Clinic OS Pro vs Breakthrough
AI marketing platform + CRM for PT and chiro practices (Carl Mattiola + Chad Madden) – Starting $399/mo (real ACV $700-$5K+)
See how Clinic OS Pro compares for sports & ortho PT clinics.
Where Clinic OS Pro Wins
We do the work, not the clinic
Breakthrough sells a tool. The clinic owner still has to deploy the 30+ cold-market campaigns, operate the AI conversion agent, and staff the workflow. Clinic OS Pro's 60-Day Sprint is operator-led: we run the recovery campaigns on your existing patient list, in coordination with your front desk, and you collect the dollars. Tool rental vs done-for-you delivery.
EMR-agnostic vs Prompt-anchored
Breakthrough's deepest features assume you're on Prompt EMR (their primary EMR partnership). Clinic OS Pro integrates with Cliniko, Raintree, Juvonno, and other PT-native EMRs – no migration required, no Prompt lock-in.
Guarantee asymmetry
Breakthrough's 'ROI floor = monthly fee' guarantees you'll recover at least the $399-$1,500/mo you're paying them – which is the same as breaking even. The 60-Day Sprint guarantees $30K of recovered revenue (typically 10-50x the monthly software cost) or you don't pay.
Existing-patient revenue, not cold-market campaigns
Breakthrough's strongest play is 30+ cold-market campaigns to fill a low-volume schedule. That's great for a brand-new clinic. For a 5+ year owner-led clinic with 3,000-8,000 ex-patients in the EMR, the gold is internal: no-show recovery, plan-of-care completion, and lapsed-patient win-backs. Clinic OS Pro is built for exactly that.
Transparent pricing all the way up
Breakthrough publishes the $399 floor, then real pricing is gated to demo at $700-$5,000+. Clinic OS Pro publishes $149/mo plus Sprint terms in plain sight.
Where Breakthrough Wins
Deepest content library and brand in PT marketing
Breakthrough runs the Grow Your Practice Podcast (303 episodes, weekly, 5.0/62), the annual Breakthrough Virtual Summit, Breakthrough Live in-person events, and one of the largest lead-magnet inventories in PT marketing. If your team will study and deploy their playbook, the resources are unmatched.
AI Conversion Agent for inbound leads
Breakthrough's AI agent responds to new leads within minutes 24/7 and is integrated with their CRM. If inbound lead response time is your bottleneck (not retention), this is a genuine product strength Clinic OS Pro doesn't replicate.
Carl Mattiola + Chad Madden founder credibility
Carl scaled Tesla's online sales from $625K/week to $60M/week before starting Breakthrough; Chad owned Madden Physical Therapy and was an early PT industry creator. The founder pedigree is real, and the company hit Inc. 5000 #579 in 2019.
Which Is Right for Your Clinic?
Choose Clinic OS Pro if:
Owner-led sports & ortho PT clinics that want done-for-you revenue recovery from existing patients in 60 days – without a Prompt EMR migration, without staffing a marketing-software workflow, and without a six-figure CAC math.
Choose Breakthrough if:
PT or chiro clinics that have the internal staffing to deploy a marketing-software stack, want AI-powered new-patient acquisition campaigns, and either run on Prompt EMR already or are open to migrating to it.
Common questions
How is Clinic OS Pro different from Breakthrough (getbreakthrough.com)?+
Breakthrough sells AI marketing software ($399-$5,000+/mo) and pre-built campaigns that your team operates. Their best-fit customer is a PT or chiro clinic ready to deploy a marketing-platform stack. Clinic OS Pro is PT-specific retention software ($149/mo) paired with the 60-Day Sprint – we run the revenue-recovery campaigns on your existing EMR patient list, in coordination with your front desk. Tool rental vs done-for-you delivery.
Does Breakthrough require me to switch to Prompt EMR?+
Breakthrough's deepest features and their GrowthX bundle are built around Prompt EMR integration – it's their primary EMR partnership. You can use Breakthrough on other EMRs, but you'll get the most value if you're on (or migrating to) Prompt. Clinic OS Pro is EMR-agnostic and pre-integrates with Cliniko, Raintree, Juvonno, and more PT-native EMRs – no migration, no EMR lock-in.
What's Breakthrough's actual price?+
Their Pro plan starts at $399/mo (published). Premium with managed Meta/Google/TikTok ads typically runs $700-$1,500/mo. GrowthX with EMR integration and managed services runs $2,000-$5,000+/mo. Enterprise is custom. Real-world ACV for most clinics is $700-$1,500/mo – much higher than the $399 anchor suggests.
Which guarantee is stronger – Breakthrough's or Clinic OS Pro's Sprint?+
Breakthrough guarantees you'll make back at least your monthly subscription cost – so a $399/mo customer is guaranteed $399 in revenue (i.e., break-even). Clinic OS Pro's 60-Day Sprint guarantees $30K of recovered revenue from your existing patient base – typically 10-50x the monthly software cost. If you don't see $30K, you don't pay.
Can I use Clinic OS Pro if I'm already on Breakthrough?+
Yes. The two target different parts of the funnel – Breakthrough does inbound lead acquisition with AI bots and ads; Clinic OS Pro recovers revenue from existing patients in your EMR. Most clinics that try both end up shifting budget toward retention because the math on recovered revenue is stronger than the math on new acquisition.
Ready to See How Clinic OS Pro Works for Your Clinic?
Book an Implementation Call. We'll review your EMR, show you your recoverable revenue, and build a custom setup plan.