The Physician-Owned Medical Real Estate Podcast

In this episode, Dr. Bruce Cohen of OrthoCarolina, shares how one of the nation's largest orthopedic practices developed a physician-owned real estate strategy focused on recruitment, retention, and long-term organizational alignment. He explains how OrthoCarolina transitioned from having little emphasis on real estate ownership to building a portfolio that benefits physicians without requiring si...

In this episode, Eric explores the complexities of valuing physician-owned medical real estate and explains why many traditional valuation approaches fail to reflect the realities of medical practice ownership. He discusses how commercial real estate differs from residential real estate, why standard bank appraisals often miss important components of value, and how these shortcomings can create ch...

In this episode, Collin explores the critical role real estate plays in physician practice transactions and why many groups fail to maximize its value. He explains how practice owners often focus heavily on the operating business while overlooking the real estate asset, creating situations where significant value is left on the table during a sale. The discussion covers sale-leaseback transactions...

In this episode, Dr. Jeff Douglass discusses how the Oregon Clinic — a 220-physician multi-specialty organization — developed a structured approach to physician-owned medical real estate after recognizing the financial impact of millions in annual lease expenses. Drawing from both successes and past challenges, Dr. Douglass explains how the organization created a commercial real estate investment...

In this episode, Chris shares insights into how lenders evaluate physician-owned medical real estate deals and what borrowers can do to position themselves for successful financing outcomes. He explains the key differences between owner-occupied and traditional commercial real estate loans, including how those distinctions impact loan terms, leverage, and underwriting standards. Chris breaks down...

In this episode, James, Steve, and Greg explore the structure and implications of developer joint ventures in physician-owned medical real estate. They outline how these partnerships typically originate, including scenarios where developers control land, work alongside health systems, or engage directly with physician groups early in the process. The conversation focuses on the key tradeoffs invol...

In this episode, Mike McCaslin shares insights from over four decades of experience advising physician groups on real estate ownership. He explains why practices should prioritize owning their medical facilities, highlighting the financial benefits of capturing rental income internally rather than paying third-party landlords. Mike outlines how to structure ownership through separate LLCs, create...

In this episode, Grant breaks down the key differences between short-term and long-term interest rates and explains how each is influenced by the Federal Reserve and broader market forces. He shares insights into current expectations for rate movements, including the potential for short-term rate cuts and the factors that may keep long-term rates more stable. Grant also explores how borrowers can...

In this episode, Shannon breaks down the structure behind interest rates and demystifies the often-confusing world of interest rate swaps. She explains how banks separate their cost of funds from their profit (spread), the differences between variable and fixed rate loans, and how swaps allow lenders to transfer interest rate risk while potentially offering borrowers more competitive pricing. Shan...

In this episode, The IRS Election That Doctors Miss — and How It Costs Them , Shane, Tax Partner at Eide Bailly, breaks down the tax strategies that can significantly impact physician-owned medical practices and real estate holdings. Shane explains how depreciation works for medical buildings, when cost segregation studies can accelerate deductions, and why bonus depreciation is often misunderstoo...

In this first episode of our 2026 series, Craig Kilgore, CEO of Coastal Vascular & Vein Center, unpacks the realities of physician-owned medical real estate. Drawing on decades of experience, Craig shares the benefits, pitfalls, and strategic decisions behind owner-occupied vs. investment ownership, how misaligned partnerships can strain practices, and what young physicians should consider if they...

In the first session of the CPOMP 2024 Annual Meeting, Real Estate 101, Grant Blackhurst, Principal at CMAC Partners, provides an explanation of capitalization rates, an important metric for measuring return on investment. Cap rates are often one of the most misunderstood terms among physician-owned groups. Understanding cap rates becomes crucial when selling or purchasing a property, putting rent...

In the first session of the CPOMP 2024 Annual Meeting, Dr. Bruce Cohen from OrthoCarolina kicked off the Real Estate 101 session by discussing the importance of owning the medical real estate. He touches on why it's different than your residential real estate investments, why to pay attention to the leases, and why it's one of the most stable investments a physician can make.  Join discussions lik...

