The 4th Annual Marketing And Sales Super Conference For Private Practice Owners
PPM LIVE I Orlando, FL I Oct 23/24-26 I Max 250 Clinics
“Escape The Insurance Trap, Grow A Profitable Cash Pay Clinic, And Finally Build A Business That Doesn’t Depend on You”
Join 200+ Clinic Owners at PPM LIVE: Insurance Busters — 3 Days of Proven Strategies, Tools, and AI That Will Transform Your Profit, Team, and Future.
Dear Physical Therapist…
It’s Paul Gough here. Founder of the Paul Gough Physio Rooms, a 4-location fully cash pay clinic built in the UK where health care is free.
It’s NOT easy growing a PT clinic when your competitor (socialist medicine) offers what you do for FREE.
The ONLY way to win is with SUPERIOR MARKETING and the marketing system I created was so successful that I built a database of 22,000+ patients and most of those patients were happy to see my OTHER therapists.
It means if there’s anyone on the planet qualified to teach you how to escape insurance headaches and GROW a profitable cash pay clinic, it is ME.
As you consider your decision to attend PPM LIVE 25, I’d like to debunk some of the myths I discovered from making Millions of Dollars running my own cash pay clinic. Here are the top 5:
TRUTH: Success isn’t about zip code – it’s about marketing, positioning, and solving the right problems for the right people. There are six-figure clinics thriving in middle-class neighbourhoods because they speak directly to patients’ values, not just their wallets.
TRUTH: People will pay when they understand the difference in value. Your job is to educate them on what insurance-based care doesn’t give them – time, personalization, lasting results – and sell the outcome, not the session.
TRUTH: Scaling isn’t about throwing bodies at the problem. It’s about tightening up your systems, adding high-margin services (like workshops or wellness), and making sure every hour worked is actually profitable.
TRUTH: Competing on price is a race to the bottom. Instead, elevate your brand, increase your authority, and package your services in a way that commands premium fees.
TRUTH: Waiting on referrals is passive. The fastest-growing clinics are building their own pipeline with direct-to-consumer, self pay marketing via Facebook, Google, email, workshops, and social media.
I could go on and on debunking these “Cash pay success” myths that throttle growth. And I intend to do so in great depth at PPM LIVE in October.
Needless to say that if you have resonated with ANY of the myths above, or previously caught yourself telling yourself the reason you have not so far made “cash pay” work for you is because of any of those listed above, this event is going to be TRANSFORMATIONAL for you. You MUST attend at all costs.
Within one hour of PPM LIVE starting on October 24th, I will clear the “head trash” that you’re currently carrying around with you about why it hasn’t happened for you YET…
… AND then immediately get to work on providing you with the strategies and tactics to make YOUR success outside of the crap-shoot insurance system all but inevitable.
Now let’s be brutally honest for a second as I speak to you about YOUR situation – cash or insurance owner.
If you’re still relying on insurance, you’re not running a business — you’re running on fumes. You’re sailing a ship that is SINKING fast.
How much was this years Medicare cut?
Was it 8 or 10%?…
Every day you stay on that hamster wheel — chasing reimbursements, waiting 30, 60, sometimes 90 days to get paid $68.22 for a $200 session — you’re not just losing money, you’re losing control.
And if you’ve already made the leap to 100% cash-pay, congrats — but now what?
You are the business. Everyone wants to see you. That’s the challenge that many cash pay PTs run into. The care patients expect for the price they pay is much different and not many have been able to scale the cash pay experience.
It means the second you step out of the treatment room, revenue stops. You’re the bottleneck. You’re the brand. And you’re exhausted.
And even worse, you have no idea how to scale and you are starting to hear from others that it’s NOT even possible.
The truth?
Whether you’re stuck in the insurance trap or you’ve hit the ceiling as a solo cash-pay operator, you’ve built a business that depends entirely on you.
And that’s not freedom — that’s just a new kind of prison.
Enter: INSURANCE BUSTERS – The 3-Day Marketing & AI Growth Event for Clinic Owners Who Are Done Playing Small
The reality that You’re just One Event Away from Finally Breaking Free, Building Real Profit, and Busting Every Excuse That’s Holding You Back.
