The Business of a Clinic (BOAC)

Jared Aron
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  • Entrepreneurship

The Business of a Clinic (BOAC) is a podcast for private healthcare leaders who want to run not just a great clinic, but a great business. Each episode explores the overlooked commercial side of healthcare — how to grow revenue, improve patient retention, fill empty calendars, and build high-performing front-office teams. Hosted by the team at Coherent and led by founder Jared Aaron, we sit down weekly with clinic owners, practice managers, and industry experts to unpack the real challenges behind no-shows, cancellations, and disengaged patients, and share practical frameworks and playbooks that any clinic can apply. If you’re a private healthcare operator such as dentist, aesthetic practitioner, chiropractor, physio, or private GP looking to bridge the gap between excellent care and effective business operations, this is your roadmap to running a clinic that thrives — for your patients, your staff, and your bottom line. The show is hosted by Coherent: Coherent Healthcare is a Clinic Revenue Winback company, helping private healthcare practices unlock hidden revenue. By rebooking no-shows, cancellations, and lapsed patients — and by simplifying how clinics collect payments — Coherent enables practitioners to fill their diaries, improve cashflow, and focus more on patient care.

  1. 2d ago

    Why Clinics Break Invisibly: Excel, Front Desks & AI Receptionists | BOAC #45

    In Episode 45 of The Business of a Clinic, Jared Aron, founder of Coherent, explores why the business side of healthcare is still so operationally fragile. Jared begins with a story from his own clinic: four separate systems, none of them speaking to each other, and a senior team member spending days every month tying everything together in Excel. From there, he explains why this is not a small-clinic problem — even sophisticated healthcare providers are still running major parts of the business through exports, spreadsheets, and manual reconciliation. The conversation then turns to the front desk. Jared reflects on the mistake many clinic owners make: assuming the front desk is a single role, when in reality it becomes 50 or 60 jobs at once. Reception, hospitality, stock checks, social media, cancellation recovery, patient follow-up, and diary management all get layered onto the same team — then owners wonder why patients slip away. Jared and Sean also discuss why “we have a system” often falls apart after a few follow-up questions, why operational gaps get worse as clinics scale from one site to many, and why durable revenue growth depends on more than simply increasing marketing spend. Later, Jared explains the thinking behind The Business of a Clinic community, why healthcare needs more space to discuss operations and commercial infrastructure, and how Coherent Engage differs from a CRM, a Mailchimp-style automation tool, or an AI receptionist. The episode closes with a discussion on AI doctors, AI receptionists, and the future of patient support. Jared’s view is clear: the goal is not to remove the human from healthcare. The goal is to remove the administrative bloat around them, so humans can spend more time doing what matters — serving patients with empathy, judgement, and continuity.

    41 min

  2. 5d ago

    The Hidden Data Risk Behind Healthcare AI | Bharat Reddy, CTO of Coherent Healthcare, #44

    Healthcare is in the middle of an AI gold rush. AI receptionists, AI doctors, AI agents, automated workflows — everyone is racing to move faster, automate more, and do more with data. But healthcare is different. Patient data is not just behavioural data. It is medical history, vulnerability, access to care, and trust. That makes security, governance, and accountability far more important than many people realise. In this episode of The Business of a Clinic, Sean speaks with Bharat Reddy, CTO of Coherent Healthcare (CoherentHQ.com), about AI, cybersecurity, patient data, and what healthcare can learn from bank-grade security. Before joining Coherent, Bharat was VP of Security Architecture at Morgan Stanley, where his role was to think like an attacker before the attacker arrived: reviewing systems, data flows, weak points, and the potential consequences of failure. That lens is becoming essential in healthcare. Sean and Bharat discuss legacy systems, siloed patient data, AI regulation, data sovereignty, the NHS and Palantir debate, vendor risk, and what clinic leaders should ask before trusting any AI tool with patient information. The core message of the episode is simple: AI in healthcare cannot just be powerful. It has to be secure, auditable, accountable, and built with the minimum data necessary.

