The High Performance Practice

Balancing Purpose, Profit, and Freedom

A 3-day intensive for private practice owners and their leadership teams who refuse to stay average in a system that’s stacked against them.

October 15–17, 2026

San Antonio, Texas

Trusted by 2,200+ private practice owners

OUR SPONSORS

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The Hard Truth

Is Your Clinic a Cash Cow, or a Cage?

  • Your systems weren’t built for scale, so every new provider adds chaos instead of capacity.

  • Revenue’s up, but profit and freedom aren’t. The practice feels like it owns you.

  • You’re either stuck treating full-time or stuck putting out fires full-time.

  • And leadership is lonely. No one around you really gets the weight you carry.

If you’re still running your practice like it’s 2016, you’re already behind. This conference is where that changes.

Who This Is For

Built for Owners Who Want More Than “Mom-and-Pop”

  • Private practice owners doing roughly $600K–$3M+ per year

  • Teams of 4–50+ who want to scale locations without burning out

  • PT, OT, Speech, Mental Health, and Medical clinic owners who care about both mission and margin

  • Leaders ready to think in terms of KPIs, systems, and exits, not just visits and schedules

Meet Your Hosts

Nathan Shields

Founder/Co-Owner of the Private Practice Owners Club Podcast & Coaching

Nathan knows the grind of running a private practice – and what it takes to break free from it. After 10 years of struggling in private practice, he made a pivotal shift – eventually scaling before selling four clinics for seven figures at 3x the national average. Now, as the founder of the Private Practice Owners Club and host of its top-rated podcast, Nathan helps practice owners go from overwhelmed operators to confident, growth-minded CEOs. Focusing on profitability, systems, and leadership, he empowers owners to build scalable, sellable businesses that don’t rely on them to run.

Adam Robin

Co-Owner of the Private Practice Owners Club Podcast & Coaching

From solo clinic owner to scaling multiple seven-figure practices, Adam knows what it takes to go big – without burning out. After building and growing three thriving PT clinics, Adam focused on helping other practice owners break free from overwhelm, build high-performing teams, and scale profitably. Through coaching, leadership development, and strategic systems, he empowers clinic owners to create businesses that run smoothly – without being in the treatment room 24/7.

What You'll Walk Away With

Walk Out With a 90 Day High Performance Plan

  • Scale Your Operations: From “one more clinician” to a truly scalable, multi-site ecosystem.

  • Scale Your Profit: See exactly which payers and services fuel profit vs. burnout.

  • Scale Your Leadership: Stop being the bottleneck; build leaders with an ownership mindset.

  • Scale Your Options: Learn models for acquisitions, partnerships, site-neutral revenue, and more.

TESTIMONIALS

What Owners Are Saying

"A Game-Changing Community for Growth and Support"

She calls joining the PPO Practice Club one of the best decisions she has ever made. The community has helped her grow professionally, step confidently into her role as a leader, and feel empowered in the decisions she makes for her business. Beyond professional growth, she’s grateful for the personal support she’s received, knowing she can always reach out when challenges arise. She describes the PPO Practice Club as a true game changer—and has even recommended it to her friends.

"The PPO Club helped me shift from treating full-time to leading strategically. My business is stronger, and my life feels more balanced."

"PPO gave me the tools and accountability I needed to grow my team and reclaim my time."

"Since joining PPO, my clinic has experienced consistent growth and stronger alignment across my team."

"Gratitude for Guidance: From Doubt to Dream Space"

She never imagined she would be signing a lease for her own build-out space a dream she once thought impossible. Reflecting on her journey, she credits Adam’s coaching for guiding her through fears, challenges, and decisions she once swore she’d never make. After a poor experience with another coaching company, she found in Adam a mentor who not only provided timely wisdom and motivation but also offered calm support during crises. She says she would not be where she is today without his guidance and is filled with gratitude for his role in her success.

"Joining the PPO Club helped me step fully into my role as a leader. With the right systems and coaching, my practice grew faster than I ever imagined."

"Since becoming part of the PPO community, my confidence as a business owner has skyrocketed. I now make decisions with clarity and conviction."

"With PPO guidance, I went from feeling overwhelmed to running a structured, scalable practice. The support made all the difference."

"From one practice to two, with a growing team and clear leadership."

With the support of coaching and a renewed belief in what was possible, he unlocked the next level of growth in his business. Today, he owns two practices, continues to expand his team, and leads with greater clarity and confidence. Having the right coach played a critical role in helping him take bold steps, build momentum, and turn potential into sustained growth.

