The Health of Business

Danielle Boyd
  • 0.0 (0)
  • Entrepreneurship
  • Updated Semiweekly

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. May 21

    26 - How an Internal Self-Audit Can Save Your Clinic Big Headaches Down the Road

    In this solo episode of The Health of Business, Danielle Boyd walks clinic owners through the value of completing an internal self-audit before risk shows up through an external audit, insurer review, CRA classification issue, privacy breach, or operational breakdown. Danielle explains how clinic risk often lives in vague systems, outdated documents, inherited workflows, unclear contracts, inconsistent communication, and assumptions that no one has revisited in years. She breaks down the five main areas where clinics commonly carry risk: professional regulation and college obligations, insurance and direct billing exposure, CRA employee vs. contractor classification, privacy and records management, and general business operations. This episode is designed to help clinic owners identify where their systems may need a closer look, what questions to ask internally, and when it may be time to bring in external support. Danielle also shares a free internal risk audit toolkit available at danielleboyd.ca/free-resources to help clinic owners start the self-audit process. Work with Danielle: danielleboyd.ca Timestamps: 00:00 Introduction to internal self-audits and why the word “audit” can feel intimidating02:19 Free internal risk audit toolkit and how to use it03:10 Why all healthcare businesses carry multiple layers of risk04:37 How vague systems, outdated documents, and inherited workflows create exposure06:54 Different ways to approach a clinic self-audit09:15 When external support may be helpful10:51 The five main areas of clinic risk12:53 Area 1: Professional regulation, college obligations, and corporate setup16:08 Why service delivery, billing, receipts, and communication need to tell the same story18:22 Area 2: Insurance company requirements, direct billing, and audit exposure20:43 Documentation, consent forms, and supporting insurance claims22:56 Patient responsibility, coverage limitations, and payment expectations25:10 Insurer terms and conditions, workflow clarity, and billing guardrails27:25 Area 3: CRA employee vs. independent contractor classification risk29:33 Control, business risk, opportunity for profit, and integration31:50 Matching contracts to the actual working relationship34:09 Area 4: Privacy, records, data custody, and EMR access36:26 Privacy breaches, email communication, device security, and cyber coverage38:49 Offboarding, chart custody, and record transfer considerations40:00 Area 5: General business, communication, and operational risk41:06 Internal communication, escalation pathways, and role clarity43:25 Client-facing policies, insurance coverage, and onboarding/offboarding systems45:50 Patient source diversification and reducing operational confusion48:02 Incident review, policy updates, and identifying recurring friction points50:16 Danielle’s consulting framework for external internal risk audits52:41 Closing thoughts Keywords: internal clinic audit, clinic self-audit, healthcare business risk, clinic risk management, physiotherapy clinic business, private practice compliance, clinic operations, direct billing compliance, insurer audit, Pacific Blue Cross, ICBC billing, WorkSafeBC, MSP billing, CRA contractor risk, independent contractor vs employee, clinic contracts, privacy compliance, patient records, EMR access, Jane App, data custody, cyber insurance, clinic policies, cancellation policy, no-show policy, clinic onboarding, clinic offboarding, professional regulation, college standards, healthcare operations, business liability, clinic owner education, Health of Business podcast, Danielle Boyd Consulting

    53 min

  2. May 9

    25 - Jason Craig of PABC on Why BC Physios Should Be Able to Order Diagnostic Imaging

