The Paul Gough Show
The Paul Gough
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If you're a physical therapy clinic owner looking for tips, tools and strategies for growing your business, this is the podcast for you. Your host is Paul Gough - a former Professional Soccer Physical Therapist turned successful business owner and best selling Author from the UK. As well as running his own 4 location clinic, Paul works with clinic owners from all across the USA, Canada, Britain, Australia and beyond. Paul talks about everything from marketing, sales and hiring staff to leadership, finance and the mindset needed to become a world class clinic owner.
Эпизоды
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EP 816 ☕️ "6 Successful PT Clinic Owners Tell The Truth About Building A Private Practice In 2026" [Coffee with Goughy] 18.09.2026 35минToday, six successful PT clinic owners divulge the mistakes, beliefs, and hard-won lessons that shaped their businesses.Reveals candid confessions on firing top-producing toxic employees, going nearly six figures into debt, and the marketing tactics (newspaper ads, $150K salaries, sales scripts) they once thought were bullshit, but now swear byUncovers why revenue without profit almost sank several of their businesses, and how community — not information — became the real driver of their growth👉📘 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 for more information. -
EP 815 ☕️ "Is The PT Profession In Crisis? Your Questions Answered!" [Coffee with Goughy] 17.09.2026 1ч 12минIn Today's Episode, I Answer These Questions:Why are PT clinics generating more revenue than ever while owners are taking home less money?How can a $2 million clinic be a worse business than a $1 million clinicWhat is a respectable profit margin for a PT clinic in 2026—and how vulnerable is an owner operating at just 5–10%?Why should clinic owners pay themselves a $150,000 salary before calculating profit?Are insurance companies really the problem, or are clinic owners using them as an excuse to maintain an outdated business model?How vulnerable is a clinic that still relies primarily on doctors and word of mouth for new patients?Why are clinic owners posting constantly on social media but still failing to generate predictable new patients?Is the traditional insurance-based PT clinic genuinely dying—or is that just a provocative claim?Is the inability to pay a great PT $150,000 actually a staffing problem—or a profitability problem?Why can one clinic pay exceptional PTs well and still make a 25% profit while another cannot afford an additional $10,000 in salary?Is it true that nobody wants to work anymore—or have the expectations of employees and business owners simply changed?When does a difficult employee become a toxic employee, and how much can keeping the wrong person cost your clinic?Why do otherwise successful clinic owners tolerate toxic staff for so long?What should you do when your highest-producing PT is also the person poisoning your culture?Will AI genuinely allow PT clinics to operate with fewer employees—or is it all just industry hype?👉📘 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 for more information. -
EP 814 ☕️ "What is One Thing a Staff PT Has Said That Pissed You Off?" [Coffee with Goughy] 14.09.2026 1ч 13минToday, I break down the staff comments that are quietly driving clinic owners to their breaking point — and what's really behind them.Reveals the real pattern behind entitled staff attitudes, and why it's not insurance or the economy that's killing your clinic's growthBreaks down why insecurity — in owners and employees alike — is the hidden root of nearly every "my staff PT pissed me off" story you've ever had👉📘 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 for more information. -
EP 813 🔥 "Are You the Reason Your Patients Quit?" [Paul on Fire] 10.09.2026 6минToday, I break down why patients quietly quit on their PTs, and how giving out too many exercises can be doing more harm than good.Revealing a blind spot most clinic owners never catch until it's too lateBreaking down the simple shift that separates practices patients stay loyal to from the ones they quietly leave👉📘 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 for more information. -
EP 812 🔥 "What Are You Holding Onto That Creates A Bigger Headache Elsewhere?" [Paul on Fire] 09.09.2026 6минIn this one, I rant about why holding onto the wrong tasks is quietly wrecking clinic owners' businesses, using the mechanic phone-tag story and a mother-and-ironing analogy to make the point.Uncovering the real reason business owners keep holding onto low-value work — and what it's secretly costing themBreaking down a simple test to spot where your time is misallocated before it turns into a much bigger problem👉📘 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 for more information. -
EP 811 🔥 "Is Your Comfort Zone Costing You Six Figures?" [Paul on Fire] 08.09.2026 8минToday, I break down why avoiding marketing and outreach is quietly bankrupting clinic owners, and why workshops are outperforming digital ads right now.Explained that success comes down to a binary choice — go do the "ground game" (networking, referrals, in-person relationships) or master direct marketing (Google, Facebook, email) — and that avoiding both out of fear or comfort is what's actually costing owners moneyBroke down why monthly in-person workshops are now beating Google ads, Facebook ads, and social DMs for driving new patients, using real data from 350+ consulted clinics and the AI-driven "information overload" reshaping how patients make decisions👉📘 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 for more information. -
EP 810 ☕️ "Are the PTs Asking for 150K Actually Any Good?" [Coffee with Goughy] 28.08.2026 1ч 11минToday, I made the case that patients don't pay for research or clinical credentials — they pay for "the magic," and that's the real litmus test for whether a PT is worth what they're asking for.Introduced two litmus tests for a PT's true value: how many patients specifically call and ask for them by name, and how much of a fuss gets kicked up when you try to move them to another providerArgued that devotion, communication, and basic human courtesy (eye contact, please and thank you) build a practice far more than clinical research ever will, using the barbershop/loyalty analogy to make the pointShared the story of growing his own caseload from 15 to 71 patients through sheer devotion and desire, with no marketing systems at all, to illustrate what separates a great PT from an average one👉📘 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 for more information. -
