Business

Recession-Proof Medical Practice Marketing

Published

2 years ago

June 22, 2023

What’s the difference between a recession and a depression? In a recession, your competitors close their doors. In a depression, you close yours. As physicians across the country increasingly worry about their economic and financial future, the specter of the largest recession in decades or possibly a depression looms large. For medical practices, the stakes are particularly high as patients delay elective procedures, and even ongoing wellness care or chronic disease treatment.

The question that looms large for many practice owners is: how do you prepare for an uncertain financial future?

When preparing for an economic downturn, it is important to understand the difference between Practice Marketing Resistance and Resilience. Marketing Resistance is the ability of a practice to withstand a disturbance in revenue flow by putting in place marketing processes that make it possible to return to normal operations with minimal disruption. Marketing Resilience, on the other hand, is the ability of a practice to recover after suffering great harm from a serious revenue disturbance and continue to operate in a devolving situation.

This article is developed using insights from Peter J. Polack, MD, a practicing ophthalmologist who specializes in laser refractive and cataract surgery. Additionally, he is the founder of Emedikon, a venture marketing firm that leverages his proprietary Practice Domination Marketing Protocol to help medical practices improve their marketing strategies. With a family background in ophthalmology, Peter has witnessed firsthand the changes affecting healthcare practices and delivery. For many years, he has been fascinated by the role of technology and marketing in the medical field.

Peter shares his insights on marketing through his blogs on Healio Ophthalmology and Eyes on Eyecare. He is also a prominent contributor to Quora.com, an expert platform where his posts have garnered over 4 million views. This gives him an unprecedented insight into what patients want, which informs how he views crafting excellent patient experiences, which we all know is the coin of the realm.

The good news, he reveals, is that in an economic downturn Marketing Resistance and Resilience programs as integral parts of your marketing efforts can be the deciding factors in whether your practice thrives, survives, or closes its doors. The key is to understand your practice’s situation and tailor your marketing accordingly. Here are three steps that can help your practice build resilience or resistance and prepare for an uncertain future.

Step 1: Marketing Triage

The first step is to perform Marketing Triage by critically evaluating every opportunity source you are currently investing in. Make sure you have a full inventory of every lead source that brings in opportunities. Are you tracking all leads that come in through the phone, email, website, or other sources? After you have built your lead sources list, assess each one’s ability to capture leads, nurture, and convert them into revenue. Are you following up with them in a timely manner and nurturing those leads through the entire patient journey? By identifying gaps in your lead capture and conversion process, you can prioritize your efforts and allocate resources to where they will have the most impact. In broad strokes, this means you will have to do a detailed performance evaluation of your traffic and funnels.

Step 2: Focus on High-Value Cash Services (for prospects who still have money)

During a recession, as we experienced in 2009, patients are more selective about the cash services they choose. This means that practices should focus on offering high-value cash services that you know will always be in demand by patients with discretionary dollars. In the marketing world, this is known as “marketing to the affluent,” a term of art first articulated by Dan Kennedy, whose book about it is on Amazon if you’re interested. By prominently marketing these services and tailoring your messaging to emphasize their value and affordability, you can maintain revenue and build a marketing list of prospects with disposable income. You can instantly promote directly and on demand to this audience (practically free) using email and SMS. The money’s in the list.

Step 3: Diversify Your Marketing Efforts

Finally, it is important to diversify your marketing efforts to reach a wider audience and maximize your exposure. This means using a mix of online and offline channels, such as social media, email marketing, search engine optimization, print advertising, and community outreach. There are only four ways to reach your audience of choice:

Online + paid traffic – advertising on social media and various ad networks
Online + free traffic – known as content marketing
Offline + paid traffic – print, TV, radio, ads, billboards, local events, and sponsorships
Offline + free traffic – referrals, word-of-mouth, waiting room signage

With a diversified marketing approach, you reach patients where they are and increase your chances of success.

In conclusion, building Marketing Resistance and Resilience requires a strategic approach that takes into account your practice’s risk tolerance levels and its unique situation and challenges. By performing marketing triage, focusing on high-value cash services, and diversifying your marketing efforts, you can prepare your practice for a recession and emerge stronger on the other side.

