Ditching The 1985 Private Practice Model For A Bigger Vision In A State-Of-The-Art Facility - Angie McGilvery's Practice Transformation

[00:00:00] I take it all back to purpose and take it all back to Joe and I being very intentional about defining for us what winning in this whole game looks like. And sitting down and having like making the time and creating the space for us to have those conversations to make sure that, you know, the intention and the energy that we're putting in.

[00:00:27] Welcome to the Private Practice Owners Club. Your hosts and coaches, Nathan Shields scaled his practice and exited for millions, while Adam Robin went from working 60 hours a week in one clinic to scaling to multiple clinics while working less than four hours per week remotely. This podcast is meant to share with you exactly how they did it and how you can build a business that supports the lifestyle that you truly desire.

[00:00:50] And don't forget to join the Private Practice Owners Club community on Facebook, where we are obsessed with providing even more resources that help owners just like you win the game of private practice. Hello and welcome to the Private Practice Owners Club podcast. I'm your host, Nathan Shields, and I've got longtime friend and past guest Angie McGilvery from Florida with us, Apex Physical Therapy in Fort Myers. Is that right?

[00:01:20] Got it. All right. Thanks for joining me, Angie. I appreciate it. Such a pleasure to be here, Nathan, to see you again. All right. Well, for those who might not have seen our past episode with Angie, it was a few years ago. It's been a while and frankly, it's been too long.

[00:01:37] We talked a lot about Angie's story. They've been affected by hurricanes in the past and even after a significant hurricane event that came through a number of years ago, they changed their model, they changed their mindset and made huge strides. And congratulations to them at this point. They recently moved into a large new dream facility right there in Fort Myers that they're super excited about.

[00:02:02] So I know I said it before we pushed record, but congratulations on such progress and to get to this point. Thank you. Thank you so much. It's really cool to be here talking to you about that because, as you said, many years ago, I reached out to you and was like, hey, what do you think about owning your own real estate? You were like, yeah, you should do that. It's like, okay, sounds good.

[00:02:25] Well, and it's honestly because of so many cool things that you've done and I've witnessed on your social media feed, which you do amazingly well at with a lot of support. I know it's cool to witness the wins that you've had over the years. And so I wanted to bring you back on and talk about some of that exactly where how you've gotten such incredible wins over the past few years and gotten to the point where initially you were.

[00:02:53] If I recall, you and Joe were taking all comers, like all insurances, just whoever showed up. Yeah, we'll see you. You know, a traditional outpatient orthopedic model if you're in network had a damaging hurricane event that demolished your building and you guys had the opportunity to then change your model. And we talked about niching down, finding your avatar last time we spoke.

[00:03:17] But to get to this point, what do you think really drove you and Joe to get to the point now where you have this large custom building that you own and developed and designed yourself and making such headway within the profession, especially there in Florida? What do you attribute a lot of that to? Well, thank you so much for all the kind words and the accolades there.

[00:03:42] Honestly, I take it all back to purpose and take it all back to Joe and I being very intentional about defining for us what winning in this whole game looks like. And sitting down and having like making the time and creating the space for us to have those conversations to make sure that, you know, the intention and the energy that we're putting in every day matches where we want to be.

[00:04:12] And sometimes that changes, you know, what we would have said five years ago is different than what we said three years ago is different than we went for a walk a couple nights ago and had the same conversation. Like, where are we at with this winning thing? Where do we want to be? Are we on that path? Are we going in that direction? And so I think for all of us, that's different. For Joe and I, it's very much about legacy and it's very much about leaving a mark.

[00:04:42] And so we've tried to be as strategic as we possibly can on setting those things in motion and on really then disrupting and creating our own game. Right. Within this profession. Yeah.

[00:04:57] And so as you look back across your professional career, especially as it pertains to your ownership journey, was there a point where maybe it was just the hurricane, but was there a point where your mindset got jolted into this? You know what? We need to define our dream. We need to define our vision or purpose or something like that. Or was it, did someone teach you that?

