In this episode of the Grow Your Practice podcast, Chad Madden dives deep into the foundational principles every private practice owner needs to scale sustainably, starting with clearly defined core values. If you’ve struggled with hiring, team alignment, or culture drift, you’ll want to take notes. Chad breaks down the “Planning Pyramid,” showing how to connect your daily accountability to your 10-25 year vision. You’ll learn how to identify and codify core values that attract A-players and repel toxic team members, plus how to build hiring scorecards that get results. Whether you're aiming for your first million or your hundredth, this episode sets the stage for lasting growth.

If you're ready to grow your practice with clarity and purpose, schedule a free strategy demo at https://getbreakthrough.com/strategy/ to see how our platform can help you attract new patients, increase profitability, and stay focused on your long-term vision.

⏱️ Timestamps

00:00 – Intro: Part 2 of the $100 Million Practice Series

00:30 – Why Core Values Matter More Than Ever

02:00 – The Planning Pyramid Explained (Based on Vern Harnish’s work)

04:00 – The Real Reason You’re Struggling to Hire (and What to Do Instead)

06:30 – What Goes in a Scorecard: Role, Metrics, Competencies, Core Values

08:30 – How Core Values Drive Accountability and Retention

10:00 – The Danger of Compromising Core Values When You’re Desperate

12:30 – Why Good People Can Still Be a Bad Fit (and How to Tell)

14:00 – Real Examples from the Clinic: Rewarding Core Value Behavior

17:00 – The 3 Core Values That Drive Madden PT

21:30 – How to Spot Grit, Growth-Mindset, and Team Players in Interviews

24:00 – The “Ocean Questions” and Red Flags in Hiring

26:00 – Stories of Impact: From World War II Veterans to Everyday Miracles

28:00 – Recap & Why Core Values Outlast You

29:00 – What’s Coming in Part 3: Goal Forecasting & Annual Planning