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. 3d ago

    Good Ethics, He Says, Is How You Win Bigger Returns | David Porter, Apposite Capital, BOAC #49

    In this episode of The Business of a Clinic, Jared speaks with David Porter, Partner at Apposite Capital, a healthcare-focused private equity firm investing across healthcare services, life sciences, social care, diagnostics, tools, and other healthcare businesses. David shares his journey from chemistry and biochemistry into financial services, corporate finance, private equity, and eventually Apposite Capital. He explains how the firm thinks about healthcare investing, why it focuses only on companies with revenues, and how it helps smaller healthcare businesses scale through professionalisation, digitisation, automation, governance, internationalisation, and both organic and inorganic growth. The conversation explores one of Apposite’s core beliefs: there is no compromise between strong investor returns and high-quality, ethical, impactful healthcare businesses. David explains why quality is not just a moral position, but also a commercial advantage, and how improving quality can turn around underperforming healthcare companies. Jared and David also discuss the private equity view of healthcare provider operations, including dentistry, imaging, social care, and multi-site healthcare businesses. They explore why clinic groups need to improve every part of the business, from local patient experience to central office efficiency, HR, finance, marketing, procurement, automation, and governance. They also go deep on AI, robotics, healthcare economics, reimbursement models, international expansion, and why healthcare models that work in the UK or Europe may fail in the US if the economics do not align. David explains why AI and robotics will change healthcare, but why human-in-the-loop systems, sensible adoption, governance, guardrails, and patient acceptance will determine how quickly that future arrives. In this episode David’s journey from chemistry and biochemistry into private equityHow Apposite Capital thinks about healthcare investingWhy the firm focuses on healthcare companies with revenuesScaling smaller healthcare businesses through professionalisationThe role of digitisation, automation, governance, and internationalisationWhy quality and investor returns do not need to be in conflictHow better care can become a commercial advantageTurning around underperforming healthcare businessesThe private equity view of healthcare provider operationsDentistry, imaging, social care, and multi-site healthcare businessesWhy transformation has to touch every part of the businessOrganic growth, acquisitions, and value creation plansWhy reimbursement models shape healthcare strategyThe difference between UK, European, and US healthcare economicsWhy some healthcare models do not export internationallyAI, robotics, and the future of healthcare proceduresHuman-in-the-loop systems and patient operationsWhy AI adoption needs guardrails, governance, and ROI disciplineHow one high-profile AI mistake could slow healthcare adoptionKey idea In healthcare investing, quality is not separate from commercial performance. The strongest businesses are often the ones that deliver better care, operate more efficiently, and build enough trust and impact to become difficult for competitors to ignore. 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.

  2. Jul 26

    The Human Side of Selling and Scaling a Clinic | Teresa Harvey #48

    In this episode of The Business of a Clinic, Jared speaks with Teresa Harvey, an osteopath based in Glasgow who has spent 30 years in clinical practice and built a four-clinic osteopathy group in Scotland, which she has recently sold to join a larger MSK group. Teresa’s journey began in nursing, where she specialised in neuro and spinal care before moving into osteopathy. She explains why she was drawn to a more holistic model of healthcare, how osteopaths think beyond isolated symptoms, and why understanding a patient’s full history can completely change the way care is delivered. The conversation explores what it really means to manage a patient, not just treat them. Teresa shares why her clinics spend an hour on initial assessments, how they set short-, medium-, and long-term goals, and why expectation-setting is one of the most important skills new clinicians need to learn. Jared and Teresa also discuss retention, recall, cancellations without rebooking, patient responsibility, scripts for practitioners and reception teams, and why the language of the clinic shapes the patient experience. Teresa explains how her team built a strong community feel, where patients consistently describe feeling listened to, heard, and cared for. They also go into AI, including AI telephone answering, note-taking tools, and where technology can genuinely improve patient care without making the experience feel robotic. Teresa shares how AI can help clinicians make more eye contact, listen more actively, and reduce administrative friction, while still preserving the human relationships at the centre of care. Finally, Teresa reflects on the process of preparing for and completing a clinic sale, what made her choose the right group to join, how due diligence felt, and why joining a larger group has helped unlock growth, marketing, HR, legal support, clinic expansion, and new community-based services. In this episode Teresa’s journey from nursing to osteopathyWhy holistic care changes the patient experienceReductionist medicine vs whole-person careWhy osteopaths often act like healthcare detectivesThe importance of one-hour initial assessmentsManaging patients vs simply treating symptomsSetting expectations around recovery timelinesWhy new clinicians need mentoring on patient managementRetention, recall, and cancellations without rebookingHow scripts can help teams communicate with confidenceMaking clinic communication feel authentic, not roboticBuilding a clinic culture around trust, values, and communityUsing AI telephone answering without losing the human touchAI note-taking and helping patients feel heardPreparing a clinic group for saleChoosing the right group to join after acquisitionDue diligence, systems, accounts, and operational readinessHow joining a larger group supported marketing, HR, legal, and expansionWhy face-to-face care, touch, trust, and human connection still matterKey idea A clinic can become a sellable asset without losing what made it special. The strongest clinics are built on systems, standards, trust, patient communication, and a clear sense of human care. 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.