[00:05:20] What got you into that mindset that we need to play a bigger game or actually define what winning is? Yeah. That's a great question. So one book that I read several years ago was Simon Sinek's Start With Why. And yeah, great read. And that was the beginning of my journey, making sure that we define what our purpose is.

[00:05:46] And then really like not only the why, but then the how and then the what, but it always goes back to that why. And for us, you know, that's been defined as changing lives and challenging the status quo. And that's just what it, what we continue to hold true and keep doing. Yeah. And you shared with me before we first recorded about an incident that you had with a patient. Tell us a little bit about the incident with the patient where you're like, is this really what I want to be doing? Yes.

[00:06:13] So, you know, like, you know, the, the grind of the traditional, I call it the 1985 PT, you know, in network clinic, like in a basement with curtains and carpet and all the things. And, you know, it was the most productive time of the year in Florida with all the snowbirds and it was crazy. And, you know, I was probably treating 60 hours and also doing admin another 60 hours. I don't even know.

[00:06:38] And I remember thinking one day, if I have to treat another low back pain patient, you know, that just keeps coming in and complaining about their back pain, but doesn't want to be here. They only are coming because their doctor won't give them medicine if they don't come to therapy. And they just come in and ask me to rub their back. Like, I don't know if I could do this again. I don't know if this is not my purpose. Right. Right. I think a lot of us have had those patients and have been in that situation.

[00:07:09] Exactly. So what do you feel like one of your first bold moves was? Well, I guess the first bold move is to decide what is our bigger picture? What is that vision? Right. Would you say that? I mean, kind of establishing. And if you look back after reading the book, maybe talking with Joe, who is your husband and partner? What did that initial vision look like? And what was your first big step? Yep.

[00:07:35] So building off of that, the initial vision was then who do we serve? Right. Like, who do we niche down and who do we serve that we know we can fulfill, you know, our purpose the best, possibly, serve our community the best, have longevity in this game, and we will be winning. And that's when I remember I was actually at a peer-to-peer conference and somebody said to me, like, how many locations are you opening?

[00:08:05] You know, that was everybody's expansion and everybody's growth was how many more locations, right? This is around 2016-ish maybe. And it just kind of came out of my mouth before I had ever thought of it. And I just said, I don't really want any more locations. I just want to treat athletes and we're just going to do it really well.

[00:08:25] And that was kind of what was born into we niched all the way to CrossFit athletes and literally like revamped our whole practice around we're just going to treat the CrossFitter. And that was scary. Like, that was scary. You figure you go from we take everybody, we take every insurance, or we can't say no to a patient. We can't look like, oh, my gosh, like, to, you know, we're going to redecorate the entire space. We're going to put rigs on the wall so that it looks like a gym.

[00:08:55] We're playing rap music. Like, this is not the same facility, right, that the lady with the back rub is going to walk into. And that was scary because it was like, oh, my gosh, what if only like five people come? Like, I don't know. But this is what we want to do. So let's figure it out. Yeah. Did you find that you actually did turn people away either unintentionally or intentionally because you did that?

[00:09:21] And that had to hurt, like, to see people, like, not want to go along with you. And maybe they were even past patients. Tell me how you got through that. Yeah, it was. You know, there were some patients who, you know, as we started to make that change, they realized that this wasn't the best environment for them. Like, they were not comfortable with. I remember there. I mean, people would be. It's very normal that, like, people are walking around like men without their shirts on.

[00:09:49] And, like, you know, like it's a very, like, more gym-like environment. And there were some patients who were like, oh, my, what is going on? Like, you know, big open space. Like, what is going on in here? This is not what I signed up for. And that was hard in the beginning to think, like, oh, my, like, what have I done? Like, oh, my goodness. You know? Just from a business standpoint, obviously.

[00:10:14] We grow up in this traditional model of we just need to see more, see more, see everybody, see everybody. Like, all the fruit. We're all, you know, competing for all that same, like, low-hanging fruit on the bottom, right? And so, yeah, it was. But quite honestly, it was, like, one of the first pivots that was the best thing we ever could have done. So, yeah. I highly recommend to anybody who is, you know, in the private practice world and is looking for the longevity, you know, in this world.

