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.

00:00 - 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

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

00:00 - 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)

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