Shorter. Sharper. Current.
Field Notes.
First-person dispatches from inside live engagements. For the long-form frameworks, see Intelligence.
First-person dispatches from inside live engagements. For the long-form frameworks, see Intelligence.
Shorter than the articles. Less framework, more perspective. Written from the seat of an operator running engagements right now.
The Newest Dispatch
Latest from the field.
Latest dispatch
Why Your Cash-Based PT Practice Hits the Same Revenue Ceiling Every Year
Cash-based PT owners hit $350K-$450K and then stall. Same ceiling, different clinicians, different markets, different marketing. The ceiling is not about any of those things.
Read field note →
The Archive
Every dispatch, most recent first.
6 published · 44 minutes of reading · 4 verticals covered
How to 3x Your Effective Hourly Rate as a Cash-Based PT Without Working More Hours
The math of a full schedule maxes out around $218K. The path through it is not more hours. It is different revenue per hour.
Why Telehealth Clinics Are Still Leaving 40% of Revenue on the Table
I looked at the revenue operations of eleven telehealth clinics last year. Ten of them had the same three leaks. The combined missed revenue across those ten practices was over $4M.
5 Questions That Expose Exactly Where Your Practice Is Broken
You do not need a 90-page diagnostic report to find where your business is failing. You need five specific questions answered honestly. I have used these in every engagement.
The Operator Trap
The skills that got you to $500K are the exact skills preventing you from getting to $2M. Every operator I have worked with who is stuck already knows something is wrong.
No One Is Coming to Save Your Business
There is no algorithm update, no new channel, no consultant, no technology that is going to swoop in and solve the structural problem in your business. The burden is entirely yours.
Long-Form Intelligence
Want the deep dives?
Field Notes are the dispatches. Intelligence is the long-form framework. Same operator, longer arc. Citations, benchmarks, playbooks, and the full math behind what these notes only hint at.
Articles run 9 to 14 minutes each. Six published. New ones added when the framework moves.
Enough Reading
Read more from
inside the work.
One engagement, four phases, a written constraint map and sequenced 90-day action plan. The fastest path from reading about the problem to solving it.