Grow Your Practice Podcast

Thinking about buying or merging with another private practice? In this episode, Chad Madden breaks down an 8-step checklist to value a practice correctly, avoid common pitfalls, and de-risk your acquisition. You’ll learn how to assess owner dependency, calculate value using EBITDA × a fair multiple, run airtight due diligence, and spot red flags before you sign. Plus: when opening de novo beats buying, and how to plan for integration and diversified referrals. Grab the free checklist in the show notes and apply it to your next deal.Time Stamps00:00 - Intro & why acquisitions matter02:01 - Step 1: Seller transition plan & owner dependency04:36 - Step 2: Valuation the right way—EBITDA × multiple (not revenue)10:02 - Step 3: Due diligence & legal compliance essentials11:55 - Step 4: Referral source concentration risk14:17 - Step 5: Equipment, space & lease terms15:00 - Step 6–7: Don’t pay for your own advantages + bring experts17:13 - Step 8: Deal framework, ROI targets & key red flagsBook 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/

Learn the four levels of private practice owners using AI—from “minor leaguer” to “hall of famer”—and see exactly how PT leaders are hiring faster, filling schedules, and building smarter systems. We cover real examples (hiring ads that 200× results, cash-based promos with RunDNA, payer rate negotiations, and RCM wins) plus a simple path to level up. If shrinking margins and rising costs are squeezing you, this breakdown shows where you are now and what to do next.Free Virtual Summit: Automate Your Practice with AI on October 21, 2025 https://offer.getbreakthrough.com/2025-ai-summitTimestamps00:00 - Why AI levels matter for PT owners01:05 - The 4-level framework (Minor → Major → All-Star → Hall of Famer)02:18 - Level 1: Minor Leaguer—AI as “fancy search” & box-checking05:26 - Level 2: Major Leaguer—fear, time scarcity & the profit squeeze10:42 - Case studies: 200× hiring ads, RunDNA email lift14:40 - Level 3: All-Star—weekly practice, team adoption & 30-minute funnels18:54 - Level 4: Hall of Famer—legacy mindset & data-driven RCM22:12 - Where to deploy AI now + Oct 21, 2025 Virtual Summit CTABook 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/

Private practice owner Justin Pezick of Orthopedics Plus shares how he went from “nice-sounding” job posts to high-converting, principle-driven ads using AI—boosting applicants from 2–3/week to 4–5/day. We cover purpose → principles → process, translating work-life balance into concrete policies, and smart prompt engineering to avoid fluff and hallucinations. You’ll also hear how leadership work (Table Group, Sinek/Lencioni) shaped their culture and retention.Grab Justin’s 73-page hiring playbook https://drive.google.com/file/d/14Uv8CT_XdP8tRwyG3lpFNxXcJ7emIuEb/view?usp=sharingTimestamps00:00 – Intro: Justin + Orthopedics Plus02:28 – From “nice” ads to data-backed job posts04:18 – What candidates actually want (WebPT insights)09:54 – Purpose → Principles → Process (start with WHY)12:27 – Operationalizing work-life balance (real policies)15:35 – Results: 2–3/week → 4–5/day applicants19:33 – Investing in leadership; breaking silos (Table Group)33:35 – How to contact Justin + where to get the PDFBook 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/

Chad Madden sits down with DPTs Brenna Strawser & Christian Grove to unpack the simple, repeatable systems behind 500+ Google reviews and months of 100% graduation rates. You’ll hear the exact “ask” script, how to use QR codes at discharge, proactive scheduling to keep caseloads full, and empathy-driven communication that boosts outcomes. Perfect for private practice owners and clinical leaders who want full schedules and raving fans.Time Stamps02:22 - Why Google reviews matter + monthly clinic challenge03:59 - The step-by-step review “ask” (QR codes, standing beside, troubleshooting)08:50 - Balancing production & relationships; graduation rate as a quality metric10:25 - “End strong” & future pacing: shaping patient memory between visits13:55 - Proactive scheduling to prevent doubles/triples and keep care high-quality15:48 - Empathy & adaptability: numbers vs. narratives; revamping on plateaus20:07 - Lessons from travel/SNF and mentoring new grads; book recs & close

In this episode of the Grow Your Practice podcast, Chad Madden welcomes back Doug Adams from RunDNA and the Omega Project to discuss how gait and running analysis is revolutionizing physical therapy clinics. Discover how incorporating cutting-edge gait analysis can enhance patient outcomes, differentiate your clinic, and increase revenue through cash-based services. Learn from real-world success stories, marketing strategies, and the mindset shifts clinicians need to embrace value-based care.Learn more: https://www.rundna.comTimestamps:00:00 - Introduction and success story02:11 - What is RunDNA and how it started04:50 - Real-life example of immediate results using gait analysis06:28 - The need for gait analysis in today's PT landscape08:43 - Chili's analogy and value-based services11:27 - First steps for adding cash-based services14:07 - The mindset shift: Want vs Should17:53 - Revenue impact and champion clinicians20:29 - Market alignment and misalignment24:05 - Strategic partnerships with running stores27:19 - Doug's journey from local to national expert33:16 - Lead vs Lag indicators in gait analysis37:07 - Clinician mindset around selling value42:02 - Don't diagnose the wallet: sell based on value47:02 - Time-based vs Value-based thinking49:47 - Discharge is a four-letter word52:52 - Doug's current interests and final thoughts

