Why are so many good practices still struggling to stay full, even while they are doing great clinical work?

That is the question behind this conversation with Chad Madden, who started his practice with brutal timing (opening the same week his first child was born) and went on to build a six-location physical therapy business with a recent valuation of 16 million dollars.

This episode is for physical therapy, occupational therapy, speech-language pathology, and mental health practice owners who are still leaning on physician referrals as their primary growth engine and want to understand what happens when that well runs dry and how to build something more durable in its place.

If this episode made you rethink your referral sources, subscribe, drop a comment about how much of your growth still depends on physician referrals, and share this with an owner who needs to hear it.

Episode Breakdown:

00:00 – Opening Hook

0:27 – Guest Introduction: Chad Madden

1:32 – Starting a Practice With Brutal Timing

4:02 – Doubling the Business, Then Losing a Partner

6:16 – The Fork in the Road Toward Direct-to-Consumer Marketing

6:58 – The Moment 154 Referrals Disappeared Overnight

23:42 – Finding a Differentiator, Then Meeting Carl

47:11 – Building a Movement: The Breakthrough Event

48:46 – Closing Thoughts

If billing gaps, collections, cash flow, or revenue leaks are creating stress in your practice, schedule a conversation with Jamey here.

You can learn more about Chad’s work here.