    49 min

  3. Jul 3

    E#43 | Why Clinics Break at Scale | Business of a Clinic (BOAC)

    In this episode of The Business of a Clinic, Jared speaks with Cameron Tudor, physiotherapist and founder of West London Physio, about what really happens when a clinician becomes a clinic owner. Cameron’s journey spans private practice in Australia, locum work in the NHS, building a clinic from one patient and one phone call, scaling to four clinics and around 50 staff, and later returning to a more focused single-clinic model. The conversation explores the hidden operational reality behind clinic growth: leases, personal guarantees, reception, bookkeeping, hiring, burnout, systems, checklists, patient follow-up, and the uncomfortable shift from being the clinician to becoming the entrepreneur. Jared and Cameron discuss why healthcare often has a logistics problem, not a clinical problem, and why efficiency should not be seen as cold cost-cutting. Done properly, efficiency allows clinicians to focus on care, gives patients a more consistent experience, and helps the business become more sustainable. They also unpack what breaks when clinics scale, why centralising culture too quickly can backfire, how SOPs and checklists protect the patient journey, and why clinic owners need to listen before trying to impose change. The episode closes with Cameron’s view on the future of MSK: rising patient demand, growing pressure on public systems, clinical care remaining deeply human, and the front desk evolving from admin processing into concierge-style patient support. In this episode Cameron’s journey from physio to clinic ownerStarting a clinic with one patient, one phone call, and a major lease liabilityWhy clinicians are often forced to become entrepreneursThe hidden jobs clinic owners inherit: receptionist, accountant, marketer, operatorWhy burnout forces clinic owners to think in systemsHow SOPs and checklists create consistencyWhy efficiency is better care, not just cost controlWho should own patient follow-up and recallWhy clinicians often resist admin-led follow-upThe tension between healthcare and “sales”What ethical selling looks like in private healthcareWhat breaks when scaling from one clinic to multiple sitesWhy listening matters when acquiring or integrating clinicsThe future of MSK and private practiceWhy the front desk may become more concierge than adminKey idea Clinics do not break because the clinical care is poor. They usually break because the systems around the care are not strong enough to scale. About the show The Business of a Clinic explores how private healthcare clinics can grow by improving patient relationships, patient engagement, clinic operations, retention, follow-up, commercial systems, and the overall patient experience.

    34 min

  4. Jun 26

    When a Terminal Patient Refuses to Be Passive, with Dale Atkinson, Business of a Clinic (BOAC), E42

    Jared Aron speaks with Dale J. Atkinson, founder of Clear Signal Partners, patient advocate, entrepreneur, and writer of The Life Organic. Dale shares his personal experience of receiving a terminal cancer diagnosis, navigating the healthcare system, building a care team around him, and learning how much communication, coordination, trust, and self-advocacy matter when the patient journey becomes complex. Jared and Dale discuss what it means to become “CEO” of your own health journey, why patients often struggle to tell clinicians what they are doing outside standard care, how misinformation can pull vulnerable patients into dangerous online rabbit holes, and what healthcare providers can do to create safer, more supportive patient relationships. They also explore AI in healthcare, AI doctors, ambient scribing, human oversight, regulation, and why the future of healthcare should not be built around efficiency alone. Disclaimer: The views expressed are the guest’s own. This conversation reflects personal experience only and is not medical advice. Always consult a qualified clinician before making treatment decisions. In this episode: Dale’s personal experience as a patient and patient advocateWhy patients need better support outside the clinic roomThe communication and coordination burden placed on patientsWhy patients do not always disclose what they are doing outside standard careThe risk of online medical misinformationAI doctors, ambient scribing, and human oversightWhy great patient care is also great business

    1h 7m

  5. Jun 22

    E#41 | Why Health Tech Dies in Go-To-Market, with Tim Wright from Zoes

    In this episode of The Business of a Clinic, Jared Aron speaks with Tim Wright, CEO and founder of Zoes, about the future of health tech, clinic tech, AI, and private healthcare. Tim has worked across the healthcare ecosystem as a physiotherapist, in elite sport, as a clinic founder, through acquisition, and now as an advisor and commercial partner to health tech, digital health, med tech, and clinic tech companies. Together, Jared and Tim explore what is changing in healthcare right now, from GLP-1s and neurodiversity to hybrid care models, AI, patient engagement, and the operational systems clinics need to run better businesses. They also discuss why selling into healthcare is so difficult, why trust and governance matter so much, and why even great products can fail if they are not ready for the realities of healthcare go-to-market. The conversation also goes deep into clinic operations: why many clinics have valuable data they are not using, why clinicians are often forced to become business owners without being trained for it, and why the future of clinic growth is not just better technology, but technology that makes the patient experience more human. For clinic owners, operators, founders, and healthcare leaders, this episode is a practical look at where private healthcare is heading next — and what it will take to build clinics that are more efficient, more profitable, and better for patients.

