The Clinic Boss Show

Rick Lau

Welcome to The Clinic Boss Show podcast! This show is for Physical Therapy, Chiropractors, Dentists, and Massage therapy clinic owners who want to make more money, impact more people while having more freedom. Learn from Rick Lau, the $83/million dollar a year Physical Therapy and Chiropractic clinic owner. With over 127 successful clinics. Inside each episode, Rick shares his secrets to growing a Physical Therapy and Chiropractic clinic from $0 to $83/million per year. Plus interviews highly successful clinic owners to get them to spill the beans on their secrets to becoming the go-to clinic in their community, getting more patients, treating less while making more, and so much more.

  1. FEB 17

    How to Run a More Profitable Practice Without a Front Desk with Dr. Julie Durnan

    The traditional front desk is broken. If you’re still hiring one person to answer phones, book appointments, and handle billing, you’re probably bleeding money and time. In this episode, Rick Lau sits down with Dr. Julie Durnan, a 20-year clinic owner and the CEO of Ginger Desk. Julie built two successful practices, scaled one to over a million in its first year, and now helps hundreds of clinics across North America rethink their admin model. Julie reveals the new front desk model that’s replacing the old one. It starts with a task list, not a hire. She breaks down the five roles every front desk should cover, and explains why most clinics only hire for one. She shares why 50% of front desk staff quit within 24 months and what to do instead. You’ll learn why payments are the easiest job to outsource, why direct billing should never be done in-house, and how to cut your admin costs from 12% of revenue to 3%. You’ll hear how mental health clinics are scaling fast with no front desk, no physical office, and no overhead. Julie also walks through what she calls the “Walmart Greeter” model and how a solopreneur can run a high-end patient experience without any front desk staff at all. She closes with the biggest mistake clinic owners make when hiring virtual assistants and how to avoid wasting time training the wrong person for the wrong job. Can’t afford front desk but need help with booking and billing? Get $100 off with Ginger Desk. You’ll get a local, trained virtual assistant who’s fully managed and ready to go. Use code GDxACCELERATOR. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero’s advanced phone system: mycallhero.com Chapters: (01:00) Introduction to Julie Durham and Ginger Desk (05:07) Filling the Gap in Administrative Support (08:54) The Progressive Front Desk Concept (12:49) Deconstructing Front Desk Activities (15:49) Scheduling and Patient Experience (19:53) Virtual Practices and Revenue Generation (24:27) Understanding Virtual Assistants in Healthcare (27:59) The Cost of Running a Healthcare Business (28:31) Creating Efficient Systems for Remote Work (29:43) The Importance of Training and Expertise (30:33) Setting Up a Successful Clinic (31:55) Outsourcing vs. In-House Staffing (33:47) The Financial Impact of Staff Turnover (34:36) Cost Savings with Virtual Assistant Models (35:31) Easing into Outsourcing (36:39) Onboarding and Training Challenges (40:14) Common Mistakes in Hiring Virtual Assistants (43:04) Managing Remote Teams Effectively (45:38) Outsourcing Front Desk Activities (46:20) Finding Out More About GingerDesk

    45 min
  2. JAN 8

    Amy Built Her Practice So She Could Be a Mom and an Owner. Now She Leads a Team of 22

