A podcast for clinic operators

    The Business of a Clinic (BOAC) Podcast

    Conversations on the operating systems behind clinics that scale.

    Hosted by Jared Aron, co-founder & CEO of Coherent Healthcare.

    Get every new episode by email. By subscribing you agree to receive the Business of a Clinic newsletter — see our Privacy Notice.

    Episode 69: What 4,000 Dental Tech Companies Taught a Dentist Turned VC
    Latest · Episode 69

    What 4,000 Dental Tech Companies Taught a Dentist Turned VC

    With Dr Jeremy Krell · 5 Oct 2026 · 50 min

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    Episode 69: What 4,000 Dental Tech Companies Taught a Dentist Turned VC
    With Dr Jeremy KrellEP 69 · 5 Oct 2026 · 50 min

    What 4,000 Dental Tech Companies Taught a Dentist Turned VC

    Dr Jeremy Krell, a dentist who scaled ten practices and now runs a venture fund dedicated to dental technology, on how clinics should choose software, why the jar has to be filled with rocks first, and why the one thing that matters most is still people.

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    Episode 68: Can a Small Chiropractic Clinic Survive Big Insurance?
    With Dr Christopher AnselmiEP 68

    Can a Small Chiropractic Clinic Survive Big Insurance?

    Sally speaks with Dr Christopher Anselmi about the financial crossroads facing his New York clinic: rising patient acquisition costs, the limits of insurance reimbursement, and finding a way back to the care model he wants to deliver.

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    Episode 67: Capping His Own Margin at 15% in Fertility Storage
    With Charlie BoyerEP 67 · 29 Sep 2026 · 42 min

    Capping His Own Margin at 15% in Fertility Storage

    Charlie Boyer, co-founder and CEO of Generations CryoVault, on why he capped his company's margin at 15% and shows patients his costs, in a fertility industry where most of them pay out of pocket.

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    Episode 66: Scaling Oral Surgery to 54 Surgeons in Nine States
    With Trevor MaurerEP 66 · 25 Sep 2026 · 34 min

    Scaling Oral Surgery to 54 Surgeons in Nine States

    Trevor Maurer, CEO of OMS360, on building a fifty four surgeon oral surgery group across nine states, and why the first fix for a new practice is almost never more marketing.

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    Episode 65: From One Room to Three Dermatology Clinics
    With Dr Diane MadfesEP 65 · 22 Sep 2026 · 75 min

    From One Room to Three Dermatology Clinics

    Dr Diane Madfes on growing a dermatology practice from one room to three sites over twenty five years, and why she still insists a real person answers the phone.

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    Episode 64: From Mobile Physio to Three-Clinic Owner
    With Vinay ParmarEP 64 · 21 Sep 2026 · 34 min

    From Mobile Physio to Three-Clinic Owner

    Vinay Parmar on building a three-site physio group almost entirely on word of mouth, and why the next goal is to make himself invisible.

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    Episode 63: The Bar For Your Team Went Up
    With Jared AronEP 63 · 18 Sep 2026 · 44 min

    The Bar For Your Team Went Up

    Jared Aron on why AI will not empty your front office, and why the harder question is what happens to the people and the tools you keep.

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    Episode 62: Build a Practice Without Building a Clinic
    Vishal AminEP 62 · 16 Sep 2026 · 44 min

    Build a Practice Without Building a Clinic

    Until founder Vishal Amin on building a practice without taking on a clinic, why the practitioner rather than the facility owns the patient relationship, and how physical space and technology can work together to improve care.

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    Episode 61: Fear of Success, Not Failure
    Bruno de JonghEP 61 · 14 Sep 2026 · 34 min

    Fear of Success, Not Failure

    A London physiotherapist on the three years it took him to ask for help, the mindset work that finally moved the numbers, and why he believes most clinic owners are more frightened of succeeding than of failing.

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    Episode 60: What VCs See in Healthcare AI
    Pablo PereaEP 60 · 11 Sep 2026 · 36 min

    What VCs See in Healthcare AI

    A European venture investor explains why the AI tools that look tidiest on a clinic's shortlist are often the ones least likely to pay off, and what he looks for instead.