    43 min

  6. Jun 19

    E#40 | CoherentHQ Event: Is Your Clinic Exit Ready - How to Sell Well and Maximise Value

    This video is about Event multicam projectWhat really drives the value of a clinic, what quietly erodes it, and what it takes to sell well? We brought together clinic founders, operators and the buyers and financiers who assess clinics for a living, for an honest evening on building a practice worth buying. Recorded live at The King's Fund, Cavendish Square, London. Panellists:  Simon Devane, CEO, Pure Sports Medicine  Andrea Agnolio, Co-CEO & COO, Skingevity  Joëlle Rotsaert, Founder, Injectual  Enrico Ghio, Co-CEO & CFO, Skingevity  Stephanie Demetriou, CEO, NAMMA Studio  Shaima Villait, Co-Founding Partner, Chelsea Medics  Hosted by Jared Aron, with an opening from Thandi Rose (Coherent) What you will learn:  The difference between being patient-obsessed and customer-obsessed, and why it shows up at the end of the month  Hiring and culture: why founders hire on "vibes", and how one bad apple can undo a team  Greenfield versus acquisition, and what it really takes to integrate a clinic you have bought  Why exit preparation should start two to three years out, and how to reduce dependence on the lead practitioner  How buyers actually value a clinic: EBITDA multiples, recurring revenue, growth and concentration risk, and why intangibles show up in the numbers  Reducing uncertainty and friction in a deal, keeping your data clean, and the real post-sale experience  Coherent's "leak stoppers": the Sarah versus Sara data problem, why outreach needs to be 10x not 10%, and why the front desk is not a sales desk Chapters:  00:00 Welcome  01:45 Why this room matters  07:30 Live audience poll: the pipe check  08:20 Panel 1: Operations, building a clinic worth buying  41:35 Panel 1: audience Q&A  53:20 Break  53:37 What the room told us: poll results  59:25 The better playbook for clinic growth  1:08:30 Panel 2: The Sale, what actually moves value at exit  1:36:35 Panel 2: audience Q&A  1:42:25 Closing thoughts and community  1:45:50 Live demo: AI and human patient coordination Coherent helps clinics grow and run better. Learn more: https://coherenthq.com Join our next event: https://coherenthq.com/events Join our LinkedIn group for clinic owners: https://www.linkedin.com/groups/17504048/ Listen to our podcast, The Business of a Clinic, wherever you get your podcasts. #ClinicOwners #ClinicGrowth #HealthcareLeadership #ExitStrategy #PrivateHealthcare #Aesthetics #Physiotherapy #Dentistry

    1h 56m

  7. Jun 17

    E#39 | From Near Closure to 4x Revenue: How He Completely Rebuilt His Clinic, with Dr. Geoff Gamble | Business of a Clinic (BOAC)

    In this episode of The Business of a Clinic, Jared Aron speaks with Dr. Geoff Gamble, chiropractor and co-founder of Niagara Health Rehab Center, a large multidisciplinary rehab clinic in Canada. Geoff shares the honest story of how NHRC grew from four practitioners and 4,000 square feet into a much larger clinic team — but not in a straight line. After several years of organic growth, the clinic hit a difficult breaking point. Staff turnover reached 85%, growth flatlined, the business started to regress, and Geoff and his team were even considering closing the clinic. What changed was the way they looked at the business. Geoff talks about the transition from clinician to clinic entrepreneur, the mistake of assuming the clinic would “run itself,” and the importance of learning business fundamentals: P&Ls, metrics, utilization, hiring, culture, and patient reactivation. He also shares how the pandemic became an unexpected reset point for NHRC, helping the team rebuild operations, rethink staffing, and create a more scalable business. Since then, the clinic has quadrupled gross revenue and significantly expanded its team. This conversation is especially relevant for clinic owners, MSK leaders, chiropractors, physiotherapists, and healthcare entrepreneurs who are trying to move from being the main practitioner in the business to becoming the leader of a clinic that can grow without depending entirely on them. In this episode, Jared and Geoff discuss: Why early clinic growth can hide weak business foundationsThe reality of going from clinician to entrepreneurHow 85% staff turnover forced NHRC to rethink the businessWhy Geoff nearly burned out as the main revenue driverThe danger of building a clinic that depends too heavily on the ownerWhat clinic owners need to understand about P&Ls, metrics and utilizationWhy culture, hiring and communication became central to the turnaroundWhat should stay in-house versus what can be outsourcedWhy patient reactivation is both a revenue problem and a care problemHow NHRC approached a cold list of around 18,000 patientsWhy “having a process” does not always mean the process is workingThe challenge of letting go of control as a clinic ownerWhat Geoff wants to improve next as NHRC continues to growThis episode is a practical look at what it really takes to rebuild a clinic business: not just better marketing or more practitioners, but better systems, stronger leadership, clearer metrics, and a deeper understanding of the patient journey. Guest: Dr. Geoff Gamble, Niagara Health Rehab Center Host: Jared Aron, Founder of Coherent The Business of a Clinic is a podcast about the business, operations, growth, and patient experience side of running modern private healthcare clinics.

