The Business of a Clinic (BOAC)

Jared Aron
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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. APR 28

    What Doctors Learn After Becoming Clinic Owners | Dr. Shaima Villait | Business of a Clinic #30

    In this episode of Business of a Clinic, Jared sits down with Shaima, a private GP with more than 20 years of experience in private general practice and co-founding director of Chelsea Medics. They explore how private GP practice has changed over the last two decades, from the increasing demand for private appointments to the rise of more informed patients using Google, ChatGPT and online health information before they ever enter the clinic room. Shaima shares how this has changed the role of the doctor. Patients now arrive with more questions, more expectations and often more anxiety. For clinicians, the job is no longer just to diagnose and treat. It is also to guide, clarify and help patients make sense of the information they already have. The conversation also covers the reality of running a private clinic: the business education doctors rarely receive, the operational shock of COVID, the sudden shift to virtual practice, the growing expectation of communication between appointments, and why recruitment is one of the most difficult parts of clinic ownership. This episode is a thoughtful look at the future of private GP medicine and why clinic leaders need to keep adapting as patient expectations, technology and healthcare delivery continue to change. In this episode, we cover:  Why more patients are turning to private GP care  How NHS access challenges are changing patient behaviour  The impact of Google, ChatGPT and online health information  Why the doctor’s role is becoming more like a guide  What clinicians are not taught about running a business  The business lessons Shaima wishes she had learned earlier  How COVID forced private clinics to adapt overnight  Why communication between appointments now matters more  What makes recruitment so difficult in private practice  Why the future of private GP requires technology adoption

    31 min

  2. APR 24

    Joëlle Rotsaert on Building Injectual: Brand, Bookings, Hospitality and the Future of Injectables

    Joëlle Rotsaert, founder of Injectual, joins us to talk about what it really takes to build a modern aesthetics brand. We cover Joëlle’s journey from fashion into aesthetics, the personal experiences that shaped her view of the industry, and why she believed there was room for a more focused, more design-led, more culturally relevant injectables brand. We also discuss why many clinics weaken themselves by offering too much, how Injectual built around a clear specialty, and why Joëlle sees injectables as something that can be safe, premium, and still feel accessible. The conversation also goes deep on clinic growth: bookings, sales, front of house, aftercare, memberships, operational strain, HR, and what starts to break when a founder-led clinic becomes a multi-site business. Joëlle also shares her longer-term vision for international growth and for building a dedicated offering around gender-affirming care. In this episode:  Joëlle’s route from fashion into aesthetics  Lessons from Harley Academy and Cavendish Clinic  Why focus matters in clinic branding  Building Injectual around injectables  “Approachable luxury” and hospitality-led healthcare  Organic content, influencers, memes, and authenticity  Why front of house is not the same as sales  Specialist bookings and conversion systems  Scaling pains: memberships, systems, inventory, and HR  Growing internationally without losing the brand’s DNA  The long-term vision behind Transect

    44 min

  3. APR 10

    PE-Backed Clinics, Profitability, Asset Value & Growth Without More Marketing Spend | The Business of a Clinic (BOAC) E#28

    What do private equity-backed clinic groups understand about growth that many clinician-led practices miss? In Episode 28 of The Business of a Clinic, Jared breaks down why PE-backed operators and non-clinician leaders often grasp Coherent’s value faster. The answer is not that they care less about care. It is that they are trained to think in terms of store-level efficiency, organic revenue growth, patient economics, and asset appreciation.  The conversation explores how patient leakage affects site-level productivity and clinic value, why many of the biggest growth opportunities are hidden inside the patient journey, and why head office teams often cannot see leakage clearly from the P&L alone. Jared also explains the questions buyers and operators should be asking if they want to understand the real performance of a clinic beyond surface-level revenue numbers.  This episode covers:  Why PE-backed groups focus so heavily on organic revenue growth  The difference between clinician-led thinking and operator-led thinking  How patient leakage impacts margin, productivity, and asset value  Why “cost per lead” is not enough to understand clinic performance  The one simple question that often reveals whether a clinic has a leakage problem  How fixing leakage can increase asset value without increasing marketing spend If you run, acquire, or scale clinics, this episode is a useful lens on what really drives appreciation at site level and why better follow-up, retention, and conversion are not just operational details. They are value creation levers.

