want to let you know, like, you've got an amazing team.

[00:30:53] Like, I don't know what you, you built something incredible here. And I just want to thank you for it. And it's like, I'm really touching people that I've never even truly met yet. So that's another great thing for you to consider going into next year, like really strengthen that leadership team. We've kind of leaned into that a little more lately, just because we've separated adults and pediatrics and there has to be some kind of medium between the two. And we have a clinic director and she is, you know, one of those rock star, you know, therapists and leader.

[00:31:22] So one thing that really helped me and any clinic owners who are fairly just opened or looking to open or, you know, five years, whatever, it's going to be organized. You are, I don't think time matters as much as like, you know, how organized you are. But one thing that really helped me a ton was I was stuck doing the treating all day, every day. And, you know, let's say somebody doesn't show up, you know, we'll just slide, we'll slide Zach's patient over to another therapist so he can go have one hour and try to do taxes

[00:31:52] or try to do some leadership stuff or try to go do a little bit of this and that. And it's like this buffer zone where you don't get anything done in that hour because you're stuck in treatment. You go for an hour, stop and talk to somebody. And then you get five minutes work done and really blocking off at least half a day, two days a week to be able to meet with the therapist, be able to meet with your biller, meet with and have several hours back to back where you're doing that same kind of thought process.

[00:32:20] And it was about the same amount of time that I had to do that kind of stuff when I was sliding, you know, and doing those type things. But when you're really focused and have a plan, just like we hired a patient care coordinator for the pediatric side and an OT recently, and yesterday was her first day. We were like, we had a super busy day on the adult side. And at the end of the day, I wanted to just check on her because she's an awesome girl. Sweet. You know, she's going to do awesome. But I really didn't get to talk to her much yesterday.

[00:32:46] But the week before, we had already talked about in our meeting some things we wanted to go over that first day. And at the end of the day, I can trust the pediatric director. And at the end of the day, I just wanted to check on her. I was like, how, you know, how was your first day? And she was like, I learned so much. We went through notes. You know, this checklist that we went through that we had talked about, and it was so much better doing it like that than just kind of winging it and being like, yeah, I treated eight people today.

[00:33:12] So it is really fun watching her, watching some of the other therapists, watching patient care coordinators, billers, office managers. It is really addicting seeing them lead people and being able to trust them and them doing it. And you're like, man, that OT just had a great first day. And I didn't get to talk to her. You know what I'm saying? But the director of pediatrics could do a better job at it than I can. I don't need to stick my nose in there. You know what I'm saying? So it was really rewarding seeing those type things. That's awesome, dude.

[00:33:42] So what you're doing is inspiring. I know whenever I did my podcast with Nathan, I guess two or three years ago, I had like three or four people. You were one of them. Reach out to me. So if somebody wants to get with you and just kind of listen to your story or just pick your brain, would that be okay? Yeah. And then what would be the best way to get in touch with you? I'm pretty active on Facebook. I'm sure all those. It's Zach Randolph or longer domain name, but it's Zach Randolph,

[00:34:07] Z-A-C-K-R-A-N-D-O-L-P-H at breakthroughphysicaltherapy.com is my email. So awesome. Yeah. Zach, he's an intense dude, baseball player, knows how to compete. So if you guys, if you have anybody that's listening, if you were inspired by his story, give Zach a shout. He can point you in the right direction, man. I appreciate it, dude. Last thing is I think any clinic owner, if you have any employees, let's say things aren't going good, numbers are low, whatever.

[00:34:35] One thing I try to lean into is like, who and how can I serve somebody today? You know what I'm saying? So like every time anything goes wrong or doesn't do good, if I flip that switch back to who can I serve and how can I do it today? It always comes back around. So I've talked to another coaching client recently and kind of asking some questions. And I was like, at the end of the day, just go serve them. Like we got off the phone. He was lunch. I was like, go today. I want you to tell me how it goes.

[00:35:04] Go serve like your front desk as good as you can and let me know how it goes. So that's how I look at it. And you do it from a place of serving heart, not trying to get something back, but it's going to come back around to you. Yeah, dude. It's like, just be you. Yeah, man. It's awesome. Let's plan on doing another episode like end of next year and we'll see where you're at. Yeah. Looking forward to it, man. I appreciate you. All right, brother. Peace out. Thanks for joining us today in the Physical Therapy Owners Club, the resource for stability

[00:35:33] and freedom in your PT practice. Reach out and join the network today. Subscribe to our podcast, get links to social media and access all of our episodes with show notes at ptoclub.com. Peace out. Peace out. Peace out. Peace out. Peace out.