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    Episode 59: What Pet Care Taught a Dental CEO
    Dave GasparEP 59 · 9 Sep 2026 · 46 min

    What Pet Care Taught a Dental CEO

    The CEO of a 130-office dental group explains why his most enduring lessons about clinic leadership came from veterinary hospitals, where empathy, access and showing up when things go wrong are inseparable from the business.

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    Episode 58: We Don't Change The Name
    Steven LynchEP 58 · 7 Sep 2026 · 60 min

    We Don't Change The Name

    An accountant who did the books for a third of Ireland's dentists is now buying their practices, and refusing to rebrand a single one.

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    Episode 57: Go Where The Buffalo Are
    Jonathan ShearerEP 57 · 4 Sep 2026 · 56 min

    Go Where The Buffalo Are

    A single-site practice, twenty years running, built almost entirely on market-stall relationship selling and a refusal to stay inside its own four walls.

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    Episode 56: Building an 80-practice DSO
    Lane TheriaultEP 56 · 1 Sep 2026 · 46 min

    Building an 80-practice DSO

    A second dental roll-up built on practice autonomy, not a rigid playbook, and an AI stack built in-house instead of bought.

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    Episode 55: Add, Don't Take Away
    With Alejandro FernandezEP 55 · 19 Aug 2026 · 45 min

    Add, Don't Take Away

    Alejandro Fernandez on thirty years of healthcare operations, from a front desk in Miami to CEO, and why he would add empathy before he would add any technology.

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    Episode 54: The Other 3,649 Days
    With Jared AronEP 54 · 17 Aug 2026 · 48 min

    The Other 3,649 Days

    Jared Aron on why a ten-year patient relationship really comes down to one number: 3,650 days, and almost none of them happen with the patient in the room.

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    Episode 53: Prison PT to 160-Clinic CEO
    With Richard LeaverEP 53 · 12 Aug 2026 · 43 min

    Prison PT to 160-Clinic CEO

    Richard Leaver has treated patients inside the NHS, high-security prisons, and hospitals before spending a decade in US private-equity-backed physical therapy. He explains the exact order compliance, quality, and financials have to come in, and why the biggest constraint on AI adoption in healthcare is people, not the technology.

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    Episode 52: $400 a Month to 21 Clinics
    With Yoni RosenblattEP 52 · 10 Aug 2026 · 60 min

    $400 a Month to 21 Clinics

    A physical therapist who turned a $400-a-month room in a repurposed Baltimore church into nineteen clinics, and counting, on why he hires for coachability over credentials, why responsibility and accountability aren't the same word, and why one-on-one care is the one thing he refuses to automate.

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    Episode 51: The Consultant Is the Product Now
    With Oliver CapelEP 51 · 4 Aug 2026 · 43 min

    The Consultant Is the Product Now

    A healthcare-marketing founder on why patients no longer search for clinics but for names, why the consultant has become the product, and the unglamorous basics that actually win patients in the AI era.

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    Episode 50: Which Business Are You Building?
    Jared AronEP 50 · 1 Aug 2026 · 55 min

    Which Business Are You Building?

    Jared's unfiltered take on the software trap in healthcare: why the all-in-one promise is a myth, why buy-and-smash is dead, and why the clinics that win focus on care and reliable patient coverage instead of building their own tools.

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    Episode 49: Better Care. Better Returns.
    With David PorterEP 49 · 30 Jul 2026 · 31 min

    Better Care. Better Returns.

    A healthcare private equity investor on why quality and returns are not a trade-off, and what he looks for before backing a provider to scale.

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    Episode 48: The Human Side of Scale
    With Teresa HarveyEP 48 · 27 Jul 2026 · 47 min

    The Human Side of Scale

    An osteopath of thirty years on scaling a four-clinic group without losing the human relationship, and what it really felt like to sell.

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    Episode 47: From Everest to a Physio Empire: Clinics, Software and Property
    With Tim AllardyceEP 47 · 17 Jul 2026 · 41 min

    From Everest to a Physio Empire: Clinics, Software and Property

    A physio who summited Everest on building the Surrey Physio Group: buying your own premises, building your own software, and where AI actually helps a clinic.

