The intersection of geopolitics and real estate creates both challenges and opportunities for savvy investors. Canadian investor and real estate coach Terrie Schauer joins us to dissect the potential impact of proposed US-Canada tariffs on real estate investments across North America.

Terrie provides fascinating contrasts between the US and Canadian economies that challenge common stereotypes. While Americans are often portrayed as debt-happy consumers, Canadians actually carry significantly more debt—$1.74 for every dollar earned compared to America's $0.82. This disparity stems largely from Canada's sky-high housing costs, as the country never experienced the 2008 housing market correction that reset US prices.

We dive deep into the critical process of vetting real estate operators when considering passive investments. Terrie emphasizes looking beyond simple return metrics to understand the macroeconomic context of past performance. A 100% IRR during the frothy markets of late 2021 might be less impressive than breaking even on a deal sold during today's challenging interest rate environment. The conversation reveals practical strategies for evaluating potential partners, including speaking with their previous investors and asking pointed questions about deals that didn't perform as expected.

For healthcare professionals balancing demanding careers with wealth-building, Terrie challenges the notion of "passive income" in real estate. While property investments can be "passive-er" than running a practice, truly hands-off returns only come through carefully selected partnerships. We explore the opportunity costs of capital allocation decisions and why emotional reasoning about taxes often leads investors astray.

Whether you're considering your first real estate investment or looking to diversify across borders, this episode provides crucial perspective on navigating economic uncertainty while building wealth through property. Subscribe now for more insights on leveraging real estate to scale your healthcare organization.

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

The path to scaling a successful dental group isn't always smooth, as Dr. Bradley Dykstra candidly reveals in our raw conversation about overcoming critical staffing challenges. When unexpected provider departures left his practices struggling, he turned to temporary dentists—a decision that spiraled into financial strain and team burnout.

"They just want to come and collect their paycheck," Dr. Dykstra shares about the locum tenens experience that cost his practice dearly. Through this painful journey, he learned crucial lessons about vetting providers, setting clear expectations, and maintaining accountability. His honest reflection offers invaluable guidance for any healthcare organization facing similar staffing dilemmas.

Beyond staffing solutions, we explore the counterintuitive strategy of consolidation. By reducing from seven locations to six, MI Smile Dental Group strengthened their bottom line and optimized resources. "It's not number of locations, it's the bottom line that really counts," emphasizes Dr. Dykstra, challenging the growth-at-all-costs mentality common in healthcare.

Looking ahead to 2025, Dr. Dykstra reveals his innovative approach to hygienist compensation—treating them as true providers with production incentives rather than fixed salaries. This forward-thinking strategy aims to attract motivated clinicians while controlling labor costs in an environment where insurance reimbursements remain stagnant despite rising expenses.

Whether you're managing temporary staffing challenges, considering practice consolidation, or reimagining compensation structures, this episode delivers actionable insights from someone who's navigated these waters. Visit www.mismilesdentalgroup.com to learn more about their approach to dental practice management.

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

Dr. Kevin Kremer reveals his powerful "Three C's" framework—Customer, Culture, and Company—that drives success in healthcare practices. As the visionary behind Kremer Dental Care, New Smile Now, and the Kremer Leadership Institute, and author of "Quantum Accountability," Dr. Kremer shares proven strategies that have turned struggling practices into thriving businesses.

The customer experience hinges on seemingly small but crucial details – like the 10-foot rule of acknowledgment, proper handoffs between team members, and ensuring patients are never left unattended during their visit. These service elements create the foundation for practice loyalty and growth.

Building a thriving culture means creating an environment where change is embraced rather than feared. Dr. Kremer details his systematic approach to team management through weekly check-ins between leads and team members, establishing regular feedback loops that prevent burnout and enhance performance. This democratic approach ensures team members feel heard while maintaining clear direction.

Perhaps most revealing is Dr. Kremer's discussion of financial health through comprehensive KPI tracking. He shares the remarkable story of a burned-out dentist making under $70,000 despite working four days weekly, whose income tripled after implementing proper business systems while simultaneously improving patient care.

Beyond practice management, Dr. Kremer introduces the concept of "mental obesity" – how our minds are becoming overwhelmed by digital stimulation just as our bodies struggle with processed foods. The constant dopamine hits from smartphones and social media create addiction patterns that directly impact our productivity and happiness. His practical approach to implementing technology "guardrails" offers a path to reclaiming mental wellness.

Ready to transform your practice through accountability and strategic implementation? Connect with Dr. Kremer at [email protected] or through his social media channels to discover how these principles can create sustainable success in your healthcare business.