    Most clinicians wait until they feel ready to start a business. But that mindset is exactly what holds them back. In this episode of The Clinic Boss Show, Rick Lau interviews Amy Gilbert, founder of Perfect Balance in Abu Dhabi. She built a full-service clinic from scratch with nothing but a car, a physio table, and relentless work ethic. Today, she leads a 22-person team across two locations with more than 2,700 square feet of clinical space. Her clinics offer everything from physiotherapy and speech therapy to occupational therapy, dietetics, and family medicine. But her journey wasn’t smooth. After coming back from maternity leave, she felt completely lost. She built the business so she could be both a mom and an owner. And it almost broke her. For 18 months, she ran the clinic out of her car while facing red tape, delays, and doubt. Then someone asked her, “Why not now?” That one question changed everything. Amy shares how she shifted from watching the bank account to tracking real metrics. Once she got obsessed with the scoreboard, revenue grew by 40 percent in one year. She breaks down how she tracks fall-offs with military precision, why she interviews even when no roles are open, and how lifestyle branding helps her attract loyal patients and top-tier hires. If you’re a clinic owner or a parent who’s waiting to feel ready, this episode is your wake-up call. You don’t need perfect conditions. You just need to start. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero’s advanced phone system: mycallhero.com Chapters (01:00) Introduction to Amy Gilbert and Perfect Balance (04:00) Journey to Abu Dhabi and Starting the Clinic (06:48) Growth and Expansion of Services (09:47) Challenges of Clinic Ownership (12:58) First Year of Business and Revenue Insights (15:53) Understanding the Healthcare System in Abu Dhabi (18:54) Navigating Insurance and Billing Challenges (21:49) Catering to Diverse Patient Demographics (22:42) Navigating Patient Acquisition Strategies (26:34) The Evolution of Marketing in Healthcare (28:56) Balancing Parenthood and Business Ownership (32:23) Transforming Clinic Operations for Success (38:03) Recruitment Challenges in a Competitive Market (43:05) Promoting a Positive Work Environment

    47 min
  3. 2025-12-17

    What Practice Owners Get Wrong About Taxes, Finance, and Accounting with CPA Shayan

    If you’re a clinic owner making good money but wondering why there’s never much left, this episode is for you. Rick sits down with CPA Shayan Rashid, founder of SRJ Chartered Accountants, to talk about how healthcare professionals can keep more of what they earn. His firm works with over 500 practice owners across Canada and the U.S., so he’s seen exactly what works and what doesn’t when it comes to profit, taxes, and building real wealth. They cover how much dentists, physios, and chiropractors actually take home, the most common financial mistakes owners make, and how to legally pay less tax without getting burned. You’ll also hear how to get 100% clinic financing from the bank, how to use real estate to grow your net worth, and what you should review every month to avoid cash flow surprises. This episode is packed with practical advice you can turn into action right away. Whether you’re building, scaling, or thinking about selling, this conversation will change how you look at money forever. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero’s advanced phone system: mycallhero.com Chapters (01:00) Introduction and Event Planning (04:12) Understanding Healthcare Practices and Profitability (06:46) Financial Strategies for Healthcare Professionals (09:51) Tax Planning and Capital Gains Exemptions (12:47) Profit Margins in Chiropractic and Physiotherapy (16:05) Economic Resilience in Healthcare (18:48) Innovation and Value Addition in Practices (21:57) Common Financial Mistakes by Practice Owners (26:05) Managing Profits and Tax Responsibilities (29:17) The Importance of Regular Bookkeeping (32:44) Key Metrics for Financial Health (38:45) Understanding Business Deductions and Tax Strategies (48:50) Navigating Corporate Deductions (50:59) Understanding Audit Triggers (53:53) Funding Your Practice: Options and Strategies (60:54) Buying vs. Building a Practice (01:07:51) The Importance of Financial Records

    1h 6m
  4. 2025-11-04

    How to Design a Clinic Floor Plan That Wow Patients and Staff, Not Just Looks Pretty with Meg Macpherson

    Meg MacPherson is the co-owner of Articulate Design, a studio that helps health clinics create spaces that feel amazing and perform even better. In this episode, Meg breaks down how design impacts every part of your clinic, from floor plan to patient experience. She shares why younger patients are choosing open rooms over private ones, how even your lighting can affect patient outcomes, and the most common floor plan mistakes that hurt growth.We also talk about whether beautiful modern clinics actually cost more to build, how thoughtful design influences staff performance, and what today’s patients expect the moment they walk in the door. Meg explains how to design a front desk that builds trust and drives retention, why the shape of your space matters more than you think, and how to make both 800 and 2,000 square feet feel high-end, functional, and profitable.Whether you’re building, renovating, or just want to elevate your clinic experience, this episode is full of practical insights you can use. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero’s advanced phone system: mycallhero.com Chapters (01:00) From Physiotherapy to Design: A Journey Unfolds (04:11) The Role of Design in Healthcare Spaces (06:58) Creating Unique Patient Experiences (09:49) Designing for Staff and Patient Needs (13:12) Innovative Clinic Layouts and Functionality (16:11) The Importance of Reception Areas (18:47) Challenging Traditional Front Desk Concepts (22:04) Maximizing Space and Efficiency in Clinics (25:00) Cost Considerations in Clinic Design (34:34) Designing Modern Clinics: The Foundation (37:03) Understanding Brand Identity in Clinic Design (40:45) Open vs. Closed Treatment Rooms: Finding Balance (43:31) Maximizing Small Spaces: Innovative Layouts (47:10) Creating Welcoming Reception Areas (52:57) The Importance of Lighting in Clinic Design (57:06) Streamlining the Design Process for Clinics Want a clinic layout that looks great and makes more money? It’s a favorite among community members. Get $1,000 off with Articulate Design  using code ACCELERATExAD.

