The Paul Gough Show

EP 806 ☕️ "Should Staff PTs Make More Than Clinic Owners?" Aug 21, 2026 1:11:24 Today, I broke down whether staff PTs should out-earn clinic owners, using reactions from a Facebook debate to unpack the "and life" mindset that separates thriving business owners from those stuck blaming insurance companies and the marketplace for their problems.Explained why owners deserve a CEO-level salary plus profit, and called out the excuse-making that keeps struggling clinics stuckCalled

EP 805 ☕️ "Your 'Full-Time' PT Is Part-Time Profitable" [Coffee With Goughy] Aug 19, 2026 1:05:58 In today's episode, I answer:"If a PT works 40 hours a week doing patient care, why does that only add up to 50K a year? Did clinical expertise stop being worth anything, or is this really about how insurance decides what your skills are worth?""My PT wants a raise to offset the increased fuel costs for his long commute."👉📘 Grab your FREE copy of any one of my six best-selling marketing books righ

EP 804 ☕️ "My Wife's Divorce Lawyer Is Killing My PT Business" [Coffee With Goughy] Aug 18, 2026 1:05:23 In today's episode I answer:“I’m going through a divorce and her lawyer wants the value of my business included in the settlement. On paper, I’ve built a successful clinic worth several million dollars. The problem is, that money doesn’t actually exist in my bank account. If I have to compensate her based on that valuation, I could end up giving away most of my cash and investments — leaving me wi

EP 803 ☕️ “My Staff PTs Are Refusing To Eat At Cracker Barrel.” [Coffee With Goughy] Aug 16, 2026 54:20 In today's episode I answer:“I'm taking my 12 staff to Cracker Barrel for lunch. Two are refusing because they say eating there conflicts with their values — and now they're trying to persuade the others not to go. Do I accommodate them… or tell them lunch is at 12?"My 28-Year-Old Therapist Has better Clinical Skills Than My 55-Year-Old Therapist, But Patients Only Want To Book With The Older One

EP 802 ☕️ "I've Been Searching For A PT For 18 Months! Why Won't They Come And Work For ME?" (PLUS, Big Announcement Out Of Orlando) [Coffee with Goughy] Aug 14, 2026 1:01:03 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Instagram: @ThePaulGough🎥 YouTube: Paul Gough Media🐦 Twitter/X: @ThePaulGough🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy fo

EP 801 🔥 "Has Dr. Fauci Ruined It For All Doctors, Including PTs?" [Paul on Fire] Aug 14, 2026 8:02 In this episode of Paul on Fire, Paul breaks down why growing distrust in doctors could be affecting PTs, too - and why patients may be more hesitant to commit to long plans of care.Plus, why smart clinic owners need to understand the bigger market forces around them, adapt their sales process, and focus on building TRUST before asking for commitment.👉📘 Grab your FREE copy of any one of my six bes

EP 800 ☕️ “My Staff PT HATE Elon Musk… I Secretly Want A Tesla. Do I Buy One?” [Coffee with Goughy] Aug 12, 2026 54:41 In today's episode I answer:“My Staff PTs HATE Elon Musk… I Secretly Want A Tesla. Should I Buy One and risk upsetting my staff?”  I Have A Nasty Patient My Staff Wants Me To Ban, But She’s Enrolled In My Highest Paying Treatment Package And Always Pays Ahead Of Time. She’s Been Warned To Mind Her Behavior, But Nothing’s Changed. Is Keeping Her On A Mistake?👉📘 Grab your FREE copy of any one o

EP 799 ☕️ "Two Of My Staff PTs Love WNBA Star Sophie Cunningham, 7 Think She Is A Horrid Individual... How Do I Manage The Tension That Is Building In My Clinic About Her Transgender Stance?" [Coffee with Goughy] Aug 11, 2026 1:03:14 In today's episode I answer:“Two of my staff LOVE Sophie Cunningham. The other seven think she's a horrible human being. They're now arguing about her at work and it's starting to divide the clinic. Do I step in — or tell everyone to grow up and get back to treating patients?”"One Of My PTs Caught Me Posting A Job Ad For Another Physical Therapist. Now He Thinks I’m Secretly Trying To Replace Him

EP 798 🔥 "Your Emotions Are Bankrupting Your Clinic, Not the Economy" [Paul on Fire] Aug 5, 2026 5:41 In this episode of Paul on Fire, I'm breaking down why nobody wants to take responsibility anymore - not for their business, not for their decisions, not for anything. I'm sharing the Kevin O'Leary story that exposes why 90% of consultants have never faced a real consequence in their life, and why AI, marketing, and sales will never be the thing that changes your business.If you're still waiting f

