Increase Your Profits By $10,000 or More in 90 Days... Guaranteed

A 90-day program and masterclass that will help you uncover profit leaks, increase your revenue, and build a thriving practice. Enrollment is closed. Click below to join the waitlist.

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CUSTOMER TESTIMONIALS

Hear From Profitability Under Pressure Graduates

Jonathan Felsher renegotiated insurance contracts

Jonathan Successfully Renegotiated Insurance Contracts

"The biggest win for us this year is being able to renegotiate our contracts with two insurance providers… And what will probably be bigger wins in the near future will be dropping our lowest payer and increasing cash-based services to our practice. I can finally see some light."

Jonathan Felsher
Practice Owner, RPI Therapy Services

Peg Grey got her finances under control

Peg Got Her Finances Under Control

"Big win  - I'm getting my finances under control






Peg Grey
Practice Owner, Grey Physical

Jeff  Gersch Saved Time by Getting the "Cheat Sheet" to Increasing Profitability

Jeff Saved Time by Getting the "Cheat Sheet" to Increasing Profitability

"It made me delve into my analytics more than I ever have. I like the fact that Chad has laid the groundwork, and he's giving us stuff so we don't have to go down that road like he did. That's what I wanted to get from this is - a cheat sheet… I know I just don't have the time to invest in trying to figure all this stuff out."

Jeff Gersch
Practice Owner, Highland Physical Therapy

Now is the Time to Invest in Yourself

Dear PT Private Practice Owner,

Are you tired of declining reimbursements and rising costs?

You're not alone. In today's rapidly changing market, countless practices are fighting to maintain healthy profit margins in the face of rising economic pressures.

But what if I told you there's a way to increase profitability without making cuts or subsidizing your practice? A program that can propel your PT private practice forward, helping you increase profit margins, regain your time freedom, and make a bigger impact?

Introducing Profitability Under Pressure – a game-changing program that compiles the wisdom of top PT private practice owners into one comprehensive system. This program is your chance to transform your practice, boost your revenue, and secure a more stable financial future.

Imagine having proven systems, templates, educational modules, and a network of successful owners who are solving the same challenges you’re facing. In this program, you'll discover:

  • The Profit Leak Audit: Learn how to find hidden leaks in your revenue and how to fix them.
  • How to Plan for Profits: See the impact that different strategies will have on your practice specifically.
  • The Four Profit Levers: Don’t reinvent the wheel or try to do everything at once - learn how successful owners are increasing profits in today’s market.
  • Patient Demand Platform: With a 90–day trial of our Patient Demand software, enjoy PT marketing made easy with pre-written campaigns and clear ROI reports.
  • The Insider’s Circle: Join our community of PT private practice owners working together to improve business practices and overcome today’s challenges.
  • Breakthrough Bootcamp Live: Get a free ticket to our live event in Orlando, FL. Meet with like-minded owners and learn valuable skills so you can fly home and take your practice to the next level.
  • Educational Modules and Live Coaching Sessions: Learn how to create sustainable profitability through 13 weekly modules. Join program members and Chad Madden on weekly calls to discuss each module and ask questions.

By applying today, you'll also gain access to exclusive bonuses, including exclusive video masterclasses, templates, and live coaching sessions to take your practice to the next level.

There are only a few spots left. Don't let this opportunity slip through your fingers – Apply Today for “Profitability Under Pressure."

Program Overview

This program will equip you to improve your profits and build a healthy practice.

  • 14-week course with 8 instructors
  • ​Live and on-demand training
  • Live-mastermind sessions
  • ​Peer-to-peer community
  • ​90-days of patient demand software​

Outcomes

By the end of this program you will...

