May 4th-6th 2023 | Harrisburg, PA

Experience The Day to Day Operations of Madden PT

This time, we're doing things differently: you've never been to a Breakthrough Live like this. That’s because the event takes place at Chad Madden’s Physical Therapy Practice in the one and only Harrisburg, Pennsylvania.

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Tickets Increase April 30th!




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Our biggest change from Breakthrough Live events in the past is that you’ll interact with Chad’s staff to learn their implementation processes. This hands-on experience will be conducted through interactive, small group breakout stations on Saturday. These Saturday Small Groups will include:
  • Front Desk: Learn how to handle financial conversations with patients to increase revenue and improve your bottom line.
  • Converters: Get an inside look at the conversion process: learn how to handle objections and use our software to increase your conversions and book more plans of care.
  • Workshops: Learn how to run workshops and close 100% of attendees into patients.
  • Cash Pay: Learn how to package and sell cash services to your existing patients, increasing revenue and improving your bottom line.
  • And more… 



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We're heading to Chad's Practice in Harrisburg, PA!

Once you register we'll email you access to our group rate at our Host Hotel where a few events will take place. 



Please check back for schedule changes & adjustments.

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Thursday, May 4th 2023 Host Hotel

Registration & Happy Hour - 5:00pm - 7:00pm Get checked in, grab a drink & network with sponsors before sessions start the next morning!

Friday, May 5th 2023 Host Hotel

Welcome • 8:00am - 8:15am We will kick off the day with an overview of the weekend, trivia, and more!
Breaking Down The Marketing Fly Wheel • 8:15am - 9:30am
Exhibition Break • 9:30am - 10:00am Take a moment to meet with our partners & sponsors in the exhibition area, grab a coffee and hit the bathroom before our next session begins.
Hot Seat: Workshops • 10:00am - 10:20am Hear from community owners on their best practices for Workshops.
Mastermind • 10:20am - 10:45am In this session, we'll break out into groups based on topics to take 5 minutes each to chat about one of the following:
Marketing Calendar Workshop • 10:45am - 11:30pm Map out your marketing calendar with us during this live working session.
Your Practice and Breakthrough • 11:15am - 12:00pm Learn the latest from Carl on what's coming next for Breakthrough and how your practice can get involved!
Lunch Break • 12:00pm - 1:00pm Find a new friend to network with over lunch.
Referral Sourcing Hot Seat • 1:00pm - 1:20pm What are the best tactics for sourcing referrals in 2023? Learn from our community on how to improve your referral system.
Mastermind • 1:20pm - 1:45pm In this session, we'll break out into groups based on topics to take 5 minutes each to chat about one of the following:
3 Ways To Use Emails • 1:45pm - 2:15pm There are 3 different ways that you should be using email to grow your practice.
Tracking and Measuring • 2:15pm - 3:00pm One of the most overlooked marketing systems is tracking and measuring our results. We'll dive into why this is an important step in your growth.
Exhibition Break • 3:00pm - 3:30pm Take a moment to meet with our partners & sponsors in the exhibition area, grab a coffee and hit the bathroom before our next session begins.
Partner Workshops Panel • 3:30pm - 4:00pm We'll hear from community members on what they're doing to increase patient demand through partner workshops.
Best Practices for 2 Way Texting • 4:00pm - 4:30pm Is your conversion rate lower than what it should be due to inadequate texting practices? Find out in this session.
Day One Wrap Up • 4:30pm - 5:00pm Finally, we’ll wrap up today’s sessions by learning how to take home your new plan so that it is received in an actionable, exciting way for your entire practice!
Cinco De Mayo Happy Hour & Award Ceremony • 5:00pm - 7:00pm Join us as we wrap up the day by celebrating our community for a happy hour. Grab a drink & network with sponsors and other attendees!

Saturday, May 6th 2023 Madden PT

Bus To Madden • 8:00am - 8:15am We'll kick off the day heading over to Madden Physical Therapy
Tour of Madden Physical Therapy • 8:30am - 9:30am Welcome and Tour of Chad's practice
Morning Station Breakouts • 9:30am - 12:00pm Choose from 4 of the following stations to stop by for 30 minute small group sessions where you'll get to learn the details of: Cash Pay Referrals, How to Run A Weekly Meeting, Patient Testimony and Patient Interviews.
Lunch Break • 12:00pm - 1:00pm Find a new friend to network with over lunch.
Afternoon Station Breakouts • 1:00pm - 3:30pm Choose from 4 of the following stations to stop by for 30 minute small group sessions where you'll get to learn the details of: 7 Step Killer Exam, Partner Workshops, In House Workshops, Converter Best Practices and Front Desk Systems.
Break • 3:00pm - 3:15pm Take a quick break before we wrap up the event.
Event Wrap Up • 3:15pm - 4:00pm We'll conclude the event by learning how to take home your new plan so that it is received in an actionable, exciting way for your entire practice!
Bus Back to The Hotel • 4:00pm - 4:30pm The bus will take all attendees back to our host hotel.



