Revenue flowing out of a hospital emergency entrance
โฌก LBBJ HEALTHCARE MANAGEMENT ยท BUILT FOR HOSPITAL SYSTEMS

Your Hospital Treated the Injury.
Someone Else Collected
the Rehabilitation Income.

LBBJ Healthcare Management โ€” a proprietary personal injury and workers' compensation rehabilitation income infrastructure, engineered exclusively for hospital systems. Built three times, from scratch.

$52M+
Gross billings — final year
of each business, under my
direct supervision
3ร—
Programs built
from scratch
8
Rehabilitation income streams
captured
90
Days to documented
results
“I recommend Craig without hesitation or reservation.” — Joe Dougherty — Co-Host, The Labor Show, Phila. · 15+ years in the injured-worker community · hired to work alongside Craig at Weinerman Pain & Wellness
One meeting. One number. What your system is losing. ๐Ÿ“ž 561-600-7508
Ambulances at a hospital emergency entrance at night
WHERE EVERY CASE BEGINS

Every injured patient in Florida arrives through doors like these โ€” and almost none of the downstream revenue stays inside the system.

The Problem
Your Hospital Treated the Injury.
Someone Else Collected the Rehabilitation Income.

Every single day. Every single year.

This is not a billing problem. It is not a coding problem. It is a structural infrastructure gap โ€” and it repeats with every personal injury and workers' compensation patient your emergency department discharges.

Your ER treats the acute injury, stabilizes the patient, and discharges them. The moment they leave, more often than not their attorney directs them to outpatient providers who actively pursue that case volume from the plaintiff bar โ€” physical therapy, pain management, neurology, orthopedics, interventional care. All of it, and all the premium PI and workers' comp reimbursement attached to it, leaves with the patient. Your hospital did the most expensive work and collected the smallest share.

Those outside providers did not win on clinical quality. They won because they built the infrastructure to receive, document, and bill these cases. Hospital systems never did. That is the gap. It is fixable.

The Bigger Half Never Reaches Your ER

The patients your ER discharges are only half the loss. A large share of injured people never reach your doors at all — they call an attorney first, and the firm sends them to a chiropractor or independent physical therapy provider near home — chosen largely by geography — entirely outside hospital-owned facilities. That volume, and the premium personal-injury and workers’ compensation reimbursement attached to it, never even enters your system. Recovering it isn’t about working harder at discharge — it’s about the established attorney communication and the physician gatekeeper that keep those patients within the outpatient facilities you already own.

This is the gap LBBJ Health Management exists to close โ€” by recovering the revenue that leaves your system every day and putting it back to work where it belongs.

Every 44 sec
A car accident occurs in Florida
Source: FLHSMV
218,969
People injured in Florida crashes in 2024 โ€” 42% of all crashes
Source: FLHSMV (2024)
1,000+
Crashes per day, statewide
Source: FLHSMV
Congested Florida highway at sunset with emergency lights responding to a crash
EVERY 44 SECONDS

A car accident occurs in Florida — and every one of them is a potential PI or workers’ comp patient already inside the system.

SOUTH FLORIDA

A growing population, a high-traffic state, and a permanent injury pipeline โ€” feeding hospital emergency departments every single day.

The Market
The Volume Never Decreases.
In Florida, It Compounds.
People get in car accidents. Workers get hurt on the job. Patients slip and fall on commercial property. The injury pipeline feeding Florida emergency departments is permanent โ€” and a growing population makes it larger every year.
395,175
Reported traffic crashes in Florida, 2023
FLHSMV 2023 Traffic Crash Facts
23.4M
Florida residents in 2024 โ€” the fastest-growing state in the nation
U.S. Census Bureau, Vintage 2024
467,347
New residents added in a single year (2023โ€“2024) โ€” second only to Texas
U.S. Census Bureau, Vintage 2024

Florida is the fastest-growing state in the country, adding more than 467,000 residents in a single year and reaching 23.4 million in 2024.ยน More residents mean more drivers. More drivers mean more crashes. The injury pipeline does not shrink โ€” it compounds.

