Share

The Paul Gough Show
EP670 Hiring in 2026: The Shift in Employee Expectations
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
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
🎥 YouTube: Paul Gough Media
🐦 Twitter/X: @ThePaulGough
🌐 Website: https://www.paulgough.com/
More episodes
View all episodes

725. EP725🔥Stop Running Your Clinic Like a Charity! [Paul on Fire]
05:13||Ep. 725Many clinic owners are quietly using credit cards, loans, and lines of credit just to keep their businesses alive.If your marketing is weak, your prices are too low, or your model isn’t profitable, the problem isn’t the economy or insurance companies. It is the decisions being made inside the business.This episode is a wake up call for any clinic owner who wants a business that actually supports their life, not one that quietly drains it.
724. EP724☕"My Ops Manager Stole From Me —And Bought A Boat!" [Coffee with Goughy]
01:12:36||Ep. 724I answer you questions and discuss: "My ops manager has been stealing from me for 3 years. I only found out because she bought a boat. A BOAT. Where do I even begin?"“I gave my entire team a raise in January to boost morale. February was my worst month in 5 years. I want to reverse the raises. Can I do that?” “I promoted my best clinician to manager and now I've lost my best clinician and gained a terrible manager."
723. EP723☕"I Took Out A Second Mortgage To Keep My Clinic Open!" [Coffee with Goughy]
01:00:29||Ep. 723Stop Conforming to a Broken System!Three clinic owners. Three brutal confessions. Zero sugarcoating.Question 1: I Took Out a Second Mortgage to Keep My Clinic Open — Was That a Mistake? Question 2: One Therapist Is Generating 80% of My Revenue — How Do I Fix That?Question 3: I'm Exhausted and Thinking About Selling — Am I Quitting Too Soon?These aren't edge cases — this is happening in PT clinics everywhere right now. And the common thread in every single one of them? A business owner conforming to a system that was never designed for them to win.The bad news? You're in charge of every decision that got you here. The good news? You're in charge of every decision that gets you out.Let's get into it.
722. EP722 Stop Flying Blind — The 6 Numbers Every PT Clinic Owner Must Know to Build a $1.5 Million Practice!
19:48||Ep. 722Stop Being a Great Clinician and Start Being a Great Business Owner!Here's the hard truth — your clinical skills got you started, but they will never get you to where you want to go. The top 1% of PT clinic owners aren't winning because they're better at treating patients. They're winning because they know their numbers cold.And right now? You're probably flying blind.In this episode, I'm handing you the exact six data points that the most successful cash pay PT clinics in the world are tracking every single day. These aren't theories. These are real numbers from real clinics doing real revenue — and I'm laying them out for you one by one.We're talking about why $1.5 million is the magic revenue target. Why you must pay yourself at least $150,000 before we even talk about profit. Why your labor efficiency ratio will tell me in three seconds whether your business is making money or hemorrhaging it. And why 20% profit isn't a dream — it's the standard.Most clinic owners will never hit these numbers because they refuse to look at them. They'd rather stay comfortable, stay stuck, and wonder why the business isn't growing.Don't be that person.Know your numbers. Own your business. Build something worth keeping — or worth selling.
721. EP721☕My Staff Posted "Unfollow Me If You Voted for Trump" What Do I Do? [Coffee with Goughy]
47:50||Ep. 721This week I'm answering two questions that most podcast hosts won't touch.My Staff Posted "Unfollow Me If You Voted for Trump" What Do I Do?My staff saw my house on Zillow and said “Must be nice.” Should I be considering pay increases?If you're a clinic owner trying to build something real in 2026, these are conversations you need to be having. Grab your coffee and let's get into it.
720. EP720 Charge What You're Worth and Watch Your Practice Explode — Your Price Is Your Power! [PPM Live Dublin]
28:32||Ep. 720You have a choice to make TODAY.Are you going to keep doing the same thing that's kept you stuck, or are you finally going to commit to building the practice you've always said you wanted?The truth is, most physical therapists are leaving thousands of dollars on the table every single month — not because they lack skill, but because they lack the self-belief to charge what they're actually worth. Your pricing isn't a math problem, it's a mirror. And until you fix what's staring back at you, nothing changes.The good news? You are 90 days away from a completely different business. New pricing. New patients. New freedom. But only if you stop waiting and start committing.The tools are there. AI alone is saving business owners 90 minutes a day. Your competitors are using it right now to build waitlists, create programs, and dominate their markets while you're still drowning in admin work you could automate before lunch.Stop trading your time for pennies. Stop letting fear set your rates. And for the love of everything, stop waiting for the perfect moment — because the perfect moment is right now.Commit. Price up. Build the life you actually want.
719. EP719☕"I Owe The IRS $160,000 And Just Hired Two New Staff — Did I Make The Biggest Mistake Of My Life?" [Coffee with Goughy]
01:00:03||Ep. 719I answer your questions and discuss:"I owe the IRS $160,000 and just hired two new staff — did I make the biggest mistake of my life?""I accidentally sent a voice note complaining about my staff to the staff group chat — am I screwed?""I missed my baby's first year building my clinic — was it wrong to sacrifice memories I'll never get back?""Patients keep requesting only one of my therapists — I'm worried he's becoming bigger than the business."
718. EP718☕"My Kid Wants to be a PT...I Don't Have the Heart to Tell Her It Has Left Me Broke!" [Coffee with Goughy]
01:03:16||Ep. 718My kid wants to become a physical therapist… but I’m barely making it. What do I tell her?Do I encourage her to follow the same path?Do I warn her about the debt, the ceilings, the pressure?Is it the profession that’s broken… or the way I built my business?In this episode of Coffee with Goughy, I answer this question head on.We talk about income ceilings, ownership, responsibility, and the difference between being a clinician and being a business owner. If you’ve ever questioned whether this career can truly provide freedom, or whether you’d want your own child to follow in your footsteps, this conversation is for you.Grab a coffee ☕ and let’s get into it.
717. EP717 Are You Still Relying On Word Of Mouth In 2026? [PPM Live Dublin]
21:59||Ep. 717Live from PPM Live Dublin, I’m breaking down the biggest opportunity — and the biggest mistake — facing clinic owners right now.AI is the gold rush.But if you use it just to cut payroll and chase efficiency… you’ll miss the real win.In this episode, I explain:Why robotic service is killing clinicsHow AI should free your team to deliver world-class human experiencesWhy “good enough” beats perfect every timeThe brutal truth about marketing, perception, and priceWhy most clinics are just “Harrods in a field”And the five big problems holding you back in 2026AI should give you time.Time to improve service.Time to market properly.Time to grow.The clinics that win will combine AI efficiency with old-school care — names remembered, coffee ready, hugs at the door.And if you don’t get visible?If one more person doesn’t know who you are today than yesterday?You’re already behind.The game is changing fast.The question is — will you lead… or get left in the field?