Ep.323: Leading Through Change Versus Being a Victim of It

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.