  3. Jul 24

    From Mount Everest to Building One of the UK’s Largest Physio Groups | Tim Allardyce #47

    In this episode of The Business of a Clinic, Jared speaks with Tim Allardyce, UK-based physiotherapist, osteopath, founder of Surrey Physio Group, and clinical director of Rehab My Patient. Tim’s story moves from private practice and clinic ownership to software, AI, property, NHS work, and most recently, summiting Mount Everest. He shares how a chance meeting with a Sherpa in Scotland planted the idea of Everest, why it took years of preparation, and what climbing at altitude teaches about discipline, resilience, and preparation. The conversation then moves into the business of MSK. Tim explains how he started his first clinic after failing to find the right job, why his entrepreneurial mindset began long before healthcare, and what it really feels like to build, buy, grow, and survive clinics over time. Jared and Tim discuss the hard parts of clinic ownership: landlords, leases, staff betrayal, sleepless nights, buying property, building senior teams, and learning how to move from doing everything yourself to building infrastructure that can scale. They also go deep on technology and AI in physiotherapy. Tim explains how Rehab My Patient evolved into an AI-powered exercise prescription platform, where AI is genuinely useful today, where the hype gets ahead of reality, and why private practice physiotherapy is still fundamentally safe because patients still want human care, human touch, and human judgement. In this episode How Tim went from physiotherapist to clinic ownerThe story behind summiting Mount EverestWhy Everest takes years of preparationStarting a clinic after failed job applicationsThe mindset behind becoming the bossThe realities of buying and growing clinicsLandlords, leases, property, and clinic ownership riskWhy Tim started buying clinic premisesMoving from chaos to stability as a clinic ownerWhy “it’s always something” in healthcare businessBuilding a senior team that reduces founder stressHiring the right managers and trusting the right peopleThe rise of private equity in physiotherapyBuilding Rehab My PatientAI-powered exercise prescriptionWhere AI is useful in physiotherapy todayWhy AI still needs human checkingThe risks of AI receptionists and broken booking flowsWhy private practice physio is not being replaced by AIWhat Tim would do differently if he started againKey idea Clinic growth is not just about more sites, more patients, or more technology. It is about resilience, infrastructure, people, property, systems, and knowing where human care still matters most. 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.

  4. Jul 13

    From the British Army to Building a £24M Dental Group | Mark Aichroth #46

    Can a dental practice owner sell part of their business without surrendering its culture, identity or day-to-day control? In this episode of The Business of a Clinic, Jared Aron speaks with Mark Aichroth, co-founder and CEO of DeNovo Dental Partners, about a different model for dental consolidation: shared ownership. Mark’s career has taken him from 10 years as an officer in the British Army to hospital administration with Humana and HCA, health insurance, the early team at Circle and, eventually, dental acquisitions. Those experiences shaped his belief that healthcare businesses work best when clinicians have genuine ownership and influence. Mark explains how DeNovo grew to 16 practices, approximately £24 million in revenue and more than 300 employees. He breaks down how its partnership structure works, including its combination of cash and parent-company shares, incentives for EBITDA growth and the balance between practice autonomy and financial accountability. Jared and Mark also discuss why the traditional “buy, combine and sell” rollup model is becoming less effective, why simply acquiring more practices is vanity without operational growth, and how shared ownership can improve culture, succession and staff retention. They cover:  How military leadership translates into healthcare  Earning trust and credibility with clinicians  Building a dental group from an idea  The economics of shared ownership  Why dentists resist top-down consolidation  Practice autonomy and EBITDA accountability  Shared services and dentist-led knowledge sharing  Staff ownership and retention  Measuring clinical excellence  What makes a dental practice attractive to DeNovo  The importance of chemistry during an acquisition  DeNovo’s ambition to grow beyond 100 practices  AI, digital imaging and the future of dentistry A conversation for dental practice owners, healthcare entrepreneurs, investors and operators looking for a more durable way to build healthcare groups.

  5. Jul 9

    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.

  6. Jul 6

    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.

  7. 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.

  8. 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

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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
    44
  • Rating
    Explicit
  • Copyright
    © 2026 The Business of a Clinic (BOAC)
  • Show Website
    The Business of a Clinic (BOAC)