Feeling stuck with low margins—even when your clinic is full? You’re not alone. In this video, Chad Madden walks through why most private practice owners feel powerless to improve their payer mix and how small strategic changes can add $60K+ in monthly profit without adding more patients or staff.You’ll learn the Quantity → Quality → Viability framework, real examples from clinics across the country, and five specific ways to start attracting better payers today.00:00 – The most common profitability problem for busy practices01:15 – Why improving your payer mix matters more than you think03:00 – The power of adding just $5 per visit05:00 – Breaking the myth: Higher revenue ≠ higher costs06:45 – National trends: declining reimbursements, rising costs08:00 – The framework: Quantity → Quality → Viability10:00 – How to identify your best payers11:30 – 5 Patient Pathways to influence your payer mix  • 11:45 – Reactivations (target your best payers)  • 13:10 – Word of mouth & physician referrals  • 13:50 – Employer partnerships  • 15:00 – Cold traffic marketing & diagnosis targeting17:20 – Case study: Pelvic floor program ad strategy20:00 – What top practices are doing nationwide  • Hybrid models  • Renegotiating rates  • Dropping low payers  • Attracting better ones22:45 – The real obstacle: “I can’t do anything” is a myth24:00 – Final thoughts and where to go from here

In this episode, Chad Madden interviews Chandler Bolt, founder of SelfPublishing.com, on how private practice owners can use a book to grow their business. Chandler shares how he went from failed startup to publishing over 7,000 books and explains why a book is the best marketing asset for attracting leads, building authority, and generating referrals. If you're a practice owner looking to stand out, this episode is your roadmap.

Chad Madden sits down with Lisa Flexner, founder of Flex Health Consulting, to talk about her surprising journey from tech and executive coaching to becoming a physical therapist—and how a broken shoulder led to a career transformation.Lisa shares her insights on building people-centered practices, preventing burnout, and why culture—not marketing or operations—is the foundation of every successful clinic. She breaks down why Gen Z isn’t the problem, how to attract and retain great clinicians, and what practice owners can do to create lasting impact.

Want to improve patient outcomes, increase referrals, and make your marketing way more effective without spending a dime?In this episode, we break down the Graduation Rate Audit — a simple but powerful tool every private practice physical therapist should be using. Learn how one clinician went from a 40% to over 80% graduation rate in just 90 days, and why having your clinicians run this themselves creates lasting behavior change.Download the Audit Sheet - https://docs.google.com/spreadsheets/d/1VKS4P1uviyUuDi_to6Pk_CWggxX3-mtg🚀 Want to See the System Behind Scaling to $20M — and the Plan to Hit $100M?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/Time Stamps:0:00 – Intro: Why Clinicians Don’t Buy Into Marketing2:00 – The Graduation Rate Audit Explained5:00 – The "Leaky Bucket" Problem in PT Clinics7:45 – Jan’s Story: From 40% to 80% Graduation Rate10:00 – How to Use the Audit Spreadsheet16:00 – Why Clinicians Must Complete the Audit Themselves20:00 – Long-Term Behavior Change & Practice Growth24:30 – Final Thoughts + Free Tool Access

In this episode, Chad Madden talks with Dr. Kevin Christie about how chiropractors and physical therapists can grow their practices using content marketing that builds trust, not pressure.Whether you're insurance-based or cash-based, this episode covers how to position yourself as a local expert and turn educational content into consistent patient growth.Book mentioned: Epic Content Marketing🔔 Subscribe for weekly episodes helping you grow your private practice!⏱️ Timestamps:00:00 - Intro00:26 - Meet Dr. Kevin Christie01:30 - How Kevin Uses His Practice as a Test Lab02:30 - What Content Marketing Really Is05:00 - Why Doctors Have the Advantage in Content07:10 - Trust vs. Tactics: Creating Real Value10:15 - The 85/15 Rule: PBS vs. QVC14:00 - High-Ticket Care vs. Insurance-Based Practices18:00 - Why Great Marketing Reduces Sales Pressure22:00 - Framework for Creating Compelling Content26:00 - Where Should You Start with Content?28:30 - Using AI to Repurpose Videos30:00 - Email List = Your Secret Salesforce32:00 - Retargeting with Facebook Ads34:00 - Trends in Add-On Services (Shockwave, Laser, Gym Hybrids)37:00 - Favorite Marketing Book: Epic Content Marketing40:00 - Final Advice: Be the Buffalo