This isn’t a training.

It’s not a webinar.

And it’s definitely not three tips to fix your marketing.

In this episode of Coffee with Goughy, I go straight to the real reason so many clinic owners feel stuck, overwhelmed, or quietly frustrated, even when the business looks “fine” from the outside.

I talk about leadership.

Standards.

Insecurity.

Delegation.

Pricing guilt.

And the hard truth most owners don’t want to admit: if a problem has been hanging around long enough, it probably isn’t a staff issue. It’s a leadership one.

This is a raw, unfiltered conversation about what actually limits growth in a clinic, why businesses flatline at certain revenue levels, and how your confidence, decisions, and tolerance for discomfort determine how far your business can really go.

No tactics.

No fluff.

Just an honest conversation over coffee about what it takes to build a clinic that works without breaking you.

Grab your coffee and listen in.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

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

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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

In this episode, I’m bringing you something special. I just spent two full days in my Orlando office with clinic owners who flew in from all over the world for our Strategic Annual Planning event, and what you’re about to hear is raw, real footage from inside that room. The energy, the breakthroughs, the uncomfortable questions, the big decisions — it is all here.

I walk you through how I challenge business owners to think not just about next year, but about who they must become and what their clinic will need to look like in 2030. You’ll hear me talk about momentum, mistakes, creativity, environment, freedom, and why most clinic owners get stuck in “no mans land” around five staff. I get into the importance of stepping out of your daily environment to stimulate new thinking, why ambitious people need space, and how real growth only happens when you stop building a business for money and start building it for freedom.

If you’re ready to think differently about your life, your clinic, and your future — turn the volume up and enjoy this behind the scenes session. Let me help you start planning and preparing to build a more profitable, systemized, and future ready physical therapy business.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

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

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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

In this episode of Paul on Fire, I go all in on a truth most business owners still aren’t ready to face yet the future of business is agents. AI agents. And if you are not adapting right now, you are already falling behind.

I break down the biggest misconception I see every day. That growth comes from hiring more people. It doesn’t. Growth comes from improving labor efficiency, controlling payroll, and letting technology do what it’s already proven it can do better, faster, and cheaper. I walk you through real examples from my own business, how replacing a 45 to 50k salary with a 15k AI agent instantly improves your labor efficiency ratio and why that single shift can change the entire profitability of your clinic.

We talk about Paula answering phones 24 7, Connie replacing days of marketing work with hours, and why business owners who ignore this shift are living in denial. Marketing drives revenue. Efficiency protects profit. And the gap in the middle is where great businesses are built.

If you are fully booked but still stuck, if you want freedom without adding more staff, and if you want to double revenue before you ever think about multiplying your team, this episode is for you. This one is a wake up call. Less noise. More action. More profit.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

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

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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

In this episode of Paul Meets, I sit down with Jennifer Penrose (https://penrosept.com), a clinic owner from Washington State who built a nearly $2 million physical therapy practice and no longer treats patients herself.Jennifer’s journey did not start with a perfect plan or a trendy business model. She opened her clinic in 2007, spent years stuck in an insurance based grind, and hit a turning point when a competitor opened directly across the street. That moment forced her to rethink everything about growth, marketing, leadership, and what it really means to build a business that lasts.In this conversation, Jennifer shares what actually changed the trajectory of her clinic and how she went from surviving to scaling with confidence.This episode is a must watch for clinic owners who feel comfortable but uneasy, successful but restless, or profitable yet capped by outdated systems.If you want to build a practice that supports your life instead of consuming it, Jennifer’s story will challenge how you think about growth, leadership, and what is actually possible.Like, subscribe, and share this episode with a clinic owner who needs to hear it.#paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales------------------------In this episode, I’m bringing you something special. I just spent two full days in my Orlando office with clinic owners who flew in from all over the world for our Strategic Annual Planning event, and what you’re about to hear is raw, real footage from inside that room. The energy, the breakthroughs, the uncomfortable questions, the big decisions — it is all here.

I walk you through how I challenge business owners to think not just about next year, but about who they must become and what their clinic will need to look like in 2030. You’ll hear me talk about momentum, mistakes, creativity, environment, freedom, and why most clinic owners get stuck in “no mans land” around five staff. I get into the importance of stepping out of your daily environment to stimulate new thinking, why ambitious people need space, and how real growth only happens when you stop building a business for money and start building it for freedom.

