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.

If this helped, subscribe for more PT business and leadership insights.

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

PT owner Chad Madden sits down with industry veteran Bob Kowalick to unpack what it really takes to scale beyond yourself. They cover the #1 book that shaped Bob’s approach, painful (and expensive) lessons on “trust but verify,” and why data. not opinions, must drive your systems. You’ll hear how to invest in yourself, innovate through experimentation, and the coming shift to PTs owning musculoskeletal health management. If you find this valuable, subscribe for more practice-growth playbooks.

Time Stamps

00:00 - Intro & guest setup

01:21 - The #1 book for scaling: Scale (Hoffman & Finkel)

06:11 - Biggest failure: trust—but verify (billing & IP lessons)

12:25 - Best investment: invest in yourself

13:12 - Unconventional edge: innovate & experiment

15:31 - What changed most in 5 years: data as foundation

16:43 - Advice to new PT owners (2024 realities)

24:28 - Bonus trend: PTs owning musculoskeletal health

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/

If you run a PT practice, you can almost feel the calendar tighten around Thanksgiving, January deductibles, or early summer. Schedules thin. Margins evaporate. Anxiety spikes. What if those same weeks became your busiest?

Most clinics brace for a slow season by doing less: pausing outreach, leaning harder on physician referrals, or trying to outspend big-box retailers in Q4 ad auctions. That combo leads to fewer evals, underutilized schedules, and profit leaks. Worse, it creates the illusion that slow seasons are inevitable.

Key Insights

1. Focus on the channel you own. Of the five New Patient Pathways—Reactivations, Word-of-Mouth, Physician Referrals, Partners, and Cold Traffic—only reactivations tap a list you truly control: your past patients.
2. Text beats everything. Start with SMS, then email. Response rates are faster and higher, especially when your message is clear and patient-centered.
3. Messaging is no longer the bottleneck. AI has crushed the cost and time of copywriting. Great subject lines, benefit-driven offers, and empathetic body copy can now be generated and refined in minutes—so bad messaging is no longer an excuse.
4. Conversion is about questions, not scripts. Move away from didactic monologues. Use calibrated “how/what” questions: What’s going on with your shoulder? How long has it been bothering you? What have you tried and how did it work? These open doors and build commitment.
5. Track everything and automate. Without attribution, you can’t scale what works. Marketing software and AI conversion agents (think an assistant who “works” nights/weekends) handle replies, keep conversations moving, and hand off to staff to schedule.

After two brutal Q4s—including a ~60% drop in new patients (October to December) and a six-figure loss—Chad asked a better question: What would it look like if Q4 were our busiest quarter? The team doubled down on the past patient list and launched a focused campaign: a half-day of free screens/rechecks in early November. They used direct mail plus email to invite former patients. Result: 73 reactivations in one morning and a seven-week waiting list that carried the clinic through year-end. Q4 flipped from a liability to their best quarter.

Putting It Into Practice

• Run the “Greatest Promotion Ever.” Offer a limited block of free screens/rechecks to past patients in early November. Cap slots to create urgency and protect clinical time.
• Cadence that compounds:
• Past...

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 Stamps

00:00 - Intro & why acquisitions matter

02:01 - Step 1: Seller transition plan & owner dependency

04:36 - Step 2: Valuation the right way—EBITDA × multiple (not revenue)

10:02 - Step 3: Due diligence & legal compliance essentials

11:55 - Step 4: Referral source concentration risk

14:17 - Step 5: Equipment, space & lease terms

15:00 - Step 6–7: Don’t pay for your own advantages + bring experts

17:13 - Step 8: Deal framework, ROI targets & key red flags

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/

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-summit

Timestamps

00:00 - Why AI levels matter for PT owners

01:05 - The 4-level framework (Minor → Major → All-Star → Hall of Famer)

02:18 - Level 1: Minor Leaguer—AI as “fancy search” & box-checking

05:26 - Level 2: Major Leaguer—fear, time scarcity & the profit squeeze

10:42 - Case studies: 200× hiring ads, RunDNA email lift

14:40 - Level 3: All-Star—weekly practice, team adoption & 30-minute funnels

18:54 - Level 4: Hall of Famer—legacy mindset & data-driven RCM

22:12 - Where to deploy AI now + Oct 21, 2025 Virtual Summit CTA

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/

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=sharing

Timestamps

00:00 – Intro: Justin + Orthopedics Plus

02:28 – From “nice” ads to data-backed job posts

04:18 – 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 applicants

19:33 – Investing in leadership; breaking silos (Table Group)

33:35 – How to contact Justin + where to get the PDF

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/

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 Stamps

02:22 - Why Google reviews matter + monthly clinic challenge

03:59 - The step-by-step review “ask” (QR codes, standing beside, troubleshooting)

08:50 - Balancing production & relationships; graduation rate as a quality metric

10:25 - “End strong” & future pacing: shaping patient memory between visits

13:55 - Proactive scheduling to prevent doubles/triples and keep care high-quality

15:48 - Empathy & adaptability: numbers vs. narratives; revamping on plateaus

20:07 - Lessons from travel/SNF and mentoring new grads; book recs & close