In this episode,  Steve Dobias, Managing Director at CBIZ Somerset , discusses an upcoming CPOMP session focused on the analysis of new projects - how and why medical practices are continuing to build new facilities.    The CPOMP 2023 Annual Meeting is quickly approaching! Listen to get a sense of the timely real estate-focused discussions that will take place between physicians, executives, and i...

In this episode,  Dr. MJ Pennington, President & CEO  of  Granger Medical Clinic shares what she will discuss at the upcoming CPOMP conference about joint ventures, recognizing partner misalignment, and the provisions needed to protect physician groups' investments.   The CPOMP 2023 Annual Meeting is quickly approaching! Listen to get a sense of the timely real estate-focused discussions that will...

In this episode, Dr. Bruce Cohen, CEO of OrthoCarolina  shares what he will discuss at the upcoming CPOMP meeting about methods groups can use to structure buy-ins and buyouts.   The CPOMP 2023 Annual Meeting is quickly approaching! Listen to get a sense of the timely real estate-focused discussions that will take place between physicians, executives, and industry experts this fall in Ponte Vedra...

In this episode,  Mike McCaslin , Principal at CBIZ Somerset shares what he will discuss at the upcoming CPOMP panel "Essentials of a Sustainable & Highly Profitable Real Estate Investment."   The CPOMP 2023 Annual Meeting is quickly approaching! Listen to get a sense of the timely real estate-focused discussions that will take place between physicians, executives, and industry experts this fall i...

In this episode, Collin Hart, CEO & Managing Director of ERE Healthcare Real Estate Advisors shares what he will discuss at the upcoming CPOMP conference.   The CPOMP 2023 Annual Meeting is quickly approaching! Listen to get a sense of the timely real estate-focused discussions that will take place between physicians, executives, and industry experts this fall in Ponte Vedra Beach, FL.   Join your...

In this episode, Eric Nuttall , Partner in Charge of Medical Practices at Eide Bailly shares what he will discuss at the upcoming CPOMP conference.  The CPOMP 2023 Annual Meeting is quickly approaching! Listen to get a sense of the timely real estate-focused discussions that will take place between physicians, executives, and industry experts this fall in Ponte Vedra Beach, FL. Join your peers in...

The Keys To Developing Physician-Owned Medical Real Estate in a Tightening Economy | A Critically Timed Two-Part Webinar Series This is a recording of the second session in a two-part webinar series that took place on November 14th, 2022. It featured Greg Warren, Managing Member of CMAC Partners and Andy Johnson, General Fund Manager of the CPOMP Physicians' Equity Fund. Greg discussed the types o...

The Keys To Developing Physician-Owned Medical Real Estate in a Tightening Economy | A Critically Timed Two-Part Webinar Series This is a recording of the first session in a two-part webinar series that took place on November 7th, 2022. It featured JP Conklin, Founder of Pensford and Steve Dobias, Partner at Somerset CPAs & Advisors. JP addressed questions such as when will the Fed stop hiking rat...

Marion Jenkins, Partner and co-Founder at HealthSpaces , joins us to discuss the technological side of planning new medical office buildings, links between the operations of the practice and technology, future-proofing of medical real estate, and the cost of these technology considerations.

Marion Jenkins, Partner and co-Founder at HealthSpaces , joins us to discuss the technological side of planning new medical office buildings, links between the operations of the practice and technology, future-proofing of medical real estate, and the cost of these technology considerations.

In this virtual forum, physicians, healthcare executives, and three industry expert guests discussed how groups generally choose new real estate locations, the importance of network optimization, and how to use a data-driven strategy. Discussion Questions:  6:00 - Why should groups who are developing new facilities should care about site selection? How do they use it as a tool? 14:00 - What does h...

We are glad to be joined by three experts in the field to clear up the gray area around post-COVID design requirements and assist groups in their upcoming new development discussions.  11:00 - What do we see in regards to the timeframe as to when these changes will start taking place?  24:13 - How has the shifted focus on telemedicine affected design, patient volumes, and new growth? 32:00 - How d...