Please welcome clinic owner and educator Dave Leyland to The Health of Business! He pulls back the curtain on what it really took to build and scale his clinic Coast Performance Rehab. We get into smart leases, hidden build-out costs, and how to hire with practical interviews that actually reveal skill. Dave walks through culture across multiple locations, leading with transparency, and the tough lessons from insurer policy shifts that disrupted PTSW models in BC. We talk strategy for repurposing gym space, creating time freedom as an owner, and growing revenue through practitioner education like his education company Loaded Manual Therapy. Real numbers, real tradeoffs, and a clear playbook for physios who want to grow, innovate and lead.Coast Performance Rehab: https://www.coastperformancerehab.com/Loaded Manual Therapy: https://www.loadedmanualtherapy.com/Work with Danielle: https://danielleboyd.caTimestamps00:00 Welcome, setup, and Dave’s intro02:45 Family, life balance, and clinic realities06:30 Dave’s background and the origin of Coast Performance Rehab11:50 Manual therapy philosophy and integrating movement16:40 Opening clinics 1 to 4: lessons, leases, and build-out costs20:55 Advice for first-time clinic owners and starting smaller22:50 Culture, hiring for fit, and practical interviews27:35 Squamish market differences and work-life balance norms29:50 Org chart, leadership roles, and delegation35:35 Biggest challenges of ownership and people-pleasing45:00 Insurer policy shifts, PTSW impact, and clinic pivots55:10 The upside of ownership: freedom, earnings, and growth1:01:00 Clinician education and the Loaded Manual Therapy model1:08:00 Balancing clinics, education, and family1:10:00 Leadership philosophy and growing people1:12:10 What a healthy business looks like1:13:20 Where to find Dave and CoastKeywords:bc physio, PABC, Canada physio, physiotherapy business, clinic ownership, Coast Performance Rehab, Dave Leyland, Loaded Manual Therapy, BC physiotherapy, physiotherapy culture, hiring physiotherapists, practical interview physio, clinic startup costs, lease negotiation clinic, HVAC build-out costs, Squamish physio, North Vancouver physio, Kitsilano physio, kinesiology programs, PTSW insurance changes, Pacific Blue Cross physio, gym utilization clinic, clinic org chart, leadership in healthcare, mentorship for physios, manual therapy education, online physio courses, Danielle Boyd podcast