“Just How Much Longer Will You Stay Trapped In the “1-1” Cash Pay PT Model, Working 9-5 with Patients, Doing Admin At Night, Forgetting Calls Backs With Inconsistent Marketing…
….Before You FINALLY Accept YOU Are the bottleneck and the reason it is not working?
Join The Cash Pay Summit Intensive 2-Day Workshop and FINALLY Grow Your Clinic Without Giving Up More Of Yourself (…OR Going Into Debt)
Orlando, Fl, July 9-10. Tickets $997
It’s a 2-day, interactive workshop where you’ll receive personalized, actionable insights from Paul Gough – the guy that escaped his own 9-5 Rast Race after building one of the most successful cash pay clinics in the socialist UK, and has personally helped over 700+ PT Clinic Owners Escape the Hell of working 9-5 in the Treatment Room.
Just 20 tickets available at this price. The next price rise
on tickets happens at 9pm EST monday the 27th of APRIL
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It’s Paul Gough here.
If you do not know me, I’ve helped over 700+ PT Clinic Owners escape the “9-5 Rat Race” that almost every great PT finds themselves in 2 years after starting their practice. I showed them exactly how I did it having built a 4 location, fully cash pay clinic in the UK – a country where healthcare is FREE. It means I know PRECISELY what you are going through – and exactly what MUST be done to get you out of it.
At the start your clinical skills get your case load full. You’re good – so people want to hire you.
If you’re a Cash Pay PT you’re able to set your own fees and your own hours and at first it feels like you’re winning at business. No boss, no HR, just freedom and flexibility and the excitement that comes with being your own boss.
You’ve got money coming in and flexibility. The dream.
But then something happens – usually around two years in.
Your case load is full – but you’ve also got admin, notes, call backs and marketing to keep up with if you want it to stay that way. You are the combination of great PT, business owner, admin, marketer and CFO – and you’ve got a family to be home and present for.
You consider hiring – but it’s expensive.
Or, you DO hire – and realize you just took a huge pay cut.
You hire a PT and become a glorified admin at the same time as watching your patients leave unhappy with the new PT, or you hire an admin and take a $50K pay cut and wonder if and when you will see the return?
At this point, there’s money coming in to the business account – but not much is hitting your PERSONAL bank account. You’re also working more, dealing with more complexity and that flexibility you had at the start? That’s gone now too.
This is the class conundrum that owners these days find themselves in.
Busy, but making less than most PTs working in a mill like hospital system. Made worse in 2026 by what is now know as the “Expense of Scale”; that is the high cost of everything that makes it almost impossible to scale profitably without taking a big pay cut or going into massive debt.
I Have Another Plan For You…
I have a different path for you to take…
It’s a path that has been walked by my top clinic owner clients, many now running $1.5M Cash Pay Clinics and making $300-400K in take home profits. No hype. I can (and will) prove it with FACTS direct from their QuickBooks Accounts.
This type of profit is the NEW reality for clinic owners – but only the ones willing to step into the NEW path that the many clinic owners have already taken.
I presented this MODEL to the public for the first time in Los Angeles, in May 2026 to a room full of 200 Clinic owners.
I did that after working with 50+ clients for the last 18 months helping them build a NEW PT Clinic, inside a NEW model, that does not require 1-1 treatment and focuses on wellness, life long relationships and using the latest systems that means less staff are required, and more profit is retained.
So impactful the event was I decided to run it again only this time limit the attendees to just 20.
If you have a real ambition, a genuine desire, to run a better, stronger, more profitable practice, one that could very well generate $300-$400K in take home profit, then you should Apply for a seat at this event at my office in Orlando, FL happening July 9-10. It will be two full days working with ME, here at my office.
If you have been building for two years or more, and you’re not making the money you would like at this point, or LACK the FREEDOM and FLEXIBILITY you wished for has not materialized,, then this is for you.
This is a complete REINVENTION of your current business model, of your marketing, your recruitment, your profitability, your ability to find and create LIFE LONG clients and how you will build a business that sets YOU FREE without the headaches of a big team.
What Actually Happens At The WorkShop?
It’s not an event. It’s a workshop. At my office in Orlando.
Expect zero motivational talks. Meaning – we get tactical.