[00:10:43] Like, you have, for me anyways, my experience has been to spend our time treating and serving and helping build other leaders who can treat and serve those people who you are really passionate about. It makes, like, what I do, I mean, I love it every day. So. Right. Why not build a business that you really love? Why not do that? Why not? Why not build a business you really love?

[00:11:13] Right. And it sounds really simple. Maybe even sounds trite for some people. But, and it wasn't the case for me. I had to come to grips with what do I really want, right? Because, like many owners, I was just floating doing the 40, 50, 60 hours of treatment and then treating on the weekends and hardly having vacations because all hell would break loose, of course, when you go on vacation. And that we just assume, like, that's just what we do. That's what owners do. That's what PT owners do.

[00:11:41] And this is just the regular run-of-the-mill PT place. But once you force yourself to sit down and decide, what do I really want from this? And like you said, get down to some specifics. Not just be like, ah, maybe I have a couple clinics and I have four or five provide. No, let's get down to some real numbers, including financial numbers. Like, what do you want it to look like? What does your space look like? Do you have rigs on the wall? Do you have free weights? Do you have machines? Do you have treadmills? Yada, yada, yada, yada.

[00:12:11] What kind of equipment do you want? So I think it's imperative to cast that vision. And correct me if I'm wrong, now because you have gotten to a point, and especially along the way, you started attracting not only patients, but also team members that are aligned with that, right? Yes. It's interesting to tell the story to you today, Nathan, about my low back pain patient.

[00:12:37] I actually didn't think about that story until sharing it with you today. But maybe it was top of mind for me because more recently, all of the PTs that I've been talking to who have reached out to us to be on our team, which like pause for a second. That's a huge shift. Hold on. Like pause. I was going to say, you're going against the norm right now because usually people are begging and

[00:13:04] pleading for people to come join that, but because now you're in a space, are you telling us that you've got people reaching out to you guys to join your team? It's extremely humbling. I feel this great sense of pride, but also this great sense of responsibility to continue to build it better, obviously. But I mean, I think the last five PTs I've interviewed have all been reaching out directly to me. Like, hey, I see what you're doing. I see you're different. I want to know more about it. I want to be a part of it.

[00:13:32] I want to treat those kind of patients who you get to treat. Wow. That's great. Cool. And so like, I can't even explain the gratitude because I've been in the same as everybody else, you know, bringing PTs on board has been one of our biggest, you know, growth constraints, just like it is with everybody in our industry. And so to be in a place where we are starting to have other folks notice, you know, what we're

[00:14:01] doing and what we get to do and the people we get to serve is just, it is definitely one of the things that I'm super excited about right now, because that just means I get to keep building it better, right? Like building more, more capacity for these folks. Yeah. And as you've gone along this ownership journey, it sounds like as you've done things that are in line with your purpose and your vision, you started attracting those people, but it

[00:14:29] almost, am I wrong in saying, how do I say this? Like, not that business gets easier, but businesses, we said more fun, more enjoyable, but it does get easier if providers are coming to you instead of you having to spend a lot of recruiting energy, right? And it gets a little bit easier to, and I know that you've done this in the last couple of years, it gets easier to drop insurances that don't pay you what you're worth, right?

[00:14:58] Maybe I'm using the wrong verbiage, but do you feel like, how would you say that maybe business got easier, more fun, more purpose-filled, more fulfilling? How would you describe it? 100% because first it started with, right, like really niching down to who we serve. And then once we define, you know, who those players were, who that avatar was, who we felt

[00:15:19] that we could, you know, bring the most impact to, we started to see that, you know, as long as we were providing that level of value, like we don't need insurance. Like they're not coming because of UnitedHealthcare. They're coming to see us. Because you're a network. Yeah. No, they're coming to see us because of community and word of mouth and the brand that we're building.

