A PLACE FOR EVERYONE

Hal Hargrave's mission to transform fitness facilities into community health hubs.


BY JIM SCHMALTZ

Hal Hargrave has spent nearly two decades turning a personal tragedy into a collective movement. After a 2007 car accident left him with a cervical spinal cord injury, Hargrave founded The Perfect Step, an activity-based recovery center at the Claremont Club in Southern California, and the Be Perfect Foundation, a nonprofit that has since funneled more than $10 million into paralysis recovery and financial assistance.

These days, Hargrave’s reach extends well beyond Southern California. He’s a regular presence at HFA’s annual Fly-In and Advocacy Summit and attended the first-ever HFA state advocacy fly-in on May 18 in Sacramento.

While he continues to consult with commercial health clubs, Hargrave has become involved in several high-profile projects:

• collaborating with Lionel University to develop the world's first university-accredited paralysis-recovery curriculum;

• working with the Paralympic movement ahead of the 2028 Los Angeles Games; and

• serving as a global ambassador for Wings for Life, Red Bull's spinal cord injury research.

To draw attention to Wings for Life, Red Bull featured Hargrave’s photo and story in hundreds of Rocket and Alta convenience store locations across the United States during the month of June.

“It’s a surreal feeling to stop at a gas station and see your own face looking back at you from a pump or a checkout counter,” Hargrave says.

Despite his growing list of responsibilities, his message remains remarkably simple.

Health clubs already possess something medicine often cannot provide: community.

And if the industry embraces that role, Hargrave says clubs can become far more than places where people exercise—they can become community health hubs that improve lives for everyone, regardless of ability.

HFB recently spoke with Hargrave about why community has become the centerpiece of his work, how club operators can begin to integrate adaptive programming without massive investments, and why he believes the fitness industry is uniquely positioned to reshape population health.

Hargrave

Hargrave is flanked by Ashton Wray (left), director of operations for The Perfect Step, and Hargrave's mother, Lorie Hargrave.

You've become involved in advocacy, education, partnerships—even international initiatives. What's tying all of these efforts together?

They all come back to one idea: population health. We've spent decades operating in a reactive healthcare system instead of a proactive one. We wait until people become sick, injured, or disabled before we intervene. I think health clubs are uniquely positioned to change that conversation.

Whether I'm meeting with policymakers, working with universities, or partnering with clubs, I'm asking the same question: How do we create healthier communities before healthcare becomes necessary? That's why advocacy matters. That's why education matters. That's why partnerships matter. They're all different paths toward building healthier communities.

Why does advocacy matter so much to you personally?

I understand that one voice can’t change much on its own. But I’m involved with organizations like HFA that are doing advocacy work—we had 130 people at the Fly-In working toward one mission. When you bring large numbers of voices together with prominent, vocal figures who are already creating change in their own communities, change can happen.

Health club operators often hesitate at the idea of investing in adaptive programming. What’s your answer to that?

Accessibility is not an expense line on the balance sheet; it’s a growth strategy. The question isn’t whether integration is going to happen in this industry—it’s who’s going to lead it.

I built a 10-step process specifically so clubs don’t have to bite off more than they can chew. It starts with education. From there it moves into building referral partnerships with rehab hospitals, physical therapy clinics, and adaptive sports programs in the community because those clients are going to need somewhere to go once their insurance runs out. This goes beyond just community service; it's a referral ecosystem for sustainable growth.

The Perfect Step was launched at the Claremont Club. Unfortunately, the club closed during the pandemic, but The Perfect Step continued. Why was the program successful at the Claremont Club?

In the year we implemented our program, member attrition fell to an industry low of 13%, a nine-point improvement over the year before. Employee turnover dropped from 12.8% to 9%, also an industry low.

When we asked our members why they stayed, they told us it was because we’d created a set of values around acceptance, inclusion, and empathy that they wanted to raise their own children with. Our employees said programs like The Perfect Step gave them a sense of meaning and purpose.

That year alone, we recouped roughly 3,400 billable units, about $500,000 in non-dues revenue and another half-million in retained dues revenue from members we otherwise would have lost.

10 STEPS FOR BUILDING A COMMUNITY-BASED ADAPTIVE PROGRAM

A five-phase roadmap for fitness facilities.

Hal Hargrave built a 10-step plan so that no club has to bite off more than it can chew for building programming that is adaptive. Each phase moves a facility one step further—from education to physical readiness, to community visibility, to measurable programming, to becoming a true regional resource for the disability community.