Every one of those injured patients is a potential personal injury or workers' compensation patient already inside the Florida healthcare system. They arrive in emergency departments every day. The question is never whether the volume exists. The question is who captures the downstream rehabilitation income it generates.

ยน SOURCES — VERIFIED
U.S. Census Bureau, Vintage 2024 Population Estimates  ·  Crash & injury figures: Florida Dept. of Highway Safety & Motor Vehicles (FLHSMV)
A physician walking into a hospital as cash streams out the door
WHAT WALKS OUT AT EVERY DISCHARGE

Eight Rehabilitation Income Streams Hospital Systems Lose at Every Discharge.

The Revenue Gap
Eight Streams. All Billable. All Collectible.
All Flowing to Someone Else.
Each is a separate, measurable rehabilitation income channel that leaves your system the moment a plaintiff firm sends its injured PI or workers' comp client to an outside provider — a chiropractor or independent physical therapy provider chosen largely by geography โ€” because those providers built the infrastructure, and hospital systems did not.
Two audiences, one program — the same eight streams fund the nonprofit mission and convert for-profit overhead into margin.
NONPROFITS Fund the Mission Shrinking federal funding Growing uninsured load Premium PI / WC payer mix Every dollar funds care FOR-PROFITS Convert Overhead to Returns Overhead → margin Idle assets utilized 175–210% reimbursement Pilot → expansion EIGHT REHABILITATION INCOME STREAMS Both audiences. All eight.
NONPROFITS
Fund the Mission
  • Shrinking federal funding
  • Growing uninsured load
  • Premium PI / WC payer mix
  • Every dollar funds care
EIGHT REHABILITATION INCOME STREAMS
Both audiences. All eight.
FOR-PROFITS
Convert Overhead to Returns
  • Overhead → margin
  • Idle assets utilized
  • 175–210% reimbursement
  • Pilot → expansion
1

PI Patient Retention

Keep Rehabilitation Income In-System

After the ER visit, injured PI and workers' comp patients walk out to private outpatient providers. The internal care-coordination infrastructure keeps those patients โ€” and their downstream revenue โ€” inside your system.

2

PIP Insurance Reimbursement

200% Medicare Part B

PIP pays 80% of the allowed amount; the 20% patient-responsibility balance is recoverable at settlement through a Letter of Protection โ€” and may often be reduced depending on policy limits.

3

Premises Liability โ€” Slip & Fall / Negligent Security

Near Full Billed Charges โ€” No Fee Schedule

These cases carry no assigned fee schedule. Both proceed under a Letter of Protection: where insurance exhausts, the balance is paid at near full billed charges at settlement.

4

Physician Deposition Fees

$3,500 PM&R ยท $4,500โ€“$5,500 Ortho / Plastics†

Per appearance, by specialty. Conducted via Zoom โ€” the physician never travels. Florida PI attorneys pay within 30 days, not at settlement. Every active case is unbilled deposition revenue available today.

5

Final Medical Report Fee

$1,500 PM&R ยท $2,000โ€“$2,500 Ortho ยท $2,500โ€“$3,500 Neuro โ€” Paid Upfront††

The attorney pays upfront, before the case settles, for documentation that withstands deposition and supports settlement value โ€” impairment ratings, functional restrictions, future-care projections.

6

Trial / Court Testimony

$5,000โ€“$10,000 Per Day โ€” Paid in Advance

For severe-trauma cases that proceed to trial. Paid in full 14 days before the court date โ€” no refunds โ€” and retained regardless of how the case settles.

7

Letters of Protection โ€” PI / Premises

Recovered at Settlement

CPT-by-CPT negotiation with handling attorneys. Any shortfall between allowed fees and what was paid is negotiated to be paid out of settlement by the attorney.

