Grow Your Practice Podcast

Grow Your Practice Podcast

Each week, the Grow Your Practice Podcast with Chad Madden of Breakthrough brings you no-nonsense marketing & business growth strategies that deliver new patients and higher profits. Co-Founder of Breakthrough, Owner of Madden Physical Therapy and Author of "Killer Marketing Secrets for Private Practice PTs", Chad grew his practice 600% in the last five years using direct response marketing strategies. He sees more than 200 new patients each month in his single location Private Practice. Now he's teaching over 800 Practice Owners to do the same.

  1. 1D AGO

    How to Add Cash Pay Services to Your PT Practice the Right Way

    In this episode, Chad Madden breaks down the real playbook for rolling out cash pay services inside a private practice. He shares how his team 6x’d cash pay revenue, the three-step promotion strategy that works, and why clinician confidence matters more than most owners realize. You’ll also hear real numbers from laser, HBOT, and reactivation campaigns so you can see what successful implementation looks like. If you’re trying to grow profitability, help more patients, and reduce dependence on insurance reimbursement, this episode gives you a practical roadmap. Time Stamps 00:00 - Welcome and Why Cash Pay Matters Now 00:24 - The Shift from “Should We?” to “How Do We Do It?” 01:34 - The 3 Ways to Promote Cash Pay Services 02:15 - How Existing Patients Drive Early Cash Pay Success 04:31 - Reactivating Past Patients with Offers and Promotions 07:54 - Using Paid Ads for Cash Pay Services the Right Way 11:36 - Case Studies, Evidence, and Clinician Buy-In 17:06 - Hiring for Cash Pay Confidence and Sales Competency 20:36 - Why Private Practices Can’t Ignore Cash Pay Anymore

    23 min

  2. 2D AGO

    2026 Breakthrough Virtual Summit: New Rules to Grow Your Private Practice

    In this episode, Chad Madden gives a preview of the upcoming Breakthrough Virtual Summit: State of PT: The New Rules of Private Practice Growth in 2026. He shares what practice owners can expect, from reimbursement challenges and AI to cash-based services, compliance, team building, and practice valuation. If you own or lead a private practice, this free event is designed to help you navigate industry changes and grow with confidence. Check the show notes for the registration link and save your spot. Register now: https://getbreakthrough.com/2026-virtual-summit/ Time Stamps00:00 - Welcome to Grow Your Practice 00:21 - Free virtual summit announcement for PT owners 01:15 - State of PT: reimbursement, hiring, AI, and automation 01:33 - Paul Welk on practice exits and valuation playbooks 03:02 - Systems, scaling, and operations with Tim Dwire 03:23 - Cash service sales and packaging with Doug Adams 04:20 - Compliance and uncovered billing with Mary DaLong 04:59 - Team building, mindset, front desk, and growth strategies 08:38 - Justin Moore keynote on the future of PT in 2026

    10 min

  3. FEB 19

    How Breakthrough Started: From Cold Email to PT Marketing System

    In this episode, Chad Madden shares the behind-the-scenes origin story of Breakthrough—starting with a cold email in 2012 and a call with Carl Mattiola (then at Tesla). You’ll hear how private practice marketing evolved as physician referrals declined, and why direct-to-consumer strategy became essential. Chad breaks down the shift from courses and newsletters to a unified, three-channel marketing system built for private practice growth. Subscribe for weekly best practices to help you grow your clinic with more time and financial freedom. If marketing feels complicated and your schedule isn’t as full as it should be, Breakthrough gives you a simple, proven system to attract and follow up with new patients automatically—book a demo here: https://getbreakthrough.com/demo 00:00 - Welcome to Grow Your Practice 00:21 - Why this episode: the Breakthrough origin story 01:02 - 2008–2013: physician referrals decline & the push to DTC marketing 03:44 - The cold email that started it all (November 2012) 05:41 - Carl’s Tesla background + interviewing 300+ owners 09:01 - From Clinic Metrics to marketing referrals (and early stumbles) 16:12 - Webinars, “green ink letter,” and the early courses 19:27 - Evolution into ads + a purpose-built CRM and 3-channel system 26:43 - Market–Message–Media Match + how AI changed copywriting

    31 min

  4. FEB 5

    From Overworked to Owner: How to Escape the PT “Owner’s Trap” With Jamey Schrier

    Private practice owners: feeling stuck in the clinic and stretched thin? In this episode of the Grow Your Practice podcast, host Chad Madden interviews Jamey Schrier on moving from burned-out clinician to true business owner. You’ll hear the pivotal moments (including a literal clinic fire), the mindset shifts around identity and ego, and a practical first step to reclaim your time. If you want a self-sustaining PT practice that doesn’t require you every day, this one’s for you. If marketing feels complicated and your schedule isn’t as full as it should be, Breakthrough gives you a simple, proven system to attract and follow up with new patients automatically—book a demo here: https://getbreakthrough.com/demo 00:00 - Welcome & guest intro 02:30 - The fire that forced a reset 05:45 - Personal low points: stress, family, and wake-up calls 12:10 - Stages of a practice: clinician → operator → entrepreneur 14:50 - First step out of the trap: the “activity organizer” 17:45 - Ego, identity & letting go of control 29:40 - Lifestyle by design (not default) 37:40 - Profit vs. revenue in today’s reimbursement climate 43:55 - Where to start: assessment & next actions

