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12 DECEMBER 2025 ausdoc. com. au

A doctor’ s $ 10 billion healthcare empire

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Amanda Davey
THEY told him he would fail. That doctors cannot run anything. That corporate pathology cannot
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work that way. Three decades later, Dr Colin Goldschmidt has proven the naysayers wrong.
The CEO of Sonic Healthcare has stepped down, having built a $ 10 billion global empire from a company newly listed on the ASX whose share price, at
one point, had sunk to less than 10 cents.
“ Perhaps we might be allowed to say
that our model not only works but presents
a compelling case in favour of a
medically led management structure
for any healthcare organisation,” the
pathologist tells Australian Doctor.
He says he never intended to become
a CEO. There was no singular vision. He
chose medicine for altruistic reasons.
By the late 1980s, he had completed his
training as a histopathologist at Sydney’ s Royal Prince Alfred Hospital.
Against the conventional wisdom to
Dr Colin Goldschmidt.
remain working in the public hospital
system, he took a job at a small private
fragmented cottage industry and small labs
specialist pathologist and continued to do
pathology practice called Douglass Labo-
lacked the scale to secure their futures.
his CPD as a practising doctor.
ratories— later known as Douglass Hanly
But this meant that Sonic had a com-
For all the success stories( Dr Ed
Moir Pathology.
petitive advantage— relatively easy
Bateman creating the Primary Health
There he was one of three employed
access to bank and equity capital.
Care empire; Dr Sam Prince, a billion-
pathologists when the loss-making pathol-
And so began its acquisition journey,
aire who founded the Mexican restaurant
ogy laboratory was sold to a newly listed
something that The Australian Financial
chain Zambrero), doctors and business
public company called Sonic Healthcare.
Review( AFR) would later dub the Pac-Man
are not meant to mix well.
Sonic Healthcare’ s bottom line was
approach, as it gobbled up its rivals.
Dr Goldschmidt advises doctors consid-
struggling, he says, but he was content
There was even a strategy and internal
ering a corporate role to express their inter-
to stay put.
unit dubbed the Sonic Amalgamation Team
est in leadership and then apply for open
He had endured the“ tough years” of
to ensure the synergies worked, according
positions by highlighting the benefits of
making it as a specialist, and he found
to the AFR.
medical leadership.
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his clinical work fulfilling. Yet whether he liked it or not, change
This led to industry consolidation and then, under Dr Goldschmidt’ s leadership, an
“ The many Sonic doctors who have made the transition to management have
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was happening, and he was set to be the central player.
expansion overseas to New Zealand, the UK, Germany, the US, Switzerland and Belgium.
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The unravelling
Fast-forward to 1992, Sonic’ s financial
woes eventually led to the sacking of the incumbent CEO, triggering mass resignations by senior management.
With the share price falling below the 10-cent mark, an unknown engineer from Perth, called Barry Patterson, announced
He says, while other corporations stripped out the local identity and autonomy of their acquisitions, he maintained laboratory names and allowed clinicians to run them.
A genetic footprint
Today, Sonic’ s red-and-blue double-helix
logo can be found in cities around the
of the businesses they are running.“ The financial management skills required for these roles have been easily learnt and have not been a barrier to their success. As you can tell, I feel strongly that healthcare systems in general would benefit enormously if there were more medical leaders in the top management roles.”
Did he ever think he would sink, ever
he was planning a takeover of the business,
world— from Sullivan Nicolaides Pathol-
think he had bitten off more than he
but as he told Dr Goldschmidt,“ I know
ogy in Brisbane to The Doctors Laboratory
could chew?
nothing about pathology.”
in London and Clinical Pathology Labora-
“ While there were moments of fear of
He added:“ I am an engineer who believes that engineers should run engineering businesses and pathologists should run pathology businesses.”
So, Dr Goldschmidt, then a 38-year-old
tories in Austin, Texas. Yet none of these entities bears the name Sonic Healthcare.“ We decided early on to retain the trade names of the labs we acquired,” Dr
failure, the desire to succeed was more pervasive for me,” he says.
A career that comes full circle
After 32 years as CEO, Dr Goldschmidt
with no corporate experience, agreed to
Goldschmidt says.
stepped down in November, having
take charge.
“ It was about respecting the goodwill
laid claim to being the oldest and long-
“ I accepted the role as a reluctant,
built over time.”
est-tenured CEO in the S & P / ASX 50.
inexperienced new CEO.
There has been diversification, not
Limelight has been something he
“ Business management was nowhere
least in Sonic Healthcare and IPN, the GP
seems never to have sought. He is known
in my career plans, nor did I have any
corporate, where Sonic moved to majority
more for politely declining interviews,
formal business training.”
ownership in 2005.
even with the AFR.
The immediate goal was simply to
But pathology remains the primary
He says his successor, Dr Jim New-
save the practice, he says. But very
focus, making up 85 % of its total revenue,
combe— who runs Douglass Hanly Moir
early on, he says he adopted the term
with three-quarters of that coming from
Pathology— is also a pathologist and
“ medical leadership” to define Sonic’ s
overseas operations.
infectious diseases physician, a deliber-
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approach and management style.
“ I would say without reservation that medical leadership is the secret sauce of Sonic Healthcare.”
The numbers capture the financial impact. The company is worth some $ 10 billion with a net profit of $ 514 million.
It has also meant that Dr Goldschmidt,
ate continuation of the model Dr Goldschmidt built.
But he says it is time for him to find new passions and slow the pace, spending
But not everyone was impressed.
someone who has remained wary of the
time with family, travelling and playing
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Dr Goldschmidt recalls several prominent healthcare figures telling him it would fail.
public eye, is a big-name CEO. He sits 16th on the list of highest-paid CEOs at ASX-listed companies.
lots of golf and bridge. For this reluctant corporate icon, it closes a chapter that began with low expectations
This was back in the early’ 90s,
Throughout his corporate career, he
and ended with one of Australia’ s biggest
when Australian pathology was a highly
maintained his medical registration as a
corporate success stories.