On day one, you work exclusively with me. W build the new model,
break down how we fast track growth for our clinic owners, and show real examples of other clinics like yours who are CRUSHING IT (you see the data, the KPIs, and staff, the systems, and the decisions behind the most profitable clinics in the PT profession).
On day two, we get hands on. We separate into small groups. You meet with my team (specialized in marketing, sales, Ai, people, profit, and strategy) to get personalized help.
What Do I Walk Away With?
The aim: you walk away with 3-5 tactical next steps to help you build the NEW model PT Clinic that does not require you to be in the business treating patients, working 9-5.
You also spend time with my team. I’ve kept it small so we can tailor the advice to your business size, industry, goals, and leadership style. It’s hands-on help specific to your biggest growth challenge.
How To Apply?
Simply fill out the form below, then select a date and time for your call. We will answer all of your questions during the 20 minute call – and tell you whether we can offer you a FREE HOTEL room for your stay here in Orlando.
Here’s What You are going to learn at the 2-Day Intensive:
- Precisely what a $1.5M Cash Pay Clinic (that makes $375K in profit looks like) – you’ll see the financials, the org chart and understand the exact business model and strategy…
- The business model that allows for $175K salary, $200K profit, and without you the owner ever having to treat patients…
- What an “Ai First” Clinic looks like and how it’s allowing clinic owners to make $300K or more in profit with needing LESS staff…
- How to stop making emotional decisions based on hope, stress and instinct… and finally run your clinic with total financial clarity.
- How to build a PT clinic that focuses on LIFE LONG CLIENTS (not constantly needing more and more new ones every month)
- Marketing: The simple content strategy that allows smaller clinics to outperform giant corporate competitors with a fraction of the budget.
- Social Media Posting: How to build a content marketing plan that takes less than 2 hours per week to execute
- What the “PT” shortage REALLY means for clinic owners over the next 5 years – and how to protect your PT business before it hits full force
- How to build a clinic patients ACTIVELY choose – instead of one that survives on referrals, insurance dependency and luck.
- The “expense of scale” mistake destroying profitability in growing PT practices – and how the economics of hiring have changed forever.
- Why the future belongs to clinic owners who need FEWER staff and FEWER PTs per dollar of revenue… not more.
- The exact AI systems modern clinics are using RIGHT NOW to reduce admin chaos, automate follow-up, improve response times and dramatically increase profitability.
- How to use educational content, workshops and community authority to dominate “mindshare” in your town to beat the larger hospital systems with bigger budgets…
- The new operational model of the “AI-First PT Clinic” – and how independent owners can implement it to need LESS staff…
- And so much more…
What Do Other Clinic Owners Say About Working
with Paul Gough?
"From DOUBT, FEAR, AND WORRY... To $1.5M Cash Pay Clinic”
Kevin Vandi – is a clinic owner from San Jose, California. I took a phone call from Kevin a few years back and he told me that his clinic had hit a “plateau”. He was barely breaking even and with the rent and the costs associated with operating in California, he was struggling to get his clinic to generate the type of PROFIT he wanted to produce a great life for his five kids. Fast forward to today, and Kevin is the proud owner of a CASH PAY clinic with multiple locations, and multiple staff, that makes over $1.5M in revenue. He doesn’t treat patients. He chooses instead to RUN THE BUSINESS, not to mention spend time with his 5 beautiful kids.
“From SKEPTICAL (About Paul!)... To $1.7M Cash Pay Clinic”
Jonathan Ruzicka is a PT from Woodlands, Houston, TX. Jonathan called me at the very start of his PT owner journey. He admitted he (and his wife!) were quite SKEPTICAL about me at first. But he knew that he didn’t have the marketing expertise to grow his clinic on his own. Jonathan was determined to grow his practice to $1M and despite opening a new location just before COVID, fast forward to today, Jonathan’s clinic is making $1.7M in CASH PAY revenue. Best, Jonathan spends little if any time treating patients as the TEAM of therapists and personal trainers, he employs do that for him. Jonathan has achieved the ultimate in business: High PROFIT and TIME freedom.
