
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.
Latest episodes

Mar 28, 2025 • 36min
How to Establish Metrics & KPIs for Every Position in Your Practice
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 efficiency. He also emphasizes the necessity of having staff own their metrics and be accountable for their areas of production. Tune in to learn best practices for creating an accountability chart and setting up key metrics for each department in your practice.Download the FREE 35 Private Practice Marketing System Checklist going through all five new patient pathways, reactivations, word of mouth referral. Physician or professional licensed referral, partner referrals, and then cold traffic marketing: https://hubs.ly/Q033nBgR000:00 Introduction to the Podcast00:19 Understanding Metrics and KPIs01:03 Defining Accountability02:31 Importance of Metrics and KPIs09:59 Stages of Tracking Metrics11:26 Staff Ownership and Reporting14:10 Handling Overwhelmed PTs16:01 Complex Systems and Metrics17:11 Marketing System Overview17:21 New Patient Pathways17:42 Download the Marketing Checklist17:50 Building Confidence in Your Clinic18:05 Global Experience and Success18:18 Free Marketing System Checklist18:32 Accounts Receivable Management19:13 Staff Meeting Reports20:30 Tangible Metrics and Accountability22:21 Self-Limiting Beliefs in Tracking Metrics22:52 Establishing Metrics and KPIs23:17 Connecting Metrics to Overall Practice29:20 Finance and Expense Tracking31:13 Monthly Snapshot and Profitability33:35 External Marketing and New Patients34:00 Production and Therapist Involvement

Mar 21, 2025 • 17min
How to Achieve Your Big Hairy Audacious Goal in Private Practice
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 creating a roadmap that includes quarterly objectives, hiring needs, marketing strategies, and facility expansion. This episode also touches on the importance of leadership and mentorship training in scaling your practice. Get a sneak peek into Chad's marketing systems and download a free checklist to streamline your practice's marketing efforts.Download the FREE 35 Private Practice Marketing System Checklist going through all five new patient pathways, reactivations, word of mouth referral. Physician or professional licensed referral, partner referrals, and then cold traffic marketing: https://hubs.ly/Q033nBgR000:00 Introduction to the Podcast00:19 Understanding BHAG and 3HAG00:32 Breaking Down Goals into Manageable Steps01:18 Real-Life Example: Roy's Practice02:02 Creating an Action Plan03:32 Combining and Prioritizing Initiatives05:53 Defining Swim Lanes13:27 Quarterly Review and Adjustments14:47 Conclusion and Final Thoughts

Mar 14, 2025 • 32min
How to Get More New Patients Without Relying on Doctor Referrals
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 provides a step-by-step framework for maximizing new patient flow. He also covers the critical components of effective marketing and sales, including addressing self-limiting beliefs and positioning your services. Additionally, Madden offers a free downloadable checklist to help practice owners refine their marketing strategies and ensure consistent new patient flow.Download the FREE 35 Private Practice Marketing System Checklist going through all five new patient pathways, reactivations, word of mouth referral. Physician or professional licensed referral, partner referrals, and then cold traffic marketing: https://hubs.ly/Q033nBgR000:00 Introduction to the Podcast00:19 The Challenge of Reducing Dependence on Physician Referrals00:35 Benefits of Diversifying Patient Sources02:59 Personal Story: Starting a Practice04:57 Decline in Physician Referrals06:11 Five New Patient Pathways08:26 Reactivation Campaigns08:57 Word of Mouth Referrals14:09 Partner Referrals17:48 Cold Traffic Marketing23:26 The Importance of Marketing and Sales27:06 Overcoming Limiting Beliefs30:16 Conclusion and Next Steps

Mar 7, 2025 • 34min
Top 3 Campaigns Working for Reactivations
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 Mattiola from Tesla. Learn specific strategies for creating valuable goodwill content, leveraging patient questions, and utilizing Google queries for content inspiration. Chad also discusses the importance of balancing goodwill content with targeted offers, overcoming self-limiting beliefs, and optimizing conversion rates. Stay tuned for his insider tips and data on the most effective campaigns currently in the market.Download the FREE 35 Private Practice Marketing System Checklist going through all five new patient pathways, reactivations, word of mouth referral. Physician or professional licensed referral, partner referrals, and then cold traffic marketing: https://hubs.ly/Q033nBgR000:00 Introduction to the Podcast00:19 Understanding Email and Text Campaigns for Reactivations01:16 Common Mistakes in Email Campaigns02:52 Personal Journey and Lessons Learned12:44 Effective Email Marketing Strategies18:45 Creating Valuable Content for Your Campaigns24:55 Overcoming Self-Limiting Beliefs28:10 Top Performing Campaigns and Conclusion

Feb 28, 2025 • 30min
How Justin Pezick Saw Practice Growth and Scaled to $2.8M in Revenue
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 mindset, strategic changes he implemented in his practice, and the significant impact of enhancing leadership skills. Justin also discusses the importance of aligning systems, financial optimization, and his experience with the 'Profitability Under Pressure' program. Packed with insights on managing and growing a private practice, this episode is a must-watch for all physical therapy professionals.There are two blog posts that he refers to in this podcast episode along with his patients and staff. Check them out here:The 4 Reasons Behind Almost Everyone’s Back PainManipulating the 4 Cornerstones of Low Back Pain to Keep your Back HealthyYou can find Justin at Orthopaedics Plus:https://orthopaedicsplus.com/justin@orthopaedicsplus.comDownload the FREE 35 Private Practice Marketing System Checklist going through all five new patient pathways, reactivations, word of mouth referral. Physician or professional licensed referral, partner referrals, and then cold traffic marketing: https://hubs.ly/Q033nBgR000:00 Introduction to the Podcast00:34 Meet Justin Pezick: From Anatomy Enthusiast to PT02:36 Journey to Practice Ownership04:45 Challenges and Growth as a Practice Owner11:59 Leadership and Organizational Health19:27 Aligning Systems for Success24:45 Current Initiatives and Future Plans26:21 Conclusion and Contact Information