8

Hospital-Owned DME

Premium PI / WC Rates

Durable medical equipment dispensed to PI and workers' comp patients โ€” billed at premium personal-injury and workers' compensation rates rather than standard insurance reimbursement.

† Deposition fees vary by physician specialty and are set by the retaining attorney. †† Final medical-report fees likewise vary by specialty โ€” PM&R narratives at the lower end, orthopedic- and neurosurgical-report fees higher to reflect surgical complexity and impairment-rating detail. All figures shown reflect prevailing Florida personal-injury rates and are set by the retaining attorney.

Uncompensated care is a mission conversation. This is not that conversation.

Captured PI & workers’ compensation revenue flows directly to operating surplus — the number your board measures, the number that funds every strategic initiative on your desk. Nonprofit or for-profit, the mechanics are identical: premium-rate revenue your system already generates, currently collected by providers outside your walls.

This is a financial performance conversation.

Florida hospital campus at sunset
FLORIDA โ€” WHERE THE STATUTES LIVE

PIP and workers' compensation are creatures of Florida statute โ€” and this program is built on the letter of the law.

Florida Law & Regulatory Expertise
Built on Florida Statute. Not Assumptions.
PIP and workers' compensation are different systems with different rules. Confusing them is where most programs fail. This program is built on the distinction.

PIP / MOTOR VEHICLE (ยง627.736)

No-fault PIP reimburses at 200% of Medicare Part B โ€” a statutory rate. The insurer pays 80%.

The 20% patient-responsibility balance is recoverable at settlement through a Letter of Protection โ€” and may often be reduced depending on policy limits.

The statute sets the rate at 200% of the greater of the current-year or the 2007 Medicare Part B schedule — a floor many insurers ignore when they pay against the current schedule alone.

The Letter of Protection is a standard, court-recognized instrument in Florida personal injury practice.

WORKERS' COMP (CH. 440)

Reimburses at 175% of Medicare for physicians and 210% for surgery (effective January 1, 2025).

On an accepted claim, balance billing the patient is prohibited โ€” the patient never signs a Letter of Protection and is never personally responsible.

Only on an initially denied claim may health insurance be billed in the interim โ€” then refunded once the workers' comp claim is accepted and paid.

APPLIES TO BOTH SYSTEMS

Deposition practice: physician testimony is billable in both PI and workers' comp cases, and deposition fees range by specialty โ€” PM&R at one rate, orthopedic, plastic, and neurosurgical specialists at higher rates. Florida PI attorneys pay within 30 days.†

Medical-legal documentation: objective findings, causation, impairment ratings, and functional limitations are required in both systems to support the claim โ€” documentation an EMR discharge summary is not built to produce.

† Deposition and report fees vary by physician specialty and are set by the retaining attorney; figures reflect prevailing Florida personal-injury rates.

MONEY YOU ALREADY EARNED

Florida’s PIP statute sets professional reimbursement at 200% of the greater of the current-year or 2007 Medicare Part B fee schedule. Insurers routinely pay against the current schedule — even when the 2007 floor pays more. The difference is systematic underpayment sitting inside claims your system already submitted and marked closed.

This is not a new program. This is recovery of money already earned under existing law.

BUILT TO SURVIVE THE BOARDROOM

A rehabilitation income program that cannot survive compliance review is not a rehabilitation income program at all.

Compliance
Built Within Anti-Kickback & Patient-Brokering Boundaries.
For a hospital system, the first question is not whether the rehabilitation income exists. It is whether the program is safe. This one is built to be.

This program is limited to personal injury, workers' compensation, and premises-liability matters and excludes all federal healthcare programs (Medicare and Medicaid). It is structured to operate within the Anti-Kickback Statute and Florida's Patient Brokering Act.

Compensation is structured as fixed, fair-market-value fees โ€” never as a share of collections or settlement proceeds, and never tied to the volume or value of patients treated. Attorney relationships are professional relationships earned through physician credibility and the quality of medical-legal documentation โ€” never fee-splitting or any other prohibited remuneration.