Chad Madden

Co-Founder, Breakthrough

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Chad is the Founder of Madden Physical Therapy.

He may be the “most watched” back pain and sciatica specialist in the world! He has the #1 Videos in 6 different health categories on YouTube, has written three books, created the one-of-a-kind Exercise Card System, and has over 100,000 followers of his online and social media, newsletters, and other media.

Chad is a Bethlehem Steel Baby—his parents met working there, and he was probably conceived there! He grew up in West Hanover, Pennsylvania, and enjoyed a mediocre high school sports career. Determining his strengths were academic, he earned his Master’s Degree in Physical Therapy.

On September 2, 2003, he opened his physical therapy practice with a total staff of one, in a 2,000 square foot office. His first son was born three days later —great timing!

He was an introvert and “book worm” growing up, despite also loving and playing sports. He still reads an insane quantity today, and there are over 500 books in his office. His favorites are classics from a famous Pennsylvania-based motivational speaker Charlie “Tremendous” Jones. Chad believes in “input = output”, and that constant improvement can only come by “mining gems” from a lot of information and ideas. Despite athletic shortcomings, he played 17 years of baseball, 6 years of basketball, wrestled for 2 years and played 9 years of football—and football first pointed him to his career.

Chad and his wife Stephanie now have four sons and two daughters, and live on a small farm, with five miniature donkeys, two cats and a Border Collie.

Above all else, Chad believes now is the best time to raise public awareness of all that a modern, independent PT practice offers and to raise the status, security and success of the independent practice— because now is the time we have.


Carl Mattiola

Co-Founder, Breakthrough

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Carl began researching the PT field when he was a marketing executive at Tesla. He got up 3 hours before his regular work day to be on phone calls, interviewing PT practice owners about how they attracted and obtained patients. This is how Carl and Chad met. Carl was, of course, horrified at what he discovered from hundreds of these interviews. He wound up leaving Tesla—and leaving a lot of money on the table—to start a company, ClinicMetrics, in response to his determining that PT practice owners had no good way of “knowing their numbers” nor had they been taught how to use them of they could, to really manage a business for profit and growth.

Elon Musk used Carl to assemble teams to get new ideas made into viable projects and implemented. He helped launch the Tesla Model S, to over $60-Million in sales in less than a year. Post-Tesla, and during the early ClinicMetrics years, Carl built not one but four 7-figure income businesses from zero. Carl Mattiola knows how to get things done.

Over the next couple years, Carl and Chad kept talking and collaborating, and arrived at a convergent place: marrying the methods Chad had developed for Direct Access Marketing, to preserve his clinic’s independence and security, and for delivering extraordinary patient experiences in the clinic that motivated patients to get well and motivated staff to stay and excel with Carl’s ability to organize it all for consistent, virtually fail-safe implementation in any number of clinics. From this, The System and Breakthrough PT Marketing was born. Carl’s passion is in helping people clarify their life goals, identify, confront and eliminate barriers, and implement plans and strategies in a thoroughly organized way.

He is also fascinated with what he and Chad call “the multiplier effect” in doing well by doing good. In his words: “I don’t like seeing capable people beaten down, and a lot of PT practice owners are. They are so mired in constant or repeating negative aspects of the business—be that unmotivated staff, poor profit margins and personal income, referred patients who trudge in grudgingly by doctor’s order, or justified worry and fear about the future for a practice dependent on doctor referrals—that they feel trapped and “de-motivated” about their businesses everyday. 

This is no way to live a life! It is particularly sad in a business that has a great multiplier effect. When Chad and I help a PT owner to get out of that daily grind, re-boot with new and inspiring goals, and re-invent their practices, we don’t just make life a lot better for that PT and his family, but with him, for everyone on his staff, and for the patients, and by Direct Access Referrals, for family members and friends of those patients who might otherwise “just live with” a variety of pain conditions or, worse, become lifelong pain-pill addicts.