EP797 How Exactly Do You Get The Dream House And Long Summers In Europe? Jul 29, 2026 39:44 Most people want the summer in Europe. The big house. The freedom. The choices.Most people won't do what it takes to get it.In this episode I'm telling you something nobody else will — dreaming about the lifestyle almost never gets you there. Committing to being the best business owner you can be almost always does.[Recorded Live from the Cash Pay Summit Intensive at PG Media HQ | Attended by 30 C

EP796 How Much Do Top PT Clinic Owners Pay Themselves On Salary? Jul 27, 2026 32:10 In this episode, I answer:If you're newer in business at $300-400k, what should you pay yourself?Why do business owners ignore KPIs until it's too late?What happens to your profit margin when you add fair market salary back in?How do you get paid three ways from one business?What are the only three things you can do with surplus cash from your business?Why do most people reach 85 and still have no

EP795 Do You Even Know If Your Business Is Winning? The 5 Numbers That Tell The Truth. Jul 24, 2026 39:08 In this episode, I answer:How do you even know if you're winning?What is a fair market salary for a clinic owner CEO?What is the labor efficiency ratio and why is 2.3 the target?What's the difference between marketing spend and marketing effectiveness?Are your operating expenses bloated with business owner benefits?Where does AI like Paula sit in your P&L — payroll or operating expenses?What h

EP794 Win 3 Fights a Day, Not 25 — The Discernment Rule That Changes Your Business and Your Life Jul 22, 2026 27:56 Two clinic owners. Same advice, same workshops, same starting point. One quit after a slow start and is still struggling a year later. One stuck with it for 15 months through the slow start and just came back from Aruba with the best business she's ever had. The difference wasn't the marketing. It was commitment.In this one I get into why trying to win every fight — with your kids, with your staff

EP793 An AI Physio Clinic Just Raised $25 Million — And If You Think You're Safe, You're Not Jul 20, 2026 32:09 There's an AI-only physio clinic in England, backed by the NHS, that just raised 25 million pounds. No human in the room. Camera watches you, gives you exercises, tells you what you're doing wrong. And if you think "that'll never replace me" — I've heard that before, from an electrician, from a guy who lays tiles. They were wrong too.In this one I get into where PT is really headed, why the busine

EP792 150K PTs, Private Equity Rollups, and Why Your Business Model — Not Your Hiring — Is the Real Problem Jul 17, 2026 27:23 There's a number going around every mastermind table I sit at, and it should scare you: 150K. That's what PTs are asking for now — and if you can't pay it, you're going to lose them to venture capital-backed rollups who don't care about margins, only market share.In this one I break down what's actually coming for the PT profession over the next five years.If you've been blaming recruitment for a

EP791 "How I Went From 16 Patients to 75 in 6 Months." Jul 16, 2026 37:08 I found my old 2007 patient diary in a drawer I hadn't touched in years — and what it showed me changed how I think about everything I teach you today. Six months, one huge jump, and a lesson that has nothing to do with marketing. This one's personal. 👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough

EP790☕"America Might Be Free for 250 Years, But I'm Not! I've Been Trapped In My Practice For 11 Years Now." [Coffee with Goughy] Jul 13, 2026 52:52 In this Coffee with Goughy episode, I answer:"America Might Be Free, But I'm Not!"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Instagram: @ThePaulGough🎥 YouTube: Paul Gough Media🐦 Twitter/X: @ThePaulGo

EP789 Are You Letting Patients Walk Out The Door? Jul 8, 2026 12:51 Nobody wakes up feeling 100%. Not you. Not your patients. Not a single person in the room when I ask that question.So why are you letting them leave and hoping they'll call you when it gets bad enough?They won't. Because anything that can be done anytime gets done no time. That's not an excuse — that's human nature.In this episode I'm breaking down the new patient journey for 2026 and beyond. Your

EP788 "Are You The Bottleneck Of Your Business?" Jul 6, 2026 29:35 You're the bottleneck. You just don't know it yet.Every decision runs through you. Every problem lands on your desk. Every complaint comes to you first. And you wonder why the business isn't growing.In this episode I'm breaking down the difference between being important and being responsible. One keeps you trapped. One sets you free.I'm also talking about what the most profitable clinics in my ec

EP787 They Had Every Excuse Not To Go All In. They Did It Anyway. Five Clinic Owners Who Made The Decision And Never Looked Back. Jul 3, 2026 49:45 Every person on this stage had every reason not to do it. Four kids and a university job. Sixteen years in insurance. Working hospital shifts before and after to make ends meet. Stuck at $350,000 for years going nowhere.They all had excuses. They all had fear. They all made the decision anyway.In this episode, I put five of my fastest growing clinic owners on the hot seat in front of 200 people at

