What happens when you're an incredible clinician—but suddenly find yourself buried in HR, compliance, collections, phone calls, hiring, bookkeeping, and everything else that comes with owning a practice?

In this episode of the Uncaged Clinician Podcast, David Bayliff sits down with Amber Rice and Liz Aiello of Summited Solutions to talk about the behind-the-scenes challenges that can keep clinicians from actually growing their businesses.

Amber and Liz share why practice owners need to make the mindset shift from working in the business to working on the business, and how fractional support can give smaller and growing practices access to expertise without immediately adding full-time overhead.

They unpack practical strategies for identifying the gaps in your business, tracking the right KPIs, finding cash-flow leaks, improving operational workflows, delegating administrative tasks, and knowing when it's time to bring support in-house.

The conversation also dives into hiring and culture—why finding someone with the right skills isn't enough, why mission and values matter, and why relationships and word-of-mouth can be powerful tools for finding the right people.

Whether you're a solo clinician, a growing practice owner, or building toward multiple locations, this episode will challenge you to stop trying to do everything yourself and start building the infrastructure, team, and systems that allow your practice to grow with intention.

In this episode, you'll learn:

• Why clinicians need to shift from working in the business to working on the business

• How fractional support can help growing practices without the cost of a full-time executive

• How to identify operational and financial leaks in your practice

• Which KPIs actually matter—and why you don't need to track 25 different numbers

• How missed phone calls and poor intake systems can cost more than a single patient

• Why delegation can create mental space for the work you're actually gifted to do

• The difference between revenue, net income, and healthy margins

• How to build the right infrastructure as your practice grows

• Why culture and values should play a major role in hiring decisions

• How compliance, HIPAA, and cybersecurity become increasingly important as you grow

If you're ready to build a practice that supports your life instead of requiring your life to support the business, this conversation is for you.

Want to connect with Amber and Liz at Summited Solutions? Visit summitedsolutions.com

What does asking better questions have to do with growing a successful physical therapy practice—and helping your kids pay for college?

On this episode of the Uncaged Clinician Podcast, David Bayliff sits down with Matt Phillips to talk about leadership, business growth, problem-solving, asking for help, and serving people before selling to them.

Matt shares the story behind Your Scholarship Finder, a platform created after his family experienced firsthand how difficult it can be to find relevant college scholarships. Along the way, David and Matt uncover powerful lessons for PT practice owners, clinicians, entrepreneurs, leaders, and parents.

You'll hear why you don't have to know everything, how surrounding yourself with the right people can accelerate your vision, why humility matters in leadership, and how asking questions can completely change the way you serve your clients.

Plus, learn how thinking differently about college scholarships and financial aid can help families uncover opportunities they may otherwise miss.

Think differently. Do differently. Go Uncaged.

Learn more at YourScholarshipFinder.com.

Be one of the FIRST 50 to sign up and become a FOUNDING MEMBER! Use promo code FOUNDING50 at checkout and receive a $50 savings off the regular price!

Is the future of cash-based physical therapy under threat?

In this episode of the Uncaged Clinician Podcast, David Bayliff is joined by fellow physical therapist and entrepreneur Dr. Ray Berardinelli, DPT, PT to unpack a growing conversation surrounding cash-based PT practices, prepaid packages, discounts, and recent guidance coming out of North Carolina and Texas.

Ray shares his perspective on letters and statements from state physical therapy boards and why the language and interpretation have raised serious questions among cash-based clinicians. Together, David and Ray discuss the difference between legal opinion and law, concerns around prepaid visit packages, patient pressure to use unused visits, and the importance of seeking clarity when regulatory guidance could impact how clinicians operate their businesses.

They also explore a powerful shift in how cash-based physical therapists communicate their services: stop selling visits and start focusing on outcomes. Instead of confusing patients with packages and visit counts, David and Ray discuss helping patients understand the transformation they want—whether that's getting back on the golf course, returning to the activities they love, or simply living a healthier life.

This episode is an important conversation for physical therapists, occupational therapists, and healthcare entrepreneurs who own or are considering starting a cash-based, hybrid, or private practice. While David and Ray make it clear that they are not attorneys and this episode is not legal advice, their goal is to raise awareness, encourage clinicians to stay informed, and challenge the profession to seek greater clarity around issues that could affect the future of private practice.

If you're a cash-based clinician, private practice owner, or healthcare entrepreneur, this is a conversation you won't want to miss.

In this episode, we discuss:

• Recent concerns surrounding cash-based PT practices in North Carolina and Texas

• Prepaid physical therapy packages and potential patient concerns

• The difference between a regulatory board's interpretation and established law

• Why clinicians should seek clarification rather than operate from fear

• Selling outcomes instead of predetermined numbers of visits

• How outcome-based messaging can improve sales conversations

• Why confusing patients creates objections and reduces clarity

• The importance of speaking the patient's language and focusing on their goals

• What cash-based and hybrid practice owners should watch for moving forward

• Why clinicians across the country should stay informed and proactive

Tune in for an honest, passionate conversation about the changing landscape of cash-based healthcare, clinical entrepreneurship, patient-centered care, and the freedom to think differently about how physical therapy is delivered.