This is what excites Chad and I about what we do, and what can change your daily grind to a mission driven, authentically positive experience. However, motivation without foundation and inspiration without implementation is empty. It’s a sugar and carb loaded, wolfed down tray of fast food that feels great while you’re eating it, but only a couple hours later has you crash, and feel sick and tired. That’s why we will NEVER do a ‘motivation seminar’ or speech, although we do create a foundation for new motivation. Real interest in your business and real confidence about achieving goals comes from real capability and implementation. Which is why The System is so important. It’s why you being independent but not in this alone is so important. Finally, you can liberate your real goals including ones you’d given up on, and set about achieving them with legitimate confidence because you have a proven, methodical System and because you have coaching and support from people perfectly aligned with your interests.

The other thing to understand about the advertising and marketing components of this that you should appreciate is that they are scientific. Their foundation actually dates back decades to one of the founding fathers of modern direct-response advertising, Claude Hopkins, who coined the term: Scientific Advertising. It applies to Facebook and to direct-mail, to everything. We know our numbers. When a dollar is invested we know, within a small and acceptable range of variance, exactly how many dollars it will produce. We are not “just guessing” anymore than you guess at how to get a patient well. We are not engaged in creativity; we are marketing scientists. New, direct access patient flow raised to a level freeing you from dependence on doctor referrals and leveraged to achieve your business and life goals is a scientific process validated by Chad’s practices and over 735 others.

But let’s be clear. All of the implementation of The System is for bigger purposes.
For the multiplier effect.

Garry Houck-1

Gary Houck


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Gary L. Houck is the Head Cheerleader/CEO of Houck. He has more than 45 years of experience in the restoration, roofing, specialty construction, and real estate industries.

Gary has been a guest speaker and lecturer at numerous university and industry classes, seminars, and events, including the University of Wisconsin, Penn State University, Elizabethtown College, HACC, Messiah College, and others.  He is the founding president of RIL Insurance Company (Roofers Insurance, Ltd.) and a member of their board of directors.  He is a past president and director of SWR Institute (Sealant, Waterproofing & Restoration Institute).  He also has been and is currently a member of various boards including Pennsylvania State University Athletic Advisory Council, NRCA (National Roofing Contractors Association), Messiah College, Commonwealth Bank, Mellon Bank, Liberty Mutual Insurance, HACC Alex Grass School of Business, Penn State University’s Four Diamonds/Hershey Medical Center, the Keystone Sports Foundation, Harrisburg Area YMCA, Firestone/Bridgestone Advisory Council, Sherwood Foundation, Multiple Sclerosis Dinner of Champions, American Subcontractors Association, Mid-Atlantic Builders Exchange, and the American Cancer Society. He has also been involved in other civic, community, and industry associations including the Rotary Club, Construction Specification Institute (CSI), and Masonry Contractors Association (MCA), among numerous others.

Gary is a 1973 alumnus of Pennsylvania State University, where he received a Bachelor of Business degree.  In addition, he received his Associate of Arts degree from HACC in 1971 and graduated with honors from the United States Army Finance School at Fort Benjamin Harrison, Indiana in 1968.  Mr. Houck resides in Harrisburg, Pennsylvania with his wife, Patricia. They have a grown daughter, Kara Ayn, son-in-law, Kyle (McCaffrey), and grandsons, Dean Carter and Miles Declan, who reside in Middleton, Wisconsin. Gary and Patti’s eldest son, Gary Jr., passed away in 2005 at the age of 29.


Mark Callanen

Director of Marketing and Continuing Education Recovery Sciences, Lightforce+Chattanooga

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As Director of Marketing and Clinical Education for Recovery Sciences I am responsible for developing the strategic plan for customer facing education, as well as coordinating and executing educational programs to Healthcare Providers (HCPs) and the sales team for the Chattanooga business unit in the United States. Instrumental in contributing to the strategy to progress the use of physical modalities, including laser, shockwave, traction, and electrotherapy in the fields of rehabilitation and pain management. Interact with Key Opinion Leaders, HCP’s, university and education organizations, industry associations, dealers, industry personnel, researchers, customers, and others in medical industry.


Bob Kowalick

Managing Member, Certified Reimbursement Solutions

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My professional purpose is to help PT and OT private practice owners build stable and scalable practices. My company does this through collaborative relationships with our clients focused on maximizing revenue, minimizing payment delays and maximizing revenue cycle process efficiencies. I am adding a focus on margin improvement and business data improvement initiatives.

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