[00:15:47] And so again, with that, it wasn't easy. Don't get me wrong. It took us about 18 months to completely untangle ourselves from all things in network. And so, you know, we did it piece by piece, you know, one by one. And that's a whole other rabbit hole to go down on like how to successfully do that and survive just those tiny little revenue dips that happen along the way.

[00:16:15] And know that it's going to come right back up on the other side. So I guess it also is easier for you to now have that vision. But you're like, if we're going to get there and have the impact that we want to have with our patients, with our community, with our team members, with us personally, financially, you name it. We're going to have to make some of these. Some of these decisions just don't fall in line with that vision.

[00:16:44] And I guess in that regard, some of those decisions are easier to make, right? 100%. Like it not only was it not in line with like the vision of who we wanted to serve, but also as I like on LinkedIn and just like in listening to therapists and like really listening to what it is they want and really listening to what it is they complain about in our industry and what they don't want.

[00:17:08] And how, like, how do you build something not only that supports impact to your community and to your patients, but how do you build something that supports impact to our profession where, you know, we're losing therapists day over day because of burnout and because of these, you know, more traditional models where it's just go see more and more and more people, right? And be unfulfilled and starting to hear that.

[00:17:34] It was also a reason to pivot was, okay, I hear, not only do I see the value that the patients want, but I also hear what therapists want and I can't do this myself. Like I need them. So how do I build something that they want to be a part of as well? And that just made sense from the out of network standpoint, right? Because now we have the autonomy as primary care PTs to drive plans of care, right?

[00:18:04] To impact our patients however we want to impact them, whatever we see fit within our scope. And if we want to help get them back to, I had three patients that climbed Mount Kilimanjaro and took a picture up there for us. Like, seriously? Like UnitedHealthcare doesn't pay for that. They don't pay for me to help them do that. Exactly. And so along the way, you've really been able to set yourself apart.

[00:18:32] And what are some of the things that you do in your facility that sets you apart? You do have your avatar. You really, you're working with CrossFit athletes, but I know it goes beyond CrossFit athletes, right? And you're okay with that. It's not like they have to check a box and say, I am a CrossFit athlete. Come to you. Right? They just have, I mean, that's just kind of the atmosphere. That's the environment that they're going to be in. They just have to, and you're going to draw some of those people.

[00:18:58] What are some of the products that you sell, that you do, that you think really set you guys apart? Yeah, that's a great question. Because in my experience, you can't take what you would normally do within a, you know, in-network facility and just all of a sudden say, well, I'm just going to be out of network concierge now. Yeah. And think you're going to deliver the same, like deliverable, right? Like that's not going to happen. That's a different mindset entirely. Totally different mindset.

[00:19:25] So one of the biggest things that we brought into the practice was diagnostics. And so by bringing in a musculoskeletal ultrasound and EMG testing, the value that that brings and the differentiator that that has brought to the practice has been huge. You know, patients, they see things and they get an experience here that they don't get any place else.

[00:19:55] They keep saying, you know, you guys are not normal PT. Like I've never seen this before. Like what? You can take something and look inside my shoulder like right now and show it to me. Like, yeah. And guess what? We're going to make some measurements and we're going to monitor your progress of that tendon to you. And we're going to be able to show you when that swelling is gone. And that has been a huge, a huge differentiator for us and athletes.

[00:20:21] So the CrossFitter has turned into like basically all athletes, which has just been a blessing. Like we just, now the brand is more like we get athletes back in the game faster. Like that's just the brand now, which is great. But, you know, athletes love data. They love to see that sort of thing. They love to really niche down and know, like they know their bodies. And so for us, even alongside the diagnostics, athletes don't want to just come in and do

[00:20:51] exercise. They feel as if I already know how to do that. I'm an athlete. Yeah. I've been doing that almost all my life. You don't need to show me exercise, right? Exactly. No. And I've got coaches and I've got trainers and I've got all of these other people. Like who are you to tell me how to do exercises? Right. Right. And so understanding that you have to provide them with something they can't get any place else. Right.