    1h 4m
  5. 2025-09-26

    Chiros vs Physios: Why I Ignored the Rules and Hired Both with Aaron Binstock

    Most chiros don’t hire physios, and most physios avoid working with chiros. But what if that mindset is costing you millions? In this episode of The Clinic Boss Show, Rick Lau interviews Aaron Binstock, chiropractor and co-founder of Strive Health & Performance, who built a 35-person multi-disciplinary team that scaled from $500K in year one to over $1M by year three. Aaron breaks down exactly why patients quit after just 3 visits, how he fixes it with treatment plans, and the real reason most new grads fail to implement them. You’ll also learn why your EMR is more than software (and how Jane helps him recruit), the top 3 money leaks killing clinic profits, and why waiting until you’re fully booked before hiring is a huge mistake. Aaron also shares how shadowing new hires before day one changed his onboarding, why second-service bookings drive patient lifetime value, and how building a diverse, ego-free team unlocked growth that solo practices can’t replicate. If you’re scaling to $1M or building a real clinic business, not just a caseload, this episode is your tactical playbook. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero’s advanced phone system: mycallhero.com Chapters (01:00) Introduction to Aaron Binstock and Strive Health (10:05) The Importance of Treatment Planning (16:56) Recruitment Strategies for a Successful Practice (29:30) Mentorship and Recruitment Strategies (38:02) Tech Stack and EMR Utilization (46:58) Implementing Treatment Plans

    55 min
  6. 2025-09-21

    How We Helped a $11M Revenue Clinic Group Sell for $8M w/ Soroush

    What’s your practice actually worth and what makes buyers walk away? In this episode of The Clinic Boss Show, Rick Lau sits down with M&A expert Soroush from Clinic Accelerator, who’s helped owners exit for over $100 million. He breaks down real deals, including how a $250K clinic sold for $120K (and why that was still a win), how a $1.6M practice closed for $1.2M in under 90 days, and why a buyer paid $8M for an $11M clinic group. You’ll learn what buyers really care about, the 3 types of buyers in the market right now, and the red flag that killed a deal 24 hours before closing. If you’re planning to buy, scale, or sell in the next 3 years, this episode will show you how to avoid costly mistakes, increase your clinic’s value (hint: it’s not your renovation), and exit on your terms. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero’s advanced phone system: mycallhero.com Chapters (01:00) Introduction to Clinic Buying and Selling (03:56) Current Market Trends for Clinics (07:00) Understanding Clinic Valuation (09:54) Types of Buyers in the Clinic Market (12:53) The Selling Process Explained (15:58) The Buying Process Explained (19:09) Private vs Public Marketplace for Clinics (22:04) Case Study: A Recent Clinic Sale (24:51) Setting Realistic Expectations for Clinic Value (29:41) Market Dynamics and Business Value (31:00) Successful Clinic Sale Case Study (32:47) Due Diligence Essentials (34:39) Challenges in the Selling Process (41:35) High-Value Transactions and Effective Strategies (49:53) Frequently Asked Questions from Buyers and Sellers