“From FRUSTRATION... To $1.6M Cash Pay Clinic Owner”
Allison Feldt – a PELVIC FLOOR PT clinic owner from Washington. She called me 6 weeks after the birth of her second child. She told me she wanted to grow a REALLY BIG business, make LOTS of money, and STILL have time for her kids. Fast forward to today, Alison’s clinic is making $1.6M in CASH PAY revenue, she has multiple staff, and now has more than enough time for her 3 children. Her business in the last three years alone grew from: $750K, to $1.1, to $1.6M. WOW!
“From Fear And Worry... To $1.2M Cash Pay Clinic”
Carrie Jose called me in 2019. She had just made the move from Washington DC to a small town in New Hampshire called Portsmouth. She arrived in Portsmouth to be told by the locals that “cash PT won’t work in this town”. She’d left DC where cash pay was more common, and worried she wasn’t going to make any money. Fast forward to today, her CASH PAY clinic is making $1.2M in revenue, she has PURCHASED her own clinic premises, and she’s got 3 FULL TIME PTs treating ALL the “happy to be paying cash” patients for her.
“From Half Full Schedule... To $2.1M Clinic”
Jason Han is a PT from Pasadena, LA. Jason called me when he had a schedule that was “half full.” He told me his wife was pregnant and that he needed to find a way to make the clinic PROFITABLE, and FAST. He told me he wanted to grow that practice so that he could also employ his wife in that business, allowing her to quit her job working at another clinic in town. Fast forward to today, as that picture is taken, Jason is the owner of a clinic making $2.1M in CASH PAY revenue, with 6 staff PT, and has a thriving wellness and ancillary services program adding significant profits to the business that he owns, but does not see patients in.
“From “Big Idea"... To 100% Reality And $1.6M Cash Pay Clinic”
Chris Garcia is a PT from San Diego. I first met Chris in 2017 when I spoke at a conference in the City. Chris was a “staff PT” at the time and he asked me if I was free for dinner while I was in town. At dinner, Chris told me of his AMBITION to grow a very big and profitable cash PT business in the sports performance niche. Two years later Chris got back in touch and asked for my help with marketing that Sports Performance clinic. Fast forward to today, Chris has a business making $1.6M in revenue, with TWO locations, and he’s got 5 FULL TIME PT’s treating all the patients for him. Way to go Chris!
Is This Right For My Clinic Type and Size?
Size: If you are under 100k/yr this is probably not a fit (yet.)
If you are between $100K-$1m/yr, then we can help.
Model: Whether you are Cash Pay, Hybrid or Insurance (looking for more Cash Pay) we can help.
How Much Are Tickets?
Tickets are $2000 $997 per seat. This allows us to:
1) Keep the room quality high (meet & network with real PT business owners doing real business)
2) Give you access to top talent (you work with my staff that have been with me for many years and have helped hundreds of clinic owners like you).
If you haven’t made at least $997 from the free content I put out there, don’t do it. It probably means you do not take action and this workshop will not change that. If you have, chances are we can help more.
3.) We have 10 free hotel rooms to give away with the ticket to the workshop. If you Apply, and when we talk, we think you’re a REALLY good fit we will offer you a free hotel room. That will be based upon how likely you are to TAKE ACTION after the workshop is over.
Why Paul Gough?
This is not a motivational seminar. It is not a seminar at all. It is a small, exclusive WORKSHOP for ambitious clinic owners who are FED UP of WORKING FOR PEANUTS.
This is a closed-room implementation experience for clinic owners who can feel the profession shifting beneath their feet… and know they need a better model for growth.
Over 2 intensive days in Orlando, I will walk just 20 clinic owners through the exact strategies, systems, AI tools, operational frameworks and business decisions modern PT practices must adopt to remain profitable, scalable and independent in the years ahead.
The clinics that adapt now will dominate their markets.
The ones that wait will spend the next decade trying to catch up.
Apply for you seat now. Simply fill out the form, then get more details on the next page about what to do next. You can’t buy a ticket until you speak to a member of the team. When you fill out the form, you’ll be invited to book a call and we can talk to you about if this is a good fit – or not. Because space is limited to just 20 people, we need to make 100% sure that you’re clinic, your ambition and your likely success is right for the room. We can do that together on the Application call.
Tickets start at $2000 just $997 and if you are accepted, and we think you are a good fit, we’ll also cover the cost of your hotel room here in Orlando.
Best wishes,
Paul Gough's