EP☕786"It's Not A Tech Decision — It's A Money Decision: Four Clinic Owners On Going All In" [Coffee with Goughy: Live From LA] Jul 1, 2026 35:13 You think AI is a tech decision. It's not. It's a money decision.In this episode, we sit down with four of the clinic owners actually doing it — Jen, Jason, Ken, and Ricky. Real numbers, real growth, real sacrifices it took to get there.They'll tell you straight: missing calls is costing you more than the tool that fixes it. Spending money to make money isn't reckless — it's just business.You'll h

EP785☕"You're Not Having An Ai Conversation. You're Having A Leadership Conversation" [Coffee with Goughy: Live From LA] Jun 29, 2026 26:15 You think you've got an AI problem. You don't.You've got a leadership problem.The staff pushing back on AI? They're the same ones who pushed back on your wellness program, your cash-pay model, your price increase. It was never about the thing — it was always about whether you're willing to lead.In this episode, I'm calling it out straight. Stop listening to people who haven't spent a minute studyi

EP784☕"Stop Predicting, Start Living — Real Talk On Progress, Cheerleaders, And The Decisions You Keep Dodging" Jun 26, 2026 31:35 In this special 'Coffee with Goughy: Live From LA' Hot Mic Session, I talk about:• Why having a cheerleader in your corner matters more than you think• Why hitting your income goal might actually be dangerous for your business growth• How to protect your home life from your business stress• Your job isn't to make your spouse happy• The real reason you're stressed, and why predicting the future is

EP783☕"What Is The Fastest Way To Get Two To Three Out Of Every Ten Patients To Opt In To The Premium Recovery Plan?" and "How Do You Show Your Team That You Appreciate Them?" [Coffee with Goughy] Jun 24, 2026 17:17 In this special 'Coffee with Goughy: Live From LA' episode, I answer:"What is the fastest way to get two to three out of every ten patients to opt in to the premium recovery plan?""How do you show your team that you appreciate them?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://

EP782☕"When Do You Make The Decision To Pull Back From Being CEO, But Letting Someone Else Carry On The Legacy?" [Coffee with Goughy] Jun 22, 2026 18:36 In this special 'Coffee with Goughy: Live From LA' episode, I answer:"When Do You Make The Decision To Pull Back From Being CEO To More Of A Chairman — Keeping The Vision But Letting Someone Else Carry On The Legacy?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.co

EP781 Death By A Thousand Cuts: Why Your Clinic Culture Is Rotting From The Inside Jun 19, 2026 40:24 In this episode, I explain why shouting at employees never creates meaningful change, why pay raises don't fix bad behavior, and the one ice-cold question every clinic owner should ask instead: "Is this definitely the right place for you?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – ht

EP780☕"When It Comes To Eliminating Employees, My HR Tells Me I Have To Follow All These Warning Processes — But When Is It Okay To Just Do It My Way And Let Someone Go Without All The Rules?" [Coffee with Goughy Live from LA] Jun 17, 2026 25:46 In this special 'Coffee with Goughy: Live From LA' episode, I answer:"When It Comes To Eliminating Employees, My HR Tells Me I Have To Follow All These Warning Processes — But When Is It Okay To Just Do It My Way And Let Someone Go Without All The Rules?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Go

EP779☕"How Do You Disconnect From The Business When Your Spouse Is In The Same Business?" [Coffee with Goughy Live from LA] Jun 15, 2026 36:47 In this special 'Coffee with Goughy: Live From LA' episode, I answer:"How Do You Disconnect From The Business When Your Spouse Is In The Same Business?""Was Training My Son The Way I Did — Was It Okay?""When Looking For A Business Partner, What Should I Really Look For?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul

EP778☕"What Advice Would You Give On Trying To Hire Your Dream Team?" [Coffee with Goughy Live from LA] Jun 12, 2026 20:01 In this special 'Coffee with Goughy: Live From LA' episode, I answer:What Advice Would You Give On Trying To Hire Your Dream Team?"How Would You Have A Conversation With Someone Who Says, 'You Don't Offer Insurance — You Only Want To Care For The Wealthy'?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul

EP777 ☕"$500 To A $1M — What Are The Most Tactical Things To Make That Jump?" [Coffee with Goughy Live in LA] Jun 10, 2026 15:55 In this special 'Coffee with Goughy: Live From LA' episode, I answer:"Half a million to a million — what are the most tactical things to make that jump?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Ins

EP776☕"Don't Ask What If It Goes Wrong...Ask What If It Goes Right?" [Coffee with Goughy Live from LA] Jun 8, 2026 28:10 In this special Coffee With Goughy: Live From LA episode, I discuss:Instead of asking "what if it goes wrong?" the more powerful question is "what if it goes right?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePa

EP775☕"How Do I Stop 'Friend-Zoning' My Leads? I Keep Giving Away Everything For Free In The DMs Instead Of Converting Them Into Paying Coaching Clients." Jun 5, 2026 25:09 In this special Coffee with Goughy Live From LA episode, I answer:"How Do I Stop Friendzoning My Leads? I Keep Giving Away Everything For Free In The DMs Instead Of Converting Them Into Paying Coaching Clients."👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podc

EP774☕"My Kids Are All Under 18. If I Died Tomorrow, Should They Inherit Millions At 25, 30, Or Never?” [Coffee with Goughy] Jun 2, 2026 1:01:12 In this episode, I answer:"My kids are all under 18. If I died tomorrow, should they inherit millions at 25, 30, or never?” "One of my children works in the business. The other has never shown any interest. Do I leave everything equally, or reward the child who helped build it?”👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/

EP773☕"We've Hit A Complexity Ceiling. Our Goal Is To Reach Eight Figures ($10 Million), But We Can't Seem To Break Through. What's The Devil We Can't See That's Holding Us Back?" [Pint with Paul Live From LA] Jun 1, 2026 11:37 In this special 'Pint With Paul: Live From LA' episode, I answer: "We've Hit A Complexity Ceiling. Our Goal Is To Reach Eight Figures ($10 Million), But We Can't Seem To Break Through. What's The Devil We Can't See That's Holding Us Back?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – ht

EP772☕"How Do I Consistently Train And Develop My Team? How Often Should I Be Coaching Them — Weekly, Monthly?" [Pint with Paul Live from LA] May 29, 2026 14:54 In this special 'Pint With Paul: Live From LA' episode, I answer:"How Do I Consistently Train And Develop My Team? How Often Should I Be Coaching Them — Weekly, Monthly?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/

EP771☕"My Wife Just Financed An $80,000 Car. I Just Spent Six Months Agonizing Over Whether I Could Afford A $300 Marketing Campaign!" [Coffee with Goughy] May 28, 2026 48:11 On this episode I answer:"My Wife Just Financed An $80,000 Car. I Just Spent Six Months Agonizing Over Whether I Could Afford A $300 Marketing Campaign. Something Doesn't Add Up.""I Bought A $42,000 Laser Machine Because A Rep Told Me It Would 'Pay For Itself In 90 Days.' It's Been Eight Months. It's A Very Expensive Coat Rack." 👉📘 Grab your FREE copy of any one of my six best-selling marketi

EP770☕"How Do I Stand Out In An Oversaturated Cash-Based PT Market?" [Coffee with Goughy Live From LA] May 26, 2026 16:43 In this special 'Pint With Paul: Live From LA' episode, I answer:"I'm In Heavy Competition With Other Cash-Based Clinics That Have All The Funnels And Workshops But Lack My Experience And Credentials. What Are Some Things I Can Do To Differentiate Myself From Them?""As A Mom Who Prioritizes Family And Isn't Trying To Build A $3 Million Clinic Right Now, What Are One To Three Simple Things I Can Do

EP769☕"Hulk Hogan Told America To Take Their Vitamins And Say Their Prayers. Then He Got Caught Doing Neither. Paul — What's The PT Clinic Version Of That Hypocrisy?” May 22, 2026 1:16:54 On this episode of Coffee with Goughy, I answer:"Hulk Hogan Told America To Take Their Vitamins And Say Their Prayers. Then He Got Caught Doing Neither. Paul — What's The PT Clinic Version Of That Hypocrisy?”“Hogan And Trump Both Built Empires On Personality Over Substance. You're A PT Clinic Owner Who Markets Himself On Social Media. Are You Any Different? Or Are You Just Hulk Hogan With A Microp

EP768☕"How Do You Develop Self-Belief?" And "Is There A Workflow Or Nurturing System For B2B Marketing?" [Pint With Paul Live From LA] May 20, 2026 21:37 In this special 'Pint With Paul: Live From LA' episode, I answer:"How Do You Develop Self-Belief?""Is There A Workflow Or Nurturing System For B2B Marketing?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGoug

EP767☕"Is My Hulk Hogan Loving Head PT A Closet Trump Fan?" [Coffee With Goughy] May 19, 2026 1:02:30 In today's episode I answer:"One Of My Therapists Watched The Hulk Hogan Netflix Doc And Now He Won't Stop Saying 'Brother' To Every Patient. Should I Be Worried About His Taste In Wrestling Or Is He A Closet Trump Fan?""A Patient's Husband Showed Up Screaming In My Lobby Over A Bill. The Visit Happened. I Have The Notes."👉📘 Grab your FREE copy of any one of my six best-selling marketing books rig