    54 min
  7. 2025-08-13

    How He Scaled from 1 Room to $1M in 3 Years by Age 32 by Thusheinth

    In this episode of The Clinic Boss Show, Rick Lau sits down with Thusheinth Sivarajah, co-founder of Art of Mobility, to unpack how he went from a single rented room to building a $1M flagship clinic in just three years all by age 32. You’ll learn how he landed his first 100 clients before opening, hired clinicians while they were still in school, and invested $275K into space design to create a brand-first clinic experience that justifies premium pricing. Thusheinth reveals how he chose roles strategically to scale, why most owners stall by adding too many services too early, and how his team stays tight and accountable using Slack, Jane, CallHero, and Notion. He also breaks down the exact type of patient they built the clinic for from performance minded professionals to active Boomers who value longevity and results. If you’re stuck under $500K, struggling to grow your team, or looking to build a space people are proud to be seen in, this episode is your blueprint. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero’s advanced phone system: mycallhero.com Chapters (01:57) The Journey of Opening a Clinic (03:52) Transitioning from Small Space to Larger Clinic (06:58) Designing a Unique Clinic Space (10:03) Building a Brand and Community (13:12) Creating a Memorable Patient Experience (15:59) Marketing Strategies for Success (18:57) Reflections on Growth and Future Plans (21:32) Building Trust Through Content Creation (23:01) The Power of Digital Marketing (24:30) Strategic Location Selection (26:46) Understanding Customer Avatars (30:16) Attracting Talent Through Culture (34:12) Optimizing Front Desk Operations (39:17) Hiring Strategies for Growth (41:50) The Importance of Leadership in Business (42:00) Transitioning from Solopreneur to Team Leader (42:46) Hiring Strategies for Growing Clinics (43:39) Building a Referral System for Services (45:14) Integrating Psychotherapy into Practice (47:35) Scaling Services and Managing Growth (50:00) Understanding Turnover and Retention in Clinics (52:44) Focusing on Core Services for Business Success (53:33) Leveraging Technology for Clinic Management

    1h 3m
  8. 2025-08-04

    How Michelle Built a 3,000 Sq Ft Pediatric Clinic and Scaled to 18 Clinicians in 3 Years

    In this episode of The Clinic Boss Show, host Rick Lau sits down with Michelle Warren from Play On Pediatrics, who scaled a 3,000 sq ft pediatric clinic into a thriving 20-provider powerhouse in under three years. Michelle shares how she and her business partner took a $350K leap before seeing their first patient, why they hired a full-time office manager before opening day, and how they filled their caseloads without spending a dollar on ads. She breaks down her grassroots doctor marketing playbook (including what to say during lunch & learns), the reason they don’t allow online booking for new patients, and how they turn social media into a global recruitment engine. You’ll also hear Michelle’s play-by-play on how they mentor and retain top pediatric clinicians, how her front desk team drives conversions (not just admin), and how tools like CallHero, Jane, and Google Drive run the clinic like a machine. If you’re launching a clinic, leading a team, or trying to scale without losing your culture, this is an episode you’ll want to take notes on. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero’s advanced phone system: mycallhero.com Chapters (01:00) Journey to Pediatric Practice Ownership (03:57) Building a Strong Partnership (07:00) Navigating the Challenges of Clinic Ownership (09:58) Marketing Strategies for Growth (13:03) Creating a Unique Clinic Environment (16:04) Client Acquisition and Community Engagement (19:10) Integrating Multidisciplinary Services (29:41) Navigating Therapy Services for Children (31:47) Triage and Initial Assessments (33:50) Online Booking and Patient Intake (35:32) Front Desk Operations and Training (38:10) Hiring Strategies and Early Decisions (40:59) Managing Growth and Staffing Challenges (43:28) Building a Diverse Team (46:19) Finding the Right Fit for Clinic Culture (48:28) Attracting and Retaining Talent (56:28) Connecting with the Community and Future Opportunities

    57 min

Ratings & Reviews

5
out of 5
5 Ratings

About

Welcome to The Clinic Boss Show podcast! This show is for Physical Therapy, Chiropractors, Dentists, and Massage therapy clinic owners who want to make more money, impact more people while having more freedom. Learn from Rick Lau, the $83/million dollar a year Physical Therapy and Chiropractic clinic owner. With over 127 successful clinics. Inside each episode, Rick shares his secrets to growing a Physical Therapy and Chiropractic clinic from $0 to $83/million per year. Plus interviews highly successful clinic owners to get them to spill the beans on their secrets to becoming the go-to clinic in their community, getting more patients, treating less while making more, and so much more.