    16 min

  4. APR 8

    Clinic Margins, Bad Leads, Private Equity, Neko Health & Botox Clubs | The Business of a Clinic (BOAC) E#27

    In this episode of The Business of a Clinic, Jared sits down with Michael Schumacher, co-founder of HMDG, to talk about what is actually changing in private healthcare — and what still is not. They get into why healthcare remains slow to innovate, why so many clinics struggle to adopt technology well, and why AI tools like receptionists or voice agents often sound more impressive than they perform once they hit real clinic workflows.  Michael shares his view on the Private Practice Barometer, what it reveals about clinic margins and benchmarking, why many clinic owners still undercharge, and why pricing is often one of the fastest ways to improve profitability. The conversation also explores the difference between lead volume and lead quality, how poor follow-up distorts marketing performance, why some clinics are hard to buy or scale, and what private equity often misunderstands about the realities of healthcare operations.  The episode then opens up into a broader conversation about the future of healthcare businesses: patient trust, experience design, brand, gamification, recurring revenue, Neko Health, and why healthcare still has a long way to go in building consumer-grade experiences that actually keep patients engaged. From “bad leads” to Botox clubs, this one covers a lot of ground.  In this episode, we cover:  Why healthcare is still behind on innovation and digital transformation  The real problem with AI receptionists and autonomous front desk tools  Why implementation matters more than the software demo  What the Private Practice Barometer reveals about clinic performance  Why many clinic owners underprice their services  Why follow-up pricing matters more than most clinics think  The difference between lead quantity and lead quality Why clinic marketing often breaks after the lead comes in  Why buyers and investors often misunderstand clinic value  What clinics can learn from Neko Health, gamification, and membership-style models About Michael Schumacher Michael Schumacher is the co-founder of HMDG, a marketing agency originally focused on MSK clinic owners and now working more broadly across healthcare. In this conversation, he brings a commercial and operational lens to clinic growth, pricing, marketing, and the future of healthcare delivery.

    1h 16m

  5. APR 3

    From Zimbabwe to Dental Practice Ownership: Dr Arnold Gangaidzo on Building Lancashire Smiles | The Business of a Clinic #26

    In Episode 26 of The Business of a Clinic, Sean sits down with Dr Arnold Gangaidzo, founder of Lancashire Smiles, to talk about the real journey behind building a private dental practice from the ground up.  Arnold shares his path from Zimbabwe to the UK, why missing out on medical school turned out to be a blessing in disguise, and how dentistry became the right path for someone who wanted both healthcare and entrepreneurship.  They get into what clinic ownership actually looks like when the Instagram version ends: builders missing deadlines, CQC timing, rent-free periods disappearing, loan repayments starting before revenue is stable, and the shock of cash flow once the doors finally open.  Arnold speaks candidly about the pressure of making it work, taking little to no income from the business in the early months, and learning that profitability on paper is very different from real money in the bank.  The conversation also explores one of the biggest mistakes ambitious clinic owners make: expanding capacity too early. Arnold explains why opening a second treatment room before fully maximizing the first created more white space, more cost, and more complexity than expected.  From there, the discussion moves into retention, recurring revenue, lifetime value, and why growth-minded owners need to focus on strengthening the first bucket before building the next.  They also talk about building a personal brand on LinkedIn, using systems like Asana to stay accountable, and why Arnold is building Lancashire Smiles with the long-term vision of a regional multi-site group.  His philosophy is simple: build with the intention to sell, even if the real goal is to create something strong enough to keep and pass on to the next generation.  This episode is for clinic owners, operators, and aspiring founders who want a more honest view of practice ownership: the risk, the pressure, the discipline, and the thinking required to build something real.

