Helping Healthcare Scale

Embark on an entrepreneurial odyssey with Mark Geiger, the trailblazing co-founder of Revolt Healthcare Alliance, as he recounts the amusing tales of his early business endeavors and unveils the nexus of innovation and healthcare. From his whimsical start with lost golf balls to importing candy, Mark's journey is a testament to the entrepreneurial spirit that eventually led him to challenge the conventional healthcare model. Our discussion illuminates how Revolt Healthcare Alliance aids employers in slashing healthcare costs, providing a beacon of hope for those drowning in the financial quagmire of traditional health plans.
Imagine a world where your healthcare operates as smoothly as your Spotify playlist. That's the revolutionary potential of Direct Primary Care (DPC) models and "not so supplemental" health plans, topics we dissect with Mark's expert perspective. These emerging parallel healthcare economies could be the key to unlocking affordable, efficient care. We take you through the intricacies of these models, the substantial benefits for employers, and how embracing such innovations could signal a seismic shift in an industry ripe for change.
As the conversation wraps, we tackle the truth behind the broken healthcare system and the pioneering solutions peeking through the cracks of the status quo. Mark sheds light on the predatory nature of the healthcare industry and how performance health plans offer a lifeline, aligning with employers' interests to trim the financial fat. Your takeaways from our chat with Mark Geiger won't just be a glimpse into the mind of a healthcare rebel—they'll be an arsenal of insights that could transform how you approach healthcare in business, and perhaps, lead you on your own path of industry disruption.

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

Have you ever wondered how a small dental practice can explode into a 12-location success story? Dr. Brad Hughes, the brainpower behind Vision Dental's remarkable growth, sits down with us to share his journey from starting in Indiana to becoming a titan in the dental service organization (DSO) space. His story unfolds like a novel, where personal trials, such as a wife’s health scare, intertwine with professional triumphs, shaping a CEO who values the heartbeat of his company as much as its bottom line.

As we peel back the layers of Dr. Hughes' strategic expansion, he illuminates how core values are the lifeblood of Vision Dental. These principles aren't just posters on the wall; they're the drumbeat to which every decision and action aligns. From embracing competition to igniting daily tasks with passion, Dr. Hughes gives us a masterclass on how these values are critical for steering through an ever-changing economic terrain. And for those balancing the scales of work and home, he offers a candid look into the art of managing a sprawling empire without losing sight of family, revealing the personal systems and mindset shifts that keep him grounded.

Lastly, Dr. Hughes turns the spotlight onto the nuts and bolts of healthcare entrepreneurship: the criticality of location. He shares his chess-like approach to selecting spots for new practices, explaining why paying a premium for visibility can be a shrewd move. We also unpack the financial intricacies of real estate in the healthcare world, offering up nuggets of wisdom for those considering commercial investments. With Dr. Hughes' guidance, listeners gain a roadmap to scaling their healthcare ventures with poise and acumen.

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

Could the tides be shifting beneath the foundations of commercial real estate? This episode sails into the heart of how interest rates, intertwined with the tentacles of election year politics and burgeoning national debt, are reshaping the commercial property seascape. We navigate through the Federal Reserve's monetary policy whirlpools, dissecting their strategies and unintended consequences, such as inflation's sneaky currents which may force the hand of higher rates. With a lens on the Fed's recent maneuvers, including the pause on rate hikes, we chart the potential courses this might set for various real estate classes, with particular attention to the resilience and vulnerability of multifamily spaces in these choppy economic waters.
Amidst a landscape where residential real estate prices stubbornly cling to stability and the scarcity of housing persists, we anchor down to examine this paradox. The episode probes beneath the surface of low unemployment and interest rates, unveiling why homeowners are anchoring down their properties, turning mortgages into treasure chests in an undersupplied market. We then steer toward the sturdy vessel of healthcare real estate, exploring why it remains buoyant even when economic storms rage. I share my compass on investment strategies, navigating through election cycle winds and speculating on the course back to the low-interest rate harbors of yesteryears. Hoist your sails and join us for this insightful voyage into real estate's shifting tides.

