The Paul Gough Show

Episodet

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  EP 823 🧠 "The $2M PT Clinic Nobody Wants To Own" [Live Training 4/4] 07.10.2026 1h 14min

  Today, in the final of four sessions leading up to PPM 2026, I reveal why the $2 million clinic everyone brags about is the one nobody should actually want to own.I pull back the curtain on the real numbers behind an "impressive" $2 million clinic, and I ask the one question that shows whether you'd buy your own business if it were for sale tomorrowI reveal the new scorecard I use to measure a clinic, and the profit zone that decides whether you're building real wealth or just a bigger headacheI break down the three-engine blueprint I'd use to rebuild a clinic from scratch in 2026, and why most owners are scaling the exact oppositeI share the seven-question test that shows whether your clinic is modern and profitable, and the "pizza in the fridge" mistake that keeps most owners stuckBook your seat now for PPM Live: https://ppmlive26.com/👉📘 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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  EP 822 🧠 "Can You Really Afford To Hire Another PT?" [Live Training 3/4] 05.10.2026 1h 16min

  Today's show is part three of four, as we ramp up for PPM - and I expose why the "obvious" fix for a busy clinic might be the most expensive mistake you can make, and what to check before you make it.I reveal the hidden math behind adding to your team that most clinic owners never run until it's too lateI help uncover the handful of places in your clinic where money is quietly leaking out right now, and what to fix firstBook your seat now for PPM Live: https://ppmlive26.com/👉📘 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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  EP 821 ☕️ "Is it Unacceptable for a PT to Bring an Iced Matcha Latte and Sip it Through a Straw During a Job Interview?" [Coffee with Goughy] 01.10.2026 53min

  Today, I reveal why a PT sipping an iced matcha latte through a straw during a job interview is the least of your worries as a clinic owner.I show you the real red flags behind "unprofessional" interview behavior — and why it's not actually about the drink I discuss why the location of your own interviews might be secretly sabotaging your ability to hold staff accountable later👉📘 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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  EP 820 ☕️ "What Is The #1 Sign That You Hired A Bad PT?" [Coffee with Goughy] 29.09.2026 59min

  Today, I break down the real-world warning signs that you've hired a bad PT, drawing on over 70 hires and 15+ years running a physical therapy business.I point out the subtle red flags — from "it's not my job" to victim-mindset excuses like blaming pay demands on student loans — that separate great employees from bad onesI explain why professionalism doesn't guarantee good hires, and why interview performance often has nothing to do with who someone becomes 90 days into the job👉📘 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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  EP 819 🧠 "Your Best PT Doesn't Want To Work For You Anymore" [Live Training 2/4] 24.09.2026 1h 13min

  In part two of four during the run-up to PPM, I ask the question every clinic owner avoids: would your best PT actually stay if they had other options? Here's what I covered:The employment deal that used to work, and why it quietly stopped workingThe six things great PTs are evaluating whether they say it out loud or notWhat actually makes people leave (and it's rarely the reason owners think)Book your seat now for PPM Live: https://ppmlive26.com/👉📘 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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  EP 818 🧠 "Is Your PT Clinic Actually Built for Profit?" [Live Training 1/4] 22.09.2026 1h 55min

  In the run-up to PPM, part one of a four-part series, I ask:Are you profitable enough to hire good staff?If not, what needs to change?Book your seat now for PPM Live: https://ppmlive26.com/👉📘 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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  EP 817 ☕️ "Should Staff PT's Be Forced To Wear Your Clinic Uniform?" [Coffee with Goughy] 18.09.2026 1h 5min

  Today, I break down three real-world business stories — Starbucks uniforms, Uber layoffs, and UK work-from-home laws — and what they reveal about the fight every clinic owner is now facing.Explains why employee "identity" demands (uniforms, individualism) are colliding with what businesses actually need to survive, using the Starbucks dress-code controversy and the Ed Sheeran opening-act backlash as case studiesBreaks down the "grow and prune" principle behind Uber's layoffs-despite-record-profits story, and argues most PT clinics are overstaffed and under-profitable as a result of avoiding hard staffing 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.
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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 35min

  Today, 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.
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  EP 815 ☕️ "Is The PT Profession In Crisis? Your Questions Answered!" [PPM LIVE Press Conference in Orlando] 17.09.2026 1h 12min

  In today's episode, I am live at the PPM LIVE Official Press Conference.... I hired a luxury hotel in Orlando and invited a select group of very successful PT Clinic Owners, and the PRESS, to ask me some tough questions about the future of the PT Profession. The questions was centered around one big discussion: "Is the PT Profession in Crisis in 2026 - and if so, what do YOU need to do about it?" Ahead of the big event of the Planet Paul community, in Orlando on Nov 13-15, 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 clinic?What 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?And so much more...Not got your ticket for the biggest marketing and sales super conference for PTs in Private Practice? Go here to get it: www.PPMLIVE26.com 👉📘 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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  EP 814 ☕️ "What is One Thing a Staff PT Has Said That Pissed You Off?" [Coffee with Goughy] 14.09.2026 1h 13min

  Today, 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.
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  EP 813 🔥 "Are You the Reason Your Patients Quit?" [Paul on Fire] 10.09.2026 6min

  Today, 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.
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  EP 812 🔥 "What Are You Holding Onto That Creates A Bigger Headache Elsewhere?" [Paul on Fire] 09.09.2026 6min

  In 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.
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  EP 811 🔥 "Is Your Comfort Zone Costing You Six Figures?" [Paul on Fire] 08.09.2026 8min

  Today, 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.
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  EP 810 ☕️ "Are the PTs Asking for 150K Actually Any Good?" [Coffee with Goughy] 28.08.2026 1h 11min

  Today, 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.
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  EP 809 ☕️ "Why Don't My Staff PTs Respect Me?" [Coffee with Goughy] 27.08.2026 1h 13min

  Today, 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.
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  EP 808 🔥 "How Long Have You Been Trying to Fix Your PT's Rotten Attitude?" [Paul on Fire] 27.08.2026 18min

  Today, 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.
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  EP 807 ☕️ "Is Your Staff PT's Bad Attitude Costing You Money?" [Coffee with Goughy] 24.08.2026 1h 11min

  Today, 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.
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  EP 806 ☕️ "Should Staff PTs Make More Than Clinic Owners?" 21.08.2026 1h 11min

  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 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.
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  EP 805 ☕️ "Your 'Full-Time' PT Is Part-Time Profitable" [Coffee With Goughy] 19.08.2026 1h 5min

  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 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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  EP 804 ☕️ "My Wife's Divorce Lawyer Is Killing My PT Business" [Coffee With Goughy] 18.08.2026 1h 5min

  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 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.