The Health of Business

Danielle Boyd
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The Health of Business with Danielle Boyd explores what it really takes to run a healthy clinic, from leadership and compliance to marketing, culture, and the messy middle of entrepreneurship in healthcare. Join physiotherapist and consultant Danielle Boyd as she talks with clinic owners, educators, and changemakers who are redefining what it means to build sustainable, values-driven businesses in Canada’s healthcare system. Smart conversations, real stories, and practical business strategies we should have learned in school.

  1. FEB 13

    20 - Vince Cunanan on Clinic Ownership, PABC Leadership, Mental Health Advocacy, and Building a Physio Career Rooted in Service and Love

    In this episode of The Health of Business, Danielle sits down with Vince Cunanan, physiotherapist, new clinic owner in Kelowna, outgoing President of PABC, and advocate for mental health. Vince shares his 25-year journey from Saskatoon to Kelowna, his rapid early clinical development, and over two decades of professional volunteer leadership. He opens up about: Taking over an established clinic after a succession plan fell through The emotional reality of leaving a team you love What it actually feels like to step into ownership Why systems and process matter more than people think Organic growth without spending on marketing Burnout in physiotherapy and the importance of life outside clinic walls The evolving role of PABC and what members need to understand about HPOA Why physiotherapists must stand tall and value their education Vince speaks candidly about leadership, vulnerability, and why a healthy business is one rooted in love. If you are a clinic owner, aspiring owner, or simply navigating your own career path in physiotherapy, this conversation will resonate deeply. And - a huge note of gratitude for Vince's service as PABC Board President. Learn more about Vince's clinic: https://www.vinnyandassociatesphysio.com/ Work with Danielle: www.danielleboyd.ca Friends of Felix: https://www.instagram.com/friendsoffelixbrand/ Timestamps: 00:00 – Welcome + Vince’s 25-year journey into physiotherapy03:00 – Moving from Saskatchewan to Kelowna06:00 – The decision to open a clinic09:00 – Taking over an existing practice and rebranding12:00 – Early operational challenges and learning curves17:30 – Emotional challenges of leaving a previous clinic20:00 – Real estate realities in Kelowna22:00 – Direct billing, insurers, and administrative hurdles23:30 – Growing organically without marketing26:00 – Leadership philosophy and service31:00 – Mental health advocacy and burnout35:00 – The Kelowna business landscape42:00 – Why Vince joined PABC45:00 – Diagnostic imaging, scope, and advocacy52:00 – Public physio roles and top-of-scope practice56:00 – How members can get involved with PABC1:05:00 – Legacy, systems, and succession planning1:10:00 – Wearing multiple hats and avoiding burnout1:12:00 – What makes a healthy business Keywords: Physiotherapy leadership Clinic ownership BC Kelowna physiotherapy PABC Health Professions and Occupations Act Diagnostic imaging physiotherapy Physio burnout Men’s mental health Healthcare entrepreneurship Private practice physiotherapy Physiotherapy advocacy Business of physio Physiotherapy career paths Canadian physiotherapy

    1h 16m

  2. JAN 29

    19 - Dana Tostensen of Pursuit Physiotherapy on Building a Healthy Physio Clinic Through Culture, Mentorship, and Long-Term Thinking