[00:21:20] And understanding that we have to do it differently in order for them to still, we still know we have to load things in physical therapy, right? We still have to do some of that. So how do we make sure that we're doing that in a manner that we have that buy-in? Right. And so with that, we utilize NuFit technology, which is an amazing piece of technology. That's so cool. The newbie. The newbie. Yes. We were claim to fame. We were the second practice in the U.S. to adopt the newbie.

[00:21:50] So... Were you really? Oh, how cool. Yeah. We've had Garrett Salpeter on the podcast a couple of times. Garrett is the best. Love him. Love him. We've had it for so long that Garrett actually trained us specifically, Garrett himself, back when he was on board and trained all the new practitioners. So I'm very close with Garrett. Love him and his team. But that has also been a huge differentiator because it's one thing to work with a patient

[00:22:20] through some of their exercise. It's another thing to be able to hook them up to the newbie. And our newbie, we have little sports stickers all over the newbie of all the different teams that have this in their locker room. We make sure we let them know, like Saquon Barkley, that's what he did with his ACL. And we talk about all the other athletes that are using it. And so that's been a big differentiator as well. Yeah. Yeah.

[00:22:49] And I think it goes to say that you don't have to have diagnostics and a newbie to accomplish all these things. Those things were just in line with what your vision and purpose was. You had your avatar. You thought these people need these things in their care, their therapeutic care. It could have been shockwave. It could have been infrared. I mean, if that aligned with your population, you could have taken anything and made it appropriate

[00:23:18] for your setting. Correct. But I think that the big picture idea is that more and more we hear the feedback from our patients, no matter what population we're dealing with, is I can do the exercises at home. I mean, AI is just exploding, right? And so I am always challenging myself and my team, guys, we need to make sure that what

[00:23:44] we're doing and we're providing is not something that they can AI chat GPT that they can do themselves because the minute we're not above that, we're failing. Like we are not doing ourselves justice. Like, so, you know. There's a standard of care there. And you're the first person to mention that because I sold my clinics a number of years ago. So I haven't had patients that have come in and said, well, chat GPT says this and da-da-da-da.

[00:24:14] I'm assuming just speaking to the audience, you guys are probably hearing it a lot more than I do. You're hearing it with your patients as well. They're saying, hey, this is what AI says. And I'm sure you guys have to be prepared to have that conversation. 100%. Like it used to be Dr. Google. Now it's not Dr. Google anymore. It's, you know, you can go and chat GPT and say, hey, make me my rehab program for my ACL. And it'll give you, you know, like one month out, do this. Two months out. Like, I mean, it will give.

[00:24:44] So we got to be better than that. Like we have knee replacements coming in now with AI technology and an app, you know, on their phone where, you know, they're monitoring and they're telling them, well, these are your exercises. And I had like one patient who it was like at two weeks post up, they wanted her to be doing these crazy wall sits. And I was like, um, like, I don't know about that AI app, but this is why you need to still be in here with me.

[00:25:11] But, you know, the perception becomes, well, if this app can do it, if AI can do it, if like, why wouldn't I just, you know, do this myself? So we have to be better than that. We have to provide something that is better than that. Exactly. Well, you've gotten to a point now where like you're out of network with a number of insurances. I don't know if you're, you're not totally cash pay yet. Are you? We're out of network with everybody.

[00:25:38] The only thing we do, we are participating in like a traditional like Medicare part B, but that's it. Oh, really? You've done that far. Wow. Congratulations. That's amazing. Yay. And then you've got your new facility. Like you said, you were talking with Joe a couple of days ago. Joe, what's the next step for Apex? Yeah. So like one of the goals with the new facility and like the vision and what does winning look like was like, we're built for more.

[00:26:07] Like that's our theme this year is built for more. Like once we moved into like Apex 2.0 into the new building. And with that came like a new vision even. And so like at our last big quarterly meeting, it was, it was a whole new announcement of unveiling of a new vision and just how we're going to continue moving forwards. And our vision has become pioneering more than just physical therapy. And there's a lot of buckets that go with that.

