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 practice without betting everything on one big risky move, this is the episode for you.

And if this episode fires you up, I want to see you in person. The Cash Pay Summit is happening May 1st, 2nd, and 3rd — and this is the room where everything changes. The clinic owners who show up to events like this are the ones who make the leap. Don't be the person who stays home and wonders why nothing changes.

Hit play. Take notes. Then go do the work.

Register Now: https://cashpaysummit.com/

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.com/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/

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Coffee with Goughy Live from Hollywood!

• "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."

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.com/

👉📘 Grab your FREE copy of any one of my six best-selling marketing books right here: https://physiofunnels.com/free/

📲 Follow Paul here:

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🐦 Twitter/X: @ThePaulGough

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Hollywood Cash Pay Summit Press Conference:

1. Isn't cash pay just a way for clinics to charge more and leave everyday patients behind?
2. What about the patients that can't afford it?
3. Isn't cash pay just a model that works in wealthy areas like Los Angeles?
4. Is cash pay actually under threat, or are owners just not evolving fast enough?
5. Why are so many busy clinics still struggling to make real profit?
6. What do you say to PT owners who keep saying they're working harder and harder but keeping less money?
7. Are raising staff wages killing clinic profitability or exposing weak business models?
8. Why do many clinics get stuck between $20,000 and $50,000 a month and never really break through?
9. Why do many clinics look successful online but struggle behind the scenes?
10. What is the biggest lie clinic owners believe about scaling their business?
11. Why do clinic owners avoid thinking like business owners?
12. Is the real reason clinics don't grow because owners aren't taking enough risk?
13. Why do so many clinic owners say they want growth but resist doing what it actually takes to get it?
14. How will AI change the front desk, marketing, and growth of clinics over the next 24 months?
15. Will clinic owners who ignore AI still be competitive in three years?
16. What tasks should be replaced by AI today?
17. Why are you bringing this conversation to Hollywood — what's different about this specific event?
18. What should clinic owners do right now?

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.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/

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🐦 Twitter/X: @ThePaulGough

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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 walls should be a shrine to the lives you've changed, not a gallery of stock photos. I'm sharing why your culture is a direct reflection of you — your energy, your belief, your standards. If your team isn't showing up fired up, it's time to look in the mirror first.

I'll also get personal — about my grandmother, about independence, about what it really means to free people rather than protect them — and why that lesson transformed me as an entrepreneur and a leader.

This one is raw, real, and packed with the kind of straight talk that changes how you see your business forever.

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.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/

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🐦 Twitter/X: @ThePaulGough

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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. Hybrid care models, light therapy technology, remote patient monitoring at $150 per patient per month — zero labor cost revenue that works while you sleep.

The question isn't whether this works. The question is whether you'll act on it.

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.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/

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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?"

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.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

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🐦 Twitter/X: @ThePaulGough

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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 execute — no big following required, no film crew, no three-day video editing marathons. We're in the age of interest media now, and that means even a 400-follower account can reach thousands of the right people. That's not hype — that's your biggest opportunity right now.

I'll walk you through my four-by-four method, why consistency beats frequency every single time, and how AI can take what used to cost you hours and get it done in five minutes.

Stop consuming. Start creating. Your perfect patient is out there scrolling right now — let's make sure they find you.

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.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

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🐦 Twitter/X: @ThePaulGough

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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 episode, you'll hear directly from PT owners — solo practitioners and multi-staff clinics alike — who've been using AI for nearly a year. No theory. No hype. Just real results from real people.

The math doesn't lie. Tune in and find out what they know that you don't — yet

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.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

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🐦 Twitter/X: @ThePaulGough

🌐 Website: https://www.paulgough.com/

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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 clinic right now, and why the day I stopped needing the stuff is the day everything financially exploded. This one's different. This one goes deeper. And I think it might be the most important episode I've ever recorded.

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.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

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🐦 Twitter/X: @ThePaulGough

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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 and started showing up for every patient, 24 hours a day, without adding a single person to payroll. If you're still waiting to figure out content, AI, and your personal brand, this episode is your wake-up call.

Join me for The Cash Pay Summit (May 1-2-3) Get your tickets NOW!: https://cashpaysummit.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

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🐦 Twitter/X: @ThePaulGough

🌐 Website: https://www.paulgough.com/

Hosted on Acast. See acast.com/privacy for more information.