From a $400 Church Room to 19 Sites, with Yoni Rosenblatt from True Sports, BOAC E#52

Yoni Rosenblatt started True Sports Physical Therapy with almost no money, renting a room in the back of a converted church for $400 and making the clinic movable because he had no idea whether the business would survive. More than a decade later, True Sports has grown to 19 locations, with two more on the way. In this episode of The Business of a Clinic, Jared Aron sits down with Yoni to unpack what actually has to change when a clinician-led practice becomes a multi-site healthcare business.Yoni explains why True Sports has built its model around two priorities: delivering high-level sports physical therapy and making the company the best possible place to work as a physical therapist. Central to that is a model he remains fiercely protective of: one clinician, one patient, for 45 minutes.They explore Yoni's approach to hiring and why growth mindset, communication and coachability matter more to him than an impressive CV. Yoni also explains how bringing Dr. Tim Stone into the business allowed him to begin “cloning” himself operationally, creating a leadership structure that could support new locations without making the entire organisation dependent on its founder. The discussion moves into the infrastructure behind scale: accounting, financial oversight, administrative leadership, scheduling, insurance, patient intake and the systems required to keep clinical and non-clinical teams aligned.A major theme is accountability. Yoni draws a distinction between being responsible for checking boxes and being accountable for getting an outcome. As the business grows, every important patient and operational process needs a clear owner. Without that ownership, tasks inevitably fall through the cracks. Yoni also shares the areas he believes clinics should scrutinise most closely, including accounts receivable, cancellations and the gap between a patient booking an appointment and actually attending it. Jared and Yoni discuss why traditional marketing attribution can obscure what happens further down the patient journey and why clinic leaders need their own operational view of performance.The episode closes with a discussion about AI, automation and the future of physical therapy. Yoni wants to automate anything that takes clinicians away from patients, but not the human interaction itself. His experience with telehealth during COVID reinforced his belief that coaching, motivation, observation and understanding what makes an individual patient “tick” are difficult to separate from being physically present with that person. It is a conversation about what scaling a healthcare business actually requires: less founder dependency, clearer accountability, better systems, stronger leadership and knowing exactly which parts of the patient experience should never become operational noise.