    In this episode of Health of Business, Danielle Boyd sits down with Dana Tostensen, founder of Pursuit Physiotherapy in Victoria, BC, to unpack what it really takes to build a healthy, sustainable physiotherapy clinic. Dana shares his journey from private practice physio to clinic owner, including why he took a gradual approach to ownership, how early missteps shaped his leadership style, and why culture and mentorship have become the foundation of his clinic. They dive into the realities of clinic ownership that no one teaches in school, including marketing, systems, contracts, clinician expectations, and the mental load of entrepreneurship. Dana also breaks down his structured, year-long mentorship program, why unstructured mentorship often fails new grads, and how investing in clinicians ultimately strengthens patient care and clinic sustainability. This conversation is a must-listen for clinic owners, aspiring owners, and physiotherapists who want to understand the long game of building a values-driven healthcare business. • Dana’s path from physio to clinic owner • Why easing into ownership can prevent burnout • Lessons learned from early staffing challenges • Marketing, SEO, and business skills physios never learn in school • Why clinicians, not patients, are the tightest bottleneck in clinics • How culture attracts and retains great practitioners • Designing clinic spaces that support nervous system regulation • Building a structured, evidence-based mentorship program • The emotional cost of ownership and separating self-worth from business outcomes • What a truly healthy business looks like Pursuit Physiotherapy https://pursuitphysiotherapy.ca Danielle’s course Business of Physio 101 walks through the foundations of clinic ownership, contracts, systems, and sustainable growth. https://danielleboyd.ca/business-of-physio-101 TIMESTAMPS: 00:00 Welcome and why clinic owners feel so isolated 02:05 Dana’s origin story and choosing physio over medicine 05:20 Moving west and landing in Victoria 07:35 Testing the waters before full clinic ownership 10:45 The opportunity that led to starting Pursuit Physiotherapy 14:05 Hiring early and realizing the weight of ownership 18:00 Why straddling two clinics did not work 21:10 Ego, rejection, and learning marketing the hard way 25:10 Business education gaps in physio training 28:30 Contracts, compliance, and questioning inherited systems 33:05 Opening the clinic space and early renovations 37:15 Building systems before scaling the team 41:30 Why the first year is about survival, not profit 45:00 The mental load of entrepreneurship 49:40 Detaching self-worth from business outcomes 54:00 Contractors, expectations, and clinician autonomy 58:20 Why culture is the real competitive advantage 01:02:40 Attracting clinicians in a tight labor market 01:07:00 Community involvement and giving back 01:12:30 Short-term profits vs long-term impact 01:17:10 Dana’s structured mentorship program explained 01:25:10 Teaching confidence instead of certainty 01:31:00 Evidence-based practice and real-world application 01:37:10 Clinic design, nervous system safety, and space psychology 01:44:30 Who clinic ownership is actually for 01:50:20 What defines a healthy business 01:53:20 How to connect with Pursuit Physiotherapy KEYWORDS: physiotherapy clinic ownership physio clinic culture physiotherapy mentorship program clinic owner journey private practice physiotherapy physio business systems healthcare entrepreneurship BC physiotherapy Victoria physiotherapy clinic Canadian physiotherapy business new grad physiotherapy mentorship clinic culture and retention sustainable healthcare business Health of Business podcast Danielle Boyd Dana Tostensen Pursuit Physiotherapy

    1h 6m

  3. JAN 13

    18 - BC Corporate Permit Billing Rules: What Your Health Profession Corporation Can and Cannot Bill For, Why Multidisciplinary Clinics Get Stuck, and What to Clean Up Before HPOA (April 1, 2026)

    In this technical but essential episode of Health of Business, Danielle walks through a deliberately conservative, compliance-focused interpretation of a major blind spot for many BC clinic owners and incorporated health professionals: what a health profession corporate permit can actually bill for. If you operate a permitted health profession corporation in British Columbia (physio, chiro, RMT, naturopath, etc.), your billing and revenue streams are far more restricted than most people realize. Danielle explains why this is not a CRA or tax issue, but a college and legislation compliance issue, and why taking a permission-based reading of the legislation (what is clearly authorized, not what is simply not prohibited) matters, especially as BC transitions to the Health Professions and Occupations Act (HPOA) on April 1, 2026. This episode intentionally takes a cautious, regulator-aligned lens. The focus is on what legislation and bylaws clearly permit, rather than relying on historical tolerance, informal college guidance, or common industry practice. The goal is not to say what clinics “can get away with,” but to help owners understand where real compliance risk exists so they can make informed decisions. You’ll learn: ​The three most common business structures in private practice​Why billing multiple professions under one entity is not clearly authorized in BC today​Where the true grey zones live​Common compliant workarounds, including rent models and parallel corporate structures​Why enforcement has historically been quiet, and why that may change under HPOAThis episode is for clinic owners, corporate permit holders, and practitioners who want to understand who is billing for their them, who they are paying, and what regulatory risk may exist beneath common clinic models. Important note: Danielle shares a practical, conservative interpretation of publicly available legislation, bylaws, and college guidance. She is not a lawyer or accountant. This episode is educational only and does not constitute legal or tax advice. Any restructuring should involve qualified legal and accounting professionals. References Health Professions Act, RSBC 1996, c. 183 (Part 4 – Health Profession Corporations). Health Professions and Occupations Act (Bill 36, 2022) — in force April 1, 2026. College of Health and Care Professionals of British Columbia. Bylaws (effective June 28, 2024; amended through April 11, 2025), Part 12 – Health Profession Corporations. College of Physical Therapists of British Columbia. Health Profession Corporation Guide: A Resource for Physical Therapists (updated April 2024). Business Corporations Act, SBC 2002, c. 57 (BC). Partnership Act, RSBC 1996, c. 348 (BC). Canadian Alliance of Physiotherapy Regulators. Is It Physical Therapy? Tool to Consider Emerging Practices (2017). Timestamps: 00:00 Why this topic matters 02:15 Not legal or tax advice 04:05 Regulatory compliance vs CRA 06:10 Three common clinic structures 08:05 Sole proprietorships and dissolving a corporation 11:00 What a permitted health profession corporation is 13:10 What non-permitted corporations cannot do 15:05 One permit, one profession, narrow allowable income 18:10 Products and “directly associated services” 21:15 Why multidisciplinary clinics get stuck in BC 24:00 Rent models for other disciplines 26:30 Parallel corporate structures 29:10 Receipts, Jane setup, patient clarity 31:20 Enforcement reality under HPA 34:10 What the college may review 36:20 Possible outcomes of investigation 38:25 HPOA changes and increased risk 42:10 Duty to report and tribunal concerns 45:20 The optimistic note 47:10 Practical takeaways Keywords: BC corporate permit, health profession corporation BC, physiotherapy, clinic billing compliance BC, multidisciplinary clinic, healthcare clinic, fee split vs rent model, HPOA, Health Professions Act BC, Health Professions and Occupations Act BC, insurer audit clinic billing, Jane App, clinic owner compliance BC