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

Imagine embarking on an entrepreneurial odyssey, navigating the complex terrain of healthcare and real estate, all the while maintaining the essence of patient care. That's precisely the narrative Dr. Himesh Kana, Managing Partner for Dental Depot DFW, shares as we walk through his transformative journey from his beginnings in a small Oklahoma motel to spearheading a dental empire. His tales of early business acumen, cultivated in a family-run establishment amidst economic highs and lows, provide a backdrop to the conversations that unfold about scaling practices and mastering customer service.

Our dialogue with Dr. Kana traverses the evolution of Dental Depot, revealing how a single dental office blossomed into a robust Dental Support Organization. The discussion illuminates the organic growth and strategic decisions that have become the cornerstone of their success, including leveraging real estate insight and nurturing internal talent into leadership roles. Dr. Kana also casts light on how embracing technological advancements like AI can revolutionize patient experience and operational efficiency in an industry often bogged down by administrative challenges.

Beyond the stories of growth and innovation, we dissect the framework of Dental Support Organizations with Dr. Kana, dispelling myths and uncovering the myriad benefits they offer to dental professionals. He shares how Dental Depot fosters a culture of mentorship and collaboration, allowing dentists to excel clinically while shedding the weight of administrative tasks. The discussion extends to the strategic real estate moves and market adaptations that keep Dental Depot a step ahead, painting a future where agility and investment in people make the difference in a rapidly evolving landscape. Join us for an episode that not only charts the course of a thriving dental practice but also serves as a beacon for healthcare ventures aiming to flourish in any economic weather.

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

When reflecting on 2023, I felt a sense of peace coming into the new year for the first time since I can remember. Normally my thoughts go something like, "I can't believe it's already the end of another calendar year. I didn't do this, or finish that, or accomplish all these goals..etc."

The reason I felt better than normal this year was because I chose to be happy about the progress I made even though my goals were incomplete.

It's easy to focus on all the things I want to do or all the things I didn't do, which is a recipe for guaranteed discontentment. So, for 2024 I am focussing on micro wins each day and enjoying the process. This podcast is riddled with metaphors and stories that drive that point home, hope you enjoy.

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

Embark with me on a transformative journey through the cutting-edge intersection of digital assets and real estate investments. My own venture into tokenization has unveiled a world where smart contracts on the blockchain are redefining what it means to invest in property funds. In this episode, I'll guide you through how these tokenized funds are opening up the market to a wider range of investors, while enhancing liquidity and expediting property transactions. You'll get an insider's look at the challenges and triumphs of launching a tokenized fund, and how this revolutionary shift is set to reshape the investment landscape.
We'll also delve into the exciting potential of tokenization in providing new liquidity options for investors. Imagine having the ability to sell tokens on secondary markets with ease, or use them as collateral for borrowing—all while potentially earning returns. I discuss the nuanced difference between asset-backed tokens and speculative cryptocurrencies, and the critical role of regulatory frameworks in fostering trust in the crypto space. Join me as I share how our fund is embracing asset tokenization to democratize investment opportunities and pave the way for a future where the myths surrounding cryptocurrencies dissolve, opening doors to innovative investment methods. If commercial real estate and cutting-edge investment strategies pique your interest, this episode is a treasure trove of insights.

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

Unravel the impact of the Fed and interest rate changes on the healthcare industry in part two of our fascinating discussion with Ryan Mingus from Tusk Partners. Brace yourself as we demystify how market fluctuations affect deal size and multiples, along with the influence of employment contracts on business owners. Despite the market's unpredictability, we underscore the importance of persisting with opportunities and not falling into the trap of attempting to time it all.