EP766☕"How Do You Maintain Peak Energy And Stay In Peak State Every Day — Especially As A Dad And Business Owner?" [Pint with Paul Live From LA] May 18, 2026 15:36 In this special 'Pint With Paul: Live From LA' episode, I answer:"How Do You Maintain Peak Energy And Stay In Peak State Every Day — Especially As A Dad And Business Owner?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.c

EP765 "Is This The Most Successful Model To Work Towards Building In The Next 2-3 Years?" May 14, 2026 45:26 In this episode, I break down why the most successful PT clinics are evolving into wellness facilities and the numbers prove it. My CEO group is hitting 2.5x labor efficiency ratios and 25-30% margins by adding tech and wellness services alongside PT. If you're capping out at $300K doing one-on-one, this is the model to work toward. Stop being in love with the method and start chasing the outcome.

EP764☕"How Do You Recruit And Find An Elite-Level PT In Today's Environment?" [Pint with Paul, Live from LA] May 13, 2026 16:36 In this special 'Pint With Paul: Live From LA' episode, I answer:"How Do You Recruit And Find An Elite-Level PT In Today's Environment?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Instagram: @ThePaulG

EP763☕"My Therapist Has More Instagram Followers Than I Have Patients!!" [Coffee With Goughy] May 11, 2026 28:38 In today's episode I answer:"My therapist has more Instagram followers than I have patients. She's building her brand on my time. She said, 'I'm the reason people walk through your door.'"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https:/

EP762☕"My Therapist Asked What's My Plan If She Leaves? ...Is She Leaving?" [Coffee with Goughy] May 8, 2026 49:35 Today I answer:"My Therapist Asked What's My Plan If She Leaves? ...Is She Leaving?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Instagram: @ThePaulGough🎥 YouTube: Paul Gough Media🐦 Twitter/X: @ThePaul

EP761☕"I Caught My Staff Talking About Me. Do I Fire Them Or Fix It?" [Coffee With Goughy] Apr 28, 2026 59:12 Today I answered these questions:"I caught my staff talking about me. Do I fire them or fix it?""What are you most excited for this weekend?" (The Cash Pay Summit)"What do you hope people leave with?" (The Cash Pay Summit)👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgou

EP760☕"How Do You Judge Your Success As A Dad?” [Coffee With Goughy] Apr 24, 2026 1:07:13 In today's episode I answer:“How Do You Judge Your Success As A Dad?”“What Are You Most Proud Of As A dad and or business?”👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Paul here:🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/📘 Facebook: https://www.facebook.com/ThePaulGough📸 Instagram: @ThePaulGough🎥 YouTube

EP759🔥Stop Being the Same as Everybody Else (You're Not Special Yet) [Paul on Fire] Apr 23, 2026 9:08 In this fired-up rant, I break down what it really means to become a "unique self-creation" — and why your tattoos, car, and haircut don't count. I challenge the idea that following society's rules about marriage, routines, and success will ever make you happy, using the classic fisherman parable to drive it home. It's a wake-up call to stop living by everyone else's blueprint and start designing

EP758 The Gucci Bag Principle: Why Your Best Clients Will Happily Pay You $350 a Session Apr 21, 2026 17:39 In this episode, I go deep on something that most clinic owners get completely wrong - what your patients are actually paying you for. Spoiler: it's not the treatment.I get asked:"Why will a patient pay you $350 when they can get the same treatment for $150 around the corner?""What did Mr. Gucci understand about his customers that most clinic owners completely miss?""Why do some clients disappear

EP757☕“My Spouse Quit Her Corporate Job To Help Run The Clinic. Revenue Has Dropped 30%. Was This A Mistake?” [Coffee With Goughy] Apr 20, 2026 55:11 In today's episode I answer:“My Spouse Quit Her Corporate Job To Help Run The Clinic. Revenue Has Dropped 30%. Was This A Mistake?” “My Business Coach Told Me To Stop Taking Medicare Patients If I Ever Want To Be Rich. Is It Wrong to Deny Them?” "A Competitor Is Offering Free Evals And Undercutting Every Clinic In Town. Do I Match Them Or Hold My Price And Pray?" Register Now: https://cashpaysummi

EP756☕"My Therapist Just Came Out As Transgender. Half My Patients Are Requesting Transfers. Do I Protect My Employee Or My Revenue?" [Coffee With Goughy] Apr 17, 2026 1:08:41 In today's episode I answer:"My Therapist Just Came Out As Transgender. Half My Patients Are Requesting Transfers. Do I Protect My Employee Or My Revenue?" "I'm The First Person In My Family To Own A Business. They Call Me 'The Rich One' Like It's A Slur.” Register Now: https://cashpaysummit.com/👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunn

EP755 "If 90% of the profession is insurance-based, why should anyone listen to someone pushing cash pay?" [Coffee with Goughy] Apr 16, 2026 15:27 Insurance-based clinic owners are calling me reckless. They say cash pay is a fad. So I decided to answer them live on air.Here's what gets thrown at me and how I answered:Insurance-based clinic owners are calling you reckless - they say cash pay is a fad. What do you say to their face?People are calling your cash model a scandal - charging patients directly and cutting out insurance. How do you s

EP745 ☕"I Missed My Baby's First Year Building The Clinic. Was I Wrong?" [Coffee With Goughy] Apr 15, 2026 1:12:28 On this episode of Coffee with Goughy, we go over some comments left on my social media:The viral post that sparked massive debate — "I Missed My Baby's First Year Building The Clinic. Was I Wrong?"Why people react so emotionally and quickly when I question how we think about parenting on social mediaThe comment that said "You have the rest of your life to make money — you can never get that time

EP744 "How do I turn a $100-per-session insurance patient into a $2,000–$3,000 lifetime customer?" Apr 13, 2026 18:05 In this episode, I sit down with an insurance-based clinic owner who's running at 90% insurance and 10% cash pay. He wants to shift gears but he's scared. He doesn't know how to make the transition without blowing up what he's already built.Here's what gets asked and answered:How do we shift from 90% insurance to more cash pay without risking the business we've already built?Do I need to close the

EP743 "How do I get my wellness services up and running in the next 30 days - when I'm still treating full-time?" Apr 10, 2026 26:41 In this episode, I sit down with a clinic owner Craft Castrall who's got all the assets in place — red light therapy, neurofeedback, shockwave, whole body vibration, body composition analysis — but he can't figure out how to get it all up and running in the next 30 days while he's still treating patients 25–30 hours a week.Here's what gets answered:How do I get all of my services up and running in

EP742 "You say clinics should raise prices - what about the patients that can't afford it?" Apr 9, 2026 16:04 Here's what gets thrown at me and how I answered:Isn't cash pay just a way for clinics to charge more and leave everyday patients behind?You say clinics should raise prices - what about the patients that can't afford it?What do you say to the claims that you're just encouraging people to abandon insurance to make a little bit more money?Isn't cash pay just a model that works in wealthy areas like

EP741 "Are rising staff wages killing clinic profitability or just exposing weak business models?" Apr 8, 2026 16:15 In this episode, I answer more questions from the Hollywood press ahead of the Cash Pay Summit in May. Here are the most important questions I answered on this podcast:"Are rising staff wages killing clinic profitability or just exposing weak business models?""Why do clinic owners get stuck between $20K and $50K a month and never break through?""Why do so many clinics look successful online but ar

EP740☕"My Spouse Says the Clinic Is Ruining Our Marriage. Is She Right?" [Coffee with Goughy] Apr 7, 2026 54:38 In this episode I answered these questions:"My Spouse Says the Clinic Is Ruining Our Marriage. Is She Right?""My Front Desk Person Has More Power Than I Do and She Knows It. How Do I Handle This?""TikTok PTs With Zero Experience Are Stealing My Patients. How?"Register Now: https://cashpaysummit.com/👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiof

EP739 The AI-First Clinic: How Owners Are Hitting 35% Margins With Fewer Staff and Zero Voicemails Apr 6, 2026 17:47 In this special episode, I answer live questions from journalists across Los Angeles and California on the topics PT clinic owners can't afford to ignore — risk, growth, AI, and why 99% of the profession is already falling behind.Here's what gets covered:Is the real reason that clinics don't grow because the owners may just be scared that they're not taking enough risk?Why do so many clinic owners

EP738✨Live From Hollywood - the Cash Pay Summit Press Conference (21 Tough Questions Answered About the Profession in 55 min) Apr 3, 2026 1:17:10 Live from Hollywood, California — I invited the press in, sat down, and answered every question they threw at me. No filters. No fluff. Just the raw, behind-the-scenes strategies that took me from a small town clinic in England to building one of the most recognized business coaching brands in the physical therapy world.If you've ever wondered whether there's a smarter way to run your practic

EP737☕"My Staff Want a Climate Change Policy. I Just Want More Patients! What Do I Do?" [Coffee With Goughy] Apr 1, 2026 32:31 In this Eps of Coffee with Goughy Live from Hollywood i answered these 3 questions. "My Staff Want a Climate Change Policy. I Just Want More Patients! What Do I Do?""I Accepted a Business Loan From My Dad and Now He Thinks He Owns the Place.""My Kids Haven't Seen Me Eat Dinner With Them in Four Months; I Just Can't Afford to Stop."Register Now For the Cash Pay Summit may1-3: https://cashpaysummit.