    41 min

  6. MAR 20

    Hands-On Care, AI Hype, Cost Per Consultation & Clinics | Business of a Clinic E25

    What kind of healthcare will AI actually transform first? In this episode, Jared and Sean unpack one of the most important distinctions in modern healthcare: hands-on care vs cognitive care. Hands-on care requires the patient to physically be there — dentistry, physiotherapy, chiropractic, dermatology, aesthetics — while cognitive care can often be delivered remotely through diagnosis, advice, or telehealth. That difference matters because it shapes how AI will be adopted, where it will create leverage, and why the future of in-person care will still be deeply human for a long time.  They explore why the real challenge in hands-on healthcare is not only what happens in the treatment room, but everything around it: logistics, movement, scheduling, follow-up, and getting patients to actually take the next step. In Jared’s view, that “next step” is 90% of the battle in many clinics, and it is where so much patient leakage begins.  The conversation then shifts into the mindset of clinic owners versus multi-site group operators. Jared explains why group leaders think in terms of lifetime value, appointment density, ROI, and margin, while many smaller clinic owners still move too slowly or make only incremental changes. They discuss how the best operators build clinics scientifically rather than artistically, and why systems, efficiency, and reduced founder dependence matter so much if you want to grow or eventually sell.  They also get into one of the episode’s sharpest ideas: cost per consultation matters more than cost per lead. A clinic can feel good about lead numbers while quietly losing huge value between enquiry and consultation. Jared shares an example of a clinic with roughly 100 high-intent inbound enquiries in a month, but only around a third converted into consultations, while many others sat in the dangerous “still in process” category. That invisible gap is where profitability often dies.  Along the way, they talk about failed Salesforce implementations, why AI reception often disappoints, how “set and forget” workflows create hidden losses, why archived patients are often a goldmine nobody understands, and the simple test every clinic owner should take: go on holiday and see whether the business still runs without you.   In this episode, they discuss: The difference between hands-on care and cognitive careWhy AI doctors are more relevant to telehealth than in-person treatmentWhy hands-on healthcare is really a logistics problemHow patient leakage happens in the gaps between stepsThe mindset difference between clinic owners and group operatorsWhy group leaders think in appointment density and lifetime valueHow acquisition-minded clinics are built differentlyWhy technology only works when there is ownership behind itThe hidden cost of bad software implementationWhy AI reception often creates more tasks instead of solving themHow edge cases are the norm in healthcareWhy archived patients may represent lost revenue sitting in plain sightWhy most follow-up sequences are based on guesswork, not evidenceWhy cost per consultation is a better metric than cost per leadHow plugging leakage can create a clinic’s best month everWhy founder dependence weakens clinic value and exit potentialTimestamps 00:00 – Hands-on care vs cognitive care  02:10 – The hype around AI doctors  03:00 – Why AI can assist but not replace hands-on practitioners  04:00 – Neko Health and the persistent human layer  05:08 – Why Coherent focuses on logistics, not clinical decision-making  06:37 – The real challenge: getting patients to take the next step  08:20 – How multi-site clinic groups think differently  10:20 – Why clinic leaders need to shif

    41 min

  7. MAR 14

    Private Medicine, Patient Retention, Healthcare AI, Clinic Systems, Future of Care | BOAC Podcast #24

