The People-First Playbook for Scaling a Regional PT Practice

Al Moreau grew up in the world of physical therapy. His father founded Moreau Physical Therapy in 1977, and today Al leads that same network across more than 26 locations in Louisiana and Texas. Building on a family legacy isn't just about honoring the past. For Al, it means pushing the practice forward while staying rooted in the values that made it matter in the first place.Al's approach to scaling starts long before a new clinic opens. Rather than hiring for headcount, he identifies clinicians with leadership potential and builds expansion plans around them, training directors in-house, investing heavily in continuing education, and creating career pathways that give ambitious therapists a real reason to stay and grow.When it comes to acquisitions, Al has a clear rule: he won't buy a job. Moreau PT only pursues deals where an existing, staffed team is already in place and culturally aligned. In rural markets where hiring is already a challenge, acquiring a solo-operator practice and watching the founder walk out the door isn't a growth strategy — it's a staffing crisis waiting to happen.Recruiting to rural East Texas and North Louisiana is one of Al's most persistent challenges. With Houston just an hour from some of their Texas locations, the competition for talent is constant. And while artificial intelligence holds real promise — Moreau PT is actively piloting AI scribes and compliance tools — the rollout requires as much care as the technology itself.If you're building a practice and wondering how to grow without losing what makes it special, this episode is your blueprint.Al MoreauOwner, Moreau Physical TherapyAl Moreau is the owner of Moreau Physical Therapy, a multi-specialty rehabilitation network his father founded in 1977 that now spans more than 26 locations across Louisiana and Texas. He leads the organization with a people-first philosophy rooted in the belief that sustainable growth comes from investing in the right people, not just opening new doors. Known for building strong internal leadership pipelines, Al has developed formal programs to grow clinicians into directors and guide the next generation of practice leaders. Under his leadership, Moreau PT has expanded into rural markets across two states while maintaining a close-knit culture built on mentorship, community, and the core value of growing together.Connect with Al Moreau on LinkedInLearn more about Moreau Physical TherapyFollow Moreau Physical Therapy on Instagram @moreauptSarina RichardChief Strategy Officer, Raintree SystemsSarina Richard has spent twenty years as a Healthcare Technology Executive across the healthcare continuum, from operator to service provider to financier. At Raintree, Sarina oversees corporate strategic planning and leads cross-departmental initiatives to build best-in-class teams, systems, and processes.Connect with Sarina Richard on LinkedInAbout RaintreeRaintree is the rehabilitation and physical therapy software of choice for enterprise and large therapy provider organizations.Discover why Raintree is the trusted EMR and practice management platform for the largest and most ambitious rehab therapy organizations in the U.S.Request a demo of Raintree