Chad breaks down the 2026 state of private practice across four pillars: people, finance, operations, and marketing. You’ll hear hard numbers on the DPT shortage and debt, why reimbursement + inflation equals a ~29% hit since 2019, and how cash-pay services are stabilizing margins and improving outcomes. He also shares systems to streamline ops and a playbook for always-on marketing—even when you’ve got a waitlist. Subscribe for weekly strategies to grow a resilient, patient-first practice.

Timestamps

00:00 - Welcome & why this matters

00:44 - The four pillars of private practice

03:00 - People: DPT shortage, debt & salaries

09:05 - Finance: fee schedule declines & the 29% squeeze

15:04 - Cash-pay services: what works and real numbers

20:55 - Team buy-in & rollout pitfalls

22:36 - Systems/ops: EMR, integrations & AI

24:28 - Marketing evolution, reactivations & waitlist trap

30:50 - Key takeaways & next steps