EP 809 ☕️ "Why Don't My Staff PTs Respect Me?" [Coffee with Goughy] 27.08.2026 1ч 13минToday, I tackled the question "Why don't my staff PTs respect me?" — tracing it back to a self-respect problem in the business owner rather than the employees themselves.Explained why respect from staff starts with an owner's own self-belief, and broke down the cultural shift since 2005 where employees stopped automatically respecting "the boss"Unpacked how entitled, "why should I?" attitudes trace back to expensive degrees, indoctrinating colleges, and a generation raised without real risk or consequencesArgued that being an employee doesn't entitle you to the upside of risks you didn't take, and made the case for why owners need unshakeable self-belief to run a successful 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: Paul Gough Media🐦 Twitter/X: @ThePaulGough🌐 Website: https://www.paulgough.com/ Hosted on Acast. See acast.com/privacy for more information. -
EP 808 🔥 "How Long Have You Been Trying to Fix Your PT's Rotten Attitude?" [Paul on Fire] 27.08.2026 18минToday, I broke down why detachment — not attachment — is the key to being a good parent, boss, and business owner, using the parallel between raising kids and managing staff to make the point.Explained that trying to change someone's attitude is a losing game, since beliefs are ~88% fixed, and the real job is to observe, offer a nudge, and let people self-select in or outArgued that owners get emotionally hijacked into an "attitude correction officer" role instead of remembering the actual goal: build a profitable business with the right people around youMade the case that PTs are more valuable than they realize (citing a 2.3% national unemployment rate among PTs) and urged owners to stop fearing staff turnover since replacing a bad attitude usually makes the business richer, not poorer👉📘 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 for more information. -
EP 807 ☕️ "Is Your Staff PT's Bad Attitude Costing You Money?" [Coffee with Goughy] 24.08.2026 1ч 11минToday, I dug into whether staff PT attitude is costing clinic owners money, breaking down where attitude actually comes from and why you can never train it away.Explained that attitude is a manifestation of belief systems (88% fixed for life), so performance plans and "attitude correction" courses are futile — you either tolerate it or cut the person looseArgued that owners and employees are clashing because entitled, self-righteous new-grad PTs want the lifestyle without following the proven success playbookRiffed on possible names for a joke "attitude correction" course to run alongside PPM Live, and made the case for choosing Orlando over the "boring" APTA conference in Denver👉📘 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 for more information. -
EP 806 ☕️ "Should Staff PTs Make More Than Clinic Owners?" 21.08.2026 1ч 11минToday, 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 out "bang average" PTs and clinic owners coasting on outdated models, arguing the real enemy is complacency, not insurance reimbursements👉📘 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 for more information. -
EP 805 ☕️ "Your 'Full-Time' PT Is Part-Time Profitable" [Coffee With Goughy] 19.08.2026 1ч 5минIn 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 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 for more information. -
EP 804 ☕️ "My Wife's Divorce Lawyer Is Killing My PT Business" [Coffee With Goughy] 18.08.2026 1ч 5минIn 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 with little except shares in a company I still have to turn up and run every morning. How is that fair? And what should business owners be doing before divorce is ever on the table?”👉📘 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 for more information. -
EP 803 ☕️ “My Staff PTs Are Refusing To Eat At Cracker Barrel.” [Coffee With Goughy] 16.08.2026 54минIn 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 For Their Years Of Experience. How Do I Get These Patients To Trust A Fresh Face?” - Neil, Tacoma, WA👉📘 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 for more information. -
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] 14.08.2026 1ч 1мин👉📘 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 for more information. -
EP 801 🔥 "Has Dr. Fauci Ruined It For All Doctors, Including PTs?" [Paul on Fire] 14.08.2026 8минIn 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 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 for more information. -
EP 800 ☕️ “My Staff PT HATE Elon Musk… I Secretly Want A Tesla. Do I Buy One?” [Coffee with Goughy] 12.08.2026 54минIn 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 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 for more information. -
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] 11.08.2026 1ч 3минIn 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 And The Rest Of The Team Are Asking Questions. Did I Just Destroy Their Trust?"👉📘 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 for more information. -
EP 798 🔥 "Your Emotions Are Bankrupting Your Clinic, Not the Economy" [Paul on Fire] 05.08.2026 5минIn 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 for the economy, the weather, or somebody else to fix your clinic, this is your wake-up call: there is no middle ground anymore, and the only thing that decides whether you're smashing it or drowning is whether you'll commit.👉📘 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 for more information. -
EP797 How Exactly Do You Get The Dream House And Long Summers In Europe? 29.07.2026 39минMost 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 Clinic Owners]👉📘 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 for more information.
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