    58 min

  8. Jun 15

    E#38 | Jonathan & Rachna: The Secret To A Five-Star Clinic | The Business of a Clinic

    In this episode of The Business of a Clinic, Jared speaks with Rachna Murthy and Jonathan, two consultant ophthalmologists and oculoplastic surgeons building a highly personal private clinic across London, Jersey, and soon Bermuda and the Cayman Islands.  Rachna and Jonathan share how they moved from NHS backgrounds into private practice, and why building a successful clinic is not only about clinical skill. It is about trust, teamwork, patient obsession, communication, and creating a level of care that feels deeply human.  They discuss why they operate as a two-surgeon team, how that improves speed, safety, and decision-making, and why ego can be both necessary and dangerous in surgery. They also explore what “five-star medicine” really means: treating patients like people, not transactions; building long-term relationships; offering direct access through WhatsApp; and making every part of the patient journey feel considered.  The conversation also covers AI, wellness, longevity, aesthetics, body dysmorphia, holistic care, gut health, skin health, and why private medicine will always remain a “feeling business.” Technology can improve efficiency, but the future of great clinics will still depend on human trust, clinical judgement, and keeping the patient relationship at the center.  Rachna and Jonathan also reflect on the realities of becoming clinician entrepreneurs: starting without much capital, building through word of mouth, acquiring a clinic in Jersey, hiring around values, expanding internationally, and learning how important self-care, outsourcing, and operational discipline become when running and growing a clinic.  In this episode   Why business matters in medicine  How to build a clinic around patient trust  Why clinical skill alone is not enough  The benefits of a two-surgeon team  Ego, confidence, and surgical improvement  What five-star care means in private clinics  Why direct communication changes the patient experience  How WhatsApp groups support long-term patient relationships  Body dysmorphia, expectations, and knowing when not to operate  AI, empathy, hallucinations, and the limits of automation  Wellness, longevity, microbiome health, and holistic care  Why medicine is still a feeling business  Lessons from leaving the NHS and building a private practice  Hiring around values and learning to let people go  Scaling a clinic across London, Jersey, Bermuda, and the Cayman Islands  Why self-care matters for clinician entrepreneurs  Key idea   Great clinics are not built on clinical skill alone. They are built on trust, team, process, communication, and the feeling patients have that someone genuinely knows them, cares about them, and is looking after them. About the show   The Business of a Clinic explores how private healthcare clinics can grow by improving patient relationships, patient engagement, clinic operations, retention, follow-up, commercial systems, and the overall patient experience.

    53 min
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About

The Business of a Clinic (BOAC) is a podcast for private healthcare leaders who want to run not just a great clinic, but a great business. Each episode explores the overlooked commercial side of healthcare — how to grow revenue, improve patient retention, fill empty calendars, and build high-performing front-office teams. Hosted by the team at Coherent and led by founder Jared Aaron, we sit down weekly with clinic owners, practice managers, and industry experts to unpack the real challenges behind no-shows, cancellations, and disengaged patients, and share practical frameworks and playbooks that any clinic can apply. If you’re a private healthcare operator such as dentist, aesthetic practitioner, chiropractor, physio, or private GP looking to bridge the gap between excellent care and effective business operations, this is your roadmap to running a clinic that thrives — for your patients, your staff, and your bottom line. The show is hosted by Coherent: Coherent Healthcare is a Clinic Revenue Winback company, helping private healthcare practices unlock hidden revenue. By rebooking no-shows, cancellations, and lapsed patients — and by simplifying how clinics collect payments — Coherent enables practitioners to fill their diaries, improve cashflow, and focus more on patient care.

Information

  • Creator
    Jared Aron
  • Years Active
    2025 - 2026
  • Episodes
    40
  • Rating
    Explicit
  • Copyright
    © 2026 The Business of a Clinic (BOAC)
  • Show Website
    The Business of a Clinic (BOAC)

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