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.

Episodes

June 5, 2025 43 mins

Do you ever wonder why your profit says one thing—but your bank account says another?

In this episode, Chad Madden sits down with Sean Healy, founder of Accounted4 LLC, to break down:


-Why profit isn’t the best way to measure your practice's health

-How to understand cash flow (without being an accountant)

-The top 2 predictive metrics every PT owner should track

-Why your balance sheet is more important than your P&L

-What to cl...

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In this episode of the Grow Your Practice Podcast, host Chad Madden sits down with physical therapist and Lake Washington PT founder Ben Wobker to talk about one of the hottest issues in private practice: hiring.

Ben reveals his data-backed approach to attracting, hiring, and retaining top DPT grads—even during a nationwide staffing shortage. Learn how he uses a “draft board” system to nurture warm leads, mentors PT students years b...

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In this episode of the Grow Your Practice podcast, Chad Madden dives deep into the foundational principles every private practice owner needs to scale sustainably, starting with clearly defined core values. If you’ve struggled with hiring, team alignment, or culture drift, you’ll want to take notes. Chad breaks down the “Planning Pyramid,” showing how to connect your daily accountability to your 10-25 year vision. You’ll learn how ...

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In this episode of the Grow Your Practice podcast, Chad Madden sits down with Neil Trickett—former private practice owner and founder of Practice Promotions—to uncover what the top 10% of physical therapy clinics are doing to thrive in today’s competitive healthcare market. Neil shares his journey from running a seven-figure clinic to building one of the industry’s leading marketing agencies. Together, they dive deep into the commo...

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In this powerful solo episode, Chad dives deep into the concept of the Big Hairy Audacious Goal (BHAG)—a strategic visioning tool popularized by Jim Collins. Whether you're a solo practice owner or leading multiple locations, Chad explains why setting a bold, long-term goal can transform your business, align your team, and reignite your purpose. He shares personal stories from building his $20M+ practice, his challenges, and the ex...

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In this episode, Chad Madden breaks down the 12 hidden benefits of reactivating past patients in your physical therapy, chiropractic, or healthcare clinic. From boosting revenue during slow seasons to improving staff morale and patient outcomes, reactivations are the easiest, most overlooked growth channel for private practices.

Chad shares personal stories (including losing $98K in one quarter), walks through real math on lifetime ...

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In this episode of the Grow Your Practice podcast, Chad Madden, owner of Madden Physical Therapy and Breakthrough, discusses the importance of establishing metrics and Key Performance Indicators (KPIs) for every role in a private practice. Chad explains the definitions and difference between accountability, responsibility, and authority, and shares insights on how metrics and KPIs can improve management decisions and practice effic...

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Join host Chad Madden in this episode of the 'Grow Your Practice Podcast' as he discusses strategies to help your private practice achieve its big goals, or as some might call them "unattainable goals." Chad breaks down the process of setting a Big Hairy Audacious Goal (BHAG) and how to map out a Three-Year Highly Achievable Goal (3HAG). Listen in as participants share their three-year goals and Chad offers actionable advice on cre...

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In this episode of the Grow Your Practice Podcast, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, shares an in-depth guide on how to diversify new patient sources and reduce reliance on physician referrals. Madden outlines the benefits of diversification, discusses the five new patient pathways (reactivations, word-of-mouth referrals, physician referrals, partner referrals, and cold traffic marketing), and pro...

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Join Chad Madden, owner of Madden Physical Therapy and Breakthrough, as he delves into the best practices for crafting successful email and text campaigns aimed at reactivating past patients. Chad addresses common challenges such as what content to send, how often to send emails, and fears around unsubscribes. He shares personal anecdotes, including his initial struggles with email marketing and his game-changing meeting with Carl ...

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Welcome to the Grow Your Practice podcast! In today's episode, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, interviews Justin Pezick, a private practice owner in Burlington, Massachusetts, of Orthopaedics Plus Physical Therapy. Justin shares his journey from being a fascinated young anatomy enthusiast to becoming a successful physical therapist and practice owner. He dives into building a goal-oriented minds...

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In this episode of the 'Grow Your Practice' podcast, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, discusses strategies to effectively introduce and promote add-on cash-based services in a private practice. Madden shares insights from a recent roundtable at CSM in Houston, Texas, involving notable experts like Gary Calabrese, Daniel Keller, Ryan McConnell, and Kevin Wilk. He emphasizes the benefits of cash-ba...

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In this episode of the Grow Your Practice podcast, host Chad Madden interviews Kim Bentley, owner of Steadfast Physical Therapy in Anniston and Oxford, Alabama. Kim shares her journey from working in various healthcare settings to opening her own private practice in 2023. She discusses the challenges she faced, the pivotal moments that led her to start her own business, and the importance of family support. Kim also highlights the ...

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In this episode of the 'Grow Your Practice Podcast,' Chad Madden, owner of Madden Physical Therapy and Breakthrough, discusses the single biggest mistake private practice owners make in their marketing efforts. Drawing from a survey of over 300 practice owners, Madden identifies that focusing too much on media types and not enough on messaging can severely impact marketing results. He shares personal anecdotes and offers actionable...

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Join Chad Madden and Stephen as they discuss the success of the private practice network IPA in New York, involving 50 tax IDs and over 100 locations, with a payer already agreeing to negotiate contracts. They then delve into the importance of engagement and reactivation strategies for private practices, sharing real-life success stories and detailed methodologies. Learn about Chad's seven-step exam process, patient retention strat...

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Mastering Payer Mix Strategy for Your Physical Therapy Practice | Grow Your Practice Podcast

Join Chad Madden, owner of Madden Physical Therapy and Breakthrough, in this insightful episode of the Grow Your Practice Podcast. Chad dives into strategies to improve your payer mix, attracting more high-paying clients and reducing reliance on low payers. Learn how to balance ethical considerations with profitability, leverage marketing te...

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Join host Chad Madden, owner of Madden Physical Therapy and Breakthrough, in this insightful episode of the Grow Your Practice podcast. Discover the key strategies and systems to elevate the value of your private practice, especially if you're considering selling. Learn about the importance of diverse patient acquisition channels and how to optimize them to attract potential buyers. With over 20 years of experience and working with...

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Welcome to the Grow Your Practice Podcast! In this episode, host Chad Madden, owner of Madden Physical Therapy and Breakthrough, explores how to effectively promote a de novo (new) clinic in a cold market. Chad delves into the marketing challenges and solutions involved in filling a new clinic's schedule, achieving break-even points swiftly, and converting liabilities into assets. He highlights the importance of speed, explains the...

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In this webinar, industry experts discuss strategies for private practice owners to improve their payer mix, increase profitability, and navigate the financial challenges of declining reimbursements. The session starts with engaging participant introductions, followed by a deep dive into the macroeconomics of private practice, the role of the UPTA, and grassroots advocacy. Key topics include marketing strategies such as reactivatio...

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Join Chad Madden, owner of Madden Physical Therapy and Breakthrough, on the 'Grow Your Practice' podcast as he addresses a common challenge owners face when expanding from one to two clinicians. This episode covers strategies for maintaining clinician schedules, focusing on business operations, and overcoming self-limiting beliefs to ensure successful practice growth. Learn about the five new patient pathways, effective marketing t...

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