If you’re ready to think differently about your life, your clinic, and your future — turn the volume up and enjoy this behind the scenes session. Let me help you start planning and preparing to build a more profitable, systemized, and future ready physical therapy business.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

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

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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

In this special episode, I'm bringing you straight into my Orlando office where I spent two intense days with business owners from all around the world at our Strategic Annual Planning event. You’re about to hear real, raw footage from the room as we dug into what the future of running a profitable physical therapy business actually looks like.

From AI at the front door, to content-driven clinics, to what patients will expect by 2030, this session is packed with the truth about where the industry is heading and what you must do to stay on top.

I walk you through why humans will never outperform AI on the phones, why your content will become your biggest revenue driver, and why visibility and trust will determine who wins in the next five years. You’ll hear my breakdown on how the best clinics are already leveraging technology, removing friction, and building premium experiences that patients will happily pay more for.

If you’ve ever wondered what the future of follow up, admin, sales, marketing, or patient experience looks like, consider this your blueprint. Time is up nice and loud. Dive in, enjoy the show, and let me help you build a more successful, more profitable physical therapy business.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

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

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

------------------------

#paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

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

PT Reddit Files dives into the shadowy underworld of Reddit, where anonymous PTs and clinic owners vent, rant, and project their frustrations about business without ever confronting the real problem: a refusal to learn the rules of business ownership.

In Case File Two, we dissect a Reddit thread titled “Surviving the Slow Months.” What starts as a familiar complaint about insurance cuts, payroll stress, and “unfair” realities of private practice quickly reveals something deeper: resentment toward business itself and an attachment to how things should be instead of how they actually are.

In this episode, I break down why slow months don’t kill clinics, poor planning does. Why being a great clinician caps you at $20K a month if you never develop business skills. And why blaming Medicare, staff, or patients is a guaranteed way to stay stuck. We contrast the “should world” mindset with the “is world” reality and explain why the clinics that thrive accept the rules of the game and build smarter models around them.

If you’ve ever felt frustrated, burned out, or tempted to believe the profession is broken, this episode will challenge how you think about business, ownership, and what’s actually possible when you stop fighting reality and start designing around it.

👉 Subscribe to the podcast now and never miss an episode that forces you to think differently about your clinic.

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of Paul’s six best-selling marketing books here:
www.paulgough.com/free

💬 Got thoughts or takeaways?
Share them with us.
Tag Paul or leave a review – we actually read them 😉

📲 Follow Paul here:

🎙️ Podcast – https://www.paulgough.com/podcast/
📘 Facebook – facebook.com/PaulGoughPhysioRooms
📸 Instagram – @ThePaulGough
🎥 YouTube – Paul Gough Media
🐦 Twitter/X – @ThePaulGough
🌐 Website – www.paulgough.com

#paulgough #ptredditfiles #physicaltherapy #physiotherapy #ptbusiness #clinicowner #privatepractice #businessownership #cashpay #marketing #profit #mindset #entrepreneurship #healthcarebusiness

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

In this episode I’m breaking down the difference between dreams and ambitions… why one keeps you stuck and the other gets you paid. I get into what every clinic owner is really chasing – security – and why you’ll never find it in money, marriage, muscles, or more followers. You only get security when you learn how to feel secure before any of those things arrive.

Turn this one up nice and loud because we’re also diving into the two traits that separate the clinic owners who go to the moon from the ones who stay stuck on the launch pad. Accountability and humility. The willingness to ask for help. To admit you don’t know everything. To make the wrong hire, dust yourself off, and go again.

If you’ve ever wondered how some clinic owners seem to rocket into orbit while others grind for years, this episode tells you exactly why.

Hit play, get fired up, and let this one put some heat under your ambition.

👉 Subscribe to the “The Paul Gough Show" podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

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

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

------------------------

#paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

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

In this episode of Paul Meets, I sit down with Keith Roed from South Dakota.

Keith and I first met in 2018. Six weeks before he left his job, he called me and told me he was done. No backup plan. No safety net. Just a decision that his values no longer aligned with where he was working.

At the time, more than one person told him it wouldn’t work.

Seven years later, Keith owns a multi location seven figure physical therapy practice, is completely out of the treatment room, and is now building a second business consulting clinics across the US in regenerative therapies.