This isn’t another boring seminar. This is a full-scale transformation of your clinics growth systems and profitability potential — complete with advanced sales and marketing strategies fit for the NOW, not to mention the unveiling of AI-powered tools that are already transforming 200+ PT clinics we are working with as you read this letter.
When you attend, you’ll walk away with the exact blueprint to:
This isn’t theory. This isn’t fluff. This is the real-world playbook for building a more profitable, more predictable, and more scalable clinic — with or without insurance.
Over 3 days, you’ll be immersed in main stage sessions, break-out rooms, and hands-on workshops that show you exactly what the top 1% of clinic owners are doing to dominate in 2025 and beyond.
Here’s what we’re going to hand you:
Most clinic marketing is outdated. We’ll show you the cutting-edge digital strategies that are converting cold traffic into high-value, cash-paying patients in 2025 — using Facebook, Google, Social Media, the new model of inclinic workshops, and AI automation.
Real campaigns. Real numbers. Real results.
If you are the business, you don’t have a business. We’ll show you how to scale beyond yourself by installing systems that grow revenue — even when you’re off the clock. We’ll also introduce you to others who have already DONE it.
Yes, it’s possible to have freedom, profit, and sanity.
Hiring is broken — especially in healthcare. Learn how to find, train, and KEEP rockstar team members who think like owners, not employees. Build a team that drives your vision, not drains it. There’s a special breakout session on Day 2 dedicated solely to this topic.
Spoiler: You don’t need more staff, you need better ones.
We’re pulling back the curtain on real AI tools — built by clinic owners, for clinic owners. From AI voice assistants to automated lead follow-up, we’ll show you what’s possible right now and what’s coming next. We already have 50+ of our members running the main functions of their front desk on AI assistants. Imagine the SAVINGS they are making.
Don’t get left behind — or worse, spend the next 2-3 years paying a LOT more from your admin function that you could have been.
You’ll get hands-on with the AI and automation latest tools we’re developing and using inside 200+ PT clinics across the country. See how to plug them into your business without lifting a finger (we set it up for you).
This isn’t just hype. You’ll walk away with a 12-month marketing roadmap to build a smarter business — complete with pricing models, revenue targets, marketing timelines, and your custom AI + automation stack.
No more guesswork. No more chaos. Just real traction. You’ll leave this event with clarity, confidence, and a game plan. No fluff. No gimmicks. Just results-backed strategies that work.
This event is NOT for everyone. But if you’re serious about growth — and sick of excuses — this is where you need to be.
This is for you if:
This is not for you if:
We’ve only got 200 seats for clinic owners ready to bust the ghosts holding their business hostage — and based on early buzz, this event will sell out fast. It has every year since 2022.
If you’re thinking:
“I’ll catch the next one…” — there won’t be a next one like this.
If you’re thinking:
“I don’t have time…” — you don’t have time to keep running in circles either.
This is your line in the sand moment. The clinic you could have is on the other side of the decision you make right now.
And this year?
We’re going all in with…
Let’s be honest: this profession can feel grim.
Most clinic owners are barely hanging on.
Insurance companies are sucking the life out of businesses.
Ghosts of past failures, under-pricing, poor hires, and marketing that didn’t work are still lingering in the halls of your practice and it’s showing up in your bank account.
It’s no wonder so many owners feel stuck, burnt out, and alone. That’s why we do it this way.
Yes, we’ll laugh. Yes, we’ll have fun. But behind the jumpsuits, slime, and soundtrack is a very real mission:
This is more than an event. It’s a community with shared values and interests and people travel from all of the WOLRD to be in the room. PPM LIVE is a community of bold, fun-spirited clinic owners who refuse to play small — and are committed to building cash-rich businesses that make a difference.
So… who are you gonna call?
The answer is “Paul Gough.” And 200 other Insurance Busters who are here to save the profession, save your clinic, and save you from another year of struggle.
That’s the fun stuff. But let’s not pretend this is easy.
You’ve got patients booked, a team that depends on you, and a family at home that you don’t want to be away from.
Three days out of the clinic feels like a lot. But let me ask you a tougher question:
How much longer can you afford to keep doing things the way you’re doing them now?
If you’re so busy you can’t take 3 days to step back, think strategically, and fix the deeper problems…
That’s exactly why you need to be here. Because let’s be honest:
This event is the reset you’ve been avoiding — and the roadmap you’ve been missing.
