The Next Quarter Podcast - Episode 4 - Ian Coyne & Dominick Kennerson, HSBC Innovation Banking

Dominick draws on a uniquely global and cross‑sector career spanning hospitals, digital health, pharma, investment banking, and corporate diplomacy. His perspective highlights how demographic, technological, and economic pressures are converging to create a period of unprecedented change. The conversation begins with a reflection on how far we’ve come since the early 2000s - when genome sequencing took years and cost hundreds of millions - and moves toward a future defined by hyper‑personalized, at‑home health systems powered by AI and quantum innovation.

Dominick discusses the key drivers that will reshape healthcare—particularly the aging of Western societies—and how policy, infrastructure, and incentives will need to evolve. He outlines why the most transformative health company of the coming decades likely doesn’t exist yet, and why today’s leaders must balance mission with economic sustainability.

• Aging populations will exert enormous pressure on health systems, prompting a shift toward more care delivered in the home, new models of everyday health monitoring, and a need for more sustainable approaches to financing and service delivery.
• AI will lay critical infrastructure for the next era of health, but quantum computing will enable truly dynamic, complete, real‑world health datasets and allow far more sophisticated, real‑time decision‑making.
• As tax bases shrink and demand grows, governments will be forced to adopt policies that encourage healthier living, integrate technology more deeply into care, and promote prevention through design and incentives.
• The biggest breakthroughs between 2025 and 2050 may come from organizations not yet founded—those capable of combining timing, leadership, investment, and market need in the right moment.
• Even the most purpose‑driven companies must build sustainable business models. Without margin, mission cannot scale—something many founders discover after several years of iteration.
• Dominick imagines a future where ancient human abilities (such as meditation and mind‑body practices) are recognized as real “technologies,” and integrated with advances like embedded devices, gene editing, and even biological adaptation for space environments.

The Next Quarter is brought to you by Coulter Partners, the leadership advisory and executive search firm building teams that change the world.