Upstream Rehabilitation Executive and Leadership Team

July, 2026

Leadership Overview

Upstream Rehabilitation has 6 executives leading key functions including strategy, finance, operations, growth, legal, and market expansion.

Driven by a commitment to patient care, Upstream Rehabilitation provides a comprehensive suite of outpatient rehabilitation services, shaping the future of physical therapy nationwide.

Leadership Roles at Upstream Rehabilitation

  • Chief Executive Officer - David VanName
  • Chief Financial Officer - Karl Hagedorn
  • Chief Operating Officer - Casey Kalb
  • President, Growth & Development - Chad Barker
  • President - Cindy Butierez
  • General Counsel & Chief Legal Officer - Hugh Middlebrooks
  • David VanName - Chief Executive Officer

    David VanName, the Chief Executive Officer at Upstream Rehabilitation, directs the overarching strategy and vision for the national provider of outpatient rehabilitation services. VanName guides the organization's expansion and operational excellence across its free-standing physical therapy clinics and member network. This leadership role involves ensuring alignment with the company's mission to deliver comprehensive rehabilitation care. David VanName oversees the integration of new service lines and the optimization of existing operations to enhance patient outcomes and market presence. The Chief Executive Officer's focus remains on driving sustainable growth and solidifying Upstream Rehabilitation's position as a leader in the healthcare sector. VanName's strategic direction ensures the company effectively navigates the evolving landscape of outpatient therapy management.

    Karl Hagedorn - Chief Financial Officer

    Karl Hagedorn, the Chief Financial Officer at Upstream Rehabilitation, manages all financial operations and strategic fiscal planning for the national outpatient rehabilitation provider. Hagedorn oversees budgeting, forecasting, and financial reporting, ensuring the fiscal health and stability of the organization's diverse service offerings, including physical therapy clinics and management services. This critical position involves securing capital for expansion initiatives and optimizing financial performance across all business units. Karl Hagedorn works closely with other executive leaders to align financial strategies with the company's growth objectives and commitment to patient care. The Chief Financial Officer's expertise is vital in navigating complex financial regulations and maximizing profitability. Hagedorn's stewardship of financial resources supports Upstream Rehabilitation's ongoing development and market leadership.

    Casey Kalb - Chief Operating Officer

    Casey Kalb, the Chief Operating Officer at Upstream Rehabilitation, directs the day-to-day operational execution and efficiency across the company's extensive network of outpatient rehabilitation services. Kalb oversees the management of free-standing physical therapy clinics and the provision of rehabilitation management services, ensuring high standards of patient care and operational effectiveness. This role involves optimizing workflows, implementing best practices, and driving performance improvements throughout the organization. Casey Kalb collaborates with department heads to enhance service delivery and operational scalability. The Chief Operating Officer's responsibilities include managing resources, streamlining processes, and ensuring seamless integration of new facilities and services. Kalb's leadership ensures Upstream Rehabilitation consistently delivers exceptional patient experiences and maintains its competitive edge in the market.

    Chad Barker - President, Growth & Development

    Chad Barker, the President, Growth & Development at Upstream Rehabilitation, spearheads strategic initiatives focused on expanding the company's national footprint and service offerings. Barker identifies and pursues new market opportunities, driving the development of new free-standing physical therapy clinics and enhancing the network of rehabilitation service providers. This leadership position involves cultivating strategic partnerships and overseeing the integration of acquired entities. Chad Barker works to ensure that growth strategies align with Upstream Rehabilitation's core mission of providing comprehensive outpatient rehabilitation. The President, Growth & Development's efforts are crucial for increasing market share and revenue streams. Barker's vision propels the organization forward, solidifying its position as a leading national provider.
    Chad Barker

    Cindy Butierez - President

    Cindy Butierez, the President at Upstream Rehabilitation, drives strategic initiatives and operational oversight for key segments of the company's national outpatient rehabilitation services. Butierez focuses on enhancing the delivery of comprehensive physical therapy services and strengthening the network of rehabilitation providers. This leadership role involves fostering collaboration among teams and ensuring alignment with the company's overarching goals for patient care and market expansion. Cindy Butierez works to optimize service line performance and explore new avenues for innovation within the rehabilitation sector. The President's contributions are essential for maintaining Upstream Rehabilitation's reputation for excellence and driving continued success. Butierez's leadership ensures the effective execution of strategic plans across designated operational areas.
    Hugh Middlebrooks, the General Counsel & Chief Legal Officer at Upstream Rehabilitation, provides comprehensive legal counsel and oversees all legal affairs for the national provider of outpatient rehabilitation services. Middlebrooks manages regulatory compliance, risk mitigation, and corporate governance across the company's operations, including its physical therapy clinics and management services. This role ensures adherence to all applicable laws and industry standards, protecting the organization's interests. Hugh Middlebrooks advises executive leadership on legal implications of strategic decisions and operational changes. The General Counsel & Chief Legal Officer's expertise is vital in navigating the complex legal landscape of the healthcare sector. Middlebrooks' guidance supports Upstream Rehabilitation's commitment to ethical practices and sustained growth.
    Hugh Middlebrooks

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    Frequently Asked Questions Regarding Upstream Rehabilitation Top Executives and Leadership Team

    Who leads Upstream Rehabilitation?
    Upstream Rehabilitation is led by David VanName (Chief Executive Officer), along with executives such as Karl Hagedorn (Chief Financial Officer) and Casey Kalb (Chief Operating Officer).
    Who is part of Upstream Rehabilitation’s executive team?
    The executive team of Upstream Rehabilitation includes leaders such as David VanName (Chief Executive Officer), Karl Hagedorn (Chief Financial Officer), Casey Kalb (Chief Operating Officer) and other senior executives.
    How many executives does Upstream Rehabilitation have?
    Upstream Rehabilitation has 6 executives leading key business areas.
    What roles are included in Upstream Rehabilitation’s leadership team?
    The leadership team of Upstream Rehabilitation includes roles such as Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, President, Growth & Development, President.