CPOMP 2023 Sneak Peek: Real Estate Impact of Private Equity Sale of the Practice
The Physician-Owned Medical Real Estate Podcast
Release Date: 08/01/2023
From the Lender’s Perspective: How to Unlock Elite Terms
The Physician-Owned Medical Real Estate Podcast
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 the financial metrics banks prioritize — including liquidity, leverage, and debt service coverage ratios — and discusses how retained earnings and loan covenants can create both...
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JV Deals Decoded: What Makes a Truly Good Joint Venture
The Physician-Owned Medical Real Estate Podcast
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 involved in partnering with developers, including majority ownership structures, governance control, and differing return expectations. They explain how these dynamics can impact everything from...
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Real Estate as a Talent Strategy: Attracting & Retaining Key Leaders
The Physician-Owned Medical Real Estate Podcast
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 affordable entry points for new physicians, and model long-term value for partners. He also addresses the complexities of ownership transitions, including how to handle retiring physicians,...
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Short-Term vs. Long-Term Rates: Understanding and Profiting from the Disconnect
The Physician-Owned Medical Real Estate Podcast
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 use interest rate swaps to create more flexible financing structures, allowing them to fix portions of their debt or adjust strategies over time. He highlights why traditional fixed-rate loans may not...
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The Hidden Value of Swaps: When & How to Unlock Them
The Physician-Owned Medical Real Estate Podcast
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. Shannon walks through how swaps are structured, why borrowers typically start out “upside down,” and how the value of a swap evolves over time — including what happens if a loan is paid off or...
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The IRS Election That Doctors Miss — and How It Costs Them
The Physician-Owned Medical Real Estate Podcast
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Real Estate 101: What Every Physician Should Know
The Physician-Owned Medical Real Estate Podcast
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’re thinking about real estate early in their careers. Join the next session of Physician-Owned Real Estate 101 at the CPOMP 2027 Annual Meeting, January 21-23, 2027 at the Omni Scottsdale...
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CPOMP 2024 Session Clip: Real Estate 101 | Explanation of Capitalization Rates
The Physician-Owned Medical Real Estate Podcast
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 rents into place, or evaluating JV partner offers.
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CPOMP 2024 Session Clip: Real Estate 101 | Importance of Owning Real Estate with Dr. Bruce Cohen
The Physician-Owned Medical Real Estate Podcast
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 like this at CPOMP 2025 from September 11-13, 2025 at The Broadmoor in Colorado Springs. Register at www.CPOMP.org/2025meeting.
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CPOMP 2023 Sneak Peek: How and Why Medical Practices Are Continuing to Build
The Physician-Owned Medical Real Estate Podcast
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 industry experts this fall in Ponte Vedra Beach, FL. Join your peers in these valuable conversations from November 2nd to 4th, 2023 at the Ponte Vedra Inn & Club in Ponte Vedra Beach,...
info_outlineJoin your peers in these valuable conversations from November 2nd to 4th, 2023 at the Ponte Vedra Inn & Club in Ponte Vedra Beach, FL. Register at www.CPOMP.org/2023meeting.