Upstream Rehabilitation Executive and Leadership Team

Karl Hagedorn, the Chief Financial Officer at Upstream Rehabilitation, manages the fiscal health and long-term capital strategy of the organization. Overseeing financial planning, budgeting, and revenue cycle management, the Chief Financial Officer ensures the company maintains a robust balance sheet to support ongoing expansion. This leadership role involves analyzing market trends to guide investment in new physical therapy clinics and service lines. By monitoring financial performance metrics across the national footprint, Karl Hagedorn provides the data-driven insights required for strategic decision-making. The Chief Financial Officer also coordinates with the board to ensure transparency and regulatory compliance in all fiscal reporting. Through the optimization of capital structures and cost management initiatives, Hagedorn drives sustainable growth and profitability. Ultimately, the Chief Financial Officer protects the financial integrity of the enterprise while enabling the continued delivery of high-quality outpatient rehabilitation services to patients nationwide.

Casey Kalb, the Chief Operating Officer at Upstream Rehabilitation, directs all daily clinical operations across the national network of physical therapy clinics. Overseeing the efficiency of outpatient rehabilitation management services, the Chief Operating Officer ensures that every facility maintains rigorous standards of patient care and operational throughput. This leadership role involves optimizing resource allocation to support the expansive member network of rehabilitation service providers. By streamlining administrative workflows and clinical processes, Casey Kalb directly impacts the scalability of the organization. The Chief Operating Officer also collaborates with regional directors to ensure consistent service delivery across diverse markets. Through the implementation of standardized operational protocols, Kalb drives significant improvements in clinic performance and patient outcomes. Ultimately, the Chief Operating Officer secures the operational foundation necessary for the company to maintain a leading position within the competitive outpatient rehabilitation industry.

Chad Barker, the President, Growth & Development at Upstream Rehabilitation, architects the strategic expansion of the national outpatient rehabilitation network. Overseeing market analysis, site selection, and the integration of new physical therapy clinics, the President, Growth & Development ensures the company captures emerging opportunities in the healthcare sector. This leadership role involves cultivating relationships with potential partners and identifying acquisition targets that align with the core mission of the organization. By driving business development initiatives, Chad Barker expands the reach of the member network into new geographic territories. The President, Growth & Development also collaborates with the executive team to refine the long-term growth strategy and enhance market presence. Through the execution of targeted development plans, Barker drives significant increases in patient access and service capacity. Ultimately, the President, Growth & Development secures the future trajectory of the company by fostering sustainable growth and innovation.

Cindy Butierez, the President at Upstream Rehabilitation, provides executive leadership for the entire organization, guiding the strategic vision and mission of the company. Overseeing the alignment of all departments, the President ensures that the national provider of outpatient rehabilitation services maintains a focus on clinical excellence and patient-centered care. This leadership role involves setting corporate objectives and fostering a culture of innovation across the member network. By coordinating the efforts of the C-suite, Cindy Butierez drives the execution of high-level initiatives that enhance the quality of physical therapy services. The President also represents the company in industry forums and manages relationships with key stakeholders to ensure long-term success. Through the promotion of operational excellence and strategic growth, Butierez drives the overall performance of the organization. Ultimately, the President secures the continued impact of the company as a leader in the outpatient rehabilitation industry.

Hugh Middlebrooks, the General Counsel & Chief Legal Officer at Upstream Rehabilitation, directs all legal affairs and corporate governance initiatives. Overseeing risk management, contract negotiations, and regulatory compliance, the General Counsel & Chief Legal Officer ensures the organization adheres to the complex legal frameworks governing outpatient rehabilitation services. This leadership role involves protecting the company from litigation and ensuring that all member network agreements align with corporate standards. By providing counsel on mergers, acquisitions, and strategic partnerships, Hugh Middlebrooks facilitates the safe expansion of the national clinic footprint. The General Counsel & Chief Legal Officer also manages interactions with regulatory bodies to maintain the highest standards of ethical practice. Through the proactive identification of legal risks, Middlebrooks drives organizational stability and protects the reputation of the company. Ultimately, the General Counsel & Chief Legal Officer secures the legal framework that supports the mission of providing comprehensive physical therapy care.