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The Paul Gough Show

EP 815 ☕️ "Is The PT Profession In Crisis? Your Questions Answered!" [PPM LIVE Press Conference in Orlando]

Ep. 815
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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  • Are insurance companies really the problem, or are clinic owners using them as an excuse to maintain an outdated business model?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

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