Every element of the build is designed to withstand the scrutiny a hospital compliance department will โ€” and should โ€” apply. It is engineered to be defensible from day one.

Excludes Federal Programs
Anti-Kickback Statute
Florida Patient Brokering Act
Fixed Fair-Market-Value Fees
BUILT FROM ZERO โ€” THREE TIMES

More than $52 million in combined gross billings in the final year of each business under my direct supervision โ€” without a dollar of outside capital.

Proven Track Record
This Model Has Been Built Three Times.
From Zero. Every Time.
Three physician-owned programs, each on a different clinical platform โ€” proving the model is portable across specialties. More than $52 million in combined gross billings in the final year of each business under my direct supervision, without a dollar of outside capital. That total reflects the first two builds; I exited the third during the COVID shutdown and am not aware of its final statistics, so it counts as a completed build only โ€” not in the dollar figure.
FIRST BUILD

Spinal Decompression Program

Board-certified neurosurgeon ยท non-surgical spinal decompression

$17M+ in gross billings in its final year under my direct supervision, at a 45% net margin

Workers' comp revenue secured through utilization reviews won on documentation — under the board-certified neurosurgeon, never on audit

70+ PI and workers' comp law firm relationships

Recruited 2 neurosurgeons + 1 orthopedic surgeon

Scaled to 10 treatment tables + second location

SECOND BUILD

PT & Chiropractic Program

Solo practitioner ยท physical modalities & chiropractic only

Gross billings reached $35M in its final year under my direct supervision, at a 46% net margin

No injections, no imaging, no EMG testing

120+ PI law firm relationships ยท single 5,000 sq ft office, one provider

THIRD BUILD

Orthopedic / Chiropractic MSO

Orthopedic surgeon + chiropractor ยท same therapeutic model

Third build of the model on a distinct clinical platform โ€” proving it is portable across specialties

Built on established communication with the plaintiff bar โ€” firms worked with the practice because its physicians produced comprehensive, defensible final reports, earned on documentation quality alone

Launched and ramping when he exited during the COVID shutdown โ€” not a program failure

AN INDEPENDENT RECOMMENDATION — PUBLISHED IN FULL
JOE DOUGHERTY
Co-Host, The Labor Show · Talk Radio 1210 WPHT / WWDB 860 · Philadelphia, Pennsylvania

June 2026

RE: Craig Rosen — Professional Recommendation

To Whom It May Concern:

I write this letter without hesitation and with complete confidence in the man it concerns.

I have known Craig Rosen for more than fifteen years, both professionally and personally. I worked directly for Craig at Weinerman Pain & Wellness, where together we built a program serving the injured-worker community across the Philadelphia region. I did not observe his work from a distance — I was in the room. I saw how the program was built, how it was run, and how it treated the people it served.

For decades, my voice has been on Philadelphia airwaves as co-host of The Labor Show, speaking for and to the working men and women of this region. My name and reputation in the labor community are everything to me, and I have never lent them lightly. When I associated my name with Craig's program on a weekly basis, it was because I had seen firsthand that the program delivered exactly what it promised: genuine care for injured workers and their families.

What speaks most to Craig's value is the foundation upon which it was built: trust and relationships. Attorneys participated because of Craig — his reputation, his integrity, and the credibility he had earned over decades. A marketing format can be copied. A reputation built through years of delivering on your word cannot.

Craig is direct, honest, and one of the hardest-working professionals I have ever known. The respect and trust he holds within the injured-worker and workers' compensation communities are genuine and hard-earned. People in those worlds do not give their confidence easily, and Craig earned it one relationship at a time.

Any hospital system or healthcare organization fortunate enough to work with Craig Rosen will gain not just his experience and his proven track record, but his relationships, his integrity, and his relentless work ethic. I recommend Craig without hesitation or reservation.