It’s not about the 3 days you’ll spend away. It’s about the years of freedom, clarity, and profit you’ll get back — because you finally stepped up and worked on the business instead of being buried in it.
You won’t regret making this decision. But you will regret missing it.
I always like to remind myself that all of the people who do not want me to leave EACH STAND TO BENEFIT from me leaving (because of what I learn and how much I will make because of it).
“Workshops: Master The Game”
(Thursday 23rd, October)
Before the Insurance Busters event officially begins, I’m opening the doors to a private pre-day intensive for just 15 clinic owners who are ready to cash in — not guess. It will take place on the Thursday 23rd and start at 12pm EST.
Let me be clear:
This is not a “learn how to do workshops” seminar (I did this last year and I’ll send you the recordings to watch before you get to me). This is a plug-and-profit session where I show you exactly which workshops are already making clinic owners $8K–$10K/month — and how you can steal the system for your own clinic.
We’ve done over 300 workshops for clients since the last PPM LIVE and in this special session I will share the most profitable ones with.
What You’ll Get in This Half-Day, No-Fluff Workshop:
This is for you if:
This isn’t fluff. This is an implementation room. You’ll leave with a custom Workshop Blueprint based on proven campaigns, mapped for your clinic and your market.
To secure your spot on the Workshops: Master The Game day, select the ALL ACCESS ticket with gets you a ticket to this exclusive part of the PPM LIVE weekend.
Includes training videos, materials, sales breakdowns, and your complete “$10K/Month Workshop Engine.”
This will sell out. And when it’s full, it’s full.
Every year at PPM LIVE, we do something no other PT conference in the world dares to do…
We bring in a world-class celebrity speaker to light up Saturday night — not as a gimmick, but as a reward for clinic owners like you who commit to showing up, stepping up, and investing in real growth.
In past years, we’ve been joined by giants like:
And this year? Let’s just say… you’ll be just as impressed — and even more inspired.
We’re keeping the name under wraps for now, but this headliner will bring the fire when it comes to resilience, reinvention, and relentless performance — the perfect message to wrap up your weekend of breakthrough strategy and bold action.
Why do we do this?
Because you didn’t just invest in a ticket.
You invested in you. Your business. Your future.
And this session is the capstone — the final emotional hit that reminds you what’s possible when you go all in.
It’s not the reason you’ll come. But it will be one of the reasons you’ll never forget you did.
The Concierge Membership Model: How Clinics Are Quietly Adding $50K–$100K/Year in Predictable, Recurring Revenue — Even While Taking Insurance
This is one of the most powerful business models we’ve ever taught — and it’s working across the board, in both cash-pay and insurance-based clinics.
We call it the “Concierge Membership Model” — a premium service offering that creates monthly recurring revenue, deeper patient loyalty, and a massive new profit center… without adding more visits or more hours.
At PPM LIVE: Insurance Busters, we’re devoting a full breakout session and core curriculum time to show you:
Final Thoughts: The Profession Is Struggling – But You Don’t Have To
Let’s be honest…
The physical therapy profession — as it stands today — is quietly dying.
Reimbursements are getting worse.
Staff are harder to hire (and even harder to keep).
Margins are shrinking. Burnout is rising.
And most clinic owners are grinding harder than ever just to stay in place.
But you don’t have to follow the rest of the profession off the cliff.
You don’t have to accept broken systems and outdated models.
You can be different — if you choose to think and act differently.
That’s what PPM LIVE: Insurance Busters is all about.
It’s 3 days completely focused on your business — your future.
It’s a room filled with hundreds of the most successful, driven, and forward-thinking clinic owners in the country.
And it’s your chance to learn what’s actually working — from people who are doing it.
Over 1,000 clinic owners have now been through PPM LIVE.
Many have added $200K+ in new revenue within 12 months of attending.
This isn’t a seminar.
It’s a turning point.
If you’re tired of doing it all alone… if you know deep down that something has to change… and if you’re ready to model the best so you can become one of them…
This is your invitation.
Don’t miss your shot.
Gina Fick, Fick Performance and PT, Highland Springs, CO
“In just two weeks, we sold $53,000, and year-to-date we’re up $270K in revenue and $100K in profit — all while finally taking home a real business owner’s salary.
