The full library.
Each episode comes with the full video and written show notes, so you can read the ideas or watch the whole conversation.
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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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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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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$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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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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
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.
See how much revenue your clinic is leaking.
Coherent gives private clinics one patient relationship engine, recovering revenue lost at enquiry, recall and billing.