On the Brink of a Big Decision

On the Brink, Season 1, Episode 3

About This Episode

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 estate and ASC investments, from understanding market dynamics to building reliable referral patterns.

The key insight: Third-party developers can bridge the gap between physicians and health systems, creating alignment that benefits everyone—better economics, improved sustainability, and better patient care.

This episode challenges surgeons to move beyond clinical excellence and embrace a proactive investment mindset. Your expertise in healthcare delivery is valuable—here’s how to leverage it to build a more resilient financial foundation.

If you’re feeling the squeeze of changing healthcare economics or curious about physician ownership models, this conversation offers practical guidance for taking control of your practice’s future.

Key Themes and Takeaways

  • Disillusionment is widespread. Surgeons across the country are feeling the gap between why they entered medicine — to care for patients — and the reality of operational pressures, shrinking reimbursements, and system constraints.
  • There are strategic paths forward. For physicians ready to take more control, real estate investment and ASC ownership offer meaningful opportunities to shape their practice and financial future.
  • A strong business plan is foundational. Sustainable operations start with a comprehensive plan that aligns the interests of all stakeholders — from physicians to investors to the communities they serve.
  • Early investment in real estate pays off. Despite existing financial pressures, physicians who move early on real estate opportunities position themselves for long-term gains that compound over time.
  • The first step is starting the conversation. Physicians don’t need all the answers upfront. What matters is being proactive — asking questions, seeking clarity, and exploring what’s possible for their professional future.

Chapters

  • 00:33 – Transitioning to Real Estate for Surgeons
  • 01:51 – Transitioning to Physician Ownership
  • 07:04 – Aligning Interests in Healthcare Projects
  • 11:00 – Navigating Ownership and Control in Ambulatory Surgery Centers
  • 13:05 – Investment Opportunities for Physicians
  • 16:45 – Investing in Your Future: Insights for Surgeons

About the Host

Carolyn Wilson brings decades of operational expertise in ASC development and healthcare real estate.

She’s guided countless physician groups through the journey from initial conversation to successful operations—and she understands the challenges that keep surgeons up at night.

Connect with Carolyn Wilson on LinkedIn

About the Guest

Jarrod Daddis is President and Managing Partner at NexCore Group, where he leads strategic and operational functions across the company’s eleven offices. 

With 27 years of experience in healthcare, life sciences, and seniors housing real estate development, Jarrod has transacted billions of dollars in real estate while building lasting relationships with clients and colleagues. 

You can connect with Jarrod Daddis on LinkedIn.