Add predictable cash revenue to your clinic.
Without seeing more patients, hiring staff, or fighting insurance for a dollar of it.
The Cash Spine Companion Workbook
An 8 page fill in the blank guide you print and follow along as you watch. By the end, you will have the entire model mapped to your own clinic, in your own words.
Yours the moment you register.
You cannot build a successful practice on a broken model.
Reimbursements go down almost every year. The hours go up. And the revenue ceiling never moves. If volume is the only lever you have, you are on a wheel that only spins faster, and it gets harder from here.
I lived this for eight years, not eight months. A full schedule, good outcomes, patients who loved me, and revenue that would not move no matter how many more patients I took on. That was never a motivation problem. That was math.
The truth is, you are not failing. The model has a ceiling built into it, and no amount of effort will change the economics underneath it. The good news is you can change the model. That is exactly what this training shows you.
You have done everything right. A full schedule and good outcomes. And still the revenue sits where it has sat for years, because volume is the only lever you were ever given.
Reimbursements shrink while the work grows. Medicare physical therapy pay is down 27% in a decade, so every year you need more patients just to stand still.
The surgery avoiders in your caseload need more than a plan of care. You have the skill to help them. What has been missing is the structure to do it, for every patient, every time.
The structured spine program, in practice.
What the right model makes possible.
This is not about working harder. It is about building your practice on a structure that finally works in your favor.
Predictable cash revenue
Revenue that does not move when reimbursement rates move, running alongside insurance.
Patients who avoid surgery
The surgery avoiders in your caseload reach the outcome they wanted, and they refer everyone they know.
A team that runs it
Delegated from day one, so the program never rests on your shoulders alone.
More freedom, not more hours
Same clinic, same patients, same skills. A different model, and room to breathe.
An invaluable resource for practitioners looking to improve client outcomes and increase revenue. I can now implement treatment programs that really work and help me earn more while working less. Highly recommended.
This was built for the clinic owner who is ready for a different way.
You own or run a physical therapy clinic with at least one clinician on staff.
You are tired of watching insurance decide what your care is worth.
You already have decompression or laser equipment, or you are ready to invest in it.
You want predictable cash revenue without adding a single hour to your week.
If you nodded at even two of those, you are in exactly the right place.
A clinician who lived this problem and built the way out.
Karen DeSimone has practiced physical therapy for 26 years and owns KD360 Wellness & Physical Therapy in South Yarmouth, Massachusetts, a hybrid cash and insurance clinic she opened in 2009.
For eight years her revenue would not move. A full schedule, good outcomes, patients who loved her, and a ceiling that never lifted. She had the clinical skill and the equipment. What she did not have was a system that made it work for every patient, not just the compliant ones.
So she stopped treating visits and started running a program. A defined structure, a named protocol, a roadmap her patients could follow, and a system any trained team member could run. That is when everything changed. Today she teaches clinic owners across the country how to do the same.
“The equipment was never the breakthrough. The system around it was. That system is what I show you how to build.”
A few quick questions.
No. This is an on demand training, so there is nothing to schedule and no waiting. The moment you register, the training opens and you can watch it right away, start to finish, in one sitting.
Yes. The training is completely free and there is no card required. I want you to see the program first, understand it clearly, and decide for yourself whether it is right for your practice.
No. The whole point is that this runs alongside everything you already do. You keep what works and add a structured cash program for the patients who need more. Nothing about your current practice has to go away.
It is. This is not about selling. It is about structure. When you have a clear clinical model you trust and a natural way to offer it, the conversation with your patients stops feeling like a pitch and starts feeling like better care.
No. The program works across the equipment you already have, and you start with what you have. The training shows you how the pieces fit together, whatever you are working with.
It runs about 60 minutes, and it is built to watch in one sitting. Short enough to fit into your day, complete enough to give you a clear path forward.