EP736✨Live From Hollywood - The Cash Pay Summit Press Conference: "Why Staff PT's Should Not Be Given Pay Raises" Apr 1, 2026 51:11 Hollywood Cash Pay Summit Press Conference:Isn't cash pay just a way for clinics to charge more and leave everyday patients behind?What about the patients that can't afford it?Isn't cash pay just a model that works in wealthy areas like Los Angeles?Is cash pay actually under threat, or are owners just not evolving fast enough?Why are so many busy clinics still struggling to make real profit?What d

EP735 The One Thing Killing Your Clinic Culture (And How to Fix It) [Live from Liverpool] Mar 30, 2026 38:40 In this session, I'm pulling back the curtain on what separates the business owners who thrive from the ones who just get by. Here's the truth: the best business owners don't do the most things — they ask the best questions. And today, I'm challenging you to think bigger, lead bolder, and build with intention.We're diving into the power of your story — why your clinic

EP734☕Is This The End Of Traditional "In Clinic" PT? (With Dr. Chris Castel Of CareWear) [Coffee with Goughy] Mar 26, 2026 58:15 The old PT model is dead — and the math proves it.I sat down with Dr. Chris Castell, who's been in this profession since the 1980s, and what he laid out is a wake-up call every clinic owner needs to hear.Paying $90,000 in salary to collect $95 from Medicare isn't a business plan — it's a slow bleed. But right now, we're standing at the greatest opportunity this profession has seen in decades. Hybr

EP733☕ "My Staff Refuses To Treat Based On Political Views. What Do I Do?" [Coffee with Goughy] Mar 23, 2026 1:05:47 Question 1: “One of my therapists refuses to treat a patient due to making a political comment during a session.. now the patient has complained. What do I do?”Question 2: “I dropped my biggest insurance contract and lost 40% of my revenue overnight. Did I move too fast?"👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/📲 Follow Pau

EP732 Stop Scrolling, Start Posting: The Simple Social Media Strategy Every PT Clinic Owner Needs Mar 20, 2026 11:09 Let me ask you something — do you even know who you're posting for? Because until you answer that question, nothing else matters.Here's the truth: most PT clinic owners are either ignoring social media entirely or throwing random posts at the wall and hoping something sticks. Both are leaving money on the table.In this episode, I'm breaking down a dead-simple strategy that any clinic owner can exe

EP731🤖AI Speed Dating | Real PT Owners Share How AI Changed Everything Mar 19, 2026 13:54 Let me be straight with you — if your phone isn't being answered, money is walking right out the door. Period.I sat down with real clinic owners who were missing calls, losing patients to the clinic down the street, and watching revenue disappear. One owner was answering only 40% of calls. Another was catching one out of five. That's not a phone problem — that's a revenue problem.In this

EP730 The Porsche Won't Fix What's Broken Inside — But Building the Right Business Might [PPM Live Dublin] Mar 18, 2026 53:06 In this episode recorded live at PPM Dublin, I take you on a raw and honest trip through my own journey, from physio at Hartlepool United to building a business that eventually changed my life — not because of the money, but because I finally figured out what was actually driving me. I'll show you why most business owners are chasing the wrong ladder, why your childhood is probably running your cl

EP729 The Most Exciting Time in History to Own a Clinic Is Right Now — Here's How to Seize It [PPM Live Dublin] Mar 17, 2026 34:16 Every missed call is a missed patient, and I'm done watching clinic owners bleed money while their phones go to voicemail. In this episode recorded live at PPM Dublin, I break down exactly why the most visible clinics will crush the most talented ones, why I made the decision to go all-in on AI as a media company — and what happened when real clinic owners like Jay and Jordan stopped missing calls

EP728 How AI Will Let You Grow Your Clinic Without Growing Your Payroll [PPM Live Dublin] Mar 16, 2026 31:12 The physio clinic of my future isn't built on the best treatments or the biggest staff — it's built on being smart with my time and ruthless about cutting waste. In this episode recorded live at PPM Dublin, I break down exactly how AI is quietly handing clinic owners back hours they didn't know they were losing, why your marketing assistant probably only needs six hours to do what used to take her

EP727 Paul Meets Kevin Mao | "Not Organized, Not a Natural Entrepreneur — And I Built a Thriving Cash Practice Anyway" Mar 13, 2026 1:08:22 Eight years ago Kevin Mao (https://www.balanceandbodyrestoration.com/) was 31 years old, treating 16 patients a day, drowning in notes, and sneaking business modules on his honeymoon because he knew something had to change.Today he runs a thriving cash pay practice in one of the most expensive and politically charged states in America. But this isn't a highlight reel.This is the conversation behin

