On the Brink

As we wrap up the first season of the podcast, it’s worth reflecting on the ground we’ve covered. We’ve dug into the forces reshaping surgical practice—how patient expectations are evolving alongside the push toward outpatient care, and what that means for how surgeons deliver services. We’ve also tackled the harder conversations about reimbursement pressures and provider burnout, issues that thre...

Declining reimbursements and rising costs have left many surgeons searching for strategies to secure their practice’s future. In this episode, we explore why real estate investment has become an essential component of financial planning for surgical practices, not a peripheral consideration. Dr. David Mack, an orthopedic surgeon with decades of experience in both medicine and real estate, shares h...

Dr. Eric Haas has spent his career at the forefront of colon and rectal surgery, but his ambitions extend beyond the operating room. As founder and president of the Houston Colon and Rectal Surgical Group, he recognized that leasing clinical space came with limitations—for his practice and his patients. That realization sparked a journey into healthcare real estate development that would reshape h...

Episode 6: On The Brink of Designing your ASC Guest: Drew Garst, Principal & National Healthcare Leader of ASCs, Boulder Associates Drew has designed 400+ surgery centers across the country. He's seen what works—and what tanks a project before construction even starts. Your architect choice matters more than you think. ASC design is its own animal, and getting it wrong costs you time, money, a...

Planning a medical facility or ambulatory surgery center isn’t just about picking a floor plan—it’s about orchestrating a complex collaboration between healthcare providers, architects, and contractors to avoid costly mistakes down the road. In this episode, we’re joined by Steve Christoff, Senior Vice President of Design and Innovation at Nexcore, who brings decades of experience designing outpat...

Host Carolyn Wilson sits down with Michael Ray, Chief Investment Officer at Nexcore, to break down the financial side of investing in medical real estate and Ambulatory Surgery Centers (ASCs). Being an exceptional surgeon doesn’t make you a funding expert—and that’s okay. Michael translates complex financial concepts into actionable insights, helping healthcare providers understand their capital o...

What really matters to patients when they’re choosing where to have surgery? In our inaugural episode, host Carolyn Wilson sits down with patient Ashley Davidson to explore this crucial question that every surgeon should be asking. Ashley shares her firsthand experience navigating surgical decisions, revealing how trust, personal connections, and facility environment shaped her choices. Her story...

Why are so many healthcare providers reaching their breaking point? This episode confronts three critical forces reshaping medical practice today: provider burnout, the rapid rise of AI and technology, and the growing challenge of workforce engagement. NexCore VP of Investment Research Jeremy Allen unpacks how these trends are interconnected, threatening the sustainability of healthcare delivery....

Should surgeons be thinking like investors? In this episode, we tackle the financial realities reshaping surgical practice—and why physician ownership might be your best survival strategy. Reimbursement rates are under pressure, costs are climbing, and traditional practice models are struggling. Our guest (NexCore President Jarrod Daddis) breaks down what surgeons need to know about entering real...