In this episode, Doc Danny breaks down the key considerations when expanding your physical therapy clinic, from negotiating tenant improvements (TI) to managing build-out costs. With commercial real estate shifting, clinic owners have more leverage than ever, making it a prime time to secure better lease terms. He discusses two main approaches to expansion: letting the landlord handle the build-out or negotiating lower rent to complete the renovations yourself.

✔ Why PT clinic owners have stronger negotiation power in today’s market
✔ Understanding tenant improvement (TI) allowances and how to leverage them
✔ The pros and cons of letting the landlord handle the build-out vs. doing it yourself
✔ How negotiating rent reductions in place of TI can save long-term costs
✔ Common lease mistakes that can cost you thousands
✔ Why working with a commercial realtor and attorney is crucial for lease agreements
✔ How PT Biz helps clinic owners avoid costly build-out mistakes

🔹 Visit PhysicalTherapyBiz.com to learn more about scaling your practice and negotiating better lease terms.
🔹 Book a Discovery Call: Schedule Here
🔹 Join our free PT Entrepreneur Facebook Group: Click Here

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In this episode, Doc Danny tackles an often-overlooked challenge in running a business—the impact of stress and anxiety on mental health. Starting and growing a clinic comes with financial insecurity, long hours, and constant uncertainty, which can take a toll on both personal and professional well-being. He shares insights on how to navigate the emotional ups and downs of entrepreneurship while maintaining strong relationships and avoiding burnout.

✔ The emotional toll of running a business and how financial uncertainty affects mental health
✔ Why balancing clinical and business skills can be overwhelming—and how to manage it
✔ The challenges of task-switching between clinician, business owner, and leader
✔ How business stress can spill into personal life and impact relationships
✔ The importance of having a mentor to provide clarity and reduce anxiety
✔ Why business mentorship is crucial for long-term success and peace of mind
✔ How defining your business goals (lifestyle, scalable, or sellable) can bring clarity and reduce stress
✔ The role of therapy or a support group in managing stress effectively

🔹 Visit PhysicalTherapyBiz.com to learn more about scaling your practice and getting business mentorship.
🔹 Join our PT Biz Mastermind—A business mentorship group helping PTs start and scale successful cash-based practices.
🔹 Schedule a Discovery Call: Book here
🔹 Join our free PT Entrepreneur Facebook Group: facebook.com/groups/ptentrepreneur

In this episode, Doc Danny explores a growing trend in the physical therapy industry—the rise of hybrid clinics. More insurance-based practices are looking to decrease dependency on insurance or transition fully to cash-based models. He breaks down why this shift is happening, the challenges with low-reimbursing contracts, and how adding cash-based recurring services can stabilize revenue and improve business sustainability.

Key Takeaways:
✔ Why more insurance-based clinics are struggling with reimbursement rates
✔ How hybrid models create a more stable and profitable business
✔ The importance of recurring revenue to reduce financial turbulence
✔ Why deductibles and patient behavior are leveling the playing field for cash-based services
✔ How to strategically phase out low-paying insurance contracts while adding cash services

Resources Mentioned:

• Visit PhysicalTherapyBiz.com to learn more about scaling your practice and schedule a consultation with the team.

• Join our 5-Day Challenge at physicaltherapybiz.com/challenge

• Apply at physicaltherapybiz.com/apply

• Leave a 5-star review on iTunes if you enjoy the podcast!

• Encourage a friend to do the same!

• Join our free PT Entrepreneur Facebook Group at facebook.com/groups/ptentrepreneurv