"The PPO Club helped me shift from treating full-time to leading strategically. My business is stronger, and my life feels more balanced."

"PPO gave me the tools and accountability I needed to grow my team and reclaim my time."

"Since joining PPO, my clinic has experienced consistent growth and stronger alignment across my team."

"Clear systems, strong support, and real growth through the PPO Club."

Since joining the Private Practice Owners Club, I’ve grown not only as a business owner but as a leader. The coaching, systems, and community helped me gain clarity, make confident decisions, and build a practice that’s growing in the right direction. It’s been a true game changer for both my business and my personal growth.

REGISTER NOW

Choose Your Experience

The 10x Ticket Credit Guarantee

Attend the sessions, do the work. If by noon on Day 2 you don’t believe you’ve identified at least 10x your ticket price in realistic profit or time-saving opportunities you can implement in the next 12 months, visit the registration desk and we’ll give you a full credit of your ticket price toward any future PPO Club event or training.

No awkward conversation. No hard feelings.

A Taste of the Sessions

Conference Agenda

Event Agenda
11:00 AM – 3:30 PM
RECRUITING WORKSHOP
ANACACHO BALLROOM
Optional add-on workshop. Sold separately.
12:00 PM – 7:00 PM
REGISTRATION
LOBBY OUTSIDE ANACACHO
6:00 PM – 8:00 PM
WELCOME RECEPTION
ST. A SKY TERRACE / BU PEACOCK ALLEY

Your Conference Pass Includes:

Everything You Need to Execute

  • 3-Day High-Performance Experience

    All keynotes, tracks (CEO Strategy, Operational Excellence, Leadership Lab), and panels.

  • High-Performance Practice Playbook (Printed + Digital)

    KPI dashboards, payer / service 80–20 worksheet, intake scripts, stay-interview scripts, conflict templates, 90-day implementation planner.

  • Clinic Scorecard Starter Kit

    Simple weekly scorecard template + 30-minute meeting agenda you can plug in on Monday.

  • Daily Team Implementation Huddles

    Guided prompts so owners and teams turn notes into decisions before leaving the room.

  • Session Recordings (90-Day Access)

    Revisit key sessions and train the rest of your team after you get home.

Growth Is a Team Sport

Bring your clinical lead, ops leader, or front desk manager. When they hear the same message you do, you leave with a united plan instead of a solo mission.

The 10x Ticket Credit Guarantee

Attend the sessions, do the work. If by noon on Day 2 you don’t believe you’ve identified at least 10x your ticket price in realistic profit or time-saving opportunities you can implement in the next 12 months, visit the registration desk and we’ll give you a full credit of your ticket price toward any future PPO Club event or training.

No awkward conversation. No hard feelings.

FAQ

What’s the difference between this and other business conferences? 

Unlike other conferences where speakers may have scaled a few clinics years ago, we focus on real-world, actionable strategies from people who are actively scaling massive practices right now.
This conference is created by private practice owners, for private practice owners. We're not here for fluff or generic advice. You'll learn directly from those who’ve successfully built scalable, profitable practices – and are still growing them today. We believe in learning from those who’ve been through it, not just those who’ve read about it.
Plus, our interactive workshops and breakout sessions are designed for implementation, not just inspiration.

Can I bring my team? Are there any discounts for bringing multiple team members? 

Absolutely – and we highly recommend it! This event is designed to help you and your leadership team implement what you learn in real-time. And yes, we offer discounted pricing for team members – check the ticket section for details.

What is conference attire?  

Think business casual meets beach vibes. Shorts are totally fine — we’ll be oceanside, after all! Bring your flip-flops and whatever helps you feel comfortable, relaxed, and ready to connect.

What’s the closest airport?

Fly into San Antonio International Airport (SAT) - about a 15 minute drive from The Saint Anthony.

I want my practice to stay small, should I attend?

Absolutely! While the focus is scaling to multiple locations, you don’t need to be aiming for a large practice to benefit from this event. The truth is, understanding what it takes to scale big gives you the clarity and tools to create more freedom – no matter your size. You’ll leave with systems, leadership strategies, and financial insights that help your business run smoother, feel lighter, and support the life you actually want.

San Antonio · October 2026

Your Practice Can Be Freedom, Not a Cage

Most owners will keep doing "just enough" to stay stuck. A few will rewire how they think, lead, and scale. Those are the people this room is for.

© 2025 Private Practice Owners Club - All Rights Reserved

Contact Us

Call us at: 601-688-6524

Email us at: [email protected]