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

Chad Madden and Dr. Ben Fung break down the behaviors that keep schedules full and graduation rates near 100%—from “left/right-brain” patient communication to always ending each visit on a win. They unpack UpDoc’s Corporate Quality Index (CQI), including intention-to-stay thresholds that predict retention, and why soft skills and on-stage presence matter. You’ll hear practical cues you can deploy tomorrow, plus a book rec that reframes patient experience through behavioral science.

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00:00 – Why engaged patients graduate (and refer)

03:12 – Production goals vs. visits/units: keeping the schedule full

07:45 – Left- vs. right-brained patient communication (numbers vs. function)

12:10 – “End on a win”: structuring sessions for momentum

18:20 – What is the Corporate Quality Index (CQI)?

23:05 – Intention-to-stay thresholds & spotting flight risk

28:40 – Soft skills, stage presence & micro-behaviors that matter

33:15 – Resources, contacts & most influential book

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/

The Corporate Quality Index (CQI) 2024 Report