
Your Personal COO!
Meet Your Strategic Partner in Practice Success
I’m not just a consultant — I’m a physical therapist who has walked in your shoes.
I’ve treated patients, managed teams, built systems, fought with insurance companies, and carried the weight of owning a clinic while still working full-time on the floor. I know how overwhelming it feels to be pulled in every direction — and how impossible it seems to find time to actually work on the business.
But I also know it doesn’t have to stay that way.
Armed with an MBA and decades of experience teaching and leading in outpatient rehab administration, I help therapy clinic owners like you take control of operations, finances, staffing, and strategy — so you can stop putting out fires and start building the practice you imagined.
I believe in practical, results-driven solutions. I’m not here to give you a theoretical business plan or hand you another manual you won’t have time to read. I roll up my sleeves, meet you where you are, and help implement systems that actually work in real clinics — with real constraints.
If you're tired of doing it all alone, I’m here to help you lead with clarity and confidence.
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Our Team
Behind the Scenes
At LTO Healthcare, we understand that change is not always easy. Since 2010, we’ve been helping companies of all sizes respond to industry transitions in order to stay competitive.
Our team of experts is ready to help you develop strategies for not only surviving, but thriving in the future.
Give us a call today to set up your first consultation.

Katie Brittain PT, DPT. MBA
Director Consulting Services
Most healthcare practice owners didn’t go into medicine to manage business strategy, operations, or growth plans—they went into it to care for people. That’s where I come in.
I serve as the strategic partner and operational support that busy healthcare providers often don’t have. When there’s no COO or business-minded right hand to lean on, I help fill that critical gap—bringing over 20 years of experience in healthcare business management, process improvement, and profitability strategy.
At LTO Healthcare Management, I work alongside practice owners to optimize performance, streamline operations, and boost revenue—without pulling them away from patient care. Whether it’s refining workflows, improving chronic care management programs, or building sustainable growth strategies, I help practices run like well-oiled machines.
If you’re a provider who’s passionate about care but stretched thin on the business side, I’m here to be the support you need to thrive.

Stephen Brittain
Director Seminars and Diagnostics
Stephen is a physical therapist, board certified clinical specialist and heads Electrodiagnostic testing as well as patient management. Stephen’s work in Electrodiagnostic testing began 15 years ago when he created dynamic evaluation protocols for H reflex testing for lumbar spine pathologies. Stephen has performed hundreds of EMGs/NCV tests as well as evaluating and treated thousands of patients with complex presentations.
His work has helped to inform product development with the intention of creating a product that provides reliable data that can be used by the patient’s team to determine diagnosis, severity, prognosis and causation. He has worked with teams of healthcare professionals that voice their appreciation of his work, not only supporting their decision-making but tied directly to patient outcomes.

Erin MacInnes
Senior Consultant
Erin is a clinical psychotherapist who specializes in chronic pain, life transitions, trauma, grief, PTSD, stress, depression and anxiety. She is a registered trauma therapist and holds numerous specialty certifications. Additionally, Erin is an award-winning therapist that is regularly asked to lecture and present topics to peers, professional organizations, and university students. Her role with LTO Healthcare is product development specific to evaluating prognostic indicators for patient outcomes and psychosocial evaluation support.