Built by Margin
Built by Margin is the podcast at the intersection of risk, numbers, and decision-making for founders, CEOs, and high performers. Hosted by CPA, fractional CFO, and author of the upcoming book Risk Worthy, Laurie Chen, CPA, MBA, the show explores how better decisions create better businesses, stronger leadership, and more meaningful long-term outcomes. From financial strategy and entrepreneurship to intelligent risk-taking and growth, each episode helps you think sharper and build with intention.
Built by Margin
Scaling With Depth: Risk, Numbers, and AI in Healthcare Leadership with Gunjan Vermani
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What if the smartest way to scale isn’t moving faster — but building deeper?
In episode 41 of Built by Margin, Laurie sits down with Gunjan Vermani, physiotherapist, entrepreneur, mentor, and founder of PhysioCare Physiotherapy, to talk about the risks, numbers, and decisions behind building a healthcare business with both scale and soul.
Gunjan shares how entrepreneurship began not as a business ambition, but as a response to gaps she saw in the healthcare system. Over 15 years, she evolved from clinician to business owner to leader of a 60-person team, now expanding toward a ninth clinic in the Ottawa area. Her growth strategy was not built on speed alone, but on depth: investing in culture, systems, leadership, and patient care before those decisions visibly paid off.
The conversation explores how Gunjan learned to connect clinical outcomes with business metrics, shifting from “flying blind” to using weekly scoreboards, EMR data, clinic-level dashboards, and financial reporting to make better decisions. She explains why revenue is often a vanity metric, and why healthcare entrepreneurs should pay attention to “sanity metrics” like retention, per-visit average, clinician utilization, and operational leakage.
Gunjan also shares how coaching, Dan Martell’s Buy Back Your Time principles, and AI transformed the way she runs her company. By implementing AI agents, virtual reception support, AI-assisted documentation, and leadership scoreboards, she has freed up 10–15 hours per week while helping her team spend more time on meaningful patient care.
At its core, this episode is about building a business that reflects your values. Gunjan and Laurie discuss why not every opportunity deserves a yes, how discipline can be more powerful than ambition, and why the best business decisions are not always the fastest or most obvious ones — they are the ones that build a sustainable company, stronger leaders, and a life aligned with what matters most.
QUOTES
- “Confidence is not the absence of uncertainty. Good leaders still feel doubt, but they learn how to think clearly despite it." - Gunjan Vermani
- "Not every opportunity deserves a yes. Sometimes discipline is more powerful than ambition." - Gunjan Vermani
- "It’s not about how much money you’re sinking in — it’s about how much you’re gaining as a person from a mindset and learning perspective." - Laurie Chen
LINKS
Laurie Chen
Instagram: https://www.instagram.com/lauriechencpamba/
LinkedIn: https://www.linkedin.com/in/lauriechen/
Risk Worthy: https://www.riskworthy.co/
Gunjan Vermani
LinkedIn: https://www.linkedin.com/in/gunjan-vermani-973b0b36/
Instagram: https://www.instagram.com/gunjanvermani