  • Have a plan to improve profits in your practice
  • ​Understand how to renegotiate rates
  • Know how to successfully implement cash services
  • ​Gain time-freedom
  • ​Develop a strong peer group of like-minded owners
  • ​​Increase profits by $10,000 or more​*

WHO THIS IS FOR

PT Private Practice Owners Who Want to Increase Profitability

 Feeling the pressure of shrinking margins

 Doing well, but want to stay ahead of the trend

 Can commit to study 1 hour per week

 Have a Growth Mindset

 Ready to dig in and be engaged

 Willing to invest in themselves & learn

 *not for HOPTs, POPTs, or anyone with a victim mindset*

Meet Your Instructors

Chad Madden

Chad Madden

BREAKTHROUGH

Carl Mattiola

Carl Mattiola

BREAKTHROUGH

Mary Daulong

Mary Daulong

BCMS

Paul Welk

Paul Welk

TUCKER ARENSBERG ATTORNEYS

Robert Kowalick

Robert Kowalick

REVENUE CYCLE SOLUTION

Mark Callanen

ENOVIS

Tony Cere

Tony Cere

KINETIX PHYSICAL THERAPY

Tyson Wigfall

BREAKTHROUGH

An In Depth Curriculum That Will Help You
Uncover Profit Leaks and Grow Your Practice

Week 1 - How to Find Your Profit Leaks

Discover strategies for maximizing your course experience, setting achievable goals, and identifying profit leaks.

Week 2 - How to Plan for Profitability

Learn how to use this tool to forecast your margins. Be able to answer questions like: "Why am I not profitable?" "How can I get an ROI?" or "How are my financials?"

Week 3 - How to Fill Your Clinicians' Schedules (Marketing Basics)

Learn how to systematize patient testimonials and reviews to boost your reputation, and we'll show you a quick way to get a win for your practice by sending a green ink letter.​


Week 4 -  How to Increase Lifetime Patient Value (with Reactivations and WOM)

Discover the power of your patient list – the #1 most valuable asset in your practice! Here you will learn about the importance of marketing to your patient list and how to use email, text, and direct mail to market your patient list. We'll walk you through how to use email and text in our software.

Week 5 - How to Increase Lifetime Patient Value (Adding Cash-Based Services)

Unlock the secrets to boosting your practice's revenue by adding Cash Pay Services, and find out how Breakthrough Partners can help.

Week 6 - How to Improve Your Payor Mix (Dropping Lowest Payor)

Bob Kowalick On Live:  Learn how to improve your payer mix and drop the lowest payer


Week 7 - No Class Call - Review Course Material & Implement in Your Practice

Week 8 - How to Improve Your Payor Mix (Renegotiate Reimbursement Rates)

Learn proven strategies to renegotiate your reimbursement rates.​

Week 9 - How to Improve Your Payor Mix
(Partner Workshops) 

Unlock the power of partnerships to elevate your business. Discover what partner marketing is, how to source partners, and how to schedule one in our software.

Week 10 - How to Convert Potential Patients to Paying Patients

Discover the ins and outs of conversion, uncover best practices, and learn the secrets of mastering conversion on the phone.

Week 11 - The Workshop Presenter & The 7 Step Exam

Discover the purpose of the 7 Step Killer Exam and learn effective techniques to master it.  Understand the significance of workshops and gain insights on how to effectively organize and execute a successful workshop.

Week 12 - Cold Traffic Advertising

Special guest, Tyson Wigfall, leads an insightful session on Online Advertising. He brings over 15-years of marketing experience, including hands-on experience with Meta, Google, YouTube, and TikTok!

Week 13 - How to Hire & Incentivize Staff

Learn effective practice staffing strategies, from hiring the right talent to empowering and incentivizing your team for success

Week 14 - Course Reflection and Takeaways

Reflect on our progress and discuss our next steps for implementing these techniques.

Application Deadline

The application deadline is June 7th

Breakthrough Profitability Under Pressure Early Bird Bonuses

 BONUS #1 The Ultimate Renegotiation Bundle

Receive a copy of the renegotiation letter template and workbook that has helped practices increase rates by more than 15%.

