The Health of Business – Details, episodes & analysis

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The Health of Business

Danielle Boyd

Business

Frequency: 1 episode/12d. Total Eps: 26

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.

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https://www.danielleboyd.ca
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https://www.empoweredmovement.ca
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https://pursuitphysiotherapy.ca
2 shares

https://www.linkedin.com/in/andreamendoza21/
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https://www.instagram.com/friendsoffelixbrand
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24 - Audriana Monteiro on Building an Online Physio Business using Courses, YouTube and Insight Timer

Season 1 · Episode 24

Thursday, April 23, 2026 • Duration 57:01

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

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

Season 1 · Episode 23

Friday, April 3, 2026 • Duration 01:14:09

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

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

Season 1 · Episode 22

Friday, March 20, 2026 • Duration 01:12:41

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

Timestamps
00:00 Introduction
00:25 Ashley’s background in chiropractic, fitness, and nutrition
02:47 Why this story matters
05:00 Signing her first clinic contract as a new grad
07:55 How COVID triggered the dispute
12:32 The withheld paycheck and rent issue
14:38 The termination clause problem
22:05 Contractor hours and control
27:52 Being served legal papers
30:00 The emotional toll of working through litigation
31:22 The court outcome
44:17 What Ashley now looks for in a healthy contract
48:08 The lack of business education in practitioner training
01:07:18 Why everything needs to be in writing
01:08:27 Final lessons and takeaways

Keywords
Dr 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

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

Sunday, March 8, 2026 • Duration 38:10

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 impacts09:06 The control problem: owners cannot mandate hours or coverage in a true IC model10:28 Why this creates double risk for owners10:57 Unpredictable income vs fixed overhead: why it destabilizes clinics12:23 Patient access and continuity risks when schedules gap13:20 Fee for service can work for employees too13:44 CRA risk: when owners try to control ICs, the model blurs15:08 Incentives, mentorship, and culture creep into employee territory16:27 “House of cards” warning: audit risk if done incorrectly17:22 Why this matters: stress, burnout, toxicity, and profession wide reputational risk18:49 Clinician risk: reclassification can trigger taxes, lost write offs, and penalties20:17 Why owners are not always malicious: business is not taught21:13 Why clinicians must understand this too22:11 Patient transparency and access considerations23:33 The alternatives: stop living in the gray zone24:02 Lean one way: employee model vs rent model25:02 Empowered interviews: questions clinicians should ask25:31 Option 1: employee model (best for early career clinicians)26:29 Hourly employees: how unbooked time can be used27:25 Employee commission models and hybrids28:24 Benefits: predictable cashflow and clarity for owners and staff29:51 Option 2: pure rent model (cleanest contractor model)30:20 Multidisciplinary clinics and billing limitations: why rent is clean31:14 How rent protects fixed costs and shares risk32:09 Base rent plus commission as a transition model33:31 Why base rent helps demonstrate independence to CRA33:59 The warning: fee split favors clinicians but can still hurt them in an audit34:27 Closing: choose clarity, raise business knowledge, prepare for change (HPOA)

20 - Vince Cunanan on Clinic Ownership, PABC Leadership, Mental Health Advocacy, and Building a Physio Career Rooted in Service and Love

Season 1 · Episode 20

Friday, February 13, 2026 • Duration 01:15:35

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 physiotherapy
03:00 – 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

19 - Dana Tostensen of Pursuit Physiotherapy on Building a Healthy Physio Clinic Through Culture, Mentorship, and Long-Term Thinking

Season 1 · Episode 19

Thursday, January 29, 2026 • Duration 01:06:06

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.

18 - BC Corporate Permit Billing Rules: What Your Health Profession Corporation Can and Cannot Bill For, Why Multidisciplinary Clinics Get Stuck, and What to Clean Up Before HPOA (April 1, 2026)

Season 1 · Episode 18

Tuesday, January 13, 2026 • Duration 42:14

In this technical but essential episode of Health of Business, Danielle walks through a deliberately conservative, compliance-focused interpretation of a major blind spot for many BC clinic owners and incorporated health professionals: what a health profession corporate permit can actually bill for.

If you operate a permitted health profession corporation in British Columbia (physio, chiro, RMT, naturopath, etc.), your billing and revenue streams are far more restricted than most people realize. Danielle explains why this is not a CRA or tax issue, but a college and legislation compliance issue, and why taking a permission-based reading of the legislation (what is clearly authorized, not what is simply not prohibited) matters, especially as BC transitions to the Health Professions and Occupations Act (HPOA) on April 1, 2026.

This episode intentionally takes a cautious, regulator-aligned lens. The focus is on what legislation and bylaws clearly permit, rather than relying on historical tolerance, informal college guidance, or common industry practice. The goal is not to say what clinics “can get away with,” but to help owners understand where real compliance risk exists so they can make informed decisions.

You’ll learn:

The three most common business structures in private practice
Why billing multiple professions under one entity is not clearly authorized in BC today
Where the true grey zones live
Common compliant workarounds, including rent models and parallel corporate structures
Why enforcement has historically been quiet, and why that may change under HPOA

This episode is for clinic owners, corporate permit holders, and practitioners who want to understand who is billing for their them, who they are paying, and what regulatory risk may exist beneath common clinic models.

17 - Andrea Mendoza on What to Consider Before Specializing in Physiotherapy (Niches, Market Size, Business Realities and More!)

Season 1 · Episode 17

Saturday, January 3, 2026 • Duration 52:32

Fan favourite Andrea Mendoza is BACK for Round 2!

In this episode of Health of Business, Danielle Boyd sits down with Andrea Mendoza to explore what clinicians should consider before specializing or niching in physiotherapy.

Andrea shares how her early work in pediatrics and scoliosis led to a focused practice, and walks through the personal, clinical, and business factors that matter most when deciding whether to specialize. From market research and demographics to recruitment, marketing, and operational costs, this conversation offers a grounded look at what specialization actually requires behind the scenes.

Whether you are a new grad, an experienced clinician feeling pulled toward a focus area, or a clinic owner considering a specialty service, this episode will help you think more clearly before making the leap.

LinkedIn Andrea Mendoza

Andrea's Website

Work with Danielle

Timestamps:

00:01 Welcome back and episode focus on specializing
00:50 Andrea’s path from pediatrics to scoliosis and Schroth training
03:10 Launching a focused practice and community demand
05:23 What “specialty” really means in physiotherapy
06:27 Should you specialize? Key personal and clinical considerations
10:47 Using a SOAP-style framework to evaluate specialization
12:07 Market research, demographics, and prevalence data
15:29 When to move forward and the different ways to specialize

Bonus Episode! Business of Physio 101 and What Canadian Physio School Doesn’t Teach About Contracts, Pay, and Clinic Life

Friday, December 26, 2025 • Duration 15:04

This is a short, informal episode where I walk through my upcoming course, Business of Physio 101!

Early bird pricing is on until Jan 15, 2026, classes start March 11m, 2026.

Canadian physio programs don’t teach contracts, compensation models, billing, or how clinics actually operate. This course is designed to bridge that gap for final-year students, new grads, and early-career clinicians.

In this episode, I explain who the course is for, what’s covered, how it’s structured, and why I created it.

Full details and registration at danielleboyd.ca/courses.

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