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The NEXTLEVEL Owner Podcast

Every episode Paul has recorded for physical therapy practice owners, going back to 2023. Valuation, acquirers, staffing, growth and exit, one question at a time.

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2025

How To Leave PPS 2025 With Real ROI
PPS 2025 is your opportunity to turn three days of sessions and conversations into lasting business results. Paul outlines how to approach the conference strategically, connect with the right people, and bring back ideas that can drive real growth for your practice.
This CEO Built a Growth Model That Protects Independence
This week, Paul sits down with Health & Rehab Solutions CEO Blaine Stimac, as he recounts how his company scaled to 38 clinics across six states with a partnership model that keeps owners independent.
Lessons from Two Decades of Steady Growth
After 20 years, Elite Therapy Solutions is still gaining momentum. In this conversation, Paul Martin uncovers how founders Patrick Kinzeler and Paul Hecker built their success, and what's next for their expanding team.
Preparing for PPS: How Top Performers Are Redefining Growth
PPS is where the best in private practice go to get better. Paul Martin shares how to make the most of this year's conference, and why the strategies revealed there will define growth in 2025 and 2026.
Scaling Smart: How Leaders Grow Without Losing What Matters
As Elliott Physical Therapy grew from one clinic to a thriving regional network, founders Daryl and Patti Elliott kept one principle front and center: never lose what matters. In this episode, Paul Martin explores the mindset and structure behind that kind of sustainable growth.
From Three Clinics to Forty: A Playbook for Sustainable Growth
In this conversation, Paul Martin sits down with Mike Manzo to explore the mindset, strategies, and leadership development that turned early challenges into a long-term growth playbook.
From Overworked to Optimized: A Practice Owner's Path Forward
In this week's episode, Paul Martin and Josh Myers walk through the journey of a practice owner who shifted from overworked days to an optimized, thriving practice, creating options for her future she never thought possible.
Why Staying Small Was Never an Option
An episode from the NEXTLEVEL Owner Podcast archive.
Why Busy Clinics Still Struggle with Profitability
One owner came to us with a question: why isn't my clinic profitable when we're so busy? In this episode, Paul Martin and Josh Meyers share the real client story, and the surprising place where profitability was hiding.
From Insight to Action: How Our Assessments Drive Results
Paul Martin explains how our targeted assessments identify what's holding rehab companies back, and how our clients are using these assessments to grow rapidly, unlock profitability, build stronger teams, and create better exit options.
A Second Look at Proactive Moves That Drive Real Returns
Tom Carden and Joe Anzur join Paul to discuss the 2025 outpatient rehab M&A market, including stalled recaps, earnouts and rollover equity, compliance, multiples, and staffing.
ROI Consulting: Creating The Companies That Buyers Want Most
In today's market, average performance doesn't get deals done. Acquirers have more options than ever and are walking away from underperforming companies. In this episode, Paul Martin introduces ROI Consulting, our new approach to transforming rehab companies into growth leaders with lasting value.
ATI: What To Watch For Next
ATI's next moves could send ripples through the rehab M&A market. In this episode, Paul reveals what industry leaders should be watching for as the evolution of a key player in our industry continues.
A Bold Reset in Rehab M&A
What does ATI's decision to go private signal for the rest of the industry? Paul Martin shares why this bold move could bring renewed competition, and new opportunity, for rehab owners eyeing growth or sale.
How Transparency of Reimbursement Rates is Shifting PT Valuations
A quiet rule change just tipped the scales. Paul Martin unpacks what it means for PT owners, and why it might be the leverage you've been waiting for.
Are You Overdue for a Billing Strategy Upgrade?
The CEO of Physical Therapy Billing Services joins Paul to discuss the return on investment of outsourcing revenue cycle management and how PT business owners can decide if it is right for their practice.
Good Deals Are Still Out There, But The Game Has Changed
Chris Reading of USPh joins Paul to talk about what's driving today's M&A market, why some buyers are slowing down, and what sellers need to get right.
Why This Acquirer is Betting On A Different Kind of Growth
As capital tightens and deal dynamics shift, not all growth strategies are created equal. H2 Health's Guy Sansone joins Paul Martin to describe their unique model, and what sellers should be doing now to stand out.
Are You Ready for the Next Level? Real Growth Starts After the Deal
In this episode, Paul Martin explores a powerful strategy, one where the biggest financial wins happen after the sale. Today's buyers are looking for leaders to grow with. If you're energized by what's next, and not ready to walk away, this might be your moment.
A Real Engine For Generating Value
This week, Paul challenges a common assumption: that more clinics automatically equals more value. Instead, he offers a framework for growth where optimization, not just expansion, drives long-term success.
What Smart Growth Really Looks Like in 2025
John Gallucci returns to reflect with Paul Martin on what's changed, and what hasn't, in today's M&A environment.
A Different Kind of Discipline, The Kind That Gets Deals Done
Bill Leitzel of Ivy Rehab joins Paul Martin to reflect on the current M&A landscape, and what separates those who move from those who wait.
What Proactive Sellers Are Doing Differently This Year
In this episode, Paul Martin talks with Tom Carden and Joe Anzur about what rehab owners should be thinking about now, before the market moves on without them.
A Message Worth Repeating
In a Memorial Day message, Paul reflects on honoring the service members who did not make it home and encourages listeners to take a moment this weekend to remember their sacrifice.

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