$1997 (Value)

BONUS #2 Zero to Profitable De Novo Training

A repeatable step-by-step process and training that will show you how to open new clinics and reach profitability within 3-months.

$1497 (Value)

 BONUS #3 How to Hire & Incentivize Staff

Grow your practice and increase profits faster by hiring and motivating your dream team. Get the complete hiring bundle. 

$997 (Value)

 BONUS #4 Direct-to-Consumer Marketing Course

Get the complete 6-session (5+ hours) on-demand course. Attract your ideal patient with proven marketing strategies.  

$497 (Value)

TOTAL VALUE: $4,988

YOURS FOR FREE 

More About the Profitability Under Pressure Curriculum

13 live and on-demand trainings covering topics like:

Week 1 - Profit Leak Audit

You will gain a deeper understanding of your financials. 
"Why am I not profitable?"

"How can I get an ROI?"

"How are my financials?"

"When is it time for me to hire? Expand? Open an additional location? Level up my systems? Expand my marketing?"

"What are the benchmarks for PT expenses? What percentage of my revenue should go to xyz?"

Week 2 - Marketing 101

We’ll cover everything you need to know for marketing PT private practices, from writing emails to hosting educational workshops, finding partners, and more. Mastering these basics will put you light years ahead of local competition.

Week 3 - Marketing to Past Patients

Are patients willing to pay cash in your area? How do you get staff buy-in to promote new modalities? Which services are worth the investment? We’ll answer these questions and walk you through what it takes to increase cash sales successfully.

Week 4 - Partnerships

While it’s crucial to treat everyone who needs care in your community, marketing to the patients with better payors will rebalance your payor mix and increase your bottom line. We’ll show you how to do so ethically and effectively.

Week 5 - Offline Advertising

Once a plan of care ends, will you ever see that patient again? With the right amount of goodwill and communication, we’ll teach you how to stay top of mind for past patients and reactivate them in the future.

Week 6 - Online Advertising

Learn how to craft the perfect negotiation letter, how to keep the conversation going after the initial responses, and how to improve your payor mix so you can even drop a low payor when the time is right.

Week 7 - Convers

Once a plan of care ends, will you ever see that patient again? With the right amount of goodwill and communication, we’ll teach you how to stay top of mind for past patients and reactivate them in the future.

Week 8 - 7 Step Killer Exam

Learn how to craft the perfect negotiation letter, how to keep the conversation going after the initial responses, and how to improve your payor mix so you can even drop a low payor when the time is right.

Week 9 - Drop Your Lowest Payer

Once a plan of care ends, will you ever see that patient again? With the right amount of goodwill and communication, we’ll teach you how to stay top of mind for past patients and reactivate them in the future.

Week 10 - Renegotiate Rates

Learn how to craft the perfect negotiation letter, how to keep the conversation going after the initial responses, and how to improve your payor mix so you can even drop a low payor when the time is right.

Week 11 - Add Cash Pay Services

Once a plan of care ends, will you ever see that patient again? With the right amount of goodwill and communication, we’ll teach you how to stay top of mind for past patients and reactivate them in the future.

Week 12 - Hire & Incentivize Staff

Learn how to craft the perfect negotiation letter, how to keep the conversation going after the initial responses, and how to improve your payor mix so you can even drop a low payor when the time is right.

Week 13 - Reflection + Takeaways

Run by guest speaker Mary Daulong from BCMS; this module covers what you need to know in order to maximize your revenue for the hard work you’re already doing.

Limited Time Bonus

Don’t Miss These Bonus Modules

Apply today to receive these bonuses when you enroll.