Phase 1: Build the Foundation

Step 1: Start With Education

• Train leadership and key staff

• Reduce fear and liability concerns

Step 2: Appoint an Adaptive Champion

• Designate a senior internal leader

Phase 2: Create Physical and Structural Readiness

Step 3: Ensure Basic Accessibility

• Entryways, restrooms, spacing, transfer confidence

Step 4: Introduce One Adaptive-Friendly Zone

Step 5: Offer Respectful Membership Structures

Phase 3: Activate Community Engagement

Step 6: Host an Adaptive Open House

Step 7: Build Referral and Community Partnerships

Phase 4: Deliver Programming With Measurable ROI

Step 8: Invest in Staff Education and Certification

Step 9: Pilot One Integrated Adaptive Program

• Adaptive strength coaching, seated sessions

Phase 5: Become a Regional Flagship

Step 10: Become a Licensed Facility

• Align with neurological inclusion standards

• Serve as a regional adaptive wellness hub

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How big is the mobility-challenged population we’re talking about?

Of the roughly 330 million Americans alive today, an estimated 80 million—nearly a quarter of the population—will experience a mobility setback at some point in their lives that creates a need for these kinds of services. This isn’t a niche market anymore. It’s a macro market, and a growing one.

One of the themes throughout your work is community. Why has that become so important?

Because community changes outcomes. When I trained at the Claremont Club after my injury, I wasn't exercising in isolation; I was training alongside everyone else.

Watching able-bodied members push themselves motivated me to work harder.

I'd like to think seeing me work through my challenges motivated them as well. That's what community looks like: Everyone benefits. That's what I'd like to replicate across the country.

You often speak about health clubs becoming community health hubs. What does that actually look like?

It starts locally. Host an adaptive open house. Invite rehabilitation hospitals.

Partner with occupational therapists. Develop referral relationships. Eventually those partnerships create a sustainable ecosystem. People complete rehabilitation, and insurance coverage ends. Where do they go next? Ideally, they transition into a health club that's prepared to continue supporting their journey. That's where fitness becomes part of healthcare instead of something completely separate from it.

Ultimately, I'd like every major metropolitan area to have professionals trained to serve adaptive populations within existing health clubs. When someone experiences a life-changing injury, they shouldn't have to drive hundreds of miles to find knowledgeable care.

Community should exist where they live.

With everything you're involved in, what keeps you motivated?

I'm motivated by the results that haven't happened yet. Most people would have quit by now because the progress isn't fast enough. I'm motivated by what's still possible.

If we continue educating people, building partnerships, and changing systems, I genuinely believe we can create healthier communities for everyone. That's worth dedicating my life to. And if I can help move the fitness industry in that direction—even a little—that will be a legacy I'm proud of.

Hal on LinkedIn

By the Numbers: The Gaps in Inclusive Fitness Recovery

Americans report a mobility disability—about 12% of adults

People live with paralysis—about 1 in 50

New spinal cord injuries occur each year

Most Common Underlying Conditions

0%

Stroke

0%

Spinal Cord Injury

0%

Multiple Sclerosis

0%

Cerebral Palsy

Current Shortfalls in Care

Limited access to long-term recovery programs

Traditional rehab ends too soon

Fitness environments often lack adaptive equipment and trained staff

Healthcare and fitness operate in separate silos

Secondary complications affect long-term health and life expectancy

Source: Compiled from Christopher & Dana Reeve Foundation, National Spinal Cord Injury Statistical Center, CDC, and US Census Bureau data, as cited in Hal Hargrave’s presentation, “Empower Disability Inclusion: Medical and Fitness.”

Lionel University Launches First Accredited Paralysis Recovery Curriculum

Recognizing the need for standardized education in neurological recovery, Lionel University has partnered with The Perfect Step to develop what Hargrave says is the world's first university-accredited educational program dedicated specifically to paralysis recovery.

Unlike traditional adaptive fitness certifications, which often focus on helping individuals function within physical limitations, the curriculum emphasizes neurological restoration and activity-based recovery. Students will learn evidence-based approaches designed to improve function below the level of injury while integrating current research and clinical best practices.

The online curriculum is expected to launch globally later this year and is intended for personal trainers, rehabilitation professionals, therapists, and fitness practitioners interested in serving individuals with neurological injuries.

For Hargrave, the initiative represents more than a new educational offering. He sees it as the beginning of a worldwide network of professionals capable of bringing high-quality paralysis recovery services into their own communities—expanding access well beyond specialized rehabilitation centers.

As more professionals receive standardized education, Hargrave believes health clubs can increasingly become destinations not only for fitness, but for long-term community wellness and neurological recovery.

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