    42 min

  4. JAN 3

    17 - Andrea Mendoza on What to Consider Before Specializing in Physiotherapy (Niches, Market Size, Business Realities and More!)

    Fan favourite Andrea Mendoza is BACK for Round 2! In this episode of Health of Business, Danielle Boyd sits down with Andrea Mendoza to explore what clinicians should consider before specializing or niching in physiotherapy. Andrea shares how her early work in pediatrics and scoliosis led to a focused practice, and walks through the personal, clinical, and business factors that matter most when deciding whether to specialize. From market research and demographics to recruitment, marketing, and operational costs, this conversation offers a grounded look at what specialization actually requires behind the scenes. Whether you are a new grad, an experienced clinician feeling pulled toward a focus area, or a clinic owner considering a specialty service, this episode will help you think more clearly before making the leap. LinkedIn Andrea Mendoza Andrea's Website Work with Danielle Timestamps: 00:01 Welcome back and episode focus on specializing 00:50 Andrea’s path from pediatrics to scoliosis and Schroth training 03:10 Launching a focused practice and community demand 05:23 What “specialty” really means in physiotherapy 06:27 Should you specialize? Key personal and clinical considerations 10:47 Using a SOAP-style framework to evaluate specialization 12:07 Market research, demographics, and prevalence data 15:29 When to move forward and the different ways to specialize 19:23 New grad vs experienced clinician considerations 22:30 Common ways clinicians choose a niche 25:58 Starting narrow before expanding your services 30:07 Risks of overspecializing and market limitations 36:20 Business reality #1: recruitment and training 41:15 Business reality #2: marketing and advocacy 45:11 Business reality #3: operational systems and costs 50:27 How to work with and follow Andrea Keywords: physiotherapy specialization | niche physiotherapy practice | should physios specialize | specialty physiotherapy clinic | physiotherapy business strategy | Canadian physiotherapy practice | BC physiotherapy business | physiotherapy in British Columbia | Health of Business podcast

    53 min

  5. 12/26/2025

    Bonus Episode! Business of Physio 101 and What Canadian Physio School Doesn’t Teach About Contracts, Pay, and Clinic Life

    This is a short, informal episode where I walk through my upcoming course, Business of Physio 101! Early bird pricing is on until Jan 15, 2026, classes start March 11m, 2026. Canadian physio programs don’t teach contracts, compensation models, billing, or how clinics actually operate. This course is designed to bridge that gap for final-year students, new grads, and early-career clinicians. In this episode, I explain who the course is for, what’s covered, how it’s structured, and why I created it. Full details and registration at danielleboyd.ca/courses.