    Jason Craig, Director of Advocacy and Research with the Physiotherapy Association of British Columbia, joins Danielle to discuss the current push for BC physiotherapists to order diagnostic imaging. They explore why this matters for patient access, healthcare flow, rural communities, MSK care, emergency departments, and full scope physiotherapy practice. Jason shares what the research shows about physio-ordered imaging, including conservative ordering patterns, appropriate use, surgical conversion rates, and strong alignment with orthopedic decision-making. He also addresses common concerns, including imaging volume, incidental findings, follow-up pathways, medical records, and implementation logistics. The conversation also covers what a phased rollout could look like in BC, the roles of PABC, UBC, the College, and health authorities, and why collaboration with physicians, radiologists, government, and other healthcare professionals is essential. Guest contact:Jason CraigDirector of Advocacy and Research, Physiotherapy Association of British ColumbiaEmail: jcraig@bcphysio.orgLinkedIn: https://www.linkedin.com/in/jason-craig-pt/ Timestamps 0:00 | Welcome Jason Craig to The Health of Business 0:33 | Jason’s background in teaching, pediatrics, private practice, and PABC advocacy 1:35 | How Jason got involved in research, position statements, and scope work 3:02 | PABC’s diagnostic imaging advocacy push 3:36 | Why now? Research, timing, and pressure on the healthcare system 5:00 | Why this became a passion project 6:06 | Building support across professions, health authorities, municipalities, and government 8:24 | How diagnostic imaging could improve access, reduce costs, and improve outcomes 9:18 | MSK injuries, emergency departments, and streamlining care 10:15 | Trauma, vestibular care, pelvic health, pediatrics, and broader applications 12:07 | Where physios can already order imaging in Canada and internationally 13:47 | Why BC is catching up, not leading, on this issue 16:21 | Why collaboration with physicians and other professions is essential 18:26 | Team-based care and what outpatient care can learn from inpatient models 20:26 | UBC’s Gateway Project and integrated care 22:06 | Imaging volume, conservative ordering, and what the research shows 23:48 | Why not every physio would order imaging 24:48 | Ordering imaging only when it changes the treatment plan 27:35 | Surgical conversion rates and physio-led orthopedic triage 30:11 | Post-op care, DVT concerns, and unnecessary emergency department visits 35:36 | Pushback, reservations, and concerns from Doctors of BC 37:07 | Incidental findings and the need for clear follow-up pathways 40:26 | Medical records, communication systems, and implementation barriers 41:49 | Possible timelines and what happens after open engagement 43:13 | PABC advocates, UBC educates, and the College regulates 44:51 | Education pathways, restricted activities, and advanced practice expectations 47:01 | What comes next: primary care networks and emergency department integration 48:28 | How to connect with Jason and get involved Keywords: Jason Craig, PABC, Physiotherapy Association of BC, diagnostic imaging, physio-ordered imaging, BC physiotherapy, scope of practice, full scope practice, MSK care, emergency department, primary care, team-based care, rural healthcare, orthopedic triage, surgical conversion rates, incidental findings, medical records, UBC physiotherapy, health advocacy, Doctors of BC, BC Radiological Society, physiotherapy advocacy

    50 min

  3. Apr 23

    24 - Audriana Monteiro on Building an Online Physio Business using Courses, YouTube and Insight Timer

    In this episode of The Health of Business, Danielle speaks with physiotherapist, yoga teacher, and online educator Audriana Monteiro about building an online business as a healthcare practitioner. Audriana shares her path from private practice and pediatrics into chronic pain care, trauma-informed yoga, and online education. The conversation explores YouTube, Insight Timer, Instagram, online courses, accessibility, content creation, burnout, evidence-based messaging, and how to build a business that feels aligned instead of draining. They also discuss why Audriana decided to step back from her podcast, how online work can create more accessible care, and what a healthy online business looks like through the lens of joy, values, creativity, and sustainability. Learn more about Danielle: https://www.danielleboyd.caLearn more about Audriana: https://www.empoweredmovement.ca Timestamps 0:00 Introduction1:11 Audriana’s path into physiotherapy, pediatrics, and chronic pain4:52 What made chronic pain work feel meaningful7:01 Why online business matters for physios and healthcare providers8:07 Audriana’s online business, platforms, and content ecosystem12:38 Insight Timer as an underrated platform for health professionals17:06 YouTube, trauma-informed yoga, and long-form content19:51 How much time online content creation really takes23:53 Why Audriana decided to end her podcast32:58 Trauma-informed care and online messaging36:20 The problem with social media algorithms and health misinformation42:20 Staying in integrity as an online creator44:20 Advice for healthcare practitioners starting online48:18 Accessibility, chronic pain education, and online courses50:37 Where to find Audriana online52:14 What a healthy online business looks like57:03 Closing Keywords: physiotherapy business, online physio business, healthcare content creation, chronic pain education, trauma-informed yoga, trauma-informed care, Insight Timer, YouTube for healthcare professionals, online courses for healthcare, accessible healthcare education, physiotherapy entrepreneurship, content creation for physios, healthcare marketing, evidence-based health content, chronic pain physiotherapy, nervous system education, sustainable business, burnout prevention, online healthcare business, health business podcast

