Ep.391: Two Mistakes That Quietly Kill PT Growth

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.