    Healthcare often focuses on clinical outcomes — but the operational reality behind delivering care is far more complex. In this episode of Business of a Clinic, Jared Aron sits down with Dr. John Chinegwundoh, consultant physician and Chief Medical Officer at Coherent Healthcare, to explore what actually happens behind the scenes of modern medical practice. Drawing on more than two decades of experience across the NHS and private healthcare, John shares his perspective on how healthcare systems really function — not just clinically, but operationally. The conversation explores the growing gap between clinical expertise and operational execution, and why so many clinics struggle to maintain consistent patient engagement over time. They discuss the hidden challenges of managing patient journeys, the structural reasons patients quietly fall out of care, and how emerging technologies like AI may reshape how clinics stay connected with patients long after their first appointment. This episode is a thoughtful look at the business and operational side of medicine — and why solving these problems may be just as important as the clinical work itself. In this episode we discussWhy running a clinic is far more operationally complex than most people realiseThe hidden administrative load behind patient careWhy clinics often lose track of patients over timeThe concept of patient leakage across the healthcare journeyDifferences between NHS and private healthcare systemsWhy technology has struggled to solve operational problems in clinicsHow AI may transform patient communication and follow-upThe future of patient relationship management in healthcareChapters00:00 Introduction  01:03 Meet Dr. John Chinegwundoh  03:45 The operational reality of running a clinic  06:18 Why healthcare administration is so complex  08:47 Managing patient relationships at scale  11:10 Why patients quietly drop off over time  14:36 Understanding patient leakage in healthcare  18:05 Technology and the limits of current systems  21:12 AI and the future of patient engagement  24:50 NHS vs private healthcare systems  28:32 Operational challenges facing modern clinics  32:10 The future of patient-centred care  35:40 Closing thoughts About the PodcastBusiness of a Clinic explores the operational, financial, and technological challenges of running modern healthcare practices. Hosted by Jared Aron, founder of Coherent Healthcare, the podcast features conversations with clinicians, operators, and healthcare leaders about what it really takes to build and run successful clinics. LinksLearn more about Coherent Healthcare:  https://coherenthq.com Follow Coherent on LinkedIn:  https://www.linkedin.com/company/coherent-healthcare

    34 min

  8. MAR 4

    Healthcare Is the Edge Case, Autonomous Front Desk, Start-to-Finish Care E#23

    Most healthcare providers believe they already “do follow-up.” They call twice.  They send an email.  They assume patients will come back when they need care. But when you open the practice management system and ask one simple question — How many patients currently have no next appointment booked? — the answer is often uncomfortable. In this episode, we unpack the structural patient drift problem inside private healthcare clinics: • Why up to 50% of patients who start care never complete it  • Why “we already follow up” rarely means what people think it means  • Why thousands (sometimes tens of thousands) of patients sit in systems with no discharge status  • Why 30%+ of patients miss essential annual reviews  • Why AI receptionists solve only a tiny fraction of the real issue We explore the concept of the “Office of the MD” vs the “Office of the COO.” Clinics are full of highly trained practitioners delivering world-class care. But commercially? There is usually: No retention teamNo sales teamNo operational strategyNo structured follow-up infrastructureNo ownership of the full patient journeyThe result isn’t bad care. It’s operational failure. We also discuss: • The difference between automation and true workflow ownership  • Why interoperability between PMS, CRM, and marketing tools usually breaks down  • The myth of “autonomous front office AI”  • Why healthcare is fundamentally an edge-case environment  • Why empathy still matters in high-value treatment decisions  • What “superhuman follow-up” actually means  • Why “eyes on, hands off” is the future of healthcare operations Healthcare is not e-commerce. You cannot afford to miss the 20% edge cases — because in healthcare, the edge case is the case. If your clinic has: Thousands of patients with no next appointmentTreatment plans that stallAnnual reviews that go uncompletedLeads that never convertCancellations that never rebookThen this episode will challenge how you think about patient management — and what real operational transformation looks like. ⏱ Episode Breakdown00:00 – Discovery calls and confusion about what we actually do  01:00 – The “spaghetti” patient journey  02:00 – Why less than half of patients complete care  04:10 – Lead conversion, post-consultation follow-up, recall  06:20 – The 30% missed annual check-up problem  07:40 – What is the real drop-off rate?  09:00 – Recurring care in MSK, physio, dentistry  10:10 – Thousands of patients with no status  11:10 – The missing Office of the COO  13:00 – Why AI receptionists are only 1% of the problem  14:20 – Interoperability, PMS limitations, and software overload  15:40 – Autonomous front desk vs augmentation  16:20 – Healthcare as a living organism  17:40 – Why healthcare is the edge case  18:10 – Empathy, treatment blockers, and feedback loops

    20 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
    25
  • Rating
    Explicit
  • Copyright
    © 2026 The Business of a Clinic (BOAC)
  • Show Website
    The Business of a Clinic (BOAC)

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