EP726☕️The Wellness Opportunity PTs Are Missing - W/ Stimpod Stan [Coffee with Goughy] Mar 13, 2026 43:23 Your Patients Are Spending $6,000 a Year on Wellness — and None of It Is Coming to YouThey trust you with their body. They just don't know yet that you can give them everything else they're looking for too.I sat down with Stimpod Stan fresh back from a nine-clinic tour across England to talk about the two plays that are changing everything right now. Ai in your non-clinical roles to claw back the

EP725🔥Stop Running Your Clinic Like a Charity! [Paul on Fire] Mar 11, 2026 5:13 Many clinic owners are quietly using credit cards, loans, and lines of credit just to keep their businesses alive.If your marketing is weak, your prices are too low, or your model isn’t profitable, the problem isn’t the economy or insurance companies. It is the decisions being made inside the business.This episode is a wake up call for any clinic owner who wants a business that actually supports t

EP724☕"My Ops Manager Stole From Me —And Bought A Boat!" [Coffee with Goughy] Mar 10, 2026 1:12:36 I answer you questions and discuss: "My ops manager has been stealing from me for 3 years. I only found out because she bought a boat. A BOAT. Where do I even begin?"“I gave my entire team a raise in January to boost morale. February was my worst month in 5 years. I want to reverse the raises. Can I do that?” “I promoted my best clinician to manager and now I've lost my best clinician and gained a

EP723☕"I Took Out A Second Mortgage To Keep My Clinic Open!" [Coffee with Goughy] Mar 9, 2026 1:00:29 Stop Conforming to a Broken System!Three clinic owners. Three brutal confessions. Zero sugarcoating.Question 1: I Took Out a Second Mortgage to Keep My Clinic Open — Was That a Mistake? Question 2: One Therapist Is Generating 80% of My Revenue — How Do I Fix That?Question 3: I'm Exhausted and Thinking About Selling — Am I Quitting Too Soon?These aren't edge cases — this is happening in PT clinics

EP722 Stop Flying Blind — The 6 Numbers Every PT Clinic Owner Must Know to Build a $1.5 Million Practice! Mar 6, 2026 19:48 Stop Being a Great Clinician and Start Being a Great Business Owner!Here's the hard truth — your clinical skills got you started, but they will never get you to where you want to go. The top 1% of PT clinic owners aren't winning because they're better at treating patients. They're winning because they know their numbers cold.And right now? You're probably flying blind.In this episode, I'm handing

EP721☕My Staff Posted "Unfollow Me If You Voted for Trump" What Do I Do? [Coffee with Goughy] Mar 6, 2026 47:50 This week I'm answering two questions that most podcast hosts won't touch.My Staff Posted "Unfollow Me If You Voted for Trump" What Do I Do?My staff saw my house on Zillow and said “Must be nice.” Should I be considering pay increases?If you're a clinic owner trying to build something real in 2026, these are conversations you need to be having. Grab your coffee and let's get into it.👉📘 Grab y

EP720 Charge What You're Worth and Watch Your Practice Explode — Your Price Is Your Power! [PPM Live Dublin] Mar 5, 2026 28:32 You have a choice to make TODAY.Are you going to keep doing the same thing that's kept you stuck, or are you finally going to commit to building the practice you've always said you wanted?The truth is, most physical therapists are leaving thousands of dollars on the table every single month — not because they lack skill, but because they lack the self-belief to charge what they're actually worth.

EP719☕"I Owe The IRS $160,000 And Just Hired Two New Staff — Did I Make The Biggest Mistake Of My Life?" [Coffee with Goughy] Mar 4, 2026 1:00:03 I answer your questions and discuss:"I owe the IRS $160,000 and just hired two new staff — did I make the biggest mistake of my life?""I accidentally sent a voice note complaining about my staff to the staff group chat — am I screwed?""I missed my baby's first year building my clinic — was it wrong to sacrifice memories I'll never get back?""Patients keep requesting only one of my therapists — I'm

EP718☕"My Kid Wants to be a PT...I Don't Have the Heart to Tell Her It Has Left Me Broke!" [Coffee with Goughy] Mar 3, 2026 1:03:16 My kid wants to become a physical therapist… but I’m barely making it. What do I tell her?Do I encourage her to follow the same path?Do I warn her about the debt, the ceilings, the pressure?Is it the profession that’s broken… or the way I built my business?In this episode of Coffee with Goughy, I answer this question head on.We talk about income ceilings, ownership, responsibility, and the differe

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