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    Episode 46: From the British Army to Building a £24M Dental Group
    With Mark AichrothEP 46 · 9 Jul 2026 · 54 min

    From the British Army to Building a £24M Dental Group

    A former British Army officer on building a £24m dental group by making dentists owners, not employees, with real autonomy and skin in the game.

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    Episode 45: Patient Operations Is Your Biggest Bottleneck
    With Jared AronEP 45 · 9 Jul 2026 · 41 min

    Patient Operations Is Your Biggest Bottleneck

    Sean interviews Jared on why the real constraint in healthcare is operations, logistics and business, not clinical care.

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    Episode 44: Bank-Grade Security Thinking for Patient Data
    With Bharat ReddyEP 44 · 6 Jul 2026 · 49 min

    Bank-Grade Security Thinking for Patient Data

    Before trusting any AI vendor with patient data, ask where it lives, who can compel it, and exactly what leaves your system.

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    Episode 43: From One Treatment Room to Four Clinics
    With Cameron TudorEP 43 · 3 Jul 2026 · 34 min

    From One Treatment Room to Four Clinics

    Efficiency is not cost-cutting. It is what frees a clinician to focus on care while the clinic scales around them.

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    Episode 42: Becoming the CEO of Your Own Health
    With Dale J. AtkinsonEP 42 · 26 Jun 2026 · 67 min

    Becoming the CEO of Your Own Health

    A patient advocate on facing a terminal diagnosis with research and self-advocacy, and why patients rarely tell clinicians what they are really doing.

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    Episode 41: Adopting Technology to Make Care More Human
    With Tim WrightEP 41 · 22 Jun 2026 · 43 min

    Adopting Technology to Make Care More Human

    The clinics that win will automate the admin and protect the human moments, from the welcome at the front desk to the room itself.

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    Episode 40: Is Your Clinic Exit-Ready? Live Panel at The King's Fund
    Live panel eventEP 40 · 19 Jun 2026 · 116 min

    Is Your Clinic Exit-Ready? Live Panel at The King's Fund

    Clinic founders who have sold and the buyers who acquire clinics share what actually drives sale price — recorded live at The King's Fund, London.

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    Episode 39: The Clinic That Almost Closed, Then Turned It Around
    With Geoff GambleEP 39 · 18 Jun 2026 · 43 min

    The Clinic That Almost Closed, Then Turned It Around

    Growth is rarely the smooth climb it looks like from the outside. Sometimes a clinic has to nearly break before it learns how to scale.

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    Episode 38: Two Surgeons, One Table, and the Business of Looking After People
    With Rachna Murthy & Jonathan RoosEP 38 · 16 Jun 2026 · 53 min

    Two Surgeons, One Table, and the Business of Looking After People

    If you cannot stay in business, you cannot do your best for patients: two oculoplastic surgeons on why running the practice well is part of the care.

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    Episode 37: What Makes a Traditional Business Worth Building On
    With CyrusEP 37 · 12 Jun 2026 · 40 min

    What Makes a Traditional Business Worth Building On

    Modernising a traditional business is not about bolting AI onto it. It starts with the day in the life of the person doing the work.

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    Episode 36: From Reception Desk to Clinic Dealmaker
    With Joshua CatlettEP 36 · 5 Jun 2026 · 63 min

    From Reception Desk to Clinic Dealmaker

    Know your numbers. The clinics that sell well are the ones whose owners understand their finances, their lease, and where revenue really comes from.

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    Episode 35: What an Acquirer Looks for in Your Clinic
    With Oli AbramsEP 35 · 1 Jun 2026 · 59 min

    What an Acquirer Looks for in Your Clinic

    A clinic-group M&A director on what buyers really value, why owner-dependence and messy data cost you, and the prepare-early lesson dental learned that MSK hasn't yet.

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    Episode 34: Why Retention Is a Revenue Problem
    Jared AronEP 34 · 29 May 2026 · 46 min

    Why Retention Is a Revenue Problem

    Patient leakage across the journey, not ad spend, is where clinics quietly lose revenue, and most of it is recoverable without new marketing.

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    Episode 33: What Patients Actually Judge
    With Krista FarrellEP 33 · 27 May 2026 · 42 min

    What Patients Actually Judge

    A consultant neurologist on why delivering the medicine is the easy part, and why booking, communication, and follow-up decide how patients experience care.