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

A Guest Episode from Break of Day Capital | Dive into the transformative world of healthcare real estate with Austin Hair as we explore how data analysis can elevate your investment strategies. From understanding patient demographics to leveraging grocery anchor data, this episode is packed with insights that promise to change your approach to site selection in healthcare. 

Austin, a seasoned investor with a fascinating background, shares how he transitioned from professional wakeboarding to investing in healthcare properties. Learn about tiering systems that align specific healthcare services with the right locations and why this strategic positioning can lead to increased success. 

We also tackle the pressing issues of competition and inflation within the market. With insightful discussions on multi-tenant developments, discover how diversifying your portfolio can not only mitigate risk but also provide more stable returns. This is a must-listen for anyone looking to navigate the medical retail landscape effectively.

Curious to learn more and engage with our community? Be sure to subscribe to our podcast for future episodes, share your thoughts, and leave a review to help others discover this valuable content.

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

Are you curious about what it takes to scale a healthcare business effectively? This episode features Jeremy Wright, the CEO of Princeton MedSpa Partners, who shares invaluable insights into his journey from management consulting to running a growing medspa network. 

Wright dives into the intricacies of building a strong organizational culture, emphasizing the importance of aligning a diverse team under a unified mission. He believes that the core of any successful healthcare organization is ensuring that employees feel valued and connected to the company's goals. His approach includes starting with open conversations, allowing team members to express their concerns and ideas, thus fostering a more engaged workplace atmosphere.

As he discusses the growth strategies for the medspa industry, Wright sheds light on how systemic operations can be placed to streamline processes, cross your operational hurdles, and ensure consistency across multiple locations. He points out the necessity of creating robust systems that facilitate better data management, enabling informed decision-making which can significantly impact profitability. 

Tune in to hear not only the personal experiences of a healthcare leader but also actionable advice for anyone in the industry seeking to replicate such success. Don’t miss this chance to enhance your understanding of healthcare scaling, leadership dynamics, and the role of a strong corporate culture in achieving your business goals. 

Ready to dive in? Subscribe for more expert insights and strategies about growing healthcare organizations!

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

What if scaling a healthcare business was more about strategic real estate choices and less about the medical services themselves? Troy Bage, CEO of Tend, unveils his transformative journey from physical therapist to a leader who expanded healthcare locations from 30 to over 1200. Discover how he navigates DeNovo strategies and the complexities of franchising, while emphasizing the critical role of selecting the right partners. Troy shares his experiences and the often-misunderstood reputations of private equity and franchising, revealing the keys to sustainable growth and enduring success.

Enter the world of modern dentistry through the innovative lens of a company founded by venture capital group Juxtapose. They've reimagined dental care by addressing gaps left by large Dental Service Organizations in urban areas. Learn about their unique approach to enhancing patient experiences with technology and service, from a proprietary app to noise-canceling headphones, and how they leverage prime urban real estate for maximum visibility. Their strategic marketing tactics and commitment to accessibility have led to impressive growth across major cities, transforming how urbanites perceive and experience dental visits.

The future of dentistry is here, and it's driven by cutting-edge technology and strategic partnerships. From extended operational hours to the integration of AI imaging and 3D printing, Troy Bage discusses how these advancements are optimizing efficiency and patient satisfaction. He delves into the impact of proprietary booking software that revolutionizes appointment scheduling. Leadership and organizational alignment are also key themes, with insights into using OKRs for goal alignment and fostering a culture of continuous improvement. Explore the balance between remote and traditional work environments, as well as unique leadership philosophies that support growth and empowerment within the dental industry.

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

Curious about how financial priorities can harmonize with a people-centric culture in healthcare? Join us for a compelling conversation with Ken Kaufman, a visionary leader in the dental support organization sector, as he reveals the delicate balance between fostering a thriving organizational culture and achieving financial goals. With his impressive journey from BYU to CFO, Ken offers invaluable insights into strategies for sustainable growth, emphasizing the importance of caring for employees and patients alike. Discover how Ken's passion for startups and the dental industry has shaped his approach to building a culture where financial and cultural priorities are not at odds but work in tandem to drive success.

Unlock the secrets of maximizing healthcare revenue as Ken shares his expert advice on creating robust systems and automating processes within practice management. From merging Revenue Cycle Management systems to conducting annual fee schedule reviews, Ken provides actionable steps to optimize collections and streamline operations. Learn how transitioning to accrual accounting and implementing effective analytics can paint an accurate picture of business health while maintaining ethical practices. This episode promises a deep dive into the complexities of financial operations, offering practical guidance to navigate these challenges without losing sight of what truly matters—your organization's cultural core.