Business

Why Multi-Province Payroll Compliance Is the Hidden Challenge Canadian SMBs Face and How Folks Solves It

Published

14 mins ago

November 6, 2025

Matthew Wiles

Photo courtesy of: Folks

Byline: Shem Albert

Running payroll in Canada can feel like crossing a country stitched from many different fabrics. Each province weaves its own pattern of tax rules, leave policies, and benefit requirements, creating a landscape where a single misstep can ripple through every paycheck. For small and mid-sized businesses, the challenge often remains hidden until growth pushes hiring beyond provincial borders or brings remote workers into the fold. What seems like a routine back-office task quickly becomes a test of accuracy, timing, and local knowledge. This is the gap that Folks set out to close, offering a way for employers to navigate Canada’s regulatory patchwork without slowing their momentum.

Provincial Rules Add Complexity

Canada’s payroll environment varies sharply by province. Federal rules set the foundation, but provincial tax rates, deductions, statutory leave entitlements, and benefit premiums add layers of complexity that employers must monitor carefully. Small and mid-sized businesses with staff across provinces or remote employees face different tax tables, reporting deadlines, and leave calculations that directly affect pay accuracy and remittance schedules.

Folks built its payroll module to address these differences. The platform calculates the correct provincial tax rates and deductions for each employee, applying updates automatically so employers avoid misapplied withholdings or late filings. Multi-location tax management allows a company with workers in Ontario, Quebec, or several other provinces to process payroll without creating separate accounts for each jurisdiction. Bilingual functionality in English and French and secure Canadian data hosting support compliance while keeping employee records accessible across language and regional boundaries.

Unified Records Improve Accuracy

Payroll errors often stem from mismatched employee data. Changes in pay rates, banking details, or benefits eligibility may not align between HR and finance systems, creating incorrect deductions or delayed payments. Smaller teams juggling separate platforms spend valuable hours reconciling information instead of focusing on strategic work.

Folks resolves these issues by combining HR and payroll in one platform. Updates to wages, hours, or tax information entered on the HR side flow directly into payroll without re-entry. This single, verified record strengthens the accuracy of every payroll run and ensures employees receive the correct pay and deductions. By removing the need for repetitive administrative work, HR staff can redirect their time to tasks that support growth and employee engagement.

Automation Keeps Provinces in Step

Each province sets its own requirements for holiday pay, pay frequency, and statutory benefits, making manual calculations both time-consuming and error-prone. Businesses that expand or hire remote employees must keep pace with shifting provincial regulations or risk penalties and audit issues.

Folks address these demands with automation designed for Canada’s regulatory landscape. Pay statements, deduction calculations, and custom pay schedules follow the applicable provincial rules without extra configuration. The system’s automated updates mean that a company hiring staff in British Columbia or Quebec can meet local payroll standards without adding new layers of setup or monitoring. Employers gain the ability to expand into new regions while maintaining accurate, on-time pay.

Reporting Strengthens Compliance

Changing tax rates and reporting requirements require ongoing attention from HR and finance teams. Companies that rely on disconnected systems risk missing a provincial update or submitting incorrect remittances, which can lead to fines and interest charges.

Folks provides detailed reporting tools that compile payroll, deductions, and benefits information across all locations. Employers can generate clear remittance and deduction summaries, simplifying the process of meeting provincial filing requirements. For organizations that want additional guidance, Folks also offers a payroll management service that brings in-house specialists to assist with configuration, compliance, and regular updates. These reporting features help companies stay audit-ready and avoid costly compliance gaps.

Scalable Payroll for Expanding Businesses

Many small businesses begin in a single province, where local tax and payroll demands can be learned over time. Growth into new provinces or the decision to hire remote staff adds a level of complexity that manual processes cannot handle efficiently. Errors multiply, compliance risks rise, and payroll teams spend more time correcting mistakes than supporting expansion plans.

Folks provides payroll that scales with company growth. Provincial tax logic, automated deductions, bilingual support, and secure Canadian data storage are built directly into the platform. By maintaining an accurate employee record and applying province-specific rules automatically, the system allows Canadian SMBs to expand with fewer administrative surprises and more predictable payroll operations. Companies gain the stability of compliant payroll across provinces while controlling the time and costs that typically accompany multi-jurisdiction growth.