E#39 | From Near Closure to 4x Revenue: How He Completely Rebuilt His Clinic, with Dr. Geoff Gamble | Business of a Clinic (BOAC)

In this episode of The Business of a Clinic, Jared Aron speaks with Dr. Geoff Gamble, chiropractor and co-founder of Niagara Health Rehab Center, a large multidisciplinary rehab clinic in Canada.Geoff shares the honest story of how NHRC grew from four practitioners and 4,000 square feet into a much larger clinic team — but not in a straight line.After several years of organic growth, the clinic hit a difficult breaking point. Staff turnover reached 85%, growth flatlined, the business started to regress, and Geoff and his team were even considering closing the clinic.What changed was the way they looked at the business.Geoff talks about the transition from clinician to clinic entrepreneur, the mistake of assuming the clinic would “run itself,” and the importance of learning business fundamentals: P&Ls, metrics, utilization, hiring, culture, and patient reactivation.He also shares how the pandemic became an unexpected reset point for NHRC, helping the team rebuild operations, rethink staffing, and create a more scalable business. Since then, the clinic has quadrupled gross revenue and significantly expanded its team.This conversation is especially relevant for clinic owners, MSK leaders, chiropractors, physiotherapists, and healthcare entrepreneurs who are trying to move from being the main practitioner in the business to becoming the leader of a clinic that can grow without depending entirely on them.In this episode, Jared and Geoff discuss:Why early clinic growth can hide weak business foundationsThe reality of going from clinician to entrepreneurHow 85% staff turnover forced NHRC to rethink the businessWhy Geoff nearly burned out as the main revenue driverThe danger of building a clinic that depends too heavily on the ownerWhat clinic owners need to understand about P&Ls, metrics and utilizationWhy culture, hiring and communication became central to the turnaroundWhat should stay in-house versus what can be outsourcedWhy patient reactivation is both a revenue problem and a care problemHow NHRC approached a cold list of around 18,000 patientsWhy “having a process” does not always mean the process is workingThe challenge of letting go of control as a clinic ownerWhat Geoff wants to improve next as NHRC continues to growThis episode is a practical look at what it really takes to rebuild a clinic business: not just better marketing or more practitioners, but better systems, stronger leadership, clearer metrics, and a deeper understanding of the patient journey.Guest: Dr. Geoff Gamble, Niagara Health Rehab CenterHost: Jared Aron, Founder of CoherentThe Business of a Clinic is a podcast about the business, operations, growth, and patient experience side of running modern private healthcare clinics.