Know where private practice actually stands
Reimbursement, staffing, cash pay: the honest read on 2026, what's coming, and what the next twelve months are going to ask of an owner.
Tue, Oct 20, 2026 · 9:00 AM to 4:30 PM ET
Titans Online The 2026
Virtual
Summit
Virtual
Summit
Stop guessing at what actually grows a practice in 2027.
One free day with seventeen owners, operators and builders who already did it, most of them straight off the Titans of Private Practice stage in Nashville.
100% free. No card, no pitch deck, one link for the whole day.
Chad MaddenBreakthrough 
Carl MattiolaBreakthrough 
Will HumphreysRockstar Global 
Charlotte WiemerslageBreakthrough 
Jamey SchrierPractice Freedom U 
Josh FunkRehab 2 Perform 
Garrett SalpeterNeuFit 
Jerry DurhamClient Experience Co. 
Jan GroveMadden & Gilbert PT 
Mark CallanenEnovis 
Dan NeffNeff Physical Therapy 
Chris ReadingU.S. Physical Therapy 
Mary DaulongBCMS 
Paul WelkTucker Law 
Kelly BrownPrompt Health 
Steven CoenSaRA Health 
Sharif ZeidEmpowerEMR + live Q&AAsk from chat1,200+At the last summit
17 speakersLive on camera
Oct 20One Tuesday
FreeNo card, no catch
You're booked solid. Your margin still isn't moving.
You've raised your rates. You've hired. You've tried the agency, the new front desk script, maybe a second location. The schedule fills up and the take-home stays flat.
Here's the part nobody says out loud: the plays that worked in 2019 do not survive today's payer mix and today's labor market. And you can't fix that by working another Saturday.
You fix it by watching what people who are already past it actually do:
- Owners running one clinic, and owners running dozens
- A CEO who reports PT margin to public shareholders every quarter
- The two authors who put 101 practice leaders into one book, and their own playbooks
- An attorney who sees, deal after deal, what a buyer will actually pay for
This isn't a theory day. It's what is working right now, from the people doing it.
The practices that compound aren't the ones working hardest. They're the ones running better systems.
What you walk away with
Six things you can put to
work the following Monday
Make profit the engine, not the guilt
The case for making as much money as ethically possible, and the team you have to build for that to happen without you working another Saturday.
Turn clinicians into owners of outcomes
Profit sharing, business literacy, and earning pathways that keep your strongest people building instead of shopping.
Get out of the day to day
The systems, accountability rhythms, and leadership decisions that make a practice profitable without the owner being the bottleneck.
Show up when patients ask AI who to see
Patients now ask ChatGPT, Gemini, and Claude before they search. How to find out whether your practice gets named, and what to change if a competitor does.
Know what your practice is worth
What a buyer's diligence opens first, and the cleanup that has to start about three years before you ever take a call.
What makes this one different
Seventeen operators, one arc
Start with where the industry stands, then profit, then your people, then the patients you are missing, then know what it's worth. The sessions build on each other instead of sitting side by side.
Everyone on the schedule runs something
Every speaker owns a practice, runs a company, builds the tools practices run on, or advises them for a living.
The range is the point
One clinic up to a publicly traded operator. You get to see which problems are yours right now and which ones are two years out.
It's free, and it stays free
No card, no upsell gate, and you do not have to be a Breakthrough client to attend.
One link, live all day
Every session is on camera, chat is open the whole time, and the day ends with a live Q&A.
It's the follow-up to a real room
Titans of Private Practice LIVE filled a ballroom in Nashville in September. This is the online version of that conversation, for the owners who needed the takeaways more than the travel.
On camera · Tue Oct 20
Meet your Titans Online speakers
BreakthroughChad MaddenChad Madden, Co-Founder, Breakthrough, and Madden PT
Chad brings the session he opened Nashville with: where private practice PT actually stands in 2026, what's coming, and how to win. Reimbursement, staffing, cash pay, and what the next twelve months are going to ask of owners. He co-founded Breakthrough after building his own practice, and he co-authored the book this summit grew out of.
- Co-author, Titans of Private Practice PT
Rockstar GlobalWill HumphreysWill Humphreys, CEO, Rockstar Global
Will makes the case most owners were trained to feel guilty about: profit is the engine of the mission, not a distraction from it. His session covers why you should make as much money as ethically possible, and how to build a team that makes that possible.
- CEO of Rockstar Global
Prompt HealthKelly BrownKelly Brown, PT, DPT, OCS, Prompt Health
Kelly has been a staff therapist, a clinic director, a regional director and an educator, and now builds AI documentation tools for physical therapy at Prompt Health. Her work is AI scribing, coding and compliance, and workflow automation, all aimed at giving clinicians less paperwork and more time with patients. She sits down with Chad for a short interview about her chapter in the book.
