Episode 6 · Conversations

Building Scalable PT Practices: The Revenue Cycle Management and Marketing Connection

In this episode of Rehabbing Your Revenue Cycle Podcast, host Robert Kowalick is joined by Chad Madden , Founder of Madden & Gilbert Physical Therapy and Co-Founder of Breakthrough , a physical therapy practice marketing company.

Host: Robert Kowalick
Series: Conversations
Published: Mar 4, 2026
Listen on: Apple · Spotify · YouTube

Episode summary

In this episode of Rehabbing Your Revenue Cycle Podcast, host Robert Kowalick is joined by Chad Madden , Founder of Madden & Gilbert Physical Therapy and Co-Founder of Breakthrough , a physical therapy practice marketing company. Chad shares his journey from a physical therapy startup to a large practice with six offices and over 10,000 visits a month. Chad had a deep understanding of patient care but needed an education in owning a practice.

Show notes

In this episode of Rehabbing Your Revenue Cycle Podcast, host Robert Kowalick is joined by Chad Madden , Founder of Madden & Gilbert Physical Therapy and Co-Founder of Breakthrough , a physical therapy practice marketing company. Chad shares his journey from a physical therapy startup to a large practice with six offices and over 10,000 visits a month. Chad had a deep understanding of patient care but needed an education in owning a practice. He discusses how developing standardized systems and controls based on data helped him scale successfully. Chad discusses how it was critical to understand the financial aspects of being a business owner and credits Robert with helping him understand and implement many revenue cycle based metrics. Chad explains how he used marketing strategies, such as reactivation emails and professional referrals, to generate demand and fill patient schedules. His story shows how physical therapy practice owners can use the right data and optimized systems to grow their business, improve financial outcomes, and create a scalable operation despite industry challenges. Chad mastered improving the elements of his practice that ultimately determine practice valuations, and after successfully scaling, Chad had a successful exit from his practice, selling to a large national PT consolidator. Chad and Robert’s business journeys share many similarities. Expect to Learn -How Chad grew his physical therapy practice from 48 visits a week to over 2,800 visits a week. -Why building systems and understanding financials are key to scaling a successful practice. -How marketing strategies like reactivation emails and professional referrals can drive patient demand and fill schedules. -How revenue cycle systems and process optimization founded on great data are essential to overall profitability and scalability. -Why having the right data to manage clinician performance and patient conversion is also essential for growth. -How aligning marketing and revenue cycle strategies can help practice owners build a scalable and sustainable business. Timestamps [00:00:00] - Teaser [00:01:38] - Introduction & Purpose of the Conversation [00:04:05] - Defining Scaling and Chad’s Early Journey [00:11:46] - The Five Ways to Acquire New PT Patients [00:17:04] - Why EMR Marketing Tools Don’t Cut It [00:23:43] - Budgeting for Growth: The 10% Rule [00:30:36] - Market-Message-Media Match in Rural vs. Urban Areas [00:34:03] - Connecting Revenue Cycle to Marketing Investments [00:38:29] - Graduation Rate as the New NPS [00:50:30] - Using Data to Optimise Therapist Performance [00:58:57] - Targeting High-Value Patients with Smart Marketing [01:08:51] - Financial Systems and Therapist Engagement [01:10:06] - Final Thoughts Follow Chad Madden on: 👉 LinkedIn - https://www.linkedin.com/in/chadmadden 👉 Instagram - https://www.instagram.com/chad.madden/ 👉 Facebook - https://www.facebook.com/chadmaddenpt/ 👉 X - https://x.com/maddenpt Websites: 👉 Breakthrough - https://maddengilbertphysicaltherapy.com/ 👉 Madden and Gilbert Physical Therapy - https://getbreakthrough.com/ Company LinkedIn: 👉 Breakthrough - https://www.linkedin.com/company/getbreakthrough 👉 Madden and Gilbert Physical Therapy - https://www.linkedin.com/company/madden-pt Follow Robert Kowalick on: 👉 LinkedIn - https://www.linkedin.com/in/robert-kowalick-610502102/ 👉 Company Website - https://ascendsolutionsllc.com/ Follow Rehabbing Your Revenue Cycle Podcast: 👉 Youtube: https://www.youtube.com/@RehabbingYourRevenueCycle 👉 Facebook: https://www.facebook.com/RehabbingYourRevenueCycle/ 👉 Instagram: https://www.instagram.com/rehabbingyourrevenuecycle/

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