Joe Dougherty
Joe Dougherty
Co-Host, The Labor Show
Talk Radio 1210 WPHT / WWDB 860
Philadelphia, Pennsylvania
Craig B. Rosen

Craig B. Rosen

Founder & Principal, LBBJ Health Management LLC
๐Ÿ“ž 561-600-7508  ·  โœ‰๏ธ lbbjhealthmgmt@gmail.com
  • Built physician-owned personal injury & workers' compensation rehabilitation income programs three times, from scratch โ€” more than $52 million in gross billings, the final year of each business under my direct supervision, without a dollar of outside capital.
  • Produced the P&L for all three builds alongside each practice's CPA.
  • First build โ€” a board-certified neurosurgeon, non-surgical spinal decompression: $17 million in gross billings in its final year under my direct supervision, at a 45% net profit margin.
  • Second build โ€” a solo chiropractor, chiropractic & physical therapy modalities only: $35 million in gross billings in its final year under my direct supervision, at a 46% net profit margin, from a single 5,000 sq ft outpatient office โ€” no injections, no imaging, no EMG testing.
  • Third build โ€” an orthopedic surgeon paired with a chiropractor on the same model: launched and ramping before he exited during the COVID shutdown. Not a program failure โ€” proof the model is portable across a third specialty.
  • Now brings that model โ€” engineered exclusively for hospital systems โ€” built on a track record proven three times, from scratch.
๐Ÿ“„

Craig's published analysis of hospital PI/WC rehabilitation income leakage is available on LinkedIn: read the full article โ†’

The Solution
One Program. Two Mandates.
The same eight-stream program serves two different business models โ€” and the first system in each market to build it earns the market reputation that follows.
FOR NONPROFIT SYSTEMS

Fund the Mission You Already Carry.

Your uncompensated-care burden only grows. By capturing your share of Florida's personal injury and workers' compensation rehabilitation income โ€” premium-reimbursement care that currently routes to outside providers โ€” you convert revenue you are already generating into funding for the mission-driven care you provide to patients who cannot pay.

FOR FOR-PROFIT SYSTEMS

Turn Overhead Into Leverage.

Your imaging, PT, pain management, and specialty departments carry fixed overhead whether or not they run at capacity. Capturing PI and workers' comp volume drives utilization on infrastructure you already own โ€” converting depreciable overhead into appreciable revenue that flows to margin and returns.

The Independent-Physician Advantage
The testing isn’t the advantage. Independence is.

Tested with the plaintiff bar. Pennsylvania attorneys — who practice under PIP laws similar to Florida’s — confirmed that a hospital specialist’s truly independent assessment of a patient’s condition and disability is more valuable both to the patient and to an attorney pursuing a fair settlement.

Not the testing. Outside providers document the same objective findings — that has never been the differentiator.

The edge is independence. A chiropractor or clinic that solicits its patients from law firms can be cast by defense counsel as financially aligned with the plaintiff, and its findings discounted on that basis.

Your physician is clean. A hospital physician takes no part in that solicitation, so his opinion reads as independent — and independence is what holds up when case value is negotiated.

They never reach your ER. A soft-tissue injury sends the patient to an attorney and a chiropractor first, not the emergency department.

Where the value compounds. Soft-tissue injuries frequently progress into disc herniations and other objective, high-value findings, which an independent PM&R physician evaluates, tests, and documents on his own findings — rendering his opinion for the benefit of the patient.

It carries more weight at settlement. The plaintiff bar confirms an independent opinion weighs more heavily with defense counsel and the insurance adjuster — so the attorney is free to seek the best possible care, and a client who never came through the ER benefits as fully as one who did.

How the Attorney Relationship Works
Plaintiff attorneys communicate with your PM&R gatekeeper because that physician produces a single comprehensive final report โ€” objective findings, causation, impairment ratings, and functional limitations โ€” that withstands deposition and anchors settlement value. The relationship rests on documentation quality alone.