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    Episode 32: Talent, Turnover, and the Follow-Up Gap
    With Janine CresswellEP 32 · 27 May 2026 · 44 min

    Talent, Turnover, and the Follow-Up Gap

    Patient retention is a staffing problem: when the person running your recalls leaves, follow-up stops and patients quietly slip away.

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    Episode 31: From the Classroom to the Clinic
    Jared AronEP 31 · 13 May 2026 · 42 min

    From the Classroom to the Clinic

    Jared, a former teacher turned clinic operator, on why patient care must be proactive and why real gains come from wholesale change, not bolt-on tools.

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    Episode 30: Private Practice, Patient Expectations, and Clinic Ownership
    With Dr. Shaima VillaitEP 30 · 28 Apr 2026 · 31 min

    Private Practice, Patient Expectations, and Clinic Ownership

    Dr. Shaima Villait on rising patient expectations, the steep learning curve of clinic ownership, and why private practices cannot afford to stand still.

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    Episode 29: Injectables, Hospitality, and the Future of Clinic Experience
    With Joëlle RotsaertEP 29 · 24 Apr 2026 · 44 min

    Injectables, Hospitality, and the Future of Clinic Experience

    Joëlle Rotsaert on building an injectables brand around approachable luxury — and why the clinic experience, the booking team and the operating system all have to grow together.

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    Episode 27: The Numbers Most Clinics Never See
    With Michael SchumacherEP 27 · 8 Apr 2026 · 76 min

    The Numbers Most Clinics Never See

    Marketing agency founder Michael Schumacher on why clinics operate blind to their own numbers, and why lead volume matters far less than follow-up and experience.

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    Episode 26: Building a Dental Practice From Scratch
    With Dr. Arnold GangaidzoEP 26 · 3 Apr 2026 · 41 min

    Building a Dental Practice From Scratch

    Dentist Arnold Gangaidzo on building his practice from the ground up: the brutal build, cash-flow reality, and why growing too fast creates white space.

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    Episode 25: Why Hands-On Clinics Leak Value
    Jared AronEP 25 · 20 Mar 2026 · 43 min

    Why Hands-On Clinics Leak Value

    Why hands-on care resists automation, how clinics hit an invisible ceiling, and why cost per consultation is the number to watch.

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    Episode 24: The Patients You Never Hear From
    With John ChinegwundohEP 24 · 15 Mar 2026 · 34 min

    The Patients You Never Hear From

    The real limit on patient follow-up is not care but capacity, and closing that gap means partnering rather than trying to do it all yourself.

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    Episode 23: Why Half Your Patients Never Finish
    Jared AronEP 23 · 4 Mar 2026 · 20 min

    Why Half Your Patients Never Finish

    Most clinics lose around half their patients somewhere along the journey, and fixing that leak is an operations problem, not a clinical one.

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    Episode 22: The Invisible Patient Leak
    Jared AronEP 22 · 22 Feb 2026 · 62 min

    The Invisible Patient Leak

    The patients quietly slipping away are your biggest hidden cost, and retention rate is the wrong number to catch them.

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    Episode 21: Building a Clinic Worth Buying
    Jared AronEP 21 · 16 Feb 2026 · 34 min

    Building a Clinic Worth Buying

    What makes a clinic worth acquiring, and why the smartest operators fix retention and protect empathy long before they think about selling.

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    Episode 20: Fixing the Clinic's Leaky Bucket
    Jared AronEP 20 · 11 Feb 2026 · 49 min

    Fixing the Clinic's Leaky Bucket

    Pouring new patients into a leaky clinic never fixes the economics; the real growth is already sitting inside your existing patient body.

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    Episode 19: Front of House Is Sales
    Sara CheeneyEP 19 · 7 Feb 2026 · 33 min

    Front of House Is Sales

    Why front of house has to own revenue, follow-up and the patient relationship, not just answer the phone and manage the diary.

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    Episode 18: Follow-Up Debt and Why Patients Quietly Disappear
    Jared AronEP 18 · 29 Jan 2026 · 39 min

    Follow-Up Debt and Why Patients Quietly Disappear

    Clinics chase new leads while quietly losing the patients they already have, and clearing that follow-up debt is where real growth begins.

