Sales Forecasting & Revenue Intelligence3 min readUpdated September 2026

Clari vs Gong for Outpatient PT Networks

Growth in an outpatient physical therapy network comes from referral relationships with orthopedic groups and from payer contract negotiations, not from a sales cycle with defined stages. Most networks have a business development team and almost nothing resembling a CRM, because nobody ever needed one for a referral relationship built over years of lunches and fax-based referral forms.

Clari vs Gong for outpatient physical therapy networks asks you to build that pipeline discipline before either tool can help you. Gong adds a second question on top: it depends on recording conversations, and a compliance officer at a healthcare organization is going to want that scoped very carefully before anyone turns it on.

Vendors Covered in this Article

Disclosure: We may earn a commission if you buy through some links on this page. It doesn't change what we recommend.

Why your BD team doesn't have a pipeline to forecast from

A referral relationship with an orthopedic group or a primary care practice doesn't move through discovery, proposal, and close the way a software sale does. It's built over repeated visits, shared patient outcomes, and trust that accumulates slowly. Your business development liaisons know this instinctively, which is exactly why most of them have never logged a single interaction in a CRM: the relationship doesn't feel like a deal, so it doesn't get tracked like one.

That's not a failure of discipline so much as a mismatch between the tool and the motion. Before comparing Clari and Gong, you need a pipeline model built around referral volume and relationship health, not deal stages borrowed from a SaaS sales playbook.

Pitfall: treating referral cultivation like a sales stage

The instinct when adopting any CRM is to force existing relationships into a standard stage model: prospecting, qualification, proposal, close. That model breaks immediately for referral relationships, since there's no proposal and no close date, just a referring physician who sends more or fewer patients your way over time depending on how the last several went.

A better model tracks referral volume per source over time and flags relationships trending down, alongside a separate track for payer contract negotiations, which genuinely do have stages and a real negotiation cycle. Keep those two tracks distinct rather than collapsing physician relationships into a sales funnel they were never built for.

The HIPAA question Gong raises before the software question

Gong's value depends on recording calls and analyzing what was said. In a healthcare setting, any call that could touch patient information needs to be scoped so it never gets swept into that recording and analysis pipeline, and that scoping work has to happen before you evaluate the product itself, not after. A referral development call with a physician's office may well touch specific patients, referral patterns, or clinical outcomes, all of which raise the bar considerably above a typical B2B sales call.

Involve your compliance officer and legal counsel before any pilot, and be explicit about which calls are in scope and which are excluded entirely. If that scoping can't be done cleanly, Gong isn't worth the risk regardless of what it might add analytically.

Building minimal pipeline discipline before buying anything

Start with a simple, low-cost tracker: referral source, monthly referral volume, trend direction, and last contact date for each key relationship. Run that manually for a quarter and see whether it changes how your BD team prioritizes their visits. If it does, and the team actually uses it, that's the signal you're ready to formalize the tracking in a real system rather than a shared spreadsheet.

Payer contract negotiations deserve their own simple stage model: outreach, terms under discussion, contract drafted, signed. That side of the business behaves enough like a normal sales cycle that Clari's stage governance genuinely fits it, even where it doesn't fit referral cultivation.

What a physical therapy network should confirm before buying

Confirm your compliance posture on call recording before evaluating Gong at all, since that determines whether it's even usable in your organization. Ask whether your BD team will actually log referral visits and relationship notes consistently, since a pipeline tool with no input from the field is worthless regardless of vendor. And decide whether payer contract negotiations, which behave like a real sales cycle, are common enough to justify Clari's stage governance on their own, separate from the referral side of the business.

Before buying, work through these checks:

  • Confirm your compliance posture on call recording before evaluating Gong at all, since that decides whether it is usable in your organization.
  • Ask whether your BD team will log referral visits and relationship notes consistently, because a pipeline tool with no field input is worthless regardless of vendor.
  • Decide whether payer contract negotiations should be tracked separately from physician referral outreach, since compliance scoping is usually cleaner for payer calls.
  • Start with a simple tracker of referral source, monthly referral volume, trend direction, and last contact date before buying anything.

Treating clinic-level utilization as a forecasting input

Referral volume only tells you demand is arriving, not whether your network can absorb it. A clinic already running near capacity can't convert a growing referral relationship into revenue as quickly as one with open appointment slots, so any serious forecast has to combine referral trend data with clinic-level capacity, not just track the referral side in isolation. Neither Clari nor Gong models this natively, since it's specific to a multi-site healthcare operation, so this piece has to be built into whatever tracker or CRM you settle on, usually as a simple capacity flag reviewed alongside referral trends each month.

Executive Capability Standard

What Good Looks Like

A mature outpatient network can name its top referral sources, track whether each relationship is trending up or down, and run payer contract negotiations through a defined process, all without conflating either with a standard sales pipeline.

Building The Capability (5-Stage Skill Ladder)

1. Learn:List your top referral sources and estimate, from memory or referral logs, whether each relationship has grown or shrunk over the past year.
2. Do Manually:Build a simple referral-tracking spreadsheet with volume and last-contact date, and have BD liaisons update it after every visit.
3. Delegate:Assign one person to own the referral tracker and chase updates from the BD team on a set cadence.
4. Automate:Move the tracker into a lightweight CRM once relationship count outgrows a spreadsheet, keeping referral cultivation and payer negotiation as separate pipelines.
5. Buy:Evaluate call-recording tools only for the payer negotiation side, after compliance has scoped what can and can't be recorded.

How to Get Started

Disclosure: We may earn a commission if you buy through some links on this page. It doesn't change what we recommend.

Frequently Asked Questions

Can we use Gong just for payer contract negotiation calls?

Only if those calls are clearly scoped away from anything touching patient information, and your compliance officer signs off on that scoping first. Payer negotiation calls are usually a cleaner fit than physician outreach calls, but the review still has to happen before rollout.

How do we forecast referral-driven revenue without a sales pipeline?

Track referral volume by source over a rolling period and watch the trend line, rather than trying to assign a probability to each physician relationship. A relationship trending down for two consecutive months is a better signal than any stage-based forecast would give you.

Does HubSpot make sense for a referral-driven network?

It can work well as a lightweight tracker for referral sources and payer negotiations without forcing either into a rigid sales-stage model, since you can customize the pipeline stages to match relationship cultivation instead of a standard sales funnel.

About the numbers

This guide doesn't quote a sourced benchmark. Figures in it are estimates or general guidance, so check them against your own numbers.

Related Guides