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

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/

00:00 - 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

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

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

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

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.

00:00 - 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