Coming to PPM LIVE was the game-changer: now we have a business where everything’s automated, leads don’t fall through the cracks, and I know exactly where to train my team to convert more.
Now I’ve got a profitable, systemized clinic I love walking into every day – and the freedom to enjoy the life I always dreamed of.”
Beth Templin, HouseFit St. Louis, MI
Michael Chin, P3 Athletic, Milpitas, CA
All 5 attendees were at the 2023 event and in 2024 recorded RECORD revenue and profit growth.
Will you be next?
Please use this ticket option if you have been to a Paul Gough event in the last 12 months and are NOT a Mastermind Member.
You will get everything included in the GOLD option (3-Day).
I am so certain that your decision to attend PPM LIVE 2024 will change the course of your business life – and equally convinced that missing it would be a terrible mistake of epic and costly proportions – I am willing to offer you the most extraordinary and powerful Guarantee I have ever offered.
Here it is: If at ANY time during the conference you feel you made a mistake and aren’t receiving value, or are disappointed with the content and experience, you can simply hand your materials in at the back table to let us know. You’ll receive a full and complete refund for your ticket, PLUS an additional $500 to cover travel expenses. You must let us know BEFORE THE END OF DAY 2 to get your refund.
And, just to make sure no mistakes can be made here:
If you purchase an in-person ticket and later find you cannot attend, simply let us know before close of business, October 10th to get a full refund.
You are also permitted to let another person attend in your place (please let us know before they show up).
If you have to cancel AFTER October 10th, 2025, you will not receive a refund but will be given a full, complete virtual pass so you don’t miss out on the event completely and you’ll get lifetime access to the recordings. This is a separate policy from our better-than-money-back guarantee.
PPM LIVE 2025 is a 3-day (or 4) Super Conference dedicated to sharing PRACTICE GROWTH strategies and is running from Friday 24-26th October. Friday & Saturday will start and finish at approximately 9 – 6pm with a slightly earlier finish on the Sunday (approx. 4pm). There is also a “Pre-Day” called Workshops: Master The Game which you can get access to with the ALL ACCESS pass, and that runs on Thursday 23rd October from 12pm to 5:30pm.
YES – if you want to learn from Paul how to fill up your small group workshops with ease and discover how to confidently and ethically SELL your PT services. You might have tried workshops in the past, but what Paul has to share with you is incredible and it’s very possible you’ll leave with a new way to host your workshops, and sell, giving you a predictable revenue of $8-10K per month, every month.
Pre-day starts at 12pm EST on Thursday 23rd October, in the same hotel as the main event. It will be in a smaller room with you and just 24 other owners working with Paul. It will finish at 5.30pm.
YES! I strongly encourage you to bring your work colleagues – physio, admin, marketer, office manager – everyone – and to make it very easy, you can bring as many colleagues as you want for the same rate you pay! Please also remember that your team is probably craving an experience to get out of their normal environment, and focus with you on creating a great future for all of you.
At the event we will have special sessions delivered by my team to help your TEAM understand how to work better, faster, support you more and buy into your goals and vision even more. When you get them back – you won’t recognize them!
The price of the GOLD VIP 3-day ticket (most popular) is $797. There’s also the SILVER option for just $597. Depending upon when you book, there may be an early booking discount. If you see one today, please book now to lock in that price as it is likely to increase many times between now and the event and possibly in the next few days.
Note: We allocate discounted tickets in limited quantities – usually in batches of 10 and when they’re gone that is when we raise the price again.
If you need to cancel, we’ve got your back! You can get a full refund up to the point of October 10th. Alternatively, you can send someone in your place for no extra charge.
YES!!!!! Staying at the hotel is 100% advisable. There will be 100+ practice owners in the hotel all weekend and some of the best conversations happen at breakfast or in the elevator or at the coffee shop.
We have a limited number of VERY DISCOUNTED rooms so if you book your ticket now you may be able to get one of them and save money on staying in one of Orlando’s best hotels.
Orlando international. It’s about 20 minutes from there.
At LEAST 60% of the sessions will be from Paul. The others will be shared between the keynote speakers, members of Paul’s own team who will be sharing their insights into things like how we do recruitment, marketing and of course, what it is like to work for Paul.
You will also hear from other PT clinic owners sharing their inspiring stories of success and the decisions they’ve made and action they’ve taken to make more money while simultaneously stepping back from patient care.