In this conversation, we go deep into Keith’s journey.
Why values mattered more than money.
What pushed him to walk away from security.
How he built a team he trusts.
Why small towns are not an excuse for small thinking.
And what clinic owners need to do right now to avoid falling behind as healthcare changes.

We also talk about regenerative medicine, cash services, team buy in, leadership, mindset, and why taking care of people has always been the real growth strategy.

This episode is for clinic owners who know something isn’t right anymore, but haven’t yet made the decision to change it.

Enjoy.

👉 Subscribe to the "The Paul Gough Show" podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

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

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

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

In this special episode of the show, I’m bringing you straight into the room with me for one of the most important conversations we’ve had all year. I just spent two full days here in my Orlando office with business owners who flew in from all over the world to map out their strategic plan for 2026, and what you’re about to hear is real, unfiltered footage taken directly from that event.

Inside this episode, I break down where the physical therapy industry is truly heading by 2030, why digital first and content driven clinics will win, and how buying behavior is already shifting under your feet. I talk about staff shortages, the future of admin work, and what it means to build a personality based business that is rooted in community, experience, and your unique magic.

You’ll hear me challenge some deeply held beliefs about hiring, culture, pricing, and growth. You’ll hear the truth about why Google budgets are failing, why your team must be willing to “sell the wizard,” and why getting to 750 visits a month profitably is the only model that will survive the next decade. I even dig into the cultural differences between the US and UK and how they impact the ambition and mindset of clinic owners everywhere.

Wherever you’re listening from, turn the volume up and enjoy this behind the scenes experience. My goal, as always, is to help you grow a more successful and profitable physical therapy business. Let’s get into it.

👉 Subscribe to the podcast now – and never miss an episode that could change the course of your business. 

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

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

💬 Got thoughts or takeaways? 

Share them with us!

Tag Paul or drop a comment – we actually read them 😉

📲 Follow Paul here:

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

📘 Facebook: facebook.com/PaulGoughPhysioRooms

📸 Instagram: @ThePaulGough

🎥 YouTube: Paul Gough Media

🐦 Twitter/X: @ThePaulGough

🌐 Website: www.paulgough.com

------------------------

#paulgough #thepaulgoughshow #physio #physicaltherapist #physiotherapy #pt #physicaltherapy #privatepractice #businessgrowth #marketing #marketingtips #digitalmarketing #growth #success #mindset #business #sales

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

PT Reddit Files dives into the shadowy underworld of Reddit, where anonymous PTs and clinic owners vent, rant, and project their frustrations about business without ever confronting the real problem: a refusal to learn the rules of business ownership.

In Case File Two, we dissect a Reddit thread titled “Surviving the Slow Months.” What starts as a familiar complaint about insurance cuts, payroll stress, and “unfair” realities of private practice quickly reveals something deeper: resentment toward business itself and an attachment to how things should be instead of how they actually are.

In this episode, Paul breaks down why slow months don’t kill clinics, poor planning does. Why being a great clinician caps you at $20K a month if you never develop business skills. And why blaming Medicare, staff, or patients is a guaranteed way to stay stuck. We contrast the “should world” mindset with the “is world” reality and explain why the clinics that thrive accept the rules of the game and build smarter models around them.

If you’ve ever felt frustrated, burned out, or tempted to believe the profession is broken, this episode will challenge how you think about business, ownership, and what’s actually possible when you stop fighting reality and start designing around it.

👉 Subscribe to the podcast now and never miss an episode that forces you to think differently about your clinic.

🎙️ Paul Gough Podcast – https://www.paulgough.com/podcast/

👉📘 Grab your FREE copy of any one of Paul’s six best-selling marketing books here:
www.paulgough.com/free

💬 Got thoughts or takeaways?
Share them with us.
Tag Paul or leave a review – we actually read them 😉

📲 Follow Paul here:

🎙️ Podcast – https://www.paulgough.com/podcast/
📘 Facebook – facebook.com/PaulGoughPhysioRooms
📸 Instagram – @ThePaulGough
🎥 YouTube – Paul Gough Media
🐦 Twitter/X – @ThePaulGough
🌐 Website – www.paulgough.com

#paulgough #ptredditfiles #physicaltherapy #physiotherapy #ptbusiness #clinicowner #privatepractice #businessownership #cashpay #marketing #profit #mindset #entrepreneurship #healthcarebusiness