The Paul Gough Show

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EP787 They Had Every Excuse Not To Go All In. They Did It Anyway. Five Clinic Owners Who Made The Decision And Never Looked Back.

July 03, 2026

Every person on this stage had every reason not to do it. Four kids and a university job. Sixteen years in insurance. Working hospital shifts before and after to make ends meet. Stuck at $350,000 for years going nowhere.They all had excuses. They all had fear. They all made the decision anyway.In this episode, I put five of my fastest growing clinic owners on the hot seat in front of 200 people at Cash Pay Summit. Their stories are different. Their starting points are different. But they all ...

EP☕786"It's Not A Tech Decision — It's A Money Decision: Four Clinic Owners On Going All In" [Coffee with Goughy: Live From LA]

July 01, 2026

You think AI is a tech decision. It's not. It's a money decision.In this episode, we sit down with four of the clinic owners actually doing it — Jen, Jason, Ken, and Ricky. Real numbers, real growth, real sacrifices it took to get there.They'll tell you straight: missing calls is costing you more than the tool that fixes it. Spending money to make money isn't reckless — it's just business.You'll hear what it actually took for a clinician to step back and become a CEO. What sacrifice really lo...

EP785☕"You're Not Having An Ai Conversation. You're Having A Leadership Conversation" [Coffee with Goughy: Live From LA]

June 29, 2026

You think you've got an AI problem. You don't.You've got a leadership problem.The staff pushing back on AI? They're the same ones who pushed back on your wellness program, your cash-pay model, your price increase. It was never about the thing — it was always about whether you're willing to lead.In this episode, I'm calling it out straight. Stop listening to people who haven't spent a minute studying what they're arguing against. Stop letting the front desk run your business vision. And stop c...