[00:26:36] But the just physical therapy is again, not doing normal PT. Like it is the biggest compliment my team can get when somebody walks in here and it's like, we've never seen something like this or been through something like this before. Like, we're like, yes, we nailed it. It's exactly right. It's exactly right. But then building onto that, like our concierge model is really building an ecosystem, right?

[00:27:02] So I am very, very much excited about a vertical growth model in which we build partnerships and affiliates to co-exist, right? Within and brands and partnerships in which we are all serving basically this average avatar client. So some of those look like for me as like ideas, like in, like, what does that look like in practice, right?

[00:27:31] So for me, that's partnering with a hydration company. So we do on site, we can do IVs, we can do peptides for athlete recovery, athlete performance optimization. So we have a nurse on site here. So that's pretty cool. That looks like partnering potentially with nurse practitioner and physician on some regenerative medicine aspects. Things like PRP. In Florida, we just had some pretty cool laws passed on stem cell therapies.

[00:28:02] So looking at things from a regenerative medicine aspect that way, nutritional counseling, you know, really just that whole layer cake, right? Like that whole ecosystem layer cake of how do we just like be this one big premium medical destination? Oh, that's cool. Would you have had any of these visions like 10, more than 10, 15 years ago? I mean, right?

[00:28:31] Because it seems like, and that's been my experience. Like, so I got my clinics to a point and we introduced diagnostics as well. And that took me to Alaska, which I would never would have dreamed of taking my family to Alaska. Ever thought you'd be in Alaska, right? Right. And then selling my clinics and doing conferences and workshops. Are you kidding? Like if I told myself that 15 years ago, I'd be like, you're crazy. What? You're not going to be at a clinic with clinics, not even touching patients.

[00:29:01] What? But it seems like you get to a point and then you do, like you said, have to create another purpose or a greater vision. Like when you get to the summit, then you see that there's another peak in front of you. Right. And it sounds like that's what you've experienced many times over in the last 10, 15 years. Yes. No, it's absolutely correct. And I think that that's a good point for your audience to hear in that, like, I had a coach

[00:29:27] who told me, like, your plan is never going to be perfect. It's never going to be a hundred percent. Like your plan, he's like, but your effort, it better be. And so to that, I was like, okay, like, you're right. You don't know, we don't know where we're going to go and what's going to happen. And then it's like, oh, wait, okay. That's the plan that there we go. And I never would have thought, I never would have thought, you know, even 10 years ago that we would be sitting in this building. Yeah.

[00:29:56] What would you tell yourself from 10 years ago? If you had a chance to come across your 10 years younger Angie McGilvery, what would you tell her? Well, she was only like 18 at the time. So let me know. I'm just kidding. Exactly. I was going to say, I know she was a young teenager, but. So right around, like, I think at that point in time, because that's interesting, because

[00:30:21] right about 10 years is when we really started like our first, so we just celebrated 20 years of practice. Oh, congratulations. Yeah. Thank you. Thank you. That was. And so our first 10 years was really just about like survival in the private practice world. Like, it really was just survival. Like, you know, the grind. Everybody knows the grind. If they've been that owner's world. I totally get it. I opened in 2002.

[00:30:48] And it was a lot of hard knocks for about 10 years before I finally got my crap together. Right. Yeah. Yeah. That's how I felt too. And sometimes I feel like, damn, why did it take me so long to get my crap together? Why did it take 10 years? Totally agree. But it did. Well, I'm glad I'm not alone. But it did. And I think one of the things that I know personally started changing like Joe and I's mindset was

[00:31:14] at that same point in time, we were introduced to Spartan Race. And that's, you know, you go out in the woods or whatever, and they put you on this race course, and you have to overcome all these obstacles. Right. And, you know, we ran one and we were like, oh, that's kind of fun. I'm like, you know, maybe we should do that again. Oh, wait, there's an award if you do three of these in one year. Okay. Let's try to do that award. And what I didn't realize we were doing at that time that I look back at now that I,

[00:31:42] like, I wish I would have known then was we were building this mindset and this bond together of we do hard things. We overcome obstacles. Like, this is just what we do. And we loved it. Like, there was nothing. I think we ended up doing like 50 something of these crazy races, like in our lifetime before COVID. And then they stopped, you know, at COVID for a while. And that's kind of like when we kind of paused and whatever.

