Even profitable clinic owners are exhausted. They’re tired of constant staff turnover, watching their best clinicians leave to become competitors, and dealing with everyone’s personal problems. The pressure is wearing them down even when the numbers look good.

Paul and Soroush have closed over 170 physical therapy and chiropractic clinic sales and built a chain of 127 clinics with 1,400 employees. They’re closing $45-50M in deals this year alone. In this episode, they reveal the top 3 mistakes that tank clinic sales, what sellers should never say during negotiations, and the real deal structure of cash plus deferred amount plus performance earnout.

You’ll learn the prep work that cuts closing time in half and why clean books beat aggressive add-backs. Discover how the private marketplace gets you access to top buyers willing to pay premium multiples. Find out if there’s an optimal age to sell, who’s actually buying physical therapy and chiropractic clinics right now, and why buying a clinic for sale beats starting from scratch.

You’ll hear actual deal breakdowns including a $500K clinic with 50 interested buyers, a $1.5M sale that gained $400K from first offer, and a $10M group that closed at 8.1x multiple. This episode gives you the framework buyers actually use to value practices in 2026. No fluff. Just numbers, structure, and what works.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters:

(01:00) Introduction to Clinic Transactions

Sheena Philip did something most clinic owners overthink. She rented a 300 square foot room inside a gym, spent about $3,000 to set it up, and opened in just one week. She started as a true solopreneur and ran her clinic without a front desk.

In her first month, she made $1,000. Two years later, she is doing $200,000 per year.

She is a mom. She finished her PhD. And she built Renewed Rehab Care in London without a big loan, without a fancy buildout, and without a large team.

In this episode, we break down how she used free 10 minute consults to fill her schedule and how Google reviews helped her grow without relying on paid ads. We talk about why renting inside a gym gave her instant visibility and steady referrals. She shares how she answered her own calls, handled billing herself, and built a profitable business as a solopreneur.

If you think you need a huge space, a big staff, or major capital to start a clinic, this episode will change your mind. Sometimes small is smarter.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters:

Most clinic owners think owning a clinic means freedom. The truth is many make less than their staff and only get paid when they treat.

In this episode, we break down why if you stop treating, your income collapses and why this is how clinic owners stay stuck forever. We explain why stopping treatment feels impossible even when revenue looks good.

You will hear why a $500K clinic is basically break even today and why the first million is the hardest part of the journey. We cover why you have to start diversifying revenue and what actually changes once you hit a million dollars in revenue.

We also talk about ownership reality. If you are doing everything yourself, you did not buy a business. You bought yourself a job. We break down what it really costs to open a clinic and why starting from scratch is often a mistake.

You will learn the difference between two paths. A low cost, profitable solopreneur clinic versus chasing a million dollar clinic. We explain the fastest way to hit $250K as a solopreneur with no front desk.

We also cover the biggest location mistakes clinic owners make. Why paid parking will kill your clinic. Why renting in a medical building is a bad move. And how to stop cancellations and no shows so your schedule stays full.

If you own a clinic or want to start one, this episode will change how you think about money, growth, and freedom.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters:

The traditional front desk is broken. If you’re still hiring one person to answer phones, book appointments, and handle billing, you’re probably bleeding money and time.

In this episode, Rick Lau sits down with Dr. Julie Durnan, a 20-year clinic owner and the CEO of Ginger Desk. Julie built two successful practices, scaled one to over a million in its first year, and now helps hundreds of clinics across North America rethink their admin model.

Julie reveals the new front desk model that’s replacing the old one. It starts with a task list, not a hire. She breaks down the five roles every front desk should cover, and explains why most clinics only hire for one. She shares why 50% of front desk staff quit within 24 months and what to do instead.

You’ll learn why payments are the easiest job to outsource, why direct billing should never be done in-house, and how to cut your admin costs from 12% of revenue to 3%. You’ll hear how mental health clinics are scaling fast with no front desk, no physical office, and no overhead.

Julie also walks through what she calls the “Walmart Greeter” model and how a solopreneur can run a high-end patient experience without any front desk staff at all.

She closes with the biggest mistake clinic owners make when hiring virtual assistants and how to avoid wasting time training the wrong person for the wrong job.

Can’t afford front desk but need help with booking and billing? Get $100 off with Ginger Desk. You’ll get a local, trained virtual assistant who’s fully managed and ready to go. Use code GDxACCELERATOR.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters:

(01:00) Introduction to Julie Durham and Ginger Desk

Most clinicians wait until they feel ready to start a business. But that mindset is exactly what holds them back. In this episode of The Clinic Boss Show, Rick Lau interviews Amy Gilbert, founder of Perfect Balance in Abu Dhabi. She built a full-service clinic from scratch with nothing but a car, a physio table, and relentless work ethic.

Today, she leads a 22-person team across two locations with more than 2,700 square feet of clinical space. Her clinics offer everything from physiotherapy and speech therapy to occupational therapy, dietetics, and family medicine. But her journey wasn’t smooth. After coming back from maternity leave, she felt completely lost.

She built the business so she could be both a mom and an owner. And it almost broke her. For 18 months, she ran the clinic out of her car while facing red tape, delays, and doubt. Then someone asked her, “Why not now?” That one question changed everything. Amy shares how she shifted from watching the bank account to tracking real metrics.