    15 min

  6. 12/19/2025

    16 - Anniken Chadwick on Building The Cheerful Pelvis, a Trauma-Informed, Values-Driven, Client-Centered Pelvic Physio Clinic

    Building a physiotherapy clinic that protects and empowers both clients and clinicians requires more than good intentions. It requires structure, clarity, and leadership that is willing to do the hard work. In this episode of Health of Business, Danielle Boyd speaks with Anniken Chadwick, founder of The Cheerful Pelvis, about how she built one of Canada’s most thoughtful pelvic health clinics using trauma-informed care, employee-based models, and outcome-driven systems. Connect with Anniken: https://www.annikenchadwick.com/ The Cheerful Pelvis: https://www.thecheerfulpelvis.com/ Work with Danielle: https://www.danielleboyd.ca/ What we cover in this episode: Why burnout is driven more by emotional weight than workload How clinician self-awareness improves patient outcomes The Cheerful Pelvis client-clinician matching system Protecting new grads with tiered caseloads and mentorship Weekly in-services and consistent feedback culture Using policies as support, not control Commissioned employee models and outcome-based compensation Why tracking discharge outcomes beats productivity metrics Leadership mistakes and lessons learned the hard way How tiered pricing protects staff and empowers clients What defines a truly healthy business Timestamps: 00:00 Introduction and why this conversation matters02:55 Danielle’s business pivot and why business literacy matters in physio06:05 Anniken’s journey from the NHS to Canadian private practice12:30 Solo practice, waitlists, and opening a clinic just before COVID15:45 Why “The Cheerful Pelvis” name matters and centering emotion in care18:40 Trauma, emotions, and the unseen weight clinicians carry21:30 What actually causes burnout in physiotherapy28:00 Client–clinician matching and why it improves outcomes31:45 Protecting new grads and supporting learning curves35:30 Hiring for values instead of autonomy41:10 Weekly in-services, mentorship, and feedback culture47:00 Using policies as support, not control49:15 Who supports the clinic owner and leadership coaching53:30 Commissioned employee models and compensation philosophy59:00 Tracking outcomes instead of productivity metrics01:05:30 Leadership mistakes and hard-earned lessons01:10:45 Tiered clinicians, pricing transparency, and client choice01:16:00 What Anniken is most proud of as a clinic owner01:18:00 Coaching other clinics and clinicians01:22:40 Advice for opening a values-driven clinic01:25:50 What defines a healthy business01:27:00 How to connect with Anniken Chadwick Keywords: Keywords healthcare, pelvic health, burnout, client experience, education, clinic management, emotional awareness, team building, physiotherapy, wellness, team cohesion, clinician support, leadership, compensation models, client outcomes, clinic ownership, mentorship, healthcare, business strategy, professional development trauma-informed physiotherapy clinic,values-driven healthcare business,client-centered physiotherapy care,physiotherapy clinic ownership,employee-based physio clinic,burnout prevention in physiotherapy,healthcare leadership and clinic culture,pelvic health physiotherapy leadership,sustainable physiotherapy practice,women in healthcare leadership

    1h 19m

  7. 12/04/2025

    15 - What No One is Talking About: Physio Fees in BC! The Real Numbers, Hidden Pressures, and How We Build a Stronger, More Sustainable Future for Clinics, Practitioners, and Patient Care

    In this episode of the Health of Business podcast, Danielle Boyd breaks down the real story behind physiotherapy fees in British Columbia and why the new PABC 2025 Fee Guide matters for every clinic owner, practitioner, and patient. Work with Danielle: danielleboyd.ca Danielle revisits her widely shared BC Physio article and dives into the five key themes that shape the economic reality of running a physiotherapy clinic today. You will learn why fees in BC have not kept pace with rising costs, how undervaluation by insurers and government is impacting clinics, and what a sustainable future for the profession can actually look like.If you are a physio, clinic owner, student or health professional in BC, this is essential listening. Learn the numbers, understand the advocacy, and explore real strategies to raise fees in a thoughtful, ethical and client-centered way. Chapters include: • Why BC physios need a raise • What the real clinic numbers look like • Why insurers and government undervalue physiotherapy • How to raise your rates without losing clients• The future of physiotherapy in BC If you want to support clinic sustainability, better access to care, and improved working conditions for physiotherapists, this episode is for you. Learn more at danielleboyd.ca. Timestamps 00:00 Welcome to the episode 01:05 Why this topic matters and background on the BC Physio article 03:10 Why physiotherapists in BC need a raise 06:25 The fears and resistance clinic owners have about raising rates 09:40 How undervaluation from insurers and government impacts clinics 13:15 Primary care vs allied health and the perception problem 16:58 The current financial reality of clinic ownership 21:40 Breaking down the clinic profit and loss numbers 24:55 How the PABC 2025 Fee Guide was created and why it matters 27:48 Why MSP rates and public access must be part of the conversation 30:10 The case for expanded public funding for physiotherapy 33:22 Strategies for raising your clinic fees without losing trust 36:18 How to communicate fee increases to clients 38:40 Sliding scale options, group programs and alternative models 41:05 Why aligning as a profession is essential 43:10 What the future of physiotherapy in BC could look like 46:45 Final thoughts and a call to action for PABC advocacy Keywords: physiotherapy BC BC physio fees PABC fee guide physiotherapy clinic business physiotherapy rates BC how to raise physiotherapy fees physio clinic operations BC physio undervaluation physiotherapy billing BC PABC advocacy physiotherapy business model clinic owner BC physiotherapy insurance BC MSP physiotherapy rates extended health physiotherapy clinic revenue BC BC physio salary physiotherapy burnout BC health care business podcast Danielle Boyd Health of Business