As we explore the intricacies of compensating healthcare providers and the exciting realm of real estate partnerships, Ken sheds light on incentivizing growth and creating strategic collaborations. Gain insights into salary ranges, compensation structures, and the ever-evolving landscape of commercial real estate ventures. Whether you're a dental practice manager or a healthcare executive, Ken's experience and wisdom will equip you with the knowledge to make informed, strategic decisions that align financial success with a vibrant, people-focused organizational culture.

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

Unlock the secrets of strategic growth in healthcare real estate with our special guest, Dr. Dipesh Patel, the visionary founder and CEO of Blueprint Smiles. Discover how Dr. Patel expanded his dental empire from six to eight locations around Atlanta by expertly navigating the complexities of real estate transactions. Learn from his firsthand experiences about the crucial role of lease agreements in ensuring successful exits, and why having the endgame in sight is non-negotiable when negotiating terms.

Next, we delve into the unique challenges and opportunities that various real estate environments present for healthcare growth, particularly in North Georgia's dental landscape. Dr. Patel shares how the pandemic reshaped patient behaviors, influencing the shift towards remote work and impacting dental practices in high-rise offices. Gain insights into his transition from hands-on clinical work to a managerial focus, allowing him to steer the expansion and support of a burgeoning group of dental offices with strategic precision.

Finally, we explore the current economic climate's impact on dentistry, where managing growth and team dynamics requires a delicate balance. Hear our discussion on the timing of team expansion, the financial implications of growth, and aligning business choices with personal aspirations. We also cover macroeconomic influences such as inflation and interest rates, and offer strategies for stable growth amidst these challenges. Dr. Patel’s emphasis on ethical practices and an operator-first mentality provides a roadmap for maintaining control and ensuring sustainable success in today's market.

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

Join us for a captivating conversation with Justin Coke, the dynamic CEO and founder of 7 to 7 Dental, as he unveils the strategic maneuvers behind scaling healthcare practices through private equity partnerships. Discover why partnering with GTCR Private Equity was a game-changer for his business and learn about the meticulous due diligence process that ensured alignment with the right financial partner. Unpack the apprehensions healthcare executives face when considering private equity, and gain insights into maintaining control while accelerating growth in the competitive healthcare landscape.

We dive deep into the art of crafting a robust healthcare business model centered on patient access and scalability. Listen as Justin shares the strategic advantages of having a unique story and a process-driven approach that enhances negotiation power and maximizes business value. Hear about the critical transition from cash-based to accrual accounting, a move that not only boosts company valuation but also attracts sophisticated buyers. As Justin discusses the transition, he emphasizes the significance of compliance and thorough preparation for smoother business operations and transitions.

Explore the broader financial landscape with us as Justin discusses the impact of low-interest rates on Dental Service Organizations and the resulting market corrections. Learn the lessons of cautious financial planning and the dangers of excessive reliance on borrowed money. From strategic growth decisions to the timing of business sales, this episode is packed with practical advice and compelling stories for healthcare professionals and executives looking to navigate the complex world of private equity partnerships and healthcare expansion.

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

Discover the future of dentistry as Dr. Sepand H, the visionary CEO and founder of Total Health Dental Care, redefines what it means to run a Dental Service Organization (DSO). From aspiring software engineer to groundbreaking dentist, Dr. H shares his journey and unveils a tech-enabled model that promises to enhance patient care. His revolutionary approach aims to seamlessly connect dentists and specialists, creating an exceptional patient experience that boosts both retention and profitability. Join us as Dr. H sets the stage for a new era in dentistry, challenging the limits of traditional practices.

Technology's transformative power takes center stage, illuminating a path forward for DSOs grappling with modern challenges like wage inflation and capped fees. Since 2021, embracing innovation has become a necessity, not a choice. Learn how advanced tech solutions can refine operational processes, allowing for better staff compensation and a more satisfying patient experience through automation and online services. Dr. H passionately advocates for native technology solutions tailored to the dental industry's intricacies, highlighting their potential to streamline operations and revolutionize business models.

Navigate the labyrinth of banking regulations and macroeconomic dynamics with us, focusing on their implications for the growth of DSOs. The conversation delves into the effects of the Dodd-Frank Act and the critical role of private equity in dental service expansion. With insights into potential interest rate changes and persistent wage growth, Dr. H discusses strategic financial planning to maintain healthy margins. By integrating technology and adjusting fees, DSOs can adapt and thrive amidst economic uncertainties. Tune in for a deep dive into the intersection of technology, finance, and dentistry, and leave with valuable insights for your own practice.

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