Once she got obsessed with the scoreboard, revenue grew by 40 percent in one year. She breaks down how she tracks fall-offs with military precision, why she interviews even when no roles are open, and how lifestyle branding helps her attract loyal patients and top-tier hires.

If you’re a clinic owner or a parent who’s waiting to feel ready, this episode is your wake-up call. You don’t need perfect conditions. You just need to start.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters

(01:00) Introduction to Amy Gilbert and Perfect Balance

If you’re a clinic owner making good money but wondering why there’s never much left, this episode is for you. Rick sits down with CPA Shayan Rashid, founder of SRJ Chartered Accountants, to talk about how healthcare professionals can keep more of what they earn. His firm works with over 500 practice owners across Canada and the U.S., so he’s seen exactly what works and what doesn’t when it comes to profit, taxes, and building real wealth.

They cover how much dentists, physios, and chiropractors actually take home, the most common financial mistakes owners make, and how to legally pay less tax without getting burned. You’ll also hear how to get 100% clinic financing from the bank, how to use real estate to grow your net worth, and what you should review every month to avoid cash flow surprises.

This episode is packed with practical advice you can turn into action right away.

Whether you’re building, scaling, or thinking about selling, this conversation will change how you look at money forever.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters

(01:00) Introduction and Event Planning

Meg MacPherson is the co-owner of Articulate Design, a studio that helps health clinics create spaces that feel amazing and perform even better.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters

(01:00) From Physiotherapy to Design: A Journey Unfolds

Want a clinic layout that looks great and makes more money? It’s a favorite among community members. Get $1,000 off with Articulate Design  using code ACCELERATExAD.

Most chiros don’t hire physios, and most physios avoid working with chiros. But what if that mindset is costing you millions? In this episode of The Clinic Boss Show, Rick Lau interviews Aaron Binstock, chiropractor and co-founder of Strive Health & Performance, who built a 35-person multi-disciplinary team that scaled from $500K in year one to over $1M by year three.

Aaron breaks down exactly why patients quit after just 3 visits, how he fixes it with treatment plans, and the real reason most new grads fail to implement them. You’ll also learn why your EMR is more than software (and how Jane helps him recruit), the top 3 money leaks killing clinic profits, and why waiting until you’re fully booked before hiring is a huge mistake.

Aaron also shares how shadowing new hires before day one changed his onboarding, why second-service bookings drive patient lifetime value, and how building a diverse, ego-free team unlocked growth that solo practices can’t replicate.

If you’re scaling to $1M or building a real clinic business, not just a caseload, this episode is your tactical playbook.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters

(01:00) Introduction to Aaron Binstock and Strive Health

(10:05) The Importance of Treatment Planning

(16:56) Recruitment Strategies for a Successful Practice

(29:30) Mentorship and Recruitment Strategies

(38:02) Tech Stack and EMR Utilization

(46:58) Implementing Treatment Plans

What’s your practice actually worth and what makes buyers walk away? In this episode of The Clinic Boss Show, Rick Lau sits down with M&A expert Soroush from Clinic Accelerator, who’s helped owners exit for over $100 million.

He breaks down real deals, including how a $250K clinic sold for $120K (and why that was still a win), how a $1.6M practice closed for $1.2M in under 90 days, and why a buyer paid $8M for an $11M clinic group. You’ll learn what buyers really care about, the 3 types of buyers in the market right now, and the red flag that killed a deal 24 hours before closing.

If you’re planning to buy, scale, or sell in the next 3 years, this episode will show you how to avoid costly mistakes, increase your clinic’s value (hint: it’s not your renovation), and exit on your terms.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters

(01:00) Introduction to Clinic Buying and Selling

(03:56) Current Market Trends for Clinics

(07:00) Understanding Clinic Valuation

(09:54) Types of Buyers in the Clinic Market

(12:53) The Selling Process Explained

(15:58) The Buying Process Explained

(19:09) Private vs Public Marketplace for Clinics

(22:04) Case Study: A Recent Clinic Sale

(24:51) Setting Realistic Expectations for Clinic Value

(29:41) Market Dynamics and Business Value

(31:00) Successful Clinic Sale Case Study

(32:47) Due Diligence Essentials

(34:39) Challenges in the Selling Process

(41:35) High-Value Transactions and Effective Strategies

(49:53) Frequently Asked Questions from Buyers and Sellers

In this episode of The Clinic Boss Show, Rick Lau sits down with Thusheinth Sivarajah, co-founder of Art of Mobility, to unpack how he went from a single rented room to building a $1M flagship clinic in just three years all by age 32.

You’ll learn how he landed his first 100 clients before opening, hired clinicians while they were still in school, and invested $275K into space design to create a brand-first clinic experience that justifies premium pricing.

Thusheinth reveals how he chose roles strategically to scale, why most owners stall by adding too many services too early, and how his team stays tight and accountable using Slack, Jane, CallHero, and Notion.

He also breaks down the exact type of patient they built the clinic for from performance minded professionals to active Boomers who value longevity and results.

If you’re stuck under $500K, struggling to grow your team, or looking to build a space people are proud to be seen in, this episode is your blueprint.

>> Free training for clinic owners: clinicowner.com

>> Follow me on IG at: @thericklau

>> Join the community: clinicaccelerator.com

>> Stop missing calls with CallHero’s advanced phone system: mycallhero.com

Chapters