Transitioning from the healthcare sector to the dental industry, we put the spotlight on how EBITDA and geography play a pivotal role in determining multiples. Depending on the size of your EBITDA, the range of multiples your business can expect is set. Be aware, though, that once you hit the $5 million mark, the returns start diminishing. Geographic location, too, impacts multiples, with states like Arizona, Texas, and Tennessee emerging as hotspots due to their attractive labor policies and population growth. Lastly, we shed light on the stark contrast in multiples between high-profile cities and mid-tier ones, highlighting the role of population growth in upping a business's value.

find out more www.tusk-partners.com

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

Are you curious about the intersection of healthcare and real estate? Join us in part one of our interview as Ryan Mingus, managing director at Tusk Partners, unravels the complexities of this dynamic sector. We traverse the journey from his humble beginnings in dentistry to his first-hand experiences of the Great Financial Crisis and COVID-19's impact on healthcare. The intricate dance of private equity, mergers, acquisitions and how they sculpt the healthcare landscape will be laid bare before you. We'll also take a detour to 2008, examining the parallels between then and now.

Brace yourself as we plunge into the fascinating dynamics of economy and dentistry. Discover how 2021's low interest rates and high demand for adult orthodontics spurred the industry, only to be thwarted by rising interest rates in 2022. We dissect the repercussions on DSO valuations, and the ripple effects on deal structures and commercial real estate sales. Through it all, find out how sellers are holding out and what the future may hold for price stabilization. So, fasten your seat belts for a thrilling exploration of healthcare real estate.

www.tusk-partners.com

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

We're about to embark on an enlightening journey with our guest, Gil Messer. As the Chief Operating Officer at the Dermatology Specialist, Gil's experiences in the healthcare industry are truly inspiring. From his early exposure to healthcare due to severe asthma, to his instrumental role in expanding CityMD from 20 to 120 locations, Gil's passion for improving access to quality healthcare is evident.

Throughout our conversation, we uncover the strategies Gil has implemented to navigate growth and analytics in healthcare. We discuss the importance of understanding all facets of the healthcare business, and how Gil has used robust analytics and data to guide site selection, focusing on density, insurance mix, and accessibility. Hear about how he has used his knowledge and expertise to maximize operational efficiency, and the lessons he's learned along the way.

We conclude our chat by discussing the economic aspects of healthcare. Gil shares his valuable insights into how to build a recession-proof business, and how to make it attractive to PE partners. We discuss the importance of having multiple sites, advanced technology, and a robust infrastructure not reliant on any one key person. We also delve into historical cycles and economic trends, providing invaluable advice for any healthcare professional or investor wishing to build a successful business from the ground up. Don't miss this fascinating conversation with our guest, Gil Messer.

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate

Ever wondered how cultural exposure can shape your business perspective? Get ready to learn from Andrew Tralongo, president of T Management and co-founder of Good Hope Transitions. Raised amidst the cultural melting pot of New York, Andrew takes us along his career journey, which interestingly landed him in the dental industry. He shares compelling insights about managing healthcare organizations and unlocking their potential through innovative real estate strategies.

Andrew's experience extends beyond managing businesses; he reveals intriguing aspects of underwriting and diligence in the dental office M&A landscape. He underscores the importance of aligning business cultures and goals, giving us a candid recount of his personal experiences and failures. We also dive into the tricky terrain of business compatibility, sharing firsthand encounters with challenging business owners, and emphasizing the need to pay attention to red flags.

As we move towards the end, we discuss the dynamic world of dental industry acquisitions and valuations, contrasting the two strategies: building a company to last versus building to sell. We touch on employee retention and customer experience, considering their integral role in the health of dental service-based businesses. And as a cherry on top, Andrew shares some of his favorite business books and their biggest takeaways. Get ready for a thought-provoking episode filled with invaluable business insights. Join us!

Get in touch with Andrew: [email protected]

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Commercial Real Estate Secrets is ranked in the top 50 podcasts on real estate