Claim OwnershipPhysical Therapy Private Practice: Secrets of the Top 10%
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Welcome to our award-winning physical therapy podcast for private practice owners who want to set themselves up for success and join the industry's top 10%. Whether your business is just starting up or you're looking to grow as a business leader and stay on top of industry trends, this weekly podcast hosted by Brian Gallagher, PT and Founder of MEG Business, features actionable insights and tips from physical therapy experts who share the marketing, operations, personnel and clinical secrets that not only improve your practice, but also your life as an entrepreneur!
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In this episode, Brian breaks down the real math behind building a profitable, scalable physical therapy private practice — not theory, not spreadsheets, but the numbers every owner should actually understand and control. Too many practice owners rely on reports, bookkeepers, or gut instinct when it comes to financial decisions. In this conversation, Brian walks through the core formulas he's used for decades to design clinics, pay staff, scale locations, and build real freedom — financially and professionally. This episode covers how to stop guessing, start interpreting your numbers, and use math as a tool to create stability, growth, and long-term success.
In this episode, Brian sits down with Garrett from Neufit to talk about the 2026 Hybrid Practice Model—how physical therapy owners can balance insurance and cash-based services for stronger, more predictable revenue. Learn how the Neubie helps clinics boost retention, attract cash-paying patients, and create new income streams that fuel long-term growth.
In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher, PT, breaks down how your front desk isn't just a support role—it's the engine that drives every metric in your clinic. From call conversions to patient intake, Brian explains how mastering your front desk systems directly impacts your payroll percentage, net profit, clinician efficiency, and long-term growth. If you want your practice to thrive in 2026, you need to start by tracking and tightening the numbers that matter most—right at your front desk.
In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher, PT, explores how AI and today's economic shifts are reshaping the landscape of physical therapy private practice. Fresh from APTA PPS 2025, Brian dives into the challenges facing owners — inflation, staffing, reimbursement, and the widening affordability gap — and how new technologies, outsourcing, and AI-driven systems are helping practices adapt and thrive. You'll learn how to recognize "The Great Disconnect" between Wall Street's booming AI economy and the real economy on Main Street — and what top 10% practice owners are doing right now to stay profitable, scalable, and resilient in 2026.
Hiring shouldn't feel like a revolving door. In this episode, Brian Gallagher reveals why so many PT practices struggle to keep great people — and how the most successful clinics retain loyal, productive, high-performing teams. Learn how to replace "task training" with a performance-driven culture built on purpose, clear structure, and meaningful accountability. When your staff understands their role, feels valued, and sees a future with your organization, retention becomes the norm — not the challenge. If you want to stop burnout, stop turnover, and start building a team that sticks… this episode is your blueprint.
In this episode, Brian Gallagher sits down with Tom Cooley, founder of Go Card Connect, to uncover what's really behind the credit card fees PT owners pay every month. Tom has spent over a decade working exclusively in the physical therapy space, helping private practice owners understand where their processing costs come from, how to spot hidden fees, and what to look for in their merchant statements. Together, they reveal how small, unnoticed charges can add up to thousands each year—and how a simple merchant audit can uncover quick savings without disrupting your EMR or billing system.
What if your practice was the Costco of physical therapy — the place everyone trusts, loves, and gladly keeps coming back to? This week, Brian Gallagher breaks down how one of the most successful businesses in America creates loyal members, delivers consistent value, and scales with efficiency — and how YOU can apply the same proven strategies inside your private practice. Learn how to elevate patient experience, hire stronger performers, and build a culture that people never want to leave.
Brian Gallagher sits down with Sean Healy, Founder and President of Accounted4 LLC, based in Philadelphia, PA, to unpack the financial side of running a physical therapy private practice. Together, they explore the difference between profit and cash flow, the power of KPIs, and why maintaining data integrity leads to smarter business decisions. They also discuss today's economic challenges, creative financial strategies, and how the evolving landscape of accounting can help practice owners adapt, grow, and recognize their true value. 🔹 Schedule a free QuickBooks Analysis with the Accounted4 team here: 👉 Book Your 30-Minute Call 🔹 Or learn how MEG can help you scale your systems, billing, and operations: 👉 Book a MEG Discovery Call
Most private practice owners aren't being held back by their competition — they're being held back by fear. In this week's episode, Brian unpacks the two types of mistakes that quietly sabotage your success: The Conscious Mistake: When you overanalyze and delay decisions until opportunity passes. The Invisible Mistake: When you make choices on autopilot, using old ideas that no longer fit your current situation. You'll learn how to recognize both, how to stop "slow-rolling" your decisions, and how to confidently act like a CEO — without letting fear of mistakes stall your progress.