- Healthcare AI leader, Prompt Health
- Contributor, Titans of Private Practice PT
SaRA HealthSteven CoenSteven Coen, CEO and Co-Founder, SaRA Health
Steven went through physical therapy more than once himself, and it showed him the gap in care between visits. He co-founded SaRA Health to close it. The Kansas City company builds remote therapeutic monitoring and patient engagement software for PT practices, and he has run it as CEO since 2017. He sits down with Chad for a short interview.
- Co-founder, SaRA Health
- CEO since 2017
Rehab 2 PerformJosh FunkJosh Funk, PT, DPT, Rehab 2 Perform
Josh built a multi-location group by handing clinicians real business literacy instead of a bonus structure they don't understand. His session covers the earning pathways that turn a good therapist into someone who owns an outcome, and what it costs to run them.
- Founder of a multi-location group
BreakthroughCharlotte WiemerslageCharlotte Wiemerslage, Senior Product Manager, Breakthrough
Charlotte leads product at Breakthrough, which puts her inside the data from hundreds of private practices every day: what patients respond to, where a practice's pipeline leaks, and which fixes actually move the numbers. She joins Carl for the summit's AI session and brings the measurable side of it: what the data shows, without the guesswork.
- Senior Product Manager, Breakthrough
NeuFitGarrett SalpeterGarrett Salpeter, Founder, NeuFit
Garrett built NeuFit on the nervous system, and his session turns the same lens on the people you manage. What the nervous system says about how a team responds to pressure, to change, and to being led, and what that means for how you run a Monday morning.
- Founder of NeuFit
Client Experience Co.Jerry DurhamJerry Durham, PT, The Client Experience Company
Jerry has spent two decades on the part of the practice most owners never look at: the front desk. His chapter in Titans of Private Practice PT treats it as a sales role, and so does his session, Front Desk Sales Success, which starts with one rule: stop getting people scheduled. His work connects front-desk performance, provider behavior, and the metrics you already track into one patient experience.
- Founder, The Client Experience Company
- Contributor, Titans of Private Practice PT
Madden & Gilbert PTJan GroveJan Grove, DPT, CMPT, Clinical Director, Madden & Gilbert Physical Therapy
Jan is the clinical director of Madden & Gilbert Physical Therapy in Hershey, PA, part of a multi-location group in central Pennsylvania. Her session is the operating side of running more than one clinic: the scorecards, standard work, and site-visit rhythm that close the gap between your best location and your worst. She also teaches hands-on manual therapy to PTs around the country through Breakthrough.
- Clinical Director, Madden & Gilbert Physical Therapy
- Certified Manual Physical Therapist (NAIOMT)
Practice Freedom UJamey SchrierJamey Schrier, PT, Founder and CEO, Practice Freedom U
After years of coaching owners, Jamey has landed on a single recurring diagnosis: the owner is usually the bottleneck. His session is the systems, accountability rhythms, and leadership decisions that make a practice profitable without trapping you in the day to day.
- Author and practice owner coach
BreakthroughCarl MattiolaCarl Mattiola, Co-Founder and CEO, Breakthrough
Carl runs Breakthrough and co-authored the book. His session with Charlotte Wiemerslage is about the thing that changed this year: patients ask ChatGPT, Gemini, and Claude who to see before they ever search, and some owners will find out a competitor gets named more often than they do. He shows you how to read that and what to change.
- Co-author, Titans of Private Practice PT
EnovisMark CallanenMark Callanen, PT, Enovis
Mark's session is the cash-pay one: pricing, positioning, and staffing a laser and shockwave service line that patients actually pay for out of pocket. He works on the manufacturer side at Enovis, so he has seen which practices make a modality line profitable and which ones let the machine collect dust.
- Physical therapist, Enovis
Neff Physical TherapyDan NeffDan Neff, Neff Physical Therapy
Dan teaches the manual therapy certification behind Breakthrough's C.O.M.T. credential. His session makes the case for PT as primary care, and what it takes for a clinic to become the first place patients go.
- Owner, Neff Physical Therapy
U.S. Physical TherapyChris ReadingChris Reading, Chairman and CEO, U.S. Physical Therapy
Chris runs one of the few publicly traded outpatient PT companies in the country, which means every quarter he has to explain the same numbers you look at to people who own the stock. At Titans Online he sits down for a fireside chat with an update on mergers and acquisitions, and on advocacy for private practice. His chapter in the book is on relationships, persistence, and a unified voice for the profession.
- CEO since 2004, Chairman since 2024
- Contributor, Titans of Private Practice PT
BCMSMary DaulongMary Daulong, PT, CHC, CHP, Owner, Business & Clinical Management Services
Mary is a physical therapist who went deep on compliance, and she now helps practices build compliance programs that hold up. Ask most owners about compliance and they list HIPAA, OSHA, Medicare, and the Anti-Kickback rules. Her session is about the statute that rarely makes it into a compliance program, and what ignoring it can cost you. Her chapter in the book covers a compliance foundation and when to drop a bad contract.