    57 min

  4. Apr 3

    23 - Jeff and Vania of Physio Collective on What Culture Really Is and Building a 40+ Staff Clinic

    In this episode, I sit down with Jeff and Vania, co-owners (along with their other 2 business partners) of Physio Collective, to talk about what culture actually means in a clinic and what it takes to build and lead a team of 40+ staff. This is a grounded, honest conversation about clinic ownership, leadership, and growth. We get into the real work behind building a strong team, navigating challenges with multiple partners, and creating a culture that actually holds as your business scales. Jeff and Vania share their journey from clinicians to owners, how they structured their roles as a leadership team, and the lessons they’ve learned over nearly a decade in business. We also talk about:• What culture really is and how it shows up day-to-day• Hiring for self-awareness and growth mindset• Navigating difficult conversations as a leader• Dividing roles across multiple business partners• Scaling a clinic while maintaining team alignment• Lessons from past clinic environments and what they chose to do differently• Industry shifts, including insurance and active rehab changes If you’re a clinic owner, aspiring owner, or just trying to understand how to build something sustainable in healthcare, this episode is for you. Timestamps: 00:00 – Episode begins: meet Jeff and Vania01:00 – Their paths into physio and kinesiology05:00 – Starting Physio Collective08:00 – Why culture mattered from day one11:00 – Building core values and early planning15:00 – Co-owning with four partners19:00 – Balancing clinical work and leadership23:00 – Personal growth as business owners28:00 – Scaling to 40+ staff32:00 – Hiring for self-awareness36:00 – Culture starts at the top41:00 – Lessons from past clinics47:00 – Industry challenges and insurance shifts55:00 – Collaboration across professions01:05:00 – Final reflections Keywords: physio business, physiotherapy clinic ownership, clinic culture, healthcare leadership, private practice physio, kinesiology clinic, clinic growth, healthcare entrepreneurship, team culture, clinic hiring, physio podcast, business of physio, active rehab BC, clinic management

    1h 14m

  5. Mar 20

    22 - Dr. Ashley Burton on the 3+ Year Legal Battle Over One Bad Chiro Clinic Contract

    In this episode, Danielle sits down with Dr. Ashley Burton to unpack a contract dispute that turned into a stressful three-year legal battle early in Ashley’s career. Ashley shares how one clinic contract, combined with the chaos of COVID, exposed major issues around payment structure, termination clauses, and contractor rights. Together, they break down what practitioners should look for before signing an agreement, why clear exit clauses matter, and how little business and legal education most health professionals receive before entering practice. This is a must-listen for chiropractors, physios, RMTs, and any practitioner working in a clinic setting. Work with Danielle: danielleboyd.ca Work with Ashley: drashleyburton.com Instagram: @fern_drashleyburton Podcast: Fern Rising with Dr. Ashley Burton Timestamps00:00 Introduction00:25 Ashley’s background in chiropractic, fitness, and nutrition02:47 Why this story matters05:00 Signing her first clinic contract as a new grad07:55 How COVID triggered the dispute12:32 The withheld paycheck and rent issue14:38 The termination clause problem22:05 Contractor hours and control27:52 Being served legal papers30:00 The emotional toll of working through litigation31:22 The court outcome44:17 What Ashley now looks for in a healthy contract48:08 The lack of business education in practitioner training01:07:18 Why everything needs to be in writing01:08:27 Final lessons and takeaways KeywordsDr Ashley Burton, clinic contract red flags, contractor agreement, healthcare contracts, new grad practitioners, chiropractic business, physiotherapy business, contract negotiation, contractor termination clause, clinic ownership, legal lessons for practitioners, business education for health professionals, independent contractor risks, reading clinic contracts, health of business podcast, danielle boyd, physio contract, physiotherapy contract, clinic contract mistakes, physio business,, clinic owner tips, healthcare business, independent contractor physio, physio legal issues, clinic ownership, health business podcast, physiotherapy canada, private practice physio, business of physio, contract dispute healthcare, physio entrepreneur, chiro clinic, chiro contract, chiro canada