“I have known [Craig] to be professional and reliable, with consistently excellent communication toward the attorneys he worked with. The cases involving his patients were well managed, and that level of organization and attorney communication made a real difference in how those matters were handled. I have confidence in his ability to build and manage medical practices.”

— Lance Rosen, Esq., Rosen Moss Snyder LLP, Pennsylvania (no relation)

Plaintiff attorney — 20-year professional relationship; his clients were patients at VAX-D and Weinerman

Why a PM&R Gatekeeper
Physical medicine & rehabilitation is the easiest specialty to propose to your system as the gatekeeper. The physiatrist evaluates the injured patient and conducts the follow-up reevaluations that determine what each patient actually needs — then directs that care inside your walls: physical therapy, including vestibular therapy; EMG and diagnostic injections performed by the physiatrist; imaging ordered through your departments; and your own specialists brought in when warranted. One physician anchors the case, keeps the downstream care in-system, and produces the comprehensive final report that holds up at settlement.
THE PROOF IS ALREADY IN YOUR SYSTEM

This projection is not hypothetical. Your billing department can run one report today — your open Personal Injury & Workers’ Compensation A/R. Every attorney-represented case sitting in that report is revenue your system already earned. That number is the floor of what this program addresses — before a single new patient is retained.

Run the report. Bring it to the meeting. We start there.

THE LBBJ MISSION
LBBJ Health Management exists to recover the personal injury and workers' compensation revenue that leaves hospital systems every day โ€” and to put it back to work where it belongs.

For a nonprofit system, that revenue funds the uncompensated care your margins can no longer absorb. For a for-profit system, it converts overhead you already carry into margin. Same program, same eight streams โ€” one outcome, shaped to your mandate.

The program is LBBJ Healthcare Management โ€” and I deliver it as your consultant, engaged at a fixed, fair-market-value hourly rate, never a share of what it collects. I have built this model three times, from scratch, with a fraction of the infrastructure your system already owns. The revenue is real, it is growing, and right now it is leaving โ€” captured by outside providers who built what your hospital has not.

The opportunity is not scarce. My calendar is.

I take one engagement per market. The first system to commit secures both the engagement and first claim on my calendar โ€” and becomes known as the one equipped to document and manage these cases credibly.

The facts are not in dispute. The only open question is which system acts on them first.

“Craig is direct, honest, and one of the hardest-working professionals I have ever known. The respect and trust he holds within the injured-worker and workers’ compensation communities are genuine and hard-earned. People in those worlds do not give their confidence easily, and Craig earned it one relationship at a time. I recommend Craig without hesitation or reservation.

— Joe Dougherty, Co-Host, The Labor Show · Talk Radio 1210 WPHT / WWDB 860, Philadelphia

Joe was hired by Craig at Weinerman Pain & Wellness. Together they built this program — and Joe put his own name on it, narrating it weekly on Philadelphia airwaves. Read his full signed letter on the Track Record page.

YOUR HEALTH-INSURANCE CONTRACTS DON'T PAY THIS
175–210%
OF MEDICARE — THE HIGHEST-REIMBURSED CARE YOUR SYSTEM CAN DELIVER

Personal injury and workers' compensation rehabilitation income pays up to double your Medicare rate and beyond — far above your commercial health-insurance contracts. Right now, that revenue leaks out of your system at every discharge. I will show your team exactly what is leaving, how to capture it, and what it is worth inside your walls.

Every week you wait, the leakage continues — and your competitor is one meeting away from capturing it first.

GIVE ME TWENTY MINUTES — I'LL SHOW YOU THE NUMBER
๐Ÿ“ž 561-600-7508  ·  โœ‰๏ธ lbbjhealthmgmt@gmail.com
๐Ÿ“ž
DIRECT LINE
โœ‰๏ธ
๐Ÿ“
LOCATION
South Florida

Call or email directly — every inquiry reaches me personally.

I appreciate your interest.

Craig B. Rosen
Founder & Principal · LBBJ Health Management LLC
๐Ÿ“ž GIVE ME TWENTY MINUTES