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    Episode 16: Why Patient Recall Is a Growth Lever
    Jared AronEP 16 · 22 Jan 2026 · 27 min

    Why Patient Recall Is a Growth Lever

    Reconnecting with lapsed patients through soft, asynchronous follow-up drives more durable growth than chasing new leads or spending more on ads.

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    Episode 14: Why Clinics Fail at Software, Patient Follow-Up, Risk, and the User Problem
    Jared AronEP 14 · 16 Jan 2026 · 23 min

    Why Clinics Fail at Software, Patient Follow-Up, Risk, and the User Problem

    Most clinics aren't struggling because they picked the wrong software — they're struggling because nobody has the time, continuity or training to actually use it properly.

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    Episode 13: Managing the Journey, Not Just the Appointment
    Jared AronEP 13 · 6 Jan 2026 · 21 min

    Managing the Journey, Not Just the Appointment

    Most of a patient's journey happens outside the clinic, and the relationship you build between visits is where value is won or lost.

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    Episode 12: What Happens After the Patient Leaves
    Jared AronEP 12 · 19 Dec 2025 · 46 min

    What Happens After the Patient Leaves

    Almost all of the patient relationship happens outside your clinic, and holding it there is a team-and-technology problem, not something one new hire can fix.

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    Episode 11: Patient Recall Is a Business Function
    Jared AronEP 11 · 5 Dec 2025 · 28 min

    Patient Recall Is a Business Function

    Most clinics believe they already do patient recall; almost none do it well, because recall is a business function, not a few emails and phone calls.

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    Episode 9: The Glossary of Clinic Revenue Malpractice
    Jared AronEP 09 · 23 Nov 2025 · 56 min

    The Glossary of Clinic Revenue Malpractice

    Thandi runs Jared Aron through a glossary of named failure patterns in clinic revenue, from the Leaky Bucket to the Legacy List Graveyard, each one a specific, fixable way clinics lose patients and money.

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    Episode 8: Why Front-of-House Time Is 99% Backwards
    Jared AronEP 08 · 10 Nov 2025 · 36 min

    Why Front-of-House Time Is 99% Backwards

    Jared Aron argues clinics have the ratio backwards: 99% of front-of-house time goes to low-value work and 1% to the patient interactions that actually matter, and reframes the job as a maître d', not a call center.

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    Episode 5: The Phone Call AI Still Can't Replace
    Jared AronEP 05 · 15 Oct 2025 · 35 min

    The Phone Call AI Still Can't Replace

    Jared Aron compares how fast the US and UK actually adopt healthcare innovation, and makes the case that a real human phone call still beats an AI voice agent at the moment that matters most.

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    Episode 4: The Clinic Sales Desk Is Not Your Front Desk
    Jared AronEP 04 · 2 Oct 2025 · 28 min

    The Clinic Sales Desk Is Not Your Front Desk

    Most clinics never separate the two most different jobs in the building: reception and revenue. Jared Aron explains why a dedicated sales desk, not the front desk, is what actually determines whether a clinic grows.

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    Episode 3: The Rise of the Entrepreneur Doctor
    Jared AronEP 03 · 19 Sep 2025 · 40 min

    The Rise of the Entrepreneur Doctor

    A new generation of commercially minded clinic owners is treating experience like hospitality, and the fastest lever they can pull this quarter is patient recall.

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    Episode 2: Why Great Care Isn't Enough
    Jared AronEP 02 · 10 Sep 2025 · 32 min

    Why Great Care Isn't Enough

    Clinical care is only half the job; the experience and admin around it decide whether patients stay, drawn from Jared's own clinic lessons.

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    Jared Aron, host of The Business of a Clinic
    Your host

    Jared Aron

    Jared Aron is co-founder and CEO of Coherent Healthcare. He spends his weeks with the owners and operators of private clinics, from single sites to large multi-site groups.

    On The Business of a Clinic he sits down with those operators to work through the systems behind clinics that grow without simply spending more on marketing or adding headcount.

    Host, The Business of a ClinicCo-founder & CEO, Coherent HealthcareHundreds of clinic conversations a year
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    Coherent gives private clinics one patient relationship engine, recovering revenue lost at enquiry, recall and billing.