    48 min

  5. JAN 21

    State of PT 2026: Hiring, Reimbursement & Cash-Pay Growth

    Chad breaks down the 2026 state of private practice across four pillars: people, finance, operations, and marketing. You’ll hear hard numbers on the DPT shortage and debt, why reimbursement + inflation equals a ~29% hit since 2019, and how cash-pay services are stabilizing margins and improving outcomes. He also shares systems to streamline ops and a playbook for always-on marketing—even when you’ve got a waitlist. Subscribe for weekly strategies to grow a resilient, patient-first practice. Timestamps00:00 - Welcome & why this matters 00:44 - The four pillars of private practice 03:00 - People: DPT shortage, debt & salaries 09:05 - Finance: fee schedule declines & the 29% squeeze 15:04 - Cash-pay services: what works and real numbers 20:55 - Team buy-in & rollout pitfalls 22:36 - Systems/ops: EMR, integrations & AI 24:28 - Marketing evolution, reactivations & waitlist trap 30:50 - Key takeaways & next steps

    31 min

  6. 2025-12-31

    5 Levels of PT Practice Marketing: Predictable Patient Demand

    Most PT owners outgrow word-of-mouth long before they build a true demand engine. In this episode, Chad Madden breaks down the five levels of marketing awareness—from “I don’t need marketing” to running a predictable patient pipeline—and shows how to pick the right next step for your stage. You’ll learn where most clinics stall, how to avoid the DIY trap, and what a unified system looks like when it’s working. 👉 Learn more or book a demo: https://getbreakthrough.com Time Stamps00:00 - Welcome & why DTC marketing now 02:54 - The 5-stage roadmap to predictable demand 03:56 - Level 1: Unaware — “Quality + word of mouth is enough” 08:34 - Level 2: Problem Aware — The costly DIY rabbit hole 14:36 - Level 3: Solution Aware — Channel dependence & algorithm shocks 17:40 - Level 4: Product Aware — The “duct tape” tech stack nightmare 20:34 - Level 5: Most Aware — One integrated, always-on system 28:48 - How Breakthrough helps & next steps (CTA)

    30 min

  7. 2025-11-12

    Adding Tech to PT: Cash Services, ROI & Mentorship Ft. Ben England

    Chad Madden sits down with Dr. Ben England, PT, DPT, FAAOMPT, to break down why adding treatment technology (laser, shockwave, direct current, dry needling, HBOT) isn’t a fad—it’s what today’s patients expect. We cover how to roll out cash-pay services, pricing, ROI, and the mindset shift clinicians need to recommend ethically and confidently. Ben also shares a turnaround story and how mentorship/accountability accelerate growth. Value-packed for private practice owners and clinicians who want better outcomes and better business. YouTube Timestamps 00:00 - Intro & Ben’s PT origin story 03:00 - From hospital to private practice to all-cash 05:20 - Why patients want tech now (AI, biohacking, expectations) 07:45 - Rolling out cash-pay tech: training, pitfalls, integrity selling 10:50 - Evidence behind direct current, lasers & e-stim (Ben’s paper) 14:30 - Overcoming “sales prevention” and dosing mistakes 17:25 - ROI math, scheduling devices, and first-visit trials 23:40 - Mentorship, accountability, and building the Torrentia Tribe 30:10 - Practice turnaround case study + how to join 39:30 - Books that shaped Ben’s career & wrap-up Book a free demo call and get a behind-the-scenes look at the exact systems, tools, and frameworks Chad used to grow from a solo PT to a $20M practice — and the blueprint he's using to reach $100M. https://getbreakthrough.com/demo/ Torrentia.com Tribe of Millionaires - https://a.co/d/bjlyKdh Financial Freedom Book - https://a.co/d/enf9G8E Innerpreneur - https://a.co/d/0PKfKta

    42 min

  8. 2025-10-13

    Titans of PT: 26 Clinics, Smart Hiring & AI—With Ryan Christoff

    Private practice builder Ryan Christoff joins Chad Madden to unpack how he grew from one clinic to 26 in Western PA. He shares the two books that shaped his mindset, the sub-$500 tool that moved the needle, and the painful expansion mistake that became a turning point. You’ll hear practical hiring and retention tactics, why “foot on the gas” matters, and how AI will reshape scheduling, authorizations, and collections. Watch if you want battle-tested strategies to grow your PT practice and protect your time. Timestamps00:00 - Intro & why Ryan’s a special guest 01:18 - From one clinic to 26: Ryan’s background 02:52 - Game-changing books: The Strangest Secret & Rich Dad Poor Dad 04:24 - Best sub-$500 tool: two-way texting for D2C & reactivations 05:48 - Biggest mistake opening a clinic—and the turnaround 08:30 - Mantra: “Keep your foot on the gas” 09:32 - Best investment: time to think, partner smart, win-win deals 10:46 - Unconventional review process: staff self-assess wins & teamwork 12:18 - New mindset: you can’t please everyone (comp & balance realities) 13:55 - Starting a practice: legal/finance first, don’t rely on MD referrals 15:20 - Protecting time: say no, one needle-moving task per day 16:35 - Overlooked trend: staffing squeeze & creative scheduling 17:30 - What’s next: AI for auths & collections; faster changes than ever 18:16 - Closing advice to owners

    19 min
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5
out of 5
6 Ratings

About

Each week, the Grow Your Practice Podcast with Chad Madden of Breakthrough brings you no-nonsense marketing & business growth strategies that deliver new patients and higher profits. Co-Founder of Breakthrough, Owner of Madden Physical Therapy and Author of "Killer Marketing Secrets for Private Practice PTs", Chad grew his practice 600% in the last five years using direct response marketing strategies. He sees more than 200 new patients each month in his single location Private Practice. Now he's teaching over 800 Practice Owners to do the same.

Information

  • Creator
    Grow Your Practice Podcast
  • Years Active
    2016 - 2026
  • Episodes
    303
  • Rating
    Clean
  • Copyright
    © All rights reserved
  • Show Website
    Grow Your Practice Podcast

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