Field Notes
First-person dispatches from active operator work. Shorter than the articles. Less framework, more perspective.
Apr 18, 2026
6 min
The math of a full schedule maxes out around $218K. The path through it is not more hours. It is different revenue per hour.
April 11, 2026
7 min
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.
April 11, 2026
8 min
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.
April 11, 2026
8 min
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.
April 11, 2026
6 min
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.
April 11, 2026
7 min
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.