    1h 31m

  8. 11/20/2025

    14 - Meg MacPherson of Articulate Design Co. on Designing Beautiful, Functional Clinics, Clarifying Your Brand Identity, and Building a Business or Career You Love

    Physiotherapist and clinic designer Meg MacPherson is on a mission to prove that your space is not an afterthought. As co-founder of Articulate Design Co, Meg helps health and rehab clinic owners turn blank commercial boxes into intentional, experience-driven spaces that attract both clients and clinicians. In this conversation, we unpack how Articulate was born out of an opportunity to shake up the status quo of rehab spaces, why your waiting room and washroom are secret marketing tools, and how to think about every square foot of your clinic or studio space as either experience building or income generating. Meg also shares openly about burnout, motherhood, business partnership with Neena Folliott, and why most clinicians should have more than one career path. If you are dreaming of opening a clinic, planning a renovation, or just curious how design, nervous system regulation and brand identity all intersect, this episode will give you both permission and practical ideas to reimagine what a healthy clinic space can be. Time Stamps: 00:00 Meeting Meg and how Articulate Design Co came to be 05:39 From clinician to clinic designer and the first “guinea pig” project 09:10 Finding Neena, building a complementary partnership and working as a team 13:19 Burnout, motherhood and creating a more flexible career mix 18:07 Why Meg thinks most clinicians should have at least two career paths 21:30 Reverse-engineering design skills and owning her “spatial superpower” 24:32 What makes a clinic layout intentional instead of random 26:46 Maximizing every square foot for experience and revenue 32:04 Waiting rooms as nervous system regulators, not chair parking lots 37:13 Washrooms, lighting and other overlooked design moments that matter 40:27 Case studies: bookish sports clinic and the lifestyle sports med space 46:39 Brand identity first: why you should not start with paint colors 49:57 Design as optimization, not a frill, in a competitive experience economy 55:53 Leasing, negotiating and what to look for in a commercial shell 1:02:12 How Meg and Neena structure Articulate, roles, splits and communication 1:06:56 Packages, pricing and how clients actually work with Articulate 1:14:43 Advice for first-time clinic owners facing sticker shock and risk 1:17:51 Meg’s definition of a healthy business 1:19:30 Where to find Meg and Articulate Design Co online Keywords: physio clinic design, healthcare interior design, rehab clinic branding, Articulate Design Co, Meg MacPherson, Neena Folliott, clinic layout, treatment room design, waiting room ideas, medical clinic renovation, physiotherapy business, wellness space design, brand identity for clinics, clinic owner tips, maximizing clinic square footage, virtual admin for clinics, QR code check in, clinician burnout, flexible physio careers, partnership in business, Health of Business podcast, Danielle Boyd, sports medicine clinic design, patient experience, nervous system informed design, starting a physiotherapy clinic

    1h 16m
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About

The Health of Business with Danielle Boyd explores what it really takes to run a healthy clinic, from leadership and compliance to marketing, culture, and the messy middle of entrepreneurship in healthcare. Join physiotherapist and consultant Danielle Boyd as she talks with clinic owners, educators, and changemakers who are redefining what it means to build sustainable, values-driven businesses in Canada’s healthcare system. Smart conversations, real stories, and practical business strategies we should have learned in school.

Information

  • Creator
    Danielle Boyd
  • Years Active
    2025 - 2026
  • Episodes
    22
  • Rating
    Explicit
  • Copyright
    © Danielle Boyd
  • Show Website
    The Health of Business

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