[00:32:11] But like, literally, we beat like, it was that adrenaline of wait, like, do something hard, get through it, like get through all those obstacles. Okay, now push to the next one. Okay, now do the next one. So to your point, like you hit that summit. And so what we were doing, like in our personal life really started to reflect what we were building from like a mindset in our professional life as well.

[00:32:36] And I really do believe it, it had a lot to do with us having the, just the grit to jump and do the things. Yeah, I get it. Well, you've shared a ton of information, valuable information, and you've made such wonderful gains. As we wrap up here, is there anything you would want to say to a listener who might be where you were before things started really changing for where you started making some real commitments to change?

[00:33:05] So if I think back to like where I was, and like how to get like unstuck from that place and how to like gain that momentum, right? I really think it's going back and define winning, define what you want your game to be, define your purpose, right? Like what is that at the end? And then there's a million ways to get there, right? You just have to reverse engineer that process.

[00:33:31] But once you know like what that win is, like take a small bite, like you have to do something, right? You can't just say, you know, oh, well, I wish or, you know, maybe tomorrow or right? Like there's the Michael Jordan quote, right? Like some people want it to happen. Some people wish it'll happen. And then some people make it happen. And so the only way we can make it happen is like, got to put that small thing in motion, right? You got to do something about it.

[00:34:00] And so I think that would be, you know, it's elephant bites. Like I said, it took 18 months to go out of network. Like it's elephant bites. So yeah, I totally get in your stories. Inspiring. I love that. You said, you know, you did the grind for a decade and then you decided to make some changes, but your new building didn't come up in a year. Like you weren't like, yeah, this is what my building is going to be. And it's going to be there.

[00:34:26] You actually, it's been years, maybe even decades long in progress to get to the point where you are now that you can enjoy it. But it was these baby steps along the way that eventually got you there and the commitment and the dream. It was always ahead of you. For sure. For sure. That's so cool. Awesome. Well, thanks again for joining me. It was good to have you on the podcast again. So good to see you. And congratulations on all that you've been able to do. Thanks for sharing. Yes. Thank you so much, Nathan.

[00:34:55] It was such a pleasure. It's always for the guest, like just so you know, from a feedback standpoint, it's always such a privilege from the guest standpoint, because we don't take the time always to stop and pause and acknowledge, right? Like what has been accomplished as high performers. We just, we go, we go with next, what's next. And I just love to move fast and keep going. And, and so to pause and be like, oh, wow. Okay. We did some cool stuff and maybe some people can learn about it.

[00:35:24] Like we can share it. Like, so I really appreciate the opportunity. Thank you. And if people wanted to follow what you guys are doing at Apex or even reach out to you, what can you share? Yeah. My LinkedIn is Angie McGilvery. So please like, you can follow my like leadership journey through LinkedIn and our social on Instagram Instagram is, is Apex physical therapy, Southwest Florida, SWFL.

[00:35:54] So yeah, Apex physical therapy, SWFL is our Instagram. And that's really where you get kind of the look inside of what happens at the clinic every day. So. Yeah. You guys post quite often and some really cool stories about your interactions with patients and how you're using diagnostics, et cetera, and on also your new location. So you guys are really active there. It's really cool to see. Yes. Thank you. Thank you. All right. Well, thanks again for joining me today. I appreciate it, Angie.

[00:36:23] Yeah, you too, Nathan. Thanks for listening to the Private Practice Owners Club. If you enjoyed this episode, would you mind doing us a huge favor and leaving a review? This helps us get the podcast out to more clinic owners to help them create greater freedom and profit so they can own their future. And visit our website, ppoclub.com to find more resources and connect with us.