    1h 13m

  6. Mar 8

    21 - The Independent Contractor Fee Split Model Is Broken: Safer Staffing Models for Modern Health Care Clinics

    In this solo episode, Danielle shares an opinionated, practical breakdown of why the fee split independent contractor model is no longer working in clinics. As overhead rises and clinics add more systems, expectations, and KPIs, the “contractor” arrangement often stops resembling true independence. Danielle explains the core mismatch: clinic owners typically carry fixed overhead, administrative responsibility, marketing, and continuity of care, while income becomes unpredictable when contractors reduce hours, take vacations, or go on leave. Many owners then try to regain control over hours, vacation, and performance, which can blur the CRA contractor vs employee line and put both the clinic and clinicians at risk in an audit. You’ll also hear the alternatives that create cleaner alignment: employee models (hourly, commission, or hybrid) and true contractor models built on rent (base rent, or base rent plus commission). Danielle also touches on multidisciplinary clinic considerations and why rent can be the cleanest structure when you cannot bill on behalf of other professions. If you want help pricing rent, planning a transition, or stress testing your current structure, Danielle offers consulting support: danielleboyd.ca Danielle's course, The Business of Physio 101 is essential learning for anyone considering clinic ownership or becoming an IC danielleboyd.ca/business-of-physio-101 Timestamps 00:00 Intro and why this is an opinion piece 02:12 Part 1: why fee split IC is not working anymore 03:10 What an IC model is supposed to be in theory 03:38 What is happening in reality: rising overhead and increased clinic control 04:59 The leave and vacation problem: no rent paid when away 05:54 The core issue: financial risk sits with the clinic owner 07:14 Income variability vs true financial risk for clinicians 08:12 Administrative burden and continuity of care impacts 09:06 The control problem: owners cannot mandate hours or coverage in a true IC model 10:28 Why this creates double risk for owners 10:57 Unpredictable income vs fixed overhead: why it destabilizes clinics 12:23 Patient access and continuity risks when schedules gap 13:20 Fee for service can work for employees too 13:44 CRA risk: when owners try to control ICs, the model blurs 15:08 Incentives, mentorship, and culture creep into employee territory 16:27 “House of cards” warning: audit risk if done incorrectly 17:22 Why this matters: stress, burnout, toxicity, and profession wide reputational risk 18:49 Clinician risk: reclassification can trigger taxes, lost write offs, and penalties 20:17 Why owners are not always malicious: business is not taught 21:13 Why clinicians must understand this too 22:11 Patient transparency and access considerations 23:33 The alternatives: stop living in the gray zone 24:02 Lean one way: employee model vs rent model 25:02 Empowered interviews: questions clinicians should ask 25:31 Option 1: employee model (best for early career clinicians) 26:29 Hourly employees: how unbooked time can be used 27:25 Employee commission models and hybrids 28:24 Benefits: predictable cashflow and clarity for owners and staff 29:51 Option 2: pure rent model (cleanest contractor model) 30:20 Multidisciplinary clinics and billing limitations: why rent is clean 31:14 How rent protects fixed costs and shares risk 32:09 Base rent plus commission as a transition model 33:31 Why base rent helps demonstrate independence to CRA 33:59 The warning: fee split favors clinicians but can still hurt them in an audit 34:27 Closing: choose clarity, raise business knowledge, prepare for change (HPOA) Keywords: clinic staffing models, physiotherapy clinic business, employee vs contractor healthcare, clinic rent model, healthcare business structure, contractor vs employee CRA, clinic operations, physiotherapy practice management, clinic ownership, healthcare consulting

    38 min

  7. 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

  8. 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
See All (28)

Trailer

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
    28
  • Rating
    Explicit
  • Copyright
    © Danielle Boyd
  • Show Website
    The Health of Business

You Might Also Like