  • ​How to Hire & Incentivize Staff
  • Time Management for Practice Owners
  • ​Improve EBIDTA and Prepare for Exit with Paul Welk

"I was able to increase my reimbursement rates for both UnitedHealthcare & Cigna by 15%"

Dr. Sterling Carter - Sterling Physical Therapy & Wellness

"It saved my clinic...we’re up from $83 to $98 per visit"

Dr. Verelle Wyatt - Physio Balance & Sports Performance

"We doubled our practice within 1 year"

Joe & Cathy Scarpitto - Procare Physical Therapy

"We have 280 patients per week on the books"

Sean Weatherston - Altitude Physical Therapy

Lisa Altamirano Profitability Under Pressure Testimonial
Basem Mankerious Profitability Under Pressure Testimonial
Ken McKenzie Profitability Under Pressure Testimonial
Michael Moravec Profitability Under Pressure Testimonial

Join The Waitlist

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$10K More Profit Guarantee

Increase Your Profits by $10,000 90 Days or Your Money Back

You will see an extra $10,000 in profits within 90 days of completing the program… or we'll refund you.

Frequently Asked Questions

What is included in the course?

A: The modules are listed above and you’ll have the chance to discuss the full curriculum once you jump on a Strategy Call with a Program Director (part 2 of the application process). Some topics covered include renegotiating insurance contracts, reactivating past patients, implementing cash services, and more. You’ll also receive membership into our Insider’s Circle of owners, a free ticket to Breakthrough Live, and a trial of our Patient Demand software.

How much does it cost?

A: As a part of the application process, you’ll get a chance to discuss what you’re looking for in the program and how we can help during a Strategy Call. You'll also discuss the costs associated with the program and discounts you are eligible for during the call. 

What is the $10,000 Guarantee?

A: If you are accepted and join the next class of the Profitability Under Pressure program, we guarantee that you will increase your profits by at least $10,000 within 90 days of graduating and implementing the steps we teach. If you don’t, we will refund you for the entire program. All we ask is that you implement the steps outlined and give it your all for 90 days. Either way, you are guaranteed to recoup the cost of the program and much more by joining Profitability Under Pressure.

Is Profitability Under Pressure just a class?

A: No. While we’ve hosted successful masterclasses in the past. We consider this a full program. In addition to a 14-week series of modules, members will have access to coaching calls, live events, a trial run of our Patient Demand marketing software, a vault of templates, and exclusive access to our Inside Circle community: a network of successful owners who have implemented these strategies themselves.

Why do I have to apply?

A: Profitability Under Pressure is not for everyone.

This program is for PT Private Practice Owners who are:
-Feeling the pressure of shrinking margins
-Doing well, but want to stay ahead of the trend
-Ready to commit to study 1 - 3 hours per week on average
-Individuals with a Growth Mindset who will be fully engaged

This won’t work if you:
-aren’t dedicated to putting in a few hours of work each week,
-are the only staff member in your practice,
-you’re just starting out within the past 6 months,
-part of a HOPTS or POPTS,
-Or if you are going to make excuses and give up at the first obstacle in your way.

With the right mindset, this program will work wonders. Guaranteed.

I’ve tried these tactics before, but it failed… why will it work this time?

A: As a proactive PT practice owner, you’ve undoubtedly tried many of the strategies we teach in this program. However, In Profitability Under Pressure, we will work with you, give you individualized attention and support as you implement new systems, go further in-depth on every topic, and provide you with the resources you need to thrive. This is why we feel confident in guaranteeing $10K in profits or your money back.

You say this will take hard work… how much? I’m really short on time these days…

A: We know declining reimbursements have only made things harder for owners. The truth is, trying to overcome these challenges on your own often can take more time away from you. This program is designed to give you the resources you need, so you see changes sooner than later. Spending a few hours each week now will result in more time to work on your business rather than in it, get home on time, and actually relax when you have downtime.

Secure A More Stable Financial Future

If you’re skeptical, worried about the time commitment or cost…

… Or you’ve looked into our curriculum, and you’ve already attempted many of these tactics…

I still encourage you to submit an application.

This is the time to invest in yourself, prepare for profits before more reimbursement cuts hit us, and see how successful PT practice owners are implementing these strategies so you can too.

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