Feb 21, 2025 • 22min
3 Ways to Attract More Patients for Your Add-on Cash Services; CSM Roundtable Insights; The Future of the Hybrid Practice
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-based services, such as improved patient outcomes, better ROI, and practice differentiation, supported by anecdotal evidence from his clinics. Additionally, Madden outlines practical methods to promote these services, addressing common concerns about selling without feeling like you're convincing patients. Key pathways include leveraging existing patient flow, reactivation campaigns, and cold traffic marketing. The episode also touches upon the importance of staff buy-in and education in successfully integrating these services into practice operations. Finally, Madden offers free resources, including a direct-to-consumer marketing process checklist, to help practice owners implement these strategies effectively.Want the checklist? Download it here:https://hubs.ly/Q033nBgR0Considering adding cash-based services in your practice? If you’re looking to grow your practice and increase profitability, don’t miss out on the State of PT Virtual Summit on February 27th from 10AM-4PM EST.📅 Register for free today at https://hubs.la/Q034WvBZ000:00 Introduction to the Podcast00:19 Promoting Cash-Based Services00:47 Special Roundtable Event01:41 Benefits of Cash-Based Services02:28 Challenges and Trends in Cash-Based Services07:26 Anecdotal Success Stories12:52 Promotional Strategies for Cash-Based Services18:12 Staff Buy-In and Education19:23 Conclusion and Resources

Feb 14, 2025 • 34min
How This Practice Owner Generated $2,000 of Revenue in a Single Day
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 tools and resources that have been instrumental in her success, including mentorship programs, small business loans, and breakthrough technologies. Learn about her innovative approach to physical therapy, including the integration of pediatric care and cash-based services.Kim’s story is proof that with the right strategies and mindset, private practice owners can scale their businesses, increase revenue, and create a thriving practice.If you’re looking to grow your practice and increase profitability, don’t miss out on the State of PT Virtual Summit on February 27th.📅 Register for free today at https://hubs.la/Q034WvBZ000:00 Introduction to the Podcast00:29 Meet Kim Bentley: A Physical Therapist's Journey01:09 Starting Steadfast Physical Therapy02:44 Challenges and Growth in Private Practice04:47 The Shift to Pediatric Care07:02 The Decision to Open a Private Practice09:54 Overcoming Early Challenges17:03 Balancing Work and Family21:18 Staff and Support System25:35 Marketing and Cash-Based Services29:31 Future Plans and Final Thoughts

Feb 7, 2025 • 29min
This is the #1 Single Biggest Mistake Owners Make in Marketing
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 steps to craft better messaging that resonates with your target market. Learn how to use Google, patient testimonials, and the 'Killer Testimonial Machine' to improve your marketing strategy and achieve higher ROI here: https://hubs.la/Q035LxHK000:00 Introduction to the Podcast00:19 The Biggest Marketing Mistake00:47 Survey Insights and Media Types02:10 The Importance of Messaging05:18 Personal Story: Emily's Gym07:19 Effective Messaging Strategies13:10 Using Google for Messaging17:03 The Power of Testimonials26:07 Conclusion and Key Takeaways

Feb 7, 2025 • 44min
Engage & Reactivate: Your Complete Patient Retention System with Steven Coen
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 strategies, and the impact of patient engagement on clinical outcomes as revealed by Stephen. They also explore advanced reactivation techniques, including personalized and mass outreach methods, and the crucial role of data in optimizing patient engagement and reactivation. This session is packed with actionable insights to help private practice owners stand out in a competitive field.Learn how we can increase reactivations for your practice here:www.getbreakthrough.com/engage00:00 Introduction and Exciting News00:40 Icebreaker and Participant Introductions03:16 Engaging and Reactivating Patients09:15 Graduation Rate Audit: A Key Metric15:37 Seven Step Exam Process21:31 Engagement Strategies and Data Insights21:48 Patient-Centered Care and Setting Expectations22:18 Retrospective Analysis and Patient Outcomes22:51 The Importance of Patient Engagement24:22 Patient Stories and Their Impact29:02 Reactivation Strategies for Patient Engagement32:04 Effective Communication and Data Utilization36:48 Breakthrough Pro: A Comprehensive Solution41:21 Q&A and Final Thoughts

Jan 31, 2025 • 21min
Can I Really Improve My Payer Mix with Marketing?
Mastering Payer Mix Strategy for Your Physical Therapy Practice | Grow Your Practice PodcastJoin 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 techniques, and optimize various patient pathways. Discover actionable tips on reactivations, word of mouth, professional referrals, partnerships, and cold traffic marketing—all geared to increase your clinic's value and sustainability. Don't miss Chad's real-world examples and frameworks to enhance your practice's financial health and overall impact.Join us for our FREE virtual event on February 27 from 10AM-3PM EST where we will be discussing the state of private practice in 2025 and strategies for growth! Click: https://hubs.la/Q034WvBZ000:00 Introduction to the Podcast00:19 Understanding the Payer Mix Challenge00:52 Benefits of Improving Payer Mix01:24 Marketing Strategies for Better Payer Mix01:49 Personal Experience and Ethical Dilemmas04:19 Five New Patient Pathways07:20 Targeting Ideal Patient Profiles09:06 Balancing Relationships and Productivity12:19 Practical Steps to Improve Payer Mix19:36 Conclusion and Upcoming Events