This episode is all about shifting how you think as a practice owner. You're not just a clinician anymore — you're the doctor of your business. It's time to diagnose your practice the same way you would a patient: identify the symptoms, run the right tests, and apply the cure. We'll cover how to measure what truly matters, manage by statistics instead of personality, and fix the two biggest problems holding most owners back — slow growth and lack of new patients. If your goal is to lead smarter, grow stronger, and finally hit that 15% profit mark, this conversation is for you.
As a PT private practice owner, one of the biggest challenges you'll face isn't just reimbursement cuts or competition—it's uninspired staff. In this episode, Brian breaks down how practice owners can re-ignite motivation in their teams by starting with themselves, communicating effectively, and turning negative energy into productive engagement. From diffusing anger to addressing unexpressed resentment, and from empowering individuals to building a culture everyone wants to be part of, you'll discover the practical leadership tools you need to deal with uninspired staff—and prevent it from spreading in your practice.
Are you tired of balance sheets, P&Ls, and financial jargon that never seem to match what's really happening in your practice? In this episode, Brian explains why true success as a PT private practice owner comes from confidence in your leadership role—not accounting reports. You'll learn how to focus on the right numbers, create a culture that retains staff and patients, and build quality systems that naturally drive growth. If you've ever felt overwhelmed or unsure in your role as the owner, this conversation will give you the clarity you need to lead with confidence.
In this week's episode, Brian Gallagher takes you behind the scenes of Division 4 — the Production Division to reveal the systems that separate winning PT practices from the rest. From his own story of late-night patient notes in 2002 to scaling his business by millions and founding MEG, Brian shares the mindset, policies, and investments that fuel lasting success.
In this week's episode, Brian dives into Division 3: Finance — the keystone of scaling a successful PT private practice. Whether you're a startup hustling through the first 24 months or a multi-clinic owner ready to expand, financial management is the cornerstone that separates thriving practices from those stuck in survival mode. Learn how to shift from managing by personality to managing by statistics, why "control equals income," and the exact financial metrics you should track to build long-term stability and freedom.
In Part 2 of our five-part success series, we're tackling internal and external marketing — and the outpoints that may be choking off your growth. From website fixes and Google Business Profile updates to referral-building strategies and patient engagement tactics, these are the proven steps that keep PT owners thriving. If you want to strengthen your online presence, boost referrals, and create a culture that drives return business, this episode is for you.
Failure rates for new businesses are high — but your physical therapy practice doesn't have to be one of them. In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher, PT, shares the best practices of the best practices that every PT owner can implement to protect their clinic from stagnation or failure. From defining your ideal scene to building the right structure, Brian walks through actionable strategies to help you future-proof your practice, grow sustainably, and achieve the freedom you deserve as an owner. Whether you're just starting out or expanding to multiple locations, these proven steps will set you up for long-term success.
Burnout, low morale, and lack of teamwork don't just hurt your staff—they directly affect the success of your private practice. In this episode of Secrets of the Top 10%, Brian Gallagher shares the three key "source to solution" strategies that every PT owner and clinical director must master to lead effectively.
In this episode of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher, PT, draws from recent conversations with practice owners to reveal why stagnant growth happens and how to reverse it. He'll help you evaluate whether you're acting as the projector (driving change) or just the screen (reacting to circumstances), define your ideal scene in vivid detail, and align it with the people who matter most in your life.
In this no-holds-barred episode, Brian Gallagher dives deep into what it really takes to succeed in physical therapy private practice in 2025. From letting go of fixed ideas and outdated models to embracing automation, hybrid services, and strategic outsourcing—this episode gives you the mindset and tools you need to thrive. Learn how to fire your doubts, shed unproductive habits, and build a business model that supports freedom, growth, and profitability. Brian even shares his personal 2025 playbook for launching and scaling a PT practice. If you're serious about leveling up, it's firing time.
In Episode 380 of Physical Therapy Private Practice: Secrets of the Top 10%, Brian Gallagher, PT, dives deep into the most important factor driving your personal and professional success: purpose. This solo episode takes you behind the scenes of Brian's own journey—growing up in poverty, discovering his "why" at age 12, and dedicating his life to helping others achieve their best selves. Whether you're a practice owner feeling burned out, a clinician questioning your path, or someone looking to reignite your passion for PT, this episode offers a powerful reminder: your success is not about chasing happiness or money—it's about aligning with your core values and making decisions that lead to harmony. 👉 Book a free Discovery Call with MEG
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