- Owner, Business & Clinical Management Services (BCMS)
- Contributor, Titans of Private Practice PT
Tucker LawPaul WelkPaul Welk, PT, JD, Tucker Law
Paul is a physical therapist who became a healthcare attorney, so he reads a practice the way a buyer's diligence team does and then explains it in a language owners actually use. Valuations, PE roll-ups, and the financial architecture that separates a sellable practice from one you are trapped in.
- Physical therapist and healthcare attorney
EmpowerEMRSharif ZeidSharif Zeid, Business Director, EmpowerEMR
Sharif has worked in rehab technology for about 20 years. He founded his own EMR company, MWTherapy, before he joined EmpowerEMR, and today he works with PT practices on automating the paperwork: AI-assisted documentation, billing and compliance. He leads the EmpowerEMR panel late in the afternoon.
- Business Director, EmpowerEMR
- Founder of MWTherapy
Attend free, from your office
Tuesday, October 20, 2026
- Eastern
- 9:00am to 4:30pm
- Central
- 8:00am to 3:30pm
- Mountain
- 7:00am to 2:30pm
- Pacific
- 6:00am to 1:30pm
Early where you are? The morning sessions are the ones your clinic directors will want, so pour the coffee and join from the office.
All times Eastern
Agenda for Tuesday, Oct 20
8:45 to 9:00am
Stream opens: welcome and announcements
Chad Madden, Co-Founder, Breakthrough
9:00 to 9:30am
The State of Private Practice in 2026: What's Coming and How to Win
Chad Madden, Co-Founder, Breakthrough
9:30 to 9:50am
How to Create Profitability Without Being Trapped in the Day to Day
Jamey Schrier, PT, Practice Freedom U
9:50 to 10:10am
Clinician-CEO Models in Healthcare
Josh Funk, PT, DPT, Rehab 2 Perform
10:10 to 10:30am
The Neuroscience of Leadership
Garrett Salpeter, NeuFit
10:30 to 11:15am
How AI Changed the Way Patients Pick a Practice
Carl Mattiola, CEO, and Charlotte Wiemerslage, Senior Product Manager, Breakthrough
11:15 to 11:25am
Short break
11:25 to 11:35am
SaRA Health interview
Steven Coen, SaRA Health, with Chad Madden
11:35 to 11:55am
Greater Profit = Greater Purpose: Why You Should Make as Much Money as Ethically Possible
Will Humphreys, CEO, Rockstar Global
11:55 to 12:05pm
Kelly Brown interview
Kelly Brown, PT, DPT, OCS, Prompt Health, with Chad Madden
12:05 to 12:25pm
PT as Primary Care
Dan Neff, Neff Physical Therapy
12:25 to 12:45pm
The Clinic Ops System: How to Make Every Location Run Like Your Best One
Jan Grove, DPT, CMPT, Madden & Gilbert PT
12:45 to 12:55pm
Short break
12:55 to 1:15pm
The Modality Revenue Model: Turn Laser and Shockwave into Your Most Profitable Service Line
Mark Callanen, PT, Enovis
1:15 to 1:40pm
Break
1:40 to 2:00pm
Fireside Chat with Chris Reading, CEO of USPh: Update on Mergers and Acquisitions & Advocacy for Private Practice
Chris Reading, CEO, U.S. Physical Therapy
2:00 to 2:20pm
The Compliance Statute Hiding in Plain Sight
Mary Daulong, PT, CHC, CHP, BCMS
2:20 to 2:50pm
Session to be announced
Chad Madden, Co-Founder, Breakthrough
2:50 to 2:55pm
Short break
2:55 to 3:05pm
Meet our partners
Athelas, Comprehend Health and North Coast Medical, with Chad Madden
3:05 to 3:25pm
What Your Practice Is Actually Worth: And How to Change That Number
Paul Welk, PT, JD, Tucker Law
3:25 to 3:45pm
Front Desk Sales Success. Step 1: Stop Getting People Scheduled!
Jerry Durham, PT, The Client Experience Company
3:45 to 4:05pm
EmpowerEMR panel
Led by Sharif Zeid, EmpowerEMR
4:05 to 4:15pm
Live giveaway
4:15 to 4:30pm
Live Q&A wrap-up
Chad Madden, Co-Founder, Breakthrough
Before you register
Is it really free?
Yes. Titans Online is free to attend. There is no card, no upsell gate, and you do not have to be a Breakthrough client.
I can't watch all day. Can I dip in and out?
Yes. One link is live all day, so join for the sessions that matter to you, step away to treat, and come back for the closing Q&A.
Did I miss this by not going to Nashville?
No, and this is not a recording of that event either. These are new sessions built for a screen, from seventeen owners, operators and builders, most of them straight off the Nashville stage in September.
Can my team watch with me?
Please do. One registration, one link, one conference room. Your clinic directors will get the most out of the leadership and clinic operations sessions.
Is this a seven hour sales pitch?
No. Every speaker runs their own practice or company, and we asked them for their operating playbook, not their offer.
Registration open
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October 20, 